Will my eyes be symmetrical after eyelid surgery?
Meticulous care is required with measurements of the eyelids before surgery as less than 1mm difference between the two eyelid heights can be seen. 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 degrees of asymmetry between the right and left sides, and with eyelid surgery, the asymmetries can be improved with surgery.
Will I have visible scarring?
In ethnic blepharoplasty an important consideration is scarring. Dr De Silva uses innervational techniques to reduce scarring for patients. Key to normal healing of scars is 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 utilise these stitches. In patients who have marked propensity for scars, Dr De Silva uses additional non-scarring agents to improve healing after surgery.
What will enhance the results of eyelid surgery?
The skin around the eyelids is less than half millimetre thick. For this reason, 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 advance 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 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 considerable improves the longevity of the result and improves the overall quality of skin as the transfer included regenerative cells. Dr De Silva utilises the most advanced modern techniques to enhance the results from surgery.