Written by Dr. Julian De Silva
Blepharoplasty is one most common cosmetic procedure in men. Although in principle the procedure is similar in men and women, there are important differences in the male and female upper eyelids that correspond to the underlying facial structure and anatomy. Everyone is familiar with famous male actors and musicians who look like they have had too much work done. Key is men, “less is more”.
An attractive and youthful eyelid appearance in a man is different to a female. In men, prominent low brows and subtle eyelid show are both attractive and youthful. In women, high brows, increased lid show and high crease in the skin is beautiful.
Male blepharoplasty is more challenging than female blepharoplasty as the techniques required to give a natural looking result are a combination of specialized technique and artistic judgment.
Dr De Silva is known for natural looking results and uses specialized techniques that foster a natural and conservative rejuvenation.
The male eyelid is commonly characterised with a fuller appearance to the upper eyelid, lower brow position and a conservative amount of eyelid show. This is different to the female appearance which generally have more open eyelids, greater eyelid show, and higher more arched brows. A low brow is an attractive feature in male appearance. Surgery that elevates the male brow should be conservative, as lifting the brow can result in feminisation of the male face. A cosmetic surgeon who specializes in the face is able to avoid such an appearance.
Many people agree that George Clooney looks good for his age, one of the reasons he has undergone conservative upper blepharoplasty.
Dr De Silva uses a combination of advanced techniques and innovations in male blepharoplasty. In some cases, he will use a combination of surgery with 3D telescopic surgery and the use of a muscle relaxant to give the best result.
De Silva is an advocate for conservative surgery and less is more philosophy in male blepharoplasty, this results in natural looking rejuvenation.
The above figures are taken from Dr Julian De Silva’s forthcoming book on Facial Cosmetic & Plastic Surgery, the top figure shows the appearance of the male brow and eyelids. Men characteristically have lower eyebrows with a fuller upper eyelid and low skin crease (marked with a blue arrow). In comparison women characteristically have a higher brow with more open eyes and a higher skin crease. Dr De Silva refined surgical techniques ensure that after surgery the eyelid and brow have a natural appearance. The techniques for natural looking male blepharoplasty are more refined than in women as it important to avoid feminisation of male appearance.
Sedative anaesthesia, also known as “twilight anaesthesia,” which is combination of local and sedative medications. At the centre we have developed our own advanced form of twilight anaesthesia, based on practices in the USA. This specialised sedation uses tiny amounts of four to five sedation medications that cumulatively give a relaxing and safe experience avoid the risks and side effects of general anaesthesia. A much shorter recovery period than general anaesthesia, with most patients able to leave 30 to 60 minutes following the procedure. These are the most advanced sedation techniques available, and the optimal option for patients considering Asian eyelid surgery.
For more information on sedation anaesthesia please click here.
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.
Many patients are concerned they will look too different after surgery and family or friends will notice. The eyelid is a key element of facial appearance as the eyes are the first point of communication between people in the form of eye contact. Loose skin, puffiness, bags, lines and dark circles all give a more tired appearance. Good eyelid surgery is discrete with hidden scars, patient’s report to Dr De Silva every week that most of their friends and family could not tell they had undergone surgery until shown before and after photos.
Before
After
Dr De Silva frequently combines upper eyelid surgery with other facial procedures:
Male blepharoplasty is regarding more challenging aspect of eyelid surgery and some general plastic surgeons do not complete this surgery. Over 30% of all Dr De Silva’s patients have undergoing previous surgery and are termed revision procedures. Although more challenging than primary surgery often with Dr De Silva’s advanced techniques the overall appearance and symmetry of the eyelids can be improved.