Ageing of the upper and lower eyelids is normally due to a combination of loose skin and protrusion of fat. The eye rests in a cushion of fat within the eye socket and with time the retaining tissues weaken and fat is pushed forward creating bags in the lower eyelid and bulges in the upper eyelid. Excess skin as also commonly seen around the eyes and together, these create the common symptoms of puffiness and hooding around the eyes which give the appearance of tiredness.
The operation of eyelid reduction (Blepharoplasty) is one of the commonest procedures performed in our practice in Harley Street, London and is perfect for facial rejuvenation. It is approached surgically by operating on the eyelid itself and removing or adjusting excess skin, fat or both. Depending on the nature of the problem, blepharoplasty can be performed using either hidden skin incisions, or by a scarless transconjunctival approach from the inside of the eyelid. Often, other procedures are used to augment and enhance eyelid surgery such as fat preservation and repositioning or fat transfer to fill unwanted hollows below the eyes. A simultaneous mid-face lift can also be used to enhance the results of blepharoplasty by smoothing the eyelid-cheek junction and correcting midface descent which is commonly associated with eyelid bags.
Revision blepharoplasty is unfortunately becoming increasingly prevalent. Whilst the need for minor revisions are not uncommon, significant complications arising from blepharoplasty are often the result of poorly planned and inexperienced surgical technique. The lack of any detailed pre-operative examination and assessment of the eye using slit-lamp biomicroscopy is another common reason for the failure to anticipate problems and plan surgery appropriately. In addition to poor cosmetic outcomes, patients with complications often have ocular surface exposure that can compromise their vision and cause chronic pain. There are many different approaches to revision blepharoplasty depending on the technical need and Mr. Ezra of offers a full range of treatments including hard palate and synthetic spacer grafts.
Mr Ezra’s approach to eyelid surgery is to provide a natural appearance which is usually guided by an analysis of photographs taken when you were younger so as to ensure that any planned surgery will look natural.
For more information on blepharoplasty, please call our practice on Harley Street, London on 020 7127 8184.