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Afro-Caribbean Blepharoplasty

Afro-Caribbean Blepharoplasty in London

Written by Dr Julian De Silva

The Afro-Caribbean eyelid is anatomically different from the Caucasian eyelid. These changes pertain to underlying facial anatomy, including the relatively full upper eyelids, full brow, fine upper eyelid appearance, dark rings, facial lines and lines in the lower eyelid that may or may not be associated with eye bags.

These distinct differences typically arise as a result of facial ageing. But, hereditary factors may also contribute, causing even patients as young as their twenties to have age-related changes around the eyes that are usually associated with older individuals.

Dr De Silva delivers natural-looking results with surgery that enhances, rather than drastically changes the appearance.

A key element of the Afro-Caribbean eyelift is hidden scars in the lower lid which are on the inside of the eyelid and, therefore, invisible. Upper eyelid scars are hidden in the eye’s natural crease which is difficult to detect once the scars have faded.

Dr De Silva is a renowned expert in ethnic eyelid surgery and has treated Afro-Caribbean patients from around the world.

Afro-Caribbean Female Patient

What is Afro-Caribbean anatomy?

Anatomical differences typical of each ethnicity are present in the facial skeleton. The Afro-Caribbean eye position is characteristically more forwardly positioned (medically termed proptosed) which is secondary to the underlying shape of the natural ethnic bone.

The lower eyelid has multiple complexities in its anatomy, with attachments of ligaments and muscles that must be respected with surgery. Other common changes are dark circles or swelling around the eyelids.

A combination of eyelid surgery and volume enhancement with regenerative cells can enhance the appearance in this area.

Dr De Silva’s techniques

  • Preferably, an attractive eyelid should arch from the nose to the cheek with a gentle arc, typically with a small 1-2mm incline.
  • The upper eyelid has a crease that determines the amount of upper eyelid that shows. Differences in the degree of eyelid showing in ethnic eyelids must be tailored with cosmetic and plastic surgery.
  • The position of the brow is often lower in Afro-Caribbean patients, which must be taken into consideration when performing surgery.
  • Elevating the brow with a conservative brow lift may be necessary for some patients, but caution is required as over-lifting may give rise to an unnatural or surprised look.
  • Dr De Silva employs a conservative approach to blepharoplasty surgery to preserve a natural quality.
  • In the lower eyelid, regenerative medicine techniques may be used in combination with eyelid surgery to enhance the quality of the skin and improve dark shadows and rings.

What is the recovery after surgery?

Dr De Silva uses the latest in technology including regenerative medicine to enhance recovery after surgery. Utilising your own growth factors, and advanced techniques used by professional athletes your recovery can be speeded up.

Afro-Caribbean photomodel - smiling female

Will I have dry eyes after eyelid surgery?

One reason for dry eyes is that the surgery temporarily hinders your ability to blink. This stops your tear film from lubricating the cornea, leading to dry eyes.

The orbicularis muscle is key in allowing the eyelid to blink, and its function must be preserved. Dr De Silva favours a conservative approach to surgery to reduce the risk of damage to the orbicularis muscle and reduce the risk of long-term dry eyes.

What does eyelid surgery involve?

The main goal of blepharoplasty surgery is to create a relaxed, youthful appearance in the eye area by removing loose skin and excess fat in the upper and lower lids.

To achieve a rejuvenated appearance to the eyes, these elements may have to be altered:

  • fibrous septum
  • orbicularis muscle
  • eyelid crease
  • fat pads
  • lower eyelid position
  • lines and wrinkles
  • junction of the cheek and eyelid

For even better results, Dr De Silva may recommend additional techniques to add volume, or regenerative techniques to enhance the skin’s texture.

What will my friends and family think?

Understandably, patients are concerned they may look drastically different after surgery, and don’t necessarily want their friends and family to notice they have had “work done”.

Dr De Silva respects this, which is why he adopts a gentle, conservative approach to surgery. Working with each patient’s own anatomy he provides a result that enhances rather than exaggerates the natural features, creating subtle changes that many people will attribute to you having a good night’s sleep!

dry eyes after surgery

What type of anaesthesia is used?

Dr De Silva uses a form of sedation anaesthesia (also known as twilight anaesthesia) developed in his London Centre, bases on techniques developed in the USA.

Using small amounts of four or five sedation medications, patients can avoid general anaesthesia, and the risks associated with it, but have a safe and relaxing experience, followed by a shorter recovery time. Patients are able to leave 30-60 minutes after their surgery and this form of sedation anaesthesia is considered an optimal choice for patients undergoing Afro-Caribbean eyelift.

Will I have visible scarring?

Scarring is an important consideration in any type of cosmetic surgery. Dr De Silva uses specialist techniques to reduce or hide scars for patients undergoing eyelid surgery.

  • In the upper eyelids, scars are hidden in the eyelid crease. Once the scars have faded to white they are not noticeable, but it is important to keep them out of the sun or ultraviolet light which may cause them to darken and remain red.
  • In the lower lids, Dr De Silva uses hidden scar techniques, where the incisions are carried out on the inside of the eyelid, rather than the outside.
  • Dr De Silva does not use dissolvable stitches as these can lead to increased scarring in some patients.
  • Additional non-scarring agents are given to patients who have a disposition toward scarring to improve healing after surgery

100’s of experiences of Dr De Silva’s patients

Real Self. Top Doctor - Blepharoplasty 2020


4.98 from 592 reviews

By EL, Lower Blepharoplasty with fat transfer, laser and milia removal on May 19, 2020

I had lower eye blepharoplasty, with fat transfer, PRP, laser resurfacing and milia removal. I had researched and wanted the surgery for about 2 years before deciding to have some consultations I had two consultations with a well known surgery group but did not feel confident. I then met with Dr De Silva and knew as soon as the consultation was over that I felt confident enough to go ahead and am so glad that I did. My pre treatment appointments and advice were so thorough, and any questions that I had were answered so quickly by the clinics staff.
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By Upper & lower blepharoplasty Jan 1, 2020

I recently underwent an upper & lower Blepharoplasty with Dr DeSilva and the results are outstanding! From my very first consultation and after lots of research, I knew that I had made the right decision to go with Dr DeSilva. Naturally I was nervous but his amazing team were all very kind, extremely friendly and totally relaxed. The procedure was carried out under sedation and that too was fantastic. I can honestly say I felt no pain during and after the procedure and within 1 hour afterwards I was on my way home. I would 100% fully recommend Dr DeSilva to anybody considering a procedure such as mine. Thank you Dr DeSilva, you have instilled a new found confidence in me.
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Lower Blepharoplasty Dec 25, 2019

I had lower blepharoplasty surgery as I had a lot of wrinkles in my lower eyelids. I have big eyes so the wrinkles were very obvious and only being in my mid-thirty’s I felt it aged me. The surgery was only an hour long and Dr Julian and his team were all really nice and caring. I am extremely happy with the results and my eyes look so much better! The wrinkles are hardly there and I actually like how my eyes look in photos now! I definitely recommend Dr Julian and his team.
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Read More Reviews Here *Results May Vary

What will enhance the results?

The eyelid skin is less than 1mm thick and every minute detail matters. Dr De Silva sometimes uses additional techniques to enhance results, for example, to minimise dark rings beneath the lower lid.

In these cases, an advance fat transfer technique can reposition fat from around the belly button into ring depressions around the eyes to improve the quality of the skin and regenerate new cells.

Can an ethnic eyelift be combined with other procedures?

An eyelift is frequently combined with other surgical and non-surgical treatments, such as

Middle Eastern female patient

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