Eyelid drooping, also called ptosis or blepharoptosis, is caused by the eyelid’s edge being lower than normal, the presence of excess baggy skin in the upper eyelid, or a combination of both conditions. The malfunctioning levator muscle, responsible for lifting the eyelid, causes these conditions. These can affect your appearance and eyesight. Thankfully, congenital ptosis, severe ptosis, age related ptosis, or acquired ptosis can be treated by eyelid ptosis surgery or blepharoplasty. In this article, I will talk about several options for when your upper eyelids sag. These options include non surgical treatments and eye surgery. How Do You Fix Droopy Eyelids? Eyelid surgery, medically known as blepharoplasty or eyelid ptosis surgery, is the universal surgical procedure for addressing the drooping of the eyelids. These sets of surgical techniques target the upper eyelid (upper blepharoplasty), lower eyelid (lower blepharoplasty), or both, aiming to improve the appearance of droopy eyelids. Be it for cosmetic or functional purposes, this ptosis plastic surgery alters the appearance of the eyelids by removing the excess skin or fat in the region. It helps correct defects and deformities and modifies the eye region aesthetically. Upper blepharoplasty and lower blepharoplasty are separate sets of operations. The results of the ptosis surgery in your upper eyelid are long-lasting and can last for up to a lifetime. The effects of the surgery on your lower eyelids are essentially permanent. How Can I Tighten My Eyelids Without Surgery? While surgery produces the best results for ptosis or droopy eyelids, several nonsurgical options are available to address ptosis. Droopy eyelid or ptosis treatments generally don’t require downtime, except for laser resurfacing. These options target the skin around your eyes to tighten and smoothen the treatment area, fill the saggy skin on your eyelids, or stimulate your body’s healing process. Botulinum toxin, more popularly known as anti-wrinkle treatment injections, is one of the most popular non-invasive droopy eyelid treatments. It targets the wrinkles and sagging skin in the treatment area, effectively reducing the appearance of ptosis or droopy eyelids. These products are injected to correct droopy eyelids or ptosis caused by ageing, which severely weakens the muscles in the eye region. It results in a more youthful look, eliminating unwanted folds and fine lines around the eyes. Hyaluronic acid-based dermal fillers are products used to fill the volume around the cheeks and the lower eyelid area. It removes the depth of circles under the eyes caused by eye bags, giving a more refreshed appearance. These treatments typically require additional sessions to maintain their effects, which fixes the fluid buildup and unsightly contours that form over multiple injections in the eye region. They are often paired with other nonsurgical options to achieve the best results. Laser resurfacing is also a non-invasive ptosis treatment that softens and smoothens wrinkles and fine lines by targeting the upper skin cells to stimulate the formation of new ones. The younger skin cells produced from the healing process are smoother and can help lessen droopy eyelids in the process. Finally, certain medications and prescription eye drops can also help reduce droopy eyelids without undergoing surgery. These options require professional medical advice, so it’s best to consult a doctor before opting for these alternative ptosis treatments. What Causes Your Eyelids to Droop? Ageing The most common cause of ptosis is ageing. Our body reduces collagen and elastin production as we age, which impacts the elasticity of our skin and its appearance over time. As a result, the eyelid droops. While the signs of ageing can be reduced, it’s up to the person whether they want to address them for cosmetic purposes. However, for some people, it can obstruct eyesight and affect their everyday lives when the eyelids are not positioned lower than usual. Genetics Genetics plays an essential role in how your eye region is formed. If your parents have prominent ptosis, you are most likely to acquire these physical traits. As such, while older patients tend to be more vulnerable to this condition, younger people can manifest symptoms of droopy eyelids early in their lives due to their genes. Excess Skin on the Upper Eyelid Extra skin on the upper eyelid can cause them to droop. It makes wrinkles and creases more prominent with age, which accentuates other skin concerns such as dark circles, bags under the eyes, and ptosis or the weakening of the muscle tissues in this region. Nerve Damage A droopy eyelid condition caused by nerve damage is called neurogenic ptosis. When there are problems with the nerve pathways that control the muscle movements in the eyelid region, it causes the upper eyelids to droop and lose shape. The person’s eyesight can be obstructed by this functional concern. Trauma, Injury Trauma or injury in the eye region can destroy nerve endings and weaken eyelid muscles, causing them to droop. Droopy eyelid surgery can address this functional issue. Underlying Medical Condition Several medical conditions can cause droopy eyelids. In some patients the actual eyelid can be droopy, this is termed ptosis in medical jargon. There are many causes including diabetes, stroke, Myasthenia gravis, Horner syndrome, and tumours, as well as ageing and contact lens wear. An examination in person is required to look at the cause and the treatment is different from blepharoplasty surgery alone. Droopy Eyelid Symptoms 1. Appearance of the eyelids The most prominent clue of droopy eyelids is their appearance. The upper eyelid tends to sag and cover parts of the eye. The lower drooping eyelid appears as stretching away from the eyes. These are visible signs of drooping eyelids. 2. Vision problems People with droopy eyelids would feel a subtle sensation in their upper field of vision as being blocked. Over time, when the upper eyelid drops further and covers part of the pupil, it may completely block eyesight. 3. Fatigue and pain in the eye region Droopy eyelids can cause fatigue, mild pain, and discomfort in the eye region. It’s a consequence of the vision being slowly blocked by the sagging eyelids. People who suffer from this condition can expect increasingly teary eyes paired with dryness. 4. Unusual behaviour People with droopy eyelids and weak muscles are more difficult to examine. Symptoms typically do not appear in early childhood unless genetics plays a key role in its cause. However, some behavioural changes can be observed when their vision is affected, and no visible signs are present for adults to notice. Those who have droopy eyelids at a young age usually tip their heads back to improve their vision under the eyelid muscle. When the person complains about vision issues in their upper field of vision, it may be a sign of eyelid sagging. Book a Consultation Are you looking for a doctor that can lift your eyelids and eyebrows without having to go under the knife? I, Dr. Julian De Silva can help. As one of the best cosmetic doctors in the UK, most patients come to me to invigorate their eye area through a personalised procedure. If you want to enjoy the benefits of the said procedure, book a consultation with me now!

