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Plastic Surgery Blog

Questions You Should Ask Your Eyelid Surgeon Before Blepharoplasty

Posted by Dr. Julian De Silva | June 16th, 2022

A plastic surgeon helps enhance your eyes and make them look more proportionate with the rest of your face.

A plastic surgeon operates on your eyelids to enhance your appearance. They can also remove excess skin that often causes or contributes to issues like blurred vision, dry eyes, thyroid eye disease, watery eyes, and a seemingly protruding eye socket.

But how exactly do you know if an eyelid cosmetic surgeon is the right one for you? Are there any questions you must ask them?

In this article, I will talk about the questions you should ask your cosmetic surgeon before getting blepharoplasty or eyelid surgery.

What is an eyelid cosmetic surgeon called?

There are two types of doctors who operate on eyelids: an ophthalmologist or an oculoplastic surgeon.

An ophthalmologist operates on most patients mainly due to medical reasons. On the other hand, oculoplastic surgeons operate on patients mainly because of cosmetic reasons.

I, Dr. Julian De Silva, am a plastic surgeon who specialises in the face. Hence, I have performed a lot of eyelid surgeries.

Is eyelid surgery worth the money?

Yes, it is worth the full cost, especially if your eyelid problems are causing cosmetic and medical concerns.

Reasons why eyelid surgery is worth your money

Here are the reasons why the said surgery is worth your money:

Elimination of extra fat pockets

Elimination of extra fat pockets that cause the appearance of under-eye bags is one of the numerous advantages of blepharoplasty.

These bags are frequently misdiagnosed as the consequence of allergies, a lack of sleep, or exhaustion. However, in many cases, this is not the case. These bags are frequently caused by lower eyelid fat prolapse.

Removal of excess skin

Excess skin or excess tissue on the upper eyelid can frequently be draped over the eyelashes in extreme cases. This drooping might be inherited, age-related, or the effect of years of sun exposure that leads to fine wrinkles and bad lifestyle choices. Sagging upper eyelids are particularly alarming since they can impair vision.

A solution to vision problems

In addition, if you find yourself bending your head to see correctly, this might also be an indication that you need upper lid blepharoplasty to correct and enhance your eyesight.

The removal of extra skin from the top eyelids via an upper blepharoplasty treatment can help enhance both your eyesight and your look.

Looking younger

Blepharoplasty surgery also revitalises your look and brings back a more youthful appearance. The eyelid lift, fat reduction, and sculpting of the eyelids, unlike anything else, can produce an alert and refreshed appearance.

Who is the best eyelid plastic surgeon in the UK?

There are many excellent eyelid cosmetic surgeons in the UK.

One of them is me, Dr. Julian De Silva. With over twenty years of experience under my belt, I can deliver the results you need and want.

Furthermore, I have operated on celebrities and other prominent figures over the years. My Harley Street clinic also has state-of-the-art equipment that helps me administer safe and effective eyelid procedures.

Eyelid surgery (Blepharoplasty) consultants

The right doctor must have to meet certain criteria.

The right eyelid surgery or blepharoplasty consultant surgeon or doctors must have the following qualifications:

1. Proper education and training

The cornerstone of a plastic surgeon’s success is education and training. A top-tier plastic surgeon has a medical degree and has completed a residency in plastic surgery.

You can see Dr. Julian De Silva’s awards and medical publications here.

2. A comprehensive collection of surgical procedures including those treating excess skin

Plastic surgeons must have extensive experience in performing surgery on the face. They also provide alternatives to surgery like non-surgical necklifts and non-surgical nose jobs, which can improve a patient’s look and supplement the outcomes gained through surgical procedures.

Moreover, in the field of plastic surgery, there is no alternative to experience. Years of expertise have allowed surgeons to hone their surgical abilities and operate on thousands of patients. A skilled surgeon will decide whether you are a good candidate for eyelid surgery and will work with you to set realistic goals and expectations.

3. Use of the latest cutting-edge techniques including those used for the upper eyelid and lower eyelids

Leading surgeons are always researching the most recent breakthroughs in their area. They frequently upgrade their surgical equipment and are dedicated to improving the patient experience from start to end.

The cosmetic surgeon you pick should go through the procedures and equipment he utilises for the treatment (e.g. ptosis surgery) you want, as well as why those approaches are ideal for you.

4. An impressive portfolio of results

Top plastic surgeons are not afraid to show off their work. You should be able to see a lot of before-and-after images of the surgery you’re thinking about getting. Some doctors even give video clips that might help people learn more about the surgery they offer.

You can see before and after pictures of my eyelid surgery or blepharoplasty patients here.

5. Outstanding patient reviews and testimonials

Excellent patient feedback indicates a plastic surgeon’s skill. You should examine reviews on Google, Facebook, and other social media sites before choosing a surgeon. Testimonials are particularly beneficial since they give important information regarding a surgeon’s bedside manner and aftercare assistance.

You can see testimonials or reviews from Dr. Julian De Silva’s patients here. You can also check Dr. Julian De Silva’s patient video testimonials here.

What does it involve?

When both the upper and lower eyelids are lifted at the same time, the procedure takes around two hours.

