Eyelid Surgery (Blepharoplasty) Lift Results

She decided to contact London Centre for Advanced Facial Cosmetic Surgery to see what options there were for rejuvenating tired eyes.

When she met with Dr De Silva, they discussed her concerns and he suggested that upper and lower eyelid surgery would best address her concerns. Upper eyelid surgery removed excess skin, fat and a small amount of muscle above the eye (Upper Blepharoplasty), clearing away the skin that makes the eyes look tired and older. Lower eyelid surgery repositioned some fat to areas of hollowing in the eyelid through a transconjunctival incision (Hidden incision on the inside of the eyelid with no scarring) and addresses puffiness below the eyes (Lower Blepharoplasty). She also went underwent eyelid support with strengthening of the eyelid tendon (Canthopexy) and TCA skin resurfacing (TriChloroAcetic acid peel of the lower eyelid skin). As a combination procedure, upper and lower eyelid surgery with skin rejuvenation work together to refresh the eyes and make the eyes appear much more youthful.

She wanted a really natural look and no friends to know she had undergone surgery. She underwent lower lid hidden incision eyelid surgery (Transconjunctival blepharoplasty) with fat removal, tendon tightening (Canthopexy) and rejuvenation of sun damaged skin (CO2 laser resurfacing). The upper eyelid fullness and loss of the eyelid crease was treated with an upper blepharoplasty. She was very happy with her results, her surgery gave her both a more youthful appearance and brought out the natural beauty of her green eyes and eyelid shape.

She was especially unhappy with the puffiness around her lower eyes and bags. She set up an appointment with a Dr De Silva to discuss her options.

The day of her consultation, Dr De Silva paid close attention as she described her wish to look younger more refreshed. She mentioned that her eyes appeared tired as a result of bags in the lower eyelids and wanted her skin to look tighter and smoother. Her surgeon suggested lower eyelid surgery, to remove the excess fat that were causing her fat-bags that would improve her facial contours and provide her with the rejuvenated look she wanted.

She wanted to bring out her eyes by having eyelid surgery at London Centre of Facial Cosmetic Surgery to make her eyes seem bolder and refreshed. She met with Dr De Silva, finally deciding that upper eyelid surgery would achieve her goals.

In standard upper eyelid surgery, fatty deposits (which make the eyes appear puffy), excess skin and muscle are reduced and redistributed to smooth and tighten the area. After this woman’s surgery, her eyes appeared fuller, smoother and more noticeable to others, as can be seen in the “after” picture.

The “after” picture was taken about 6-months after the surgery. They show a decrease in the sagging above the eyes, making her eyes seem larger and more alert than in the “before” pictures. She was very satisfied with her new appearance because her eyes stand out rather than disappear, winning her many compliments on her big, beautiful brown eyes.

The photograph shows soft tissue overhang of the upper eyelids with the skin touching her upper eyelid eyelashes and deep glabellar lines (Vertical lines between her eyebrows). Dr De Silva performed conservative upper blepharoplasty giving the patient an upper eyelid platform while maintaining a natural appearance. In addition the deep glabellar lines were treated with a combination of anti-wrinkle injections and hyaluronic acid filler to improve the final result.

The reviewed photograph shows marked changes associated with facial ageing including rolls of skin and muscle on the upper eyelids. The lower eyelids show fat bags, with a dark circle depression below the eyelid and marked wrinkling in the skin as a consequence of skin laxity. Dr De Silva performed upper blepharoplasty hiding the incision in the patient’s natural skin crease with a conservative reduction of the excess skin, muscle and fat. In the lower eyelid, transconjunctival (hidden incision) lower blepharoplasty with fat transfer to reduce the dark circles and hollowness. Finally skin resurfacing was completed to smoothen the surface of the skin rejuvenating the patient’s appearance. In the ‘after’ photograph the patient has a more youthful appearance, the eyelids have an increased upper eyelid show and the lower eyelids are smooth with an absence of bags, dark circles and wrinkles.

On examination she had complete absence of upper eyelid crease and she wanted a natural looking and conservative improvement in her appearance. Dr De Silva completed an Asian blepharoplasty with the trans-cutaneous approach resulting in a long-lasting and natural result. On review of the ‘after’ photograph there is a symmetrical and clear upper eyelid crease that looks natural and make the eyes appear more open. The patient was very happy with the result and had a natural looking improvement of her appearance.