Sunken eyes make you look tired all the time. For many, sunken eyes are an annoying feature made worse by dark shadows and a hollow eye socket. Sunken eyes can also make sensitive skin worse. With all these issues surrounding sunken eyes, many people ask if they can be fixed. In this article, I will talk about sunken eyes and their causes. I will also discuss whether they can be fixed or not. On top of that, I will show you pictures of my patients with sunken eyes so you can make an informed decision about treatment options at my clinic. What Causes Sunken Eyes? Here are the common causes of sunken eyes: Ageing As we age, we lose bone density and body fat all over, including on our faces. The underlying frameworks that hold everything together are also deteriorating. Moreover, the skin thins and becomes more translucent as it loses collagen. Part of the ageing process involves the appearance of sunken eyes or hollow eyes. Dramatic Weight Loss When you shed a lot of pounds, you lose fat from all parts of your body, including your face. If you lose weight and your collagen production goes down, the hollow looking space under your eyes becomes more noticeable. Additionally, a significant loss of facial fat can make the blood vessels more transparent and visible. Genetics Your genetics also play a role in how your tear trough hollows appear. Tear trough deformity can also be passed on. Consequently, you will likely have sunken eyes if other members of your family have them. Not Enough Sleep Inadequate and poor quality sleep is another common factor that can worsen the appearance of sunken eyes. However, the effects of inadequate sleep are temporary. The appearance of your eyes will get back to normal once you get 8 hours (or more) of sleep. Dehydration Sunken eyes can also result from inadequate hydration. Consult a doctor if you have sunken eyes, diarrhea, or vomiting. This could indicate severe dehydration. Sun Exposure Sun exposure can make the thin skin under your eyes appear darker. Dark circles under your eyes that resemble shadows can also get worse due to sun exposure. Allergies Seasonal allergies, also known as allergic rhinitis, can also result in the development of under-eye puffiness, leading to a sunken appearance. People with allergies may also rub or scratch the skin around their eyes, causing irritation. Therefore, your sunken eyes become more noticeable. Smoking Smoking damages collagen and reduces the elasticity of your skin. This may cause your facial skin to sag and result in the appearance of sunken eyes. Thinning of the skin also gives rise to more fine lines and wrinkles particularly seen when smiling! How Do You Fix Sunken Eyes? You can fix sunken eyes through lower eyelid surgery or blepharoplasty. In particular, the procedure can fix dark circles and sunken eyes. It can also smooth out the thin crepy skin and crow’s feet around the eyes. Before eyelid surgery, you must consult with a cosmetic surgery expert like me, Dr. Julian De Silva, to see if it’s the best option for you. During the consultation, we will discuss your medical history and goals. Once you agree to everything we discussed, you can then schedule an appointment for your treatment. With the right doctor, eyelid surgery rejuvenates your facial appearance, making you look youthful and less tired. The eyelid anatomy is complex, so choosing the right eyelid surgeon for blepharoplasty is a must. At my clinic, the procedure involves reshaping excess skin, muscle, and prolapsing fat. I also use advanced techniques during this cutaneous and aesthetic surgery. What Are Sunken Eyes? Sunken eyes refer to the hollows under the eyes. A hollow is left behind by the delicate skin that appears to slide inward under the eyes. Typically, the hollow appears darker than the surrounding skin. While sunken eyes may not cause issues with your eyesight, they mess up your appearance. Fortunately, sunken eyes can be treated through surgical and non-surgical methods like dermal fillers with hyaluronic acid, a naturally occurring substance in the body. The results of surgery are permanent. On the other hand, dermal fillers offer temporary results. At the end of the day, the best treatment depends on whether you are a good candidate for eyelid surgery or dermal fillers. Pictures of Sunken Eyes and Dark Circles Here are some pictures of my patients with sunken eyes before and after treatment: Before and After Blepharoplasty: Patient 1 This patient reported sagging skin that appears sunken under her eyes. As a result, she became bothered by her fatigued appearance. She aimed for a completely natural appearance and didn’t want her friends to suspect she had surgery. She underwent transconjunctival blepharoplasty, a procedure with the lower lid incision hidden. The treatment also removed fat, tightened her tendon (canthopexy), and restored her sun-damaged skin (CO2 laser resurfacing). I also performed upper blepharoplasty to correct the fullness of her upper eyelid and the disappearance of the eyelid crease. She was pleased with the outcomes of the surgery. As you can see in the picture, it provided her with a more youthful appearance and enhanced her green eyes and eyelid shape. Before and After Blepharoplasty: Patient 2 The 61-year-old CEO thought that his ageing eyelids made him appear furious and exhausted even though he wasn’t. Morevoer, they had gotten worse over time. He started looking into plastic surgery in London to see which procedure would be best for him. He wanted to soften his looks and make his eyes appear more attentive. After giving it some thought, he chose to arrange an appointment with me, Dr. Julian De Silva. The pictures of this patient show that after blepharoplasty, his eyes appeared kinder and more alert. He was also thrilled with the outcome and was relieved that he was no longer concerned about coming off as angry. Before and After Blepharoplasty: Patient 3 This 45-year-old working woman was starting to see the symptoms of ageing and wanted to look younger. She was particularly dissatisfied with the bags and puffiness under her eyes. She scheduled a consultation with me, Dr. Julian De Silva to go through her alternatives. I carefully listened as she discussed wanting to look younger and more refreshed on the day of her visit. She said she wanted her skin to look tighter and smoother because the bags under her lower eyelids made her eyes appear fatigued. I recommended lower eyelid surgery to get rid of the extra fat that was creating her eye bags. The procedure would enhance her face contours and give her the refreshed appearance she desired. Her post-operation pictures show that the procedure was successful as her sunken look was gone. She now looks rested and renewed. Her hazelnut brown eyes also look more noticeable. The blepharoplasty helped to smooth the creases and tighten the skin around her eyes. Before and After Blepharoplasty: Patient 4 This 63-year-old woman was brought to me by a friend who thought her puffy lower lids and drooping brows were hiding her brown eyes. She sought to make her eyes appear bolder and more awake by getting eyelid surgery. However, she wanted subtle and natural-looking results. The “after” photo was taken roughly six months following the operation. They show a reduction in the drooping above the eyes, giving her eyes a bigger, more attentive appearance than in the “before” photos. She was delighted with her new look because her huge, gorgeous brown eyes received many praises. They also stand out now, rather than hide in plain sight. This also gave her more confidence to face the world. What Are the Symptoms of Sunken Eyes? Here are the symptoms of sunken eyes, though the precise appearance may vary from person to person: Hollowing Under Your Eyes Because of their depth and location in the face, hollows beneath your eyes, also