Dr. Julian De Silva answers your frequently asked questions.
Do I need Blepharoplasty/ Eyelid lift Surgery?
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Dr. Julian De Silva MBBS, MD is a London facial cosmetic and plastic surgeon, he is an expert on the latest advances in facial cosmetic surgery and does not perform any body plastic surgery. Dr. Julian De Silva performs primary upper & lower blepharoplasty, ethnic blepharoplasty, revision blepharoplasty and Asian blepharoplasty.
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Transcript:
Hello, my name is Dr. Julian De Silva. I’m a London based Ocular Facial Cosmetic and Plastic Surgeon, and today I am answering frequently asked questions.
A frequently asked question that I get asked is, “Do I need Blepharoplasty?” And Blepharoplasty comes from the Greek word Blephar, meaning eyelid; Plasty meaning to change. It literally means to change or shape the eyelid.
Most patients who come to see me, are not necessarily looking for a change in the shape of the eyelid, they are looking for rejuvenation, and natural appearance to their eyelid, to go back a few years to an appearance they once had. So this is quite different from changing the appearance of the eyelid.
There are a few things that we need to consider. Firstly, what are the changes in our eyelids that we are noticing? Secondly, how much do these features actually bother us? And thirdly, what is the recovery time? How much down time do I need before I can go back to my usual activities?
So first what are the characteristics have you noticed with your eyelids? Well, if we first of all look to upper eyelids the common things that people notice are hanging of the upper eyelids a droopiness in the upper eyelids.
Often this is characterised by friends or relatives, noticing tiredness or asking you, are you not sleeping? Are you under stress? Because these are the connotations that are associated with changes in the eyelids. So they can be hanging, there can be excess skin, there can be swelling in the upper eyelid. And in women particularly, wearing makeup, could be more of a challenge, because there could be smudging of the makeup, and it could be more challenging in order to do that.
And with upper eyelid surgery, Asian Blepharoplasty, male Blepharoplasty, revision Blepharoplasty, these are all unique cases that need to be considered separately, in order to give you the best possible result.
So now let’s talk about lower eyelids. So it’s a lower Blepharoplasty, well broadly the changes that people tend to notice in our lower eyelids, tend to be centred around bags. These bags are made up of fat that surrounds your eyeball, like cushions your eyeball, that is coming forward as a swelling. And these bags are often associated with facial aging. And the key characteristic of these is they make you look tired.
So there is a lot of detail in the eyelids that are very important to consider before having surgery, because the surgery needs to be tailored to those specific needs.
Now if, if when you look at your face and you look at your eyelids, the changes that you notice are things that you are noticing on a day by day basis, then this is probably the right time to do something about it.
If you are only noticing these changes occasionally, and sometimes they don't seem so much, this is probably not the right time, because the changes that we are looking at in your upper and lower eyelid, there is no non-surgical method that's going to improve it. It is really you need surgery and this is called Blepharoplasty.
So in terms of the surgery, what does this involve? So in your upper eyelid, upper Blepharoplasty often involves a combination of removing some excess skin, lightening of the muscle, and shaping or sculpting of the underlying fat that maybe coming forward. That is called upper Blepharoplasty. Lower Blepharoplasty, which is often related to the fat coming forward, in addition to other things like dark circles, loss of volume and fat, generally is related to removing, or reshaping some of that fat.
Modern techniques are very much around fat preservation. And so it means transposing, moving the fat to where it is causing a swelling, to where actually there isn’t sufficient fat. And this is the latest innovations in terms of facial ageing.
So what is the recovery time for this? Well, it depends on what aspect you're looking at. In terms of social professional these kinds of requirements, for eyelid surgery, I tell most of my patients, you need a minimum of one week off work and social commitments. Sometimes it is nicer if you have a little longer than that, like 2 weeks particularly if you have additional procedures, which may include laser resurfacing or fat transfer, in order to enhance the results. But broadly speaking it is 1 to 2 weeks.
