Will my eyes be symmetrical after surgery?
Meticulous care is required with measurements of the eyelids before surgery as less than 1mm difference between the two eyelid heights is noticeable. Dr De Silva spends 10 to 15 minutes measuring and re-measuring the eyelids before surgery to enhance symmetry, and ensure an even appearance.
All of us have some degree of asymmetry between the right and left sides, and with eyelid surgery, the asymmetries can be improved.
Will I have visible scarring?
In ethnic blepharoplasty an important consideration is scarring. Dr De Silva uses innovative technique to reduce scarring for patients.
Key to normal healing of scars is the surgical technique, choice of non-dissolving stitches and avoiding sun exposure in the healing period, as ultraviolet light may cause darkening of the skin.
Although dissolvable stitches are quicker for surgeons, in some patients these may increase scarring. For this reason, Dr De Silva does not use these stitches.
In patients who have a marked propensity for scars, Dr De Silva uses additional non-scarring agents to improve healing after surgery.
What will enhance the results?
The skin around the eyelids is less than half millimetre thick. Thus, every detail matters.
A common finding in ethnic blepharoplasty patients is the appearance of a dark ring beneath the lower eyelid at the junction between the eyelid and the cheek. For these patients, Dr De Silva uses an advanced fat transfer technique to enhance the result.
This involves taking a small volume of fat from around the belly button, concentrating the fat, and inserting this in micro-aliquots into the ring depression. Dr De Silva uses special micro-cannulas to insert the fat, avoiding incisions in the skin and placing it in precise locations between the eyelid and the cheek.
The fat is placed into specific areas around the eyes that are specific to the individual, including the junction between the eyelid and cheek, cheek, eyebrows, glabellar, temples and lateral canthus.
This specialised treatment enhances the results of the surgery and considerably improves the longevity of the result and the overall quality of skin as the transfer includes regenerative cells.