Revision Blepharoplasty Case
This 59-year-old Asian patient who works as a nurse in a London Hospital had two previous eyelid procedures in UK hospitals with plastic surgeons.
She felt that she had continued to look tired as there was hooding of the upper eyelids, with swelling of fat at the inner aspect of the eyelids. In the lower eyelids she had fat bags despite the previous surgery.
She came to see Dr Julian De Silva in his London practice, for revision eyelid blepharoplasty.
On examination, there was asymmetry with double skin creases on the upper eyelids, asymmetrical scars in the lower eyelids and fat prolapsing in the lower eyelids, as well as noticeable scarring.
Dr De Silva evaluated her changes and discussed with her what aspects of her eyelids could be improved. With clear expectations from the surgery, she had revision upper and lower eyelid surgery under sedation anaesthesia.
After surgery there was an improved appearance to her upper and lower eyelids. Dr De Silva hid the previous scars in natural creases in the upper eyelid and used hidden incision techniques in the lower eyelid (termed transconjunctival blepharoplasty).
The patient was very happy with the results and has subsequently returned to her home country.