Review of his photograph shows lower eyelid bags with sunken cheeks (negative vector). Dr De Silva performed trans-conjunctival (hidden incision) lower blepharoplasty with canthopexy (lower eyelid support). Important considerations in this case is that in a young person, some fat should be transposed and preserved to avoid hollowness, conservative surgery is advised to give patients natural looking results. The ‘after’ photograph shows an absence of fat bags and a smoothened contour between his eyelid and cheek associated with youth.

The reason for the bags was the anatomical position of his eyelids in a relatively forward position in relation to his cheek, referred to as negative vector. Dr De Silva performed trans-conjunctival (hidden incision) lower blepharoplasty with canthopexy (lower eyelid support). Important considerations in this case is that in a young person, some fat should be transposed and preserved to avoid hollowness, conservative surgery is advised to give patients natural looking results. The ‘after’ photograph shows an absence of fat bags and a smoothened contour between his eyelid and cheek associated with youth.

Lower eyelid bags in this younger person was a result of the anatomical position of his eyelids in a relatively forward position in relation to his cheek, referred to as negative vector. Dr De Silva performed trans-conjunctival (hidden incision) lower blepharoplasty with canthopexy (lower eyelid support). In addition the man had sustained an fracture of the floor of his left orbit that had resulted in mild asymmetry and scarring. Important considerations in this case is that in a young person, some fat should be transposed and preserved to avoid hollowness, conservative surgery is advised to give patients natural looking results. The ‘after’ photograph shows the appearance of the eyelids at 5-weeks after surgery and shows an absence of fat bags and a smoothened contour between his eyelid and cheek associated with youth. There are no incision in the skin and no clinical signs of surgery resulting in a completely natural looking result. The patient was very happy with the resulting appearance.

Although facial ageing are the most common causes of eyelid changes, in younger patients, genes can influence the appearance of the upper eyelids with lines, wrinkles and fat bags. The photograph shows soft tissue overhang of the upper eyelids with multiple lines in the skin. Dr De Silva performed conservative upper blepharoplasty giving the patient an upper eyelid platform. The patient was very happy with the result as she had a natural looking appearance with no signs of surgery.

The photograph shows soft tissue overhang of the upper eyelids with the skin touching her upper eyelid eyelashes and prolapse of the lacrimal gland at the outside corner of the eyelid. Dr De Silva performed conservative upper blepharoplasty giving the patient an upper eyelid platform and restoring the lacrimal gland to its normal position behind the eyelid with suspension stitches. The patient was very happy with the result as she had a natural looking rejuvenation of her appearance.

The before photographs shows marked changes associated with facial ageing including heavy upper eyelids. The lower eyelids show fat bags, with a dark circle depression below the eyelid and wrinkling in the skin as a consequence of skin laxity. Dr De Silva performed upper blepharoplasty hiding the incision in the patient’s natural skin crease with a conservative reduction of the excess skin, muscle and fat. In the lower eyelid, transconjunctival (hidden incision) lower blepharoplasty with fat transfer to reduce the dark circles and hollowness. Finally skin resurfacing was completed to smoothen the surface of the skin rejuvenating the patient’s appearance. In the ‘after’ photograph the patient has a more youthful appearance, the eyelids have an increased upper eyelid show and the lower eyelids are smooth with an absence of bags, dark circles and wrinkles.

Dr De Silva performed trans-conjunctival (hidden incision) lower blepharoplasty with canthopexy (lower eyelid support). Important considerations in this person include some fat should be transposed and preserved to avoid hollowness, conservative surgery is advised to give patients natural looking results. The ‘after’ photograph shows the appearance of the eyelids at 6-weeks after surgery and shows an absence of fat bags and a smoothened contour between his eyelid and cheek associated with youth. There are no incision in the skin and no clinical signs of surgery resulting in a completely natural looking result. The patient was very happy with the resulting appearance.

He presented to Dr De Silva with a forthcoming important event a need to improve his appearance with a quick recovery. The after photos are shown only 8-weeks after hidden incision transconjunctival blepharoplasty, which Dr De Silva completes with no skin incision. In addition Dr De Silva used a conservative hidden canthopexy stitch to enhance healing and recovery, by using conservative canthopexy the eyelid shape is maintained giving natural support and appearance.

Her upper eyelid were droopy with excess soft tissue, skin and fat, here lower eyelids had swellings from fat, as well as dark circles beneath here eyes. She came to see Dr De Silva as a specialist in facial plastic surgery after reading about him in a magazine. She underwent upper and lower blepharoplasty with fat transfer to the lower eyelids and laser skin resurfacing. The result shown 3-months after surgery shows a refreshed more youthful appearance, yet natural with no signs of surgery. The patient and her family were very happy with the results of her surgery.