known as tear troughs, are a condition caused by a lack of volume in the under-eye area. Similar to puffy under-eye bags, it can make people appear exhausted, older, and less energised. A Dark Shadow Over Your Lower Eyelid This has a number of causes, including hyperpigmentation and changes to your blood vessels and surrounding skin. Additionally, congenital disorders and eye traumas may cause dark eyelids. It’s possible to have both black eyelids and under-eye circles at once. Additionally, one can exist without the other. Thin and Delicate Skin Under Your Eyes Your skin ages with you and becomes drier and thinner as you get older. Collagen is a substance found in the dermis, the middle layer of your skin, and accounts for the majority of the thickness of your skin. As you become older, your body creates less collagen. Research reveals that persons with darker complexions likely have thicker skin than those with lighter skin. It’s because some people are born with skin that is inherently a little bit thicker than others. Purple Blood Vessels Under Your Eyes The skin under your eyes is thinner than in other locations. Therefore it’s possible that these veins will become noticeable. Your periorbital veins are present naturally around your eyes, although not everyone has noticeable ones. My clinic might be able to assist you if your periorbital veins are bothering you. Moreover, the skin surrounding your eyes may become more transparent and pale as you age. The veins beneath may become more noticeable and pronounced as a result. Tired or Fatigued Look On Your Face The most frequent cause of fatigued skin is sleep deprivation. Staying up late, whether it be to use social media, play games, watch movies, or engage in any other activities that cause you to lose track of time, can cause it. As a result, your sunken eyes will begin to show themselves. In addition, lack of sleep causes our bodies to produce more of the hormone cortisol. This causes inflammation and dull skin. If you continue to sleep less than the recommended 7 to 9 hours, your sunken eyes will become worse. Can Sunken Eyes Cause Other Conditions? Sunken eyes caused by ageing or genetics are not usually harmful. They also do not cause other conditions. However, unfavourable changes to someone’s appearance might cause emotional responses. Depression or anxiety may eventually result from low self-esteem and lack of confidence. Visit Dr. Julian De Silva Are you looking for a doctor with over 20 years of experience in cosmetic surgery? Do you want to get rid of your sunken eyes and other symptoms that make you look older than you really are? Are you looking into minor surgical treatments that will make your look younger? Let me help you. Contact us and book a consultation with me now! As an alternative, you can visit my Harley Street Clinic at 23 Harley Street, London W1G 9QN, United Kingdom.

1. Who will I see at my consultation? This is important as some consultations with other surgeons are carried out by the treatment coordinator only and you meet the surgeon on the day of surgery. Dr De Silva completes all consultations himself, as he wants to ensure that any procedure is the right one for you, not everyone needs surgery and some people are advised against having surgery. Dr De Silva offers a personalised service of care for all his patients, you will meet him at all your appointments. 2. What are the surgeon’s qualifications? Some patients do their full research and some do not and ask us in the consultation room. It is important for patients to know who will treat them – Sometimes it’s a nurse treating for non surgical patients think they are coming to see the Dr. It is important to know if you doctor specialises in this area, if they are predominately a body plastic surgeon they may only complete few facial procedures a week. Or there can be a situation where you meet one Dr at your consultation and another training Dr completing the operation, under the same umbrella. More importantly with facial cosmetic procedures you want to ensure the surgeon is full trained and specialized in the field of procedures he provides. Needless to say Dr De Silva completes all consultations and procedures himself. 3. Is the Surgeon and The Centre fully insured in case anything goes wrong? Why do you put this as no3 in terms of importance This is extremely important – to ensure you are not seeing a cowboy Dr who just rents rooms and provides surgery.What has happened in some clinics, you only see the surgeon on the day of surgery and if anything was to go wrong you cannot locate him especially when they are from abroad. Needless to say Dr De Silva completes all consultations and procedures himself. 4. What is your experience in performing my procedure? Ideally you need to see a surgeon who has 10, 000 hours of experience, this was defined as an expert in their field in Gladwell’s book Outliers. In terms of surgery this translates to nearly 8years depending on time spent in the operating theatre. Dr De Silva qualified in 1999 and has working in purely facial aesthetic and plastic surgery for more than 10years. 5. Can I see before and after photos? Many on website… we also show specific photos to patients in consults. Yes, many 100s of photos on our website of past patients. We also have video diaries and testimonials of patients, who talk about anaesthesia and recovery from surgery.Video diaries can be particularly helpful for nervous patients as each day patients talk about their experience and recovery. www.londonfacialplasticsurgery.co.uk/surgery-video-diaries 6. Do you feel I can give you the result I am looking for? I always state that Dr De Silva has a care of duty towards you post surgery and his focus is always to ensure patients are happy and have realistic expectations. In cases where’s scars have not settled he does everything in his power to revise the scars etc. everyone heals differently. Some patients we advise against surgery if we feel that we are not able to achieve the expectations from surgery or the potential downsides or risks outweigh the benefits. 7. Where will I have my procedure? Some patients attend consultations in a fancy clinic in Harley Street, London Hotel, The Shard… and then their surgery is in another completely different place, a hospital outside London or sometimes overseas in Eastern Europe. This should ring alarm bells… Dr De Silva all his appointments and surgery in central London at a custom built facility in the World Class Medical area of Marylebone, 23 Harley Street W1G 9QN. 8. What will my recovery be like? Need to allow time for swelling, sometimes bruising, depending on the procedure most patients we recommend to have 2-3 weeks free of social and professional commitments. 9. How will any surgical complications be handled? What do you tell patients In terms of complications we may have patients that need revision surgery especially for “turkey neck cases” – usually that is included in the initial cost so patients do not feel disheartened. Sometimes asymmetry is difficult to treat – we can improve the area but not provide perfection. These complications and potential issues that may arise we discuss in great details with patients.The nature of all medical procedures there are always some risks, key is these are discussed and managed appropriately, Dr De Silva provides personalised care and will always be there for you during your recovery. 10. What procedures would you recommend to me to help achieve my concerns? All procedures should be tailored to individual needs. This is determined by your expectations, clinical signs and other factors e.g. previous surgery (Scarring present and change in natural anatomy). Another important factor is mental health, and it is important not to have a facial procedure if you are major life event or heightened emotional state.

