Cosmetic

               
                   

What is Cosmetic Eye Surgery?

 

Cosmetic or aesthetic eye surgery is performed to improve the appearance of the eyes and surrounding areas and reduce the signs of aging. It can also improve the comfort of the eyelids and forehead and alleviate feelings of heaviness and strain. Cosmetic eye surgery can be one of the most effective ways of rejuvenating the face. It can make one look and feel younger and remove tired and dark circles around the eyes as well as removing or flattening excessive skin and prominences around the eyes. The improvement will gently blend with the rest of the facial skin and therefore friends and relatives often describe people as looking healthier, brighter and not tired without knowing they have had surgery.

 

What Procedures Does a Cosmetic Eye Surgeon Perform

 

The most common cosmetic eye procedures are

  • Upper eyelid blepharoplasty
  • Lower eyelid blepharoplasty
  • Droopy eyelid (ptosis) correction
  • Brow lift surgery

 

These are all described in detail below

 

Who Should Perform Cosmetic Eyelid Surgery?

 

The area around the eye is a highly visible part of our body and a challenging place to conduct surgery because of the eyelid function, anatomy and appearance. Cosmetic eye surgery must be performed by a surgeon who is highly skilled and trained in this area and also one who performs eyelid plastic surgery procedures very regularly. It should not be performed by a surgeon who does not have specialist training in this area of surgery or does not operate on the eyelids very regularly.

 

What is an Oculoplastic Surgeon?

Oculoplastic surgeons only do plastic surgery to the area around the eyes unlike general plastic surgeons who cover the whole body and may do eyelid plastic surgery much less regularly and may not have received specialised training in this area. Oculoplastic surgeons will have done around seven years of eye surgery training, and most will have done at least two years of training just in eyelid plastic surgery.

 

What Training and Experience Does Mr Rajak Have?

Mr Rajak graduated from Nottingham in 2000 as one of 5 students in his year with Honours and received several undergraduate prizes. He undertook specialist ophthalmology training in the London and Brighton region including at the Sussex Eye Hospital, Moorfields Eye Hospital and St Thomas’ Hospital. After completing his eye surgery training, he did his first specialist fellowship for one year in eyelid plastic surgery at the Sussex Eye Hospital and his second fellowship in this field, for a further two years at The Royal Adelaide Hospital, Australia. This is one of the most prestigious and demanding fellowships in the world and incorporates extensive training and surgery in eyelid, eye socket and tear drainage surgery.

Mr Rajak is one of the most renowned eyelid surgeons in the UK. He undertakes over 500 eyelid, eyesocket and tear duct procedures each year. He has extensive experience and exceptional outcomes from cosmetic eyelid surgery.

 

Upper Lid Blepharoplasty

Blepharoplasty is the medical name for the surgical removal of excess eyelid tissue. The excess tissue is most commonly skin, but often fat and muscle are additionally removed from the eyelid, depending on the needs and appearance of each specific patient. The excess skin can droop in front of the eye, blocking the upper vision and can be a cosmetic problem.  It can also cause an uncomfortable heavy, tired sensation, particularly when reading or concentrating. Sometimes the skin can sit on the eyelashes causing discomfort or pushing the eyelashes into the area of vision. Excess skin on the outer side of the upper eyelid sometimes tracks tears in the wrong direction (‘wicking’) causing a watery eye and make it difficult to apply eye make-up. Excess skin most commonly occurs with aging, but sometimes occurs in younger age groups and can run in families. It is sometimes associated with ptosis (drooping of the upper eyelids – see ptosis information sheet for further details).

Upper lid blepharoplasty is normally conducted under local anaesthetic (injections to numb the area) but sedation and general anaesthetic can be used. The surgery typically takes around an hour.

 

Lower Lid Blepharoplasty

The lower lid can have varied cosmetic and aging changes. In some people there are bulges in the lower lids, others have excess or wrinkling skin, others have darker or discoloured areas, and others have a deep band that separates the eyelid and cheek areas. Therefore lower lid blepharoplasty has to be very carefully tailored to the individual patient and should be carried out by a surgeon with extensive experience in lower eyelid surgery. Lower eyelid blepharoplasty surgery is often longer and more invasive surgery than upper eyelid blepharoplasty and therefore is often done under general anaesthetic or heavy sedation.

 

Brow Lift

Sometimes the eyebrow also descends with age and can make the eyes look very tired or cause the skin of the eyelid to hang over the eyelashes and interfere with the upper vision. It can cause people to feel a pronounced ache and strain in their forehead from having to continue these muscles to lift up the eye brow.  There are several different ways of lifting up the eye brow, such as direct brow lift (and temporal direct brow lift), internal brow pexy (a hidden suture to lift the brow), hairline brow lift and endoscopic brow lift. Therefore the surgery has to be tailored to the individual patient.

  • Before upper lid blepharoplasty
  • 3 months after right and left upper lid blepharoplasty
  • Before lower lid conjunctival approach lower lid fat blepharoplasty
  • 3 months after lower lid conjunctival approach lower lid fat blepharoplasty
  • Before upper lid blepharoplasty
  • 3 months after right and left upper lid blepharoplasty
  • Before upper and lower lid blepharoplasty
  • After upper and lower lid blepharoplasty (lower lid skin approach)
  • Before left lower lid skin (festoon) blepharoplasty
  • 3 months after left lower lid skin (festoon) blepharoplasty
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