Dr De Silva completed upper blepharoplasty, hiding the incision in the patient’s natural skin crease. The majority of Dr De Silva’s patients for upper blepharoplasty have hidden incisions and 1-week recovery time. This patient was very happy with the natural rejuvenation and looking a decade younger at only 1-week after surgery.

Wanting to soften her appearance and make his eyes look fresher, she began researching plastic surgeons in the UK to find out which surgery would be right for her. She went to several consultations with plastic surgeons, and after some consideration she decided to schedule a consultation with one of the top facial cosmetic surgeon to discuss eyelid surgery. During his consultation, Dr De Silva examined her eyelids and noted that in addition to facial ageing she had evidence of festoons in the lower eyelid (lower eyelid swelling, different to fat bags), requiring a modification of surgical techniques to give her the best natural looking result. He recommended she undergo blepharoplasty/ eyelid surgery to treat the sagging skin around her eyes.

She was keen to soften her eyelid appearance and look fresher, she began researching plastic surgeons in the UK to find out which surgery would be right for her. She decided to schedule a consultation with one of the top facial cosmetic surgeon to discuss eyelid surgery. During her consultation, Dr De Silva had an informed discussion regarding her specific dark circles and their underlying multifactorial causes, including genetic, environmental and facial ageing. Dr De Silva customised a lower eyelid procedure to her needs including lower blepharoplasty and platelet rich plasma with volume augmentation to rejuvenate her lower eyelid appearance. The after photograph shows the appearance of the eyelids 5-weeks after surgery, with the rejuvenated appearance of the lower eyelid and natural looking result.

She had been for previous consultations requiring an incision and scar technique to her lower eyelid. After attending a consultation with Dr De Silva she underwent a hidden scar lower eyelid surgery, with laser resurfacing. This resulted in a very rapid recovery after surgery, with no visible scar. The patient was very happy with her decision to have lower blepharoplasty with Dr De Silva.

Dr De Silva ensures that safety is of principal importance before surgery and his medical health was checked out before undergoing surgery. After a comprehensive assessment Dr De Silva completed upper and lower blepharoplasty with fat transfer and CO2 laser. The patient was very happy with the final result as had noticed a marked improvement in his appearance. The photos show the results 6-weeks after blepharoplasty.

Most patients do not have bruising after lower eyelid surgery with Dr De Silva’s techniques (80%), however this does depend on the type of lower blepharoplasty surgery. Dr De Silva completed lower blepharoplasty, hiding the incision on the inside of the patient’s eyelid. The majority of Dr De Silva’s patients for lower blepharoplasty have hidden incisions and 1-2 week recovery time. This patient was very happy with the natural rejuvenation and looking younger and less tired at only 1-week after surgery.

She suffered with anxiety including panic attacks and agoraphobia for many years and was very anxious about undergoing surgery. She came to see Dr De Silva as a specialist in facial plastic surgery after having some unfortunate experiences in the NHS. Dr De Silva was able to reassure her regarding the surgery, all measures would be taken to ensure her experience was as comfortable as possible, with a specialist team used to looking after her. Dr De Silva performed upper blepharoplasty hiding the incision in the patient’s natural skin crease with a conservative reduction of the excess skin, muscle and fat. In the “after” photograph the patient has a more youthful appearance, the eyelids have an increased upper eyelid show while remaining natural looking in appearance with no signs of surgery. Dr De Silva’s specialist team provided her with sedation anaesthesia that made her experience more calm and comfortable.

She came to see Dr De Silva as a specialist in facial plastic surgery, and underwent lower blepharoplasty (hidden incision) with volume augmentation (Fat transfer) and skin resurfacing. The result shown 8-weeks after surgery shows a refreshed more youthful appearance, yet natural with no signs of surgery. Conventional lower eyelid surgery uses a scar in the lower eyelid Dr De Silva prefers to use a hidden scar technique for lower eyelid surgery. The patient was very happy with the results of her surgery.

Most changes in the eyelids are a combination of both ageing and genetics (inherited from your parents). This patient only had one functional seeing eye, and was anxious regarding surgery as the sight in her eye was of key importance. Dr De Silva performed trans-conjunctival (hidden incision) lower blepharoplasty with canthopexy (lower eyelid support) with upper blepharoplasty under sedation anaesthesia. The ‘after’ photograph shows the appearance of the eyelids and shows an absence of fat bags and a smoothened contour between her eyelid and cheek associated with youth. Dr De Silva uses techniques to improve safety and reduce the chance of bruising and speed up recovery time. The patient was very happy with the resulting appearance.