1. What procedures would you recommend? Dr De Silva recommends that every procedure must be tailored to your needs, there is no cooky cutter approach to facial surgery, what every person needs is determined by their individual characteristics. Broadly speaking there are three groups of patients I Patients who really notice one specific area: For example some patients may find their nose has always bothered them e.g. hump, or they have noticed bags in their lower eyelids or loose skin, or felt their jaw line is sagging with lose skin, or always been self-conscious about a small chin or large lip II Some patients feel they are looking more tired and they just want to be generally refreshed, look like themselves just younger and less tired. Often there are 3 aspects 1. gravity 2. Volume replacement e.g fat transfer or fillers 3. Skin enhancement, fine lines, pores lose skin, may need laser resurfacing, PRP, radiofrequency or removal of loose skin III Beautification or refinement. Patients who look good, they want to look ever better 1. Use principles of Golden ratio, Symmetry and Gender considerations (male jaw line and chin, women ogee curve, V-shaped jaw line 2. Facial Balance and symmetry 3. Enhancement of facial characteristics 2. How often do you perform these procedures? Only complete facial procedures Blepharoplasty aka eyelid surgery, nose job surgery aka Rhinoplasty & facelift and neck lift surgery and non-surgical facial treatments. I perform these procedures every day for my patients. i.e. Specialise only in face. Intricacy and fine detail in your face, for example a medical conference on rhinoplasty can be 5 days long, yes 5 whole days talking about nose jobs only! 3. Are there any before and after photos available? Yes, many 100s of photos on our website of past patients. We also have video diaries and testimonials of patients, who talk about anaesthesia and recovery from surgery. Video diaries can be particularly helpful for nervous patients as each day patients talk about their experience and recovery. Facelift Before & After PhotosVideo Diaries 4. Can I speak to previous patients who have had this surgery? Some patients ask us can we speak to previous patients. Yes, we can help patients organise this. You can also watch some of our patients talk about their experiences in the form of video diaries on our website. Video DiariesPatient Video Testimonials 5. How many pre-op appointments will I need? Most patients have 2 preops, first appointment we discuss exactly what are you looking to achieve, realistic expectations, what is involved, what is the recovery, what are the relative risks, what can be done to speed up recovery. 2nd preoperative appointment, we recap the surgery, talk in more detail, answer any questions, complete gold standard tests before surgery, we complete everything you need in house (e.g. blood tests, heart tracing)Some patients may require an additional appointment. Patient who are travelling from overseas or long distances we try and combine appointment to reduce inconvenience. 6. What location will the procedure be performed? The Centre, 23 Harley Street, we have a custom-built facility for facial cosmetic & plastic surgery. Harley Street has long been considered the medical area of excellence in London and has patients visit from all over the world seeking expert medial care. We have invested in state-of-the-art equipment that is continually updated. For example we have 3 working PRP regenerative medicine machines, 2x state of the art lasers for resurfacing. 7. Will my procedure require general anaesthesia or twilight sedation? What does this mean, talk about general and sedation anaesthesia? More than ten years ago Dr De Silva completed more procedure under general anaesthesia, however now almost all procedures can be completed under sedation anaesthesia. Sedation also known as Twilight sedation allows all patients are able to go home same day usually less than one hour after surgery, avoiding the issues and longer recovery associated with general anaesthesia. We believe twilight sedation is the future, less recovery time, less swelling or bruising, better patient experience, reduced risks such as DVT, clot in leg associated with general anaesthesia. For more information please see: 8. What is the downtime associated with this procedure? Depends on the procedure, most facial surgery we recommend have 2 weeks. Most swelling and bruising goes in 2 weeks. If you have a wedding or very important event we recommend having 6weeks just in case. For facelift surgery 3-weeks is recommended as some patients can have more swelling. If you have more swelling there are things we can do to help recovery including, lymphatic drainage, medicines and oxygen therapy. If you work with high definition film or cameras, actor or model more time is recommended as these do not hide even small amounts of swelling. 9. Is there a medical professional on call to answer any pre-op or post-op questions? Yes, Dr De Silva provides a personal service, we appreciate having facial surgery is a big decision for our patients. We will support you on this journey, this is what we do every day for our patients. 10. How many follow up appointments will be required? Most patients we see two or three times after surgery, 1 week, sometimes at 2weeks and 6weeks, and then some patients require additional follow up. However, for many patients we provide ongoing long term care, having surgery is a substantial decision for many patients and we provide ongoing are maintains the results of surgery long-term. Trust is the key element of undergoing surgery and we provide our patients with long-term maintenance after surgery as long as patients are happy to travel to see us! Many of our patients come back for additional facial procedures for years after surgery. Welcome to our family! 11. How long will it be before I see results? Most patients see some results even one week after surgery, however expectations are key. Swelling and sometimes bruising isa normal aspect of healing and with facial surgery most details comes down to millimetres. With any surgical procedure although most swelling usually has resolved by 6weeks, final results are often as long as one year after surgery. Patience is key! More and more patients come to see us for refinement surgery, often with minor amendments results are not initially visible as minor swelling can hide subtle refinements. Sometimes we can use additional techniques including anti-inflammatories or regenerative medicine to enhance healing.

