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CHOOSE YOUR TREATMENT Blepharoplasty


AKA: Eyelid Surgery/Eyelid Rejuvenation/Eye Bag Removal. Blepharoplasty refers to surgery of the eyelids - either upper or lower.Upper eyelid blepharoplasty is usually performed to counter drooping or ‘hooded’ eyelids and reduce wrinkles, whilst a lower blepharoplasty is aimed at removing those pesky eye bags.


Who does it? Who is suitable?


● Plastic Surgeon ● Face Surgeon ● Eye Surgeon


Eyelid surgery is usually carried out on those aged 35 and over, but both hooded eyes and eye bags can be down to genetics, rather than ageing, so don’t rule yourself out if you are younger.


There are a few conditions that mean blepharoplasty isn’t an option, or at least increase the chances of complications, such as glaucoma, diabetes or dry eyes. A thorough consultation with a surgeon should reveal whether you are a suitable candidate.


What’s the treatment like?


That all depends on what sort of blepharoplasty you plump for. In an upper blepharoplasty, the surgeon makes a cut in the natural crease of the eyelid and in the crinkles at the corners of your eyes. For surgery on the lower lids, the incision is made just below the lash line and extends out to the crows’ feet. Excess fat and skin is removed and muscles are tightened before the cut is closed with very fine stitches.


A lot of surgeons these days prefer to use a laser


theT-B-T eye lift™ Sagging upper eyelids are referred to as ‘hooded’ and become increasingly noticeable when we hit our thirties. In addition to sagging upper lids, the membrane protecting the back of the eye weakens,


allowing the protective fat cushion behind it to bulge forward.This can make the eyelids seem puffy and heavy.


Fat rescue is at the core of my innovativeT-B-T eyelift - conventional eyelift surgery cuts through the membrane, removing fat pockets that bulge through the protective membrane, leading to eye socket hollowing later in life. My procedure restores the fat padding in the socket, whilst reinforcing the fragile membrane.


instead of a scalpel to make the cuts - look out for ‘laser blepharoplasty’ on clinic websites - as this cauterises blood vessels, which minimises the amount of bleeding and associated problems.


Surgery usually takes between one and three hours, depending on what you decide to have done - you can have both an upper and lower blepharoplasty in one go, if you wish.


What happens afterwards?


Blepharoplasty tends to be performed under general anaesthetic, so you’ll need to rest until the effects have worn off - usually about 24 hours.There will also be some bruising and swelling, which will last for around two weeks but you should be able to resume normal life after about a week - although you may want to pre-warn your colleagues, or buy some big sunglasses!


Will I have a scar?


There will be scars, but because the incisions are made in the natural creases of the eye, these are usually fairly well hidden.


Cost From £2,000 to £4,500 Dr Dirk Kremer unveils his fat rescue technique -


The human body is an incredibly well engineered machine – every part has its own role to play in keeping fit and healthy.


The protective fat cushion in the eye socket acts as a buffer for the delicate eyeball and, as the volume of fat reduces with ageing anyway, it is not ideal to remove the fat prematurely. Instead it makes sense to retain the cushioning volume and strengthen the outer membrane to prevent further fat herniation, avoiding that sunken, hollow appearance in later life.


www.harleystreetaesthetics.com For more information, see Dr Kremer’s profile on p 196


The Cosmetic Surgery Guide 55


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