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Cosmetic eyelid and facial plastic surgery is another term for cosmetic periocular (around the eyes) surgery. It embraces a number of procedures to correct hooded or baggy eyelids and improve the aesthetic appearance of the eyelids and surrounding area of the face, including the eyebrows, forehead and midface. There are also related aesthetic treatments.
The two most common cosmetic surgery operations carried out by Oculoplastic Surgeons are:
The most common aesthetic treatment carried out by Oculoplastic surgeons are:
Oculoplastic surgeons are ophthalmologists (eye doctors) who have specialised in eyelid and facial plastic surgery. Oculoplastic surgeons are trained to do many different types of eyelid and facial surgery, ranging from simple eyelid malpositions to more complex reconstruction involving the eyelids and surrounding forehead, temporal and cheek areas. They understand the delicate anatomy and function of the eyelids and their surrounding structures. As well as the eyelids, they specialise in the lacrimal (tear) system, the orbit (bone cavity around the eye), adjacent periocular (around the eyes) and facial structures and the forehead and cheeks.
Oculoplastic surgeons are also known as ophthalmic plastic and reconstructive surgeons and oculo-facial surgeons.
Oculoplastic surgeons are trained ophthalmologists (eye doctors) who understand how eyelid surgery can affect the comfort of the eye and the clarity of vision. They are accustomed to working around the eye and face.
This is a surgical procedure to remove excess tissue – skin, muscle and sometimes fat, from the upper and/or lower eyelids. It is often done in conjunction with other treatment such as a brow lift and BOTOX. There are cosmetic and functional reasons for blepharoplasty surgery.
This is a surgical procedure to raise the level of the drooping eyebrows and forehead, often done in association with upper eyelid blepharoplasty. The aim is to correct eyebrow ptosis. There are several different brow lift techniques, endoscopic or non-endoscopic, with or without fixation e.g. Endotine®.
This is injection of botulinum toxin A (BOTOX is the name of one brand of botulinum toxin) into overacting muscles which cause deep activity lines on the face, especially the forehead and around the eyes, such as the vertical frown lones and the smiles lines. Common sites for injection are the glabella lines (vertical frown lines), forehead lines and smile lines aound the eyes (crow's feet). BOTOX causes reversible inactivation (chemodenervation) of the facial muscle causing these lines. Mulitiple small injections are made which have a peak effect one week after the injection then gradually wear off over three months approximately.
A filler is an inert synthetic substance such as Restylane ® which is injected into the depressions or tear troughs below the eyes and the lines between the nose and the mouth (nasolabial folds). Fillers can be temporary, semi-permanent or permanent, depending on what material is injected. Restylane is temporary. The patients' own fat (autologous Coleman fat) can also be used to fill out depressed areas around the eyelids.
Mr Henderson will examine your eyelids and face and ask about your general health and any allergies and medications, especially aspirin and other over the counter tablets, and whether you smoke. You may be required to undergo a general health check by your general practitioner, including heart and blood tests. Your vision will be tested and the health of the eyelids, the tear film and the front of the eye checked, as well as a retinal examination. The whole face will be examined and the condition of the skin noted, and the position of the eyebrows and eyelids will be measured. Pre-operative photographs are taken as a baselinefor comparison with the results after surgery.
You will be advised whether just the eyelids or the eyebrows too need operating on and whether BOTOX (botulinum toxin) or other non-surgical treatment is recommended. You will be advised what tablets to stop before the surgery and given an information sheet about your operation and the post-surgery lid care.
Serious complications are rare but may occur even in the hands of trained and experienced surgeons. Every effort is made to reduce the risk of complication - in the unlikely event of a complication which can affect your vision, oculoplastic surgeons are trained to manage this. You need to help by stopping aspirin, clopidrogel and non-steroidal anti-imflammatory tablets two weeks beforehand if you physician will allow it, in order to reduce the risks from bleeding.
After surgery, your eyes are lubricated with ointment and a bandage applied. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed. If you feel any severe pain, call the hospital immediately.
You should keep your head elevated for several days, and use cold compresses to reduce swelling and bruising. (Bruising varies from person to person: it reaches its peak during the first week, and generally lasts anywhere from two weeks to a month.) You'll be shown how to clean your eyes, which may be gummy for a week or so. You will be prescribed eyedrops or ointment, since your eyelids may feel dry at first and your eyes may burn or itch. For the first few weeks you may also experience excessive tearing, sensitivity to light, and temporary changes in your eyesight, such as blurring or double vision.
Your progress will be followed very closely for the first week or two. The stitches will be removed a week after surgery. Once they're out, the swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel much better.
You should be able to read or watch television after two or three days. However, you won't be able to wear contact lenses for about two weeks, and even then they may feel uncomfortable for a while.
Most people feel ready to go out in public (and back to work) in a week to 10 days. By then, depending on your rate of healing, you'll probably be able to wear makeup to hide the bruising that remains. You may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sunblock made for eyelids when you go out.
Mr Henderson is always happy to receive calls if a patient is having difficulties after surgery. Call the hospital at which the surgery was undertaken and they will give Mr Henderson your contact details.