Your nasal valve area is crucial to breathing, so a collapsed one can cause breathing difficulties. Nasal valve collapse causes the nose to become narrower. It usually occurs along with sinusitis and chronic rhinosinusitis. It can lead to difficulty breathing through the nose and other symptoms such as postnasal drip, loss of smell, and difficulty. Thankfully, nasal valve collapse can be treated with nasal valve surgery. But how exactly does this work? In this article, I will talk about nasal surgery, the causes of internal nasal valve collapse, and its symptoms. I will also talk about nasal surgery preparation and recovery. How Do You Fix a Collapsed Nasal Valve? You can fix a collapsed nasal valve with surgery. The same treatment applies if your nasal airway gets compromised because of nasal obstruction. The procedure is performed by a rhinoplasty surgeon like me, Dr. Julian De Silva. First, I will make an incision in your nose and lift the skin to expose the cartilage underneath. I will then trim away any excess cartilage or bone to create more space for your nostrils. This will help prevent the collapse from reoccurring over time by allowing them to open more easily when you breathe through your nose. In some cases, it may be necessary for you to have additional procedures done at the same time as repairing a collapsed nasal valve. For example, if your septum is crooked or asymmetrical due to having been broken before, this issue should also be addressed during surgery so that both problems are fixed at once instead of having them exist separately during recovery periods. Moreover, nasal surgery can be done along with other procedures such as eyebrow lift, deep plane facelift, ear cartilage graft, facial plastic surgery, and blepharoplasty. What Causes a Nasal Valve Collapse? Peer reviewed studies state that many factors can cause collapsed valves. If the valve is unable to close properly, you will experience a loss of airflow through your nostrils. Infections, surgical damage, or trauma to the nose can also lead to collapsed valves. Additionally, certain diseases, including sinusitis or facial trauma, can cause the opposite problem: an over-opened nasal valve that allows too much air into your sinuses and lungs. Surgery can also help if you have an over-opened nasal valve because of age-related degeneration. Some people opt for surgery when they want cosmetic and medical improvement (e.g. fixing the nasal airway). This type of surgery does carry risks, so please make sure you discuss these carefully with your surgeon before deciding whether it is right for you. How Do You Know if Your Nasal Valve Collapsed? Here’s what usually occurs if your nasal valve collapsed: Snoring If you snore loudly and often, your nasal valve might have collapsed. The soft tissue in the back of the nose can also become swollen and block airflow through it during sleep. Sleep Apnea This condition occurs when breathing stops for short periods during sleep—and this can cause serious health problems down the line as well as poor quality of sleep. Difficulty Breathing If you have a collapsed nasal valve, you will find it hard to breathe. Headaches The symptoms of headaches include pain or pressure inside the head (including temples), sensitivity to light or sound, blurred vision, and nausea/vomiting with head movement. It’s possible that these headaches are linked to a collapsed nasal valve because they may be caused by increased cranial pressure. This happens because of insufficient airflow through an obstructed nasal passage and nasal airflow. Can Nasal Valve Collapse Heal on Its Own? Only a proper nasal septum surgery can treat the collapsed valve area. No, nasal valve collapse can’t heal on its own. Only proper treatment can heal internal nasal valve collapse and external nasal valve collapse. If you are having trouble breathing through your nose or if your symptoms worsen over time, it’s best to see a doctor as soon as possible. Remember, only a specialist can diagnose nasal valve collapse. Nasal Valve Collapse and Treatment The nasal valve is the narrow space at the top of your nose where mucus exits from your nostrils to drain into your throat. When you breathe in through your mouth, this sphincter opens to allow air to pass into the lower portion of your nasal cavity. When you exhale, it closes again to keep air from escaping through the nose. When deviated septa cause obstruction and block airflow through one or both nostrils, bleeding or swelling inside the nose occurs. As a result, many people who have undergone corrective surgery for deviated septum experience some degree of postoperative swelling for several weeks after their procedure. However, a collapsed nasal valve is different because it occurs when one or more muscles that support either side of that sphincter become weakened or damaged due to injury. This allows mucus buildup within certain areas of your sinuses instead of allowing natural drainage through normal pathways. Hence, it’s important to get it treated not only because its effects on the nasal valve area are unpleasant but also potentially dangerous. Infections caused by resulting inflammation can lead to worse downstream conditions such as further external nasal valve damage and blood clots forming under artery walls and upper lateral cartilage. Causes and Treatment of Nasal Valve Collapse Trauma, a botched surgery, and deviated septa cause a collapsed valve area. Here are the common causes of the nasal collapse and their corresponding treatment: Nasal Valve Collapse Caused by Trauma Injuries are one of the most common causes of the collapse of the nasal valve. As a result of this, the central columella, which is the cartilage that forms in the nose’s center, will be pushed to one side. This also causes the airway to become narrower, which makes it difficult to breathe. Nasal Valve Collapse Caused by Nose Surgery When you breathe in, your external valves may get constricted if you have weak cartilage at the tip of your nose or if they are oriented in an upward direction. If you’ve had a rhinoplasty in the past, it’s possible that the lower lateral cartilages were partially removed during the procedure, which will also make the exterior valves less strong. An expansion of the skin and cartilage in the space between your nostril can lead to a narrow external valve. Nasal Valve Collapse Caused by Deviated Septum If the upper lateral cartilages of the internal valves are weak or very narrow, this can cause the valves to collapse when inward breathing is performed. Any deviation of the septum in the region of the internal valve that occurs toward the valve itself will also result in a constriction of the valve. Nasal valve collapse due to deviated septum can be treated through surgery. Signs of Nasal Valve Collapse? Difficulty breathing Runny nose Nasal congestion Snoring Sleep apnea Headaches, including migraines What Does Valve Collapse Look Like? A doctor can prescribe pain medication to manage the same symptoms as above. If you can’t breathe properly through your nose and/or have a stuffy nose that does not respond to a nasal valve dilator or over-the-counter steroid nasal sprays, you may have nasal valve collapse. External valve collapse becomes apparent when you breathe in and the nostril on either or both side closes on itself. Internal valve collapse, on the other hand, is less apparent on the outside. However, the upper middle portion of the nose on either side