Before we do the operation, you will be given sedation anaesthesia. Sedation works well for eyelid surgery because it is safer than general anaesthesia.

Upper Eyelid Surgery

If you have all four eyelids done, I will likely start with upper eyelid surgery. Typically, I will cut along the natural lines of your eyelids.

I will then use these cuts to separate the skin from the underlying tissue and remove excess fat and excess skin. I will then use extremely thin stitches to repair the wounds.

Lower Eyelids Surgery

Lower eyelid surgery or lower lid blepharoplasty can be performed using one of many procedures. To remove excess fat, I usually create an incision inside the natural fold of your lower lid. That cut will be hidden.

Another approach is to make an incision along the lash line. I can remove extra skin, loose muscle, and fat through that incision. After a short while, the cut line fades.

The stitches or suture strips on your upper eyelids will be removed after a few days or a week. Depending on the procedure employed, the lower lid may or may not require sutures.

You also have to wait for your doctor’s signal before wearing contact lenses after blepharoplasty recovery. If you use contact lenses, ask your doctor for alternatives.

Remember, you cannot resume regular exercise on the same day as your surgery. You must also avoid smoking, and doing strenuous activity for several weeks or until you see the final result.

Moreover, if you have dark skin and a healthy weight, you must still use sunscreen and dark glasses, follow a skincare routine, gently clean your face, and live a healthy lifestyle to avoid complications and maintain the results of the surgery.

Side effects to expect

The surgery has some side effects including discomfort and swelling.

The following are the most common side effects of blepharoplasty surgery:

1. Discomfort

It is common to feel some discomfort after your surgery. The level of discomfort is often determined by a number of factors, including the scope of your operation. To relieve discomfort, prescription medicine may be used for up to a few weeks.

2. Swelling

Puffiness and swelling are common after blepharoplasty. Over-the-counter medicine or antibiotic ointment can help reduce swelling. Cold compresses can also be carefully administered in 20-minute intervals.

3. Scarring

Some scarring is to be expected after eyelid surgery. A knowledgeable doctor would take extra precautions to minimise scarring. Scarring usually fades with time.

What could go wrong

While eyelid surgery is a relatively common treatment, it is a surgical procedure.

As with other procedures, there are certain risks (more like a small risk) involved. However, things will only go wrong if you go to an inexperienced doctor.

Here are some of the things that could go wrong if you go to the wrong surgeon:

  • Temporary double vision or blurred vision
  • Eyes that appear asymmetrical
  • A haematoma (a pool of blood clot or a blood clot forming beneath the skin) that will go away in a few weeks

In rare cases, the operation might lead to more significant complications, such as:

  • Drooping lower eyelid away from the eye
  • Infection
  • Blood clots
  • Allergic reaction induced by local anaesthetic or general anaesthetic

What to do if you have problems

If you are experiencing significant discomfort if your wound site gets progressively red and painful, begins heavily bleeding or develops a greenish discharge, or if you develop a fever or have any other concerns about your condition, please contact your doctor right away.

What happens at the first appointment?

You and your doctor will cover certain topics during the first appointment.

Prepare to cover the following topics during your eyelid surgery consultation:

  • Your surgical objectives
  • Medical history
  • Prescription medicines, vitamins, and herbal supplements you drink
  • Alcohol, tobacco, and drug usage
  • Previous operations including previous upper and lower blepharoplasty

During your first appointment or consultation, you can ask your plastic surgeon any questions you have. You can write them down on an enquiry form as well.

It’s normal to experience some worry, whether it’s fear of your new appearance or preoperative tension. Don’t be afraid to express your emotions to your plastic surgeon.

How long does eyelid surgery take?

The procedure takes between one and two hours.

The treatment takes around an hour if you choose surgery on just the upper or lower lids. The procedure usually takes around two hours if you are treating both the upper lids and lower eyelid.

The operation will take longer if you have another procedure like a brow lift.

Visit Julian de Silva – Cosmetic Surgeon, London

Are you looking for an experienced eyelid surgery or blepharoplasty surgeon in London? You may visit me, Dr. Julian De Silva at my Harley Street Clinic. As an alternative, you can book a consultation with me here.

About the Author: Dr. De Silva

About the Author

Finding the most reputable facelift expert is never easy. Therefore, you should always research the best surgeons in your area and ask plenty of questions. Dr. De Silva is a facial cosmetic and plastic surgeon, author, global educator, with a track record of doing procedures for top celebrities. He is based at world-renowned Harley Street in Central London and specializes in three main procedures: Face and Neck lifts, Blepharoplasty, and Rhinoplasty.

Come witness a custom-built surgical centre that is not your average hospital. You are guaranteed to experience natural-looking results and fast healing thanks to regenerative technology, growth factors, regenerative cells, stem cell, oxygen therapy, and state of the art technology.

By specialising in only the face, you can rest assured knowing that you’re getting premier results. Dr. De Silva achieves natural-looking results for his patients using the latest regenerative technology, so they can heal quickly and look their absolute best. No matter what your reason for wanting a cosmetic treatment is, Dr. De Silva and his team are here to help. To find out more information about Dr. Julian De Silva and his work, check out our website.

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