cataract, oculoplastic, reconstructive, lacrimal and aesthetic surgery

Hugo Henderson MA MB BS FRCOphth

consultant ophthalmologist and oculoplastic surgeon

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Blepharoplasty

Droopy eye

Browlift

Botox

Aesthetic

Watery eye

Cataract surgery

 

collagen

Fillers

WHAT THE PROCEDURE IS

Injected hyaluronic acid for example 'Restylane' are primarily used to improve the appearances of the skin's texture. Both materials can be used to plump up the skin and add fullness to the lips and cheeks. This procedure can be undertaken alone or in conjunction with others such as a brow lift. It is important to discuss what you are looking for as it may be that another procedure or indeed other fillers are more suitable.

WHAT THE RISKS ARE

Complications with this procedure, assuming administration of injectables is carried out by an appropriately qualified surgeon and the patient has followed the medical advice given are infrequent and usually minor in nature. However, as individuals do vary in their physical reactions and healing abilities the outcome of treatment with injectable aesthetic fillers are never completely predictable.

WHAT YOU CAN EXPECT

Your complete medical history will be required, so check your own records ahead of time and be ready to provide this information. Be sure to inform us if you have any allergies; if you're taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.

In this consultation, the facial structure around your eyes will be assessed and you will be asked about conditions that could cause problems such as active skin infections or non-healed sores from injuries. Collagen is not advised for pregnant women, individuals who are allergic to bovine products, patients who suffer from auto-immune diseases and people allergic to lidocaine.

You should carefully discuss your goals and expectations and whether any additional procedures are appropriate. You will need to follow any guidelines on how to prepare for the agreed procedures, including eating, drinking, smoking and taking or avoiding certain vitamins and medications.

THE TREATMENTS

HYALURONIC ACID

Hyaluronic acid is a naturally occurring protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments.

Hyaluronic acid is used primarily to fill wrinkles, lines and scars on the face and sometimes the neck, back and chest.

The procedure: Hyaluronic acid is injected using a fine needle inserted at several points along the edge of the treatment site. If a local anesthesia has not been used, you may feel some minor stinging or burning as the injections are administered.

After treatment: Immediately following treatment, you may notice some minor discomfort, stinging or throbbing in the injected area. Occasionally some bruising or swelling will occur, but it is usually minor. Any redness that appears in the injected site usually disappears within 24 hours. However, in some individuals, particularly fair-skinned patients, this redness may persist for a week or more. Tiny scabs may also form over the needle-stick areas; these generally heal quickly.

No bandaging is needed and you are free to eat, drink, and wear makeup with sunblock protection shortly thereafter. There may be some temporary swelling and redness in the treated area which should dissipate within a few days. If these symptoms persist, contact your surgeon.

Results: As stated earlier, the duration of results from Hyaluronic acid is variable. Hyaluronic acid longevity depends on the patient's lifestyle and physical characteristics as well as the part of the body treated. In general, the injected material is likely to disappear faster in areas that are more affected by muscle movement.

FAT

In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient's abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in "sunken" cheeks or laugh lines between the nose and mouth, to correct skin depressions or indentations, to minimize forehead wrinkles and to enhance the lips.

The procedure: After both the donor and recipient sites are cleansed and treated with a local anesthesia, the fat is withdrawn using a syringe with a large-bore needle or a cannula (the same instrument used in liposuction) attached to a suction device. The fat is then prepared and injected into the recipient site with a needle. Sometimes an adhesive bandage is applied over the injection site.

As with Hyaluronic acid, "overfilling" is necessary to allow for fat absorption in the weeks following treatment. When fat is used to fill sunken cheeks or to correct areas on the face other than lines, this overcorrection of newly injected fat may temporarily make the face appear abnormally puffed out or swollen.

After treatment: If a larger area was treated, you may be advised to curtail your activity for a brief time. However, many patients are able to resume normal activity immediately. You can expect some swelling, bruising or redness in both the donor and recipient sites. The severity of these symptoms depends upon the size and location of the treated area. You should stay out of the sun until the redness and bruising subsides - usually about 48 hours. In the meantime, you may use makeup with sunblock protection to help conceal your condition.

The swelling and puffiness in the recipient site may last several weeks, especially if a large area was filled.

Results: The duration of the fat injections varies significantly from patient to patient. Though some patients have reported results lasting a year or more, the majority of patients find that at least half of the injected fullness disappears within 3-6 months. Therefore, repeated injections may be necessary. Your doctor will advise you on how to maintain your results with repeat treatments.

YOUR NEW LOOK

If you're like most patients, you'll be very satisfied with the results of your injectable treatments. You may be surprised at the pleasing results that can be gained from this procedure.