looks narrow as you breathe in. Preparation for Nasal Valve Surgery Before getting the treatment, you must know what to expect and how to prepare for your procedure. As a general rule, you should not eat or drink anything for six hours before surgery. If you are taking any medications that thin the blood, you should stop taking them at least three days beforehand. You should also stop taking antihistamines at least 24 hours before the nose surgery because they can increase swelling in your nose. Finally, if you have a cold or allergy symptoms such as congestion or a stuffy nose, it’s best not to have surgery until they have gone away. This will help ensure that there is plenty of room inside your nasal passages during recovery from surgery on the nasal valve area. Are There Additional Ways to Fix the Valves? If your nasal valve collapse is causing you problems, there are a few other treatments that you can try. These include: Use steroid sprays and creams. Steroid sprays, creams, and pills are often used to help the nose heal from injury or surgery. These treatments help reduce inflammation in your nasal tissue and may help your nasal valve return to its normal position. Try a nasal valve dilator. A nasal valve dilator is used to decrease nasal airflow resistance. By reducing nasal resistance, it lowers the work of breathing. As a result, the oxygen supply to the body increases. Get nasal surgery. If other treatment options haven’t worked for you, then plastic surgery may be an option for restoring the structure of your nose so that it functions properly again. Surgery is also the only permanent solution to nasal valve collapse. After Surgery and Recovery After surgery, you can expect a recovery period of four to six weeks. You will be unable to exercise or play contact sports. You should also avoid alcohol and smoking. Additionally, you should avoid caffeinated drinks and spicy foods during recovery as well. If your condition worsens after surgery, you must follow up with your doctor immediately. If left untreated or ignored for too long, nasal valve collapse may lead to serious health problems such as infections and sleep apnea. Visit Dr. Julian de Silva – Rhinoplasty, London If you are experiencing nasal valve collapse, then seek out a specialist who understands individual nasal anatomy including your nasal valves. You should also choose someone who understands nasal breathing and conceals scar tissue well. If you want to work with a board-certified doctor who specialises in sinus surgery, contact me to book a consultation now!

Mid facelifts are procedures that put your cheek tissues back to their natural position. A cheek lift surgery is also known as a mid face lift. This procedure addresses one of the earliest signs of ageing, which is sagging cheeks. It also deals with the sagging found around the cheeks. But how exactly is a cheek lift surgery performed? In this article, I will discuss how much the lift usually costs and how it is usually performed. I will also answer commonly asked questions about the treatment. How much does a cheek lift cost? The cost of this surgical treatment for the cheek area depends on many factors. Depending on the location and the cosmetic surgeon in the UK, a cheek lift can cost £5,000 to £10,000. However, this is just a range. The actual cost depends on a lot of factors including your needs, goals, and the assessment of your doctor. It also depends on the type of facility used and post-care medications that you may need. To know the exact cost of the cheek lift, consult a facial plastic surgeon first. You may book a consultation with Dr. Julian De Silva here. You also have to take note that a cheek lift is a cosmetic treatment, so it’s not usually covered by insurance. This means that you have to pay out of your pocket. On the bright side, this procedure helps gain your confidence and improve your performance especially if you are in the entertainment business. Hence, a cheek lift it’s an investment that will give you a lot of benefits in the long run. How long does cheek lift last? The treatment can lift soft tissue for a decade or more. How long a cheek lift lasts depends on many factors. For one, it depends on how you maintain the results after the surgery. It also depends on your lifestyle and other health habits. For instance, if you are a generally healthy person and have a great skincare routine, the results of a cheek lift might last longer. In general, the results of a cheek lift can last for 10 years or more. In many of my patients, cheek lift results can last for over 10 years. Some of them enjoy the results for up to a lifetime, specifically those who had cheek lift surgery later in life. If you want the results to last longer, there are some things you can do. For one, you have to take care of your health. People who are healthy inside usually have healthy skin. Second, you need to have a proper skincare routine. You have to use the right products that will help you maintain the results of the cheek lift. Lastly, you need to sleep well and avoid stress. Stress can show up in your skin and this might affect the longevity of your cheek lift results. What is a cheek lift? This outpatient procedure deals with mid face sagging and restores your youthful contour. For most patients, a traditional face lift cannot totally treat the upper cheek of the face, which frequently flattens, sags, and lengthens with age. This is where a mid facelift comes in. By elevating the fat pads in the cheeks (also known as the malar fat pads), cheek lift surgery provides fullness to your cheeks and eyes. This results in a rejuvenated and refreshed appearance. Moreover, the results of a mid facelift are more permanent than the results of non-surgical treatments such as cheek fillers. In particular, a cheek lift reduces sagging on your cheeks. It also smoothens your nasolabial folds (also known as smile lines) on the sides of your mouth by removing excess skin. Adjusting the soft tissue of your cheeks to a higher position can also help fight the hollowing below your lower eyelid, which is another sign of the ageing process. A cheek lift is frequently done with other facial cosmetic surgical procedures, such as blepharoplasty or eyelid surgery, a neck lift, a brow and forehead lift, or rhinoplasty. When done all together, these cosmetic procedures offer full facial rejuvenation. As a result, you will look more refreshed and younger. You can also enjoy the results of this full facial rejuvenation for a decade or more. Because fat loss contributes a lot to midface ageing, an endotine midface lift is also frequently combined with cheek augmentation (via cheek fillers or cheek implants) or fat transfer to add volume. Another benefit of an endotine midface lift or cheek lift is that you can recover faster from the procedure compared to a traditional facelift. As you may well know, a checklist or midface lift is a surgical procedure. Hence, you should make sure that you consult reputable and experienced plastic surgeons like me, Dr. Julian De Silva. Doing so minimises the risk associated with the cosmetic procedure and ensures that you get the results you want. Doing so minimises the risk associated with the cosmetic procedure and ensures that you achieve the results you want. Can you get your cheeks lifted via a midface lift? This procedure is different from a traditional face lift. Yes, you can get your cheeks lifted. You can do this via midface lift surgery. During the side procedure, the cosmetic surgeon raises your cheek tissues back up where they’re supposed to be. By doing this, the tissues stay in place. The process makes your skin smoother and gives you a more refreshed appearance. When combined with a lower eyelid lift, the cosmetic surgeon removes the loose skin in the lower eyelid first and the bulging fat. Then, the procedure raises your cheek tissues higher using the same incision used for the eyelid lift. Moreover, during a cheek lift, fat it’s not removed that much. Instead, your cheek tissues are repositioned. By doing this, the line between your cheek and your lower eyelid decreases or goes away. A checklist procedure is usually an outpatient one. At last for approximately three hours. However, the duration will go longer if a cheek lift is done with other cosmetic procedures. Cheek Lift Surgery: What You Need to Know This treatment can be done with other procedures like eyelid surgery. If you see your cheeks are beginning to sag slightly, you can consider getting a cheek lift. This facial cosmetic treatment enhances the look of your saggy cheeks and the areas below your lower eyelids. As time passes by, the structure of your face depletes. Its once youthful shape sags and changes position. This leads to a tired and old appearance. This is where a mid facelift comes in. The procedure is designed to restore your face’s original shape by restoring volume to your cheeks and decreasing the appearance of smile lines. Since this procedure is a surgical one, recovery usually takes between two and three weeks. However, patients can resume their regular activities after a week or so. During recovery, you must avoid any vigorous or strenuous physical activity for at least two weeks. You should also take all of the medication and follow the aftercare guidelines that I will give. Cheek and Midface Lift This treatment enhances drooping cheeks and restores cheek volume. Contrary to popular belief, a cheek and midface lift are not different from each other. The terms are used anonymously in the cosmetic surgery or plastic surgery industry. So, if someone says that they want to get a midface lift, it means that they are considering having a cheek lift. What are the pros and cons of a cheek lift procedure? A cheek lift is a minimally invasive option to combat the ageing process. Here are the pros and cons of a midface lift: Pros of a Mid Facelift Procedure 1.Minimal Downtime The treatment helps restore your youthful appearance with minimal downtime, which is shorter than recovering from a traditional facelift. 2.Long-Lasting Results The results last for 10 years or more. 3.Easy and Convenient A cheek lift is one of the fastest facial surgeries. It’s also one of the easiest to perform. 4.Fast Results Most patients can see results a week after the said plastic surgery. 5.Longer than Fillers The results of the said plastic surgery last longer than dermal fillers which usually last for a year. 6.Safe and Effective When performed by a qualified and licensed cosmetic surgeon like Dr. Julian De Silva, a cheek lift is safe and effective. 7.Fights Ageing The procedure combats one of the first signs of ageing, which is sagging cheeks. 8.Gives You Confidence A cheek lift gives you the confidence and self-esteem that you need. 9.Helps With Your Work The procedure helps with your career, especially if you are working in the entertainment industry. Cons of a Mid Facelift Procedure 1.Surgical Treatment The treatment requires you to go under the knife, which some patients don’t like. 2.Risks Involved As with other cosmetic surgical procedures, the treatment involves risks such as numbness, swelling, bruising, and temporary hair loss. 3.Quack Doctors Many affordable plastic surgeons offer cheek lifts because of the procedure’s popularity. However, treatments as such are usually not safe and ineffective. Tense, you must only work with an experienced and board-certified cosmetic surgeon. Visit Julian de Silva – Facelift, London Are you looking for a reputable, experienced, and board-certified cosmetic surgeon to perform your cheek lift? Look no more. I, Dr. Julian De Silva can help you. Contact me now to start your journey to a more youthful appearance. As an alternative, you may visit my clinic at Harley Street, London.

Knowing how to reduce swelling on face helps you manage it. Swelling in the face is a common side effect of any facial surgery. Facial swelling usually increases for the first 48 hours following surgery, then begins to subside after about a week. Given this, there must be a way to reduce facial swelling symptoms. Well, you’re in luck. In this article, I will talk about how to reduce facial swelling. I will also answer the most common questions about facial swelling after cosmetic surgery. How to Reduce Facial Swelling After Surgery You can take medically reviewed steps to manage your swollen face after jaw surgery. Here’s how you can reduce facial swelling after a surgical cosmetic procedure such as rhinoplasty, facelift, and neck lift: 1. Use ice or cold pack. We don’t see athletes on the sidelines with ice packs on their injuries by chance. Lowering pain and inflammation will help kickstart the healing process. Since your body has been harmed by incisions after plastic surgery, you need to start its recovery. For the first three days after surgery, you should apply ice packs to the affected areas for at least 10 minutes. Place a piece of cloth with ice or cold pack on the inflamed area rather than placing the ice straight on your skin. 2. Avoid hot showers. You should avoid taking hot showers for the first three days following surgery. It’s because heat can cause facial swelling. In addition, if a powerful stream of water comes into touch with the operation site, healing might be impeded. 3. Keep your head elevated. Even when you’re sleeping, keep your head raised once you’ve returned home from surgery. Use a few pillows in your bed to prop yourself up. As an alternative, you can sleep in a reclining chair if possible. If you choose to lie on the couch, prop yourself up using the couch’s arms or couch cushions. Remember, facial swelling is produced by an excess of blood and fluids accumulating in and around the surgical site. Keeping your head raised will allow those fluids to flow away from the affected area. Doing so should help prevent or lessen facial swelling. 4. Do not eat or drink hot items. Avoid eating or drinking anything hot for the first 24-48 hours after your surgery (e.g., coffee, hot chocolate, soup). The heat in your meals and beverages may actually increase the amount of swelling in your mouth. 5. Avoid smoking and drinking. Stop smoking eight weeks before a cosmetic surgery to avoid difficulties. At the very least, stop smoking and drinking alcohol after your surgery. Don’t start again until you’ve recovered. Too much alcohol and tobacco might decrease your body’s ability to heal and raise your risk of infection and allergic reaction. Smoking reduces the quantity of oxygen in your blood, making it more difficult to avoid or recover from a bacterial infection. Meanwhile, alcohol impairs the function of your heart and immune system, which can lead to difficulties following surgery. 6. Use a warm compress after 48 hours have passed. You can go from cold water ice and cold packs to warm compresses once the first 48 to 72 hours have passed since your operation. You can also do this whenever you observe the swelling has started to reduce. This depends on your doctor’s instructions, but in general, you can do this four times a day, for 30 minutes at a time. Applying a warm compress or heating pad (on a low setting) to the swollen area of your head or face can help. The warmth will aid to stimulate blood flow to the area. Doing so can reduce swelling and speed up the healing process. 7. Change your bandages and clean your incision as directed. You may have stitches and/or bandages over an incision on your face as a result of your surgery. Follow your doctor’s recommendations for how often you should change your bandages and how you should clean the wound. In addition, closely follow your doctor’s recommendations for keeping the area dry. Keep an eye out for any infections as well. If you see any signs of infection, call your doctor and get immediate medical attention. 8. Make sure you get enough nutrients. Keep up a healthy diet that includes a reduction in the amount of salt you take in. Salt is harmful to the management of facial swelling and should be avoided while you are recovering from your injury. Vitamin K, which is a fantastic component to reduce facial swelling, may be found in abundance in greens, eggs, and yogurt, all of which are excellent sources of vitamin K. Consuming a sufficient amount of water is also essential to achieving optimal health and ensuring that your body continues to perform at its best. This is crucial during the period following surgical intervention. The body will be able to mend properly and will have less bruising and facial swelling after surgery if you keep your water level at a healthy level. How to Reduce Bruising After Surgery You can take medically reviewed steps to bruising on your swollen face after facial or jaw surgery. Here’s how to reduce bruising after surgery: 1. Apply some heat. Heat can be used to improve circulation and blood flow. This will aid in the removal of trapped blood once the bruise has formed. Heat can also be used to relax tense muscles and reduce discomfort. A heating pad or a hot water bottle can be used. As an alternative, you can enjoy a hot bath. 2. Elevate yourself. You must also raise the wounded area above your chest. This aids in the relief of pain and the drainage of fluid from the injured area. Pressure and compression can also both be reduced by elevating the body. This provides you with the opportunity to rest and relax, which can aid in the healing process. 3. Compress. Put a stretchy bandage around the hurt area. This squeezes the area and stops blood from spreading out. This pressure can make a bruise less severe and also reduce pain and puffiness. 4. Try arnica. Arnica is a homeopathic herb that is used to heal bruising. It is supposed to reduce inflammation and swelling. Topical arnica ointment effectively decreased laser-induced bruising. Apply arnica ointment or gel to the bruise many times a day. 5. Use vitamin K cream. Vitamin K helps blood clot. Studies show that vitamin K cream can make bruises from treatments like lasers less severe. For best effect, put vitamin K cream on the bruise two times a day. 6. Try aloe vera. Aloe vera can help relieve pain and inflammation. Make sure to use pure, less processed aloe vera gel. Carefully read the label to see if there are additives and other harmful ingredients before applying. 7. Use vitamin C. Vitamin C can reduce swelling and help wounds get better quicker. You can find vitamin C in gels, creams, and liquid forms to put on the skin. It’s also in pill form. Plus, many fresh fruits are rich in vitamin C. 8. Have some pineapple. Bromelain is something found in pineapples. It can make a bruise less noticeable and reduce redness and swelling. You can get bromelain by eating pineapples, taking pills, or using creams with bromelain in them. 9. Herbal supplements. Dr De Silva gives all patients a herbal medicine that has been shown to reduce inflammation and enhance recovery. This includes arnica and bromelain and can be used to treat bruises. How Long Does Facial Swelling Last? Generalised facial swelling and its accompanying symptoms don’t last long when you get proper medical attention. How long facial swelling lasts varies from one patient to another. If you had cosmetic surgery, swelling will usually go down in five to seven days. Meanwhile, bruising will dissipate in 10 to 14 days. Due to these, it could be difficult to eat at first. If you have stitches, they may need to be removed around a week following surgery. You’ll also probably need a few weeks to recover from cosmetic surgery. In addition, revision surgeries, such as revision blepharoplasty may require a longer recovery period. When you can go back to work also depends on the type of surgery you have and the job you do. As a rule of thumb, you may go back to work in as fast as two weeks, if your job doesn’t require intense physical activities. How to Deal With an Allergic Reaction A reaction won’t be a medical emergency when you follow professional medical advice. In some cases, facial swelling might lead to an allergic reaction. This may show up for up to a few days after your surgery. Severe allergic reactions after surgery may happen for many reasons, including allergies to certain medications or anaesthesia. If you suffer from medical conditions that produce allergies, inform your doctor immediately after your first consultation. Since allergic reactions can be caused by anaesthesia, make sure that your doctor is using sedation anaesthesia, since it’s safer than general anaesthesia. My clinic at Harley Street, London uses sedation, so you are in safe hands. When to See a Doctor If you’ve been experiencing facial swelling or trouble breathing, see a doctor. A post-operative appointment with the plastic surgeon will take place within the first two weeks after you have undergone surgery. At this appointment, your doctor will remove the majority of the stitches and/or staples that are currently on your face. The physician will also check to see if the wounds have a healthy appearance and are healing properly. You need to contact the doctor immediately if you encounter any issues before your scheduled appointment. This includes difficulty breathing, bleeding, a severely puffy face, and severe pain. Visit Julian de Silva – Facelift, London Facial swelling is a common, medically reviewed side effect of facial surgery. However, you must work with a medically reviewed clinic to make sure that you’re being taken care of after the surgery. This will help you manage the side effects and reduce swelling in the face. Want to know more about facelifts? Check out our Patient’s Guide to Facelift Surgery to learn more about the facelift surgery process. Do you want to have your cosmetic surgery done by an experienced and highly qualified surgeon in London? Contact us to book a consultation with me, Dr. Julian De Silva now!

Decreased collagen production and hyaluronic acid levels cause jowls. As you become older, you tend to lose definition around your jawline. The supporting components that keep your features youthful, like elastin and collagen, begin to deplete. You might lose fat in the cheeks and temples and have excess or saggy skin. These lead to your chin and neck losing shape. On top of that, your skin becomes drier and thinner as you age. This makes it less robust and more susceptible to the forces of gravity. As a result, loose skin around your chin and jawline can form. This generates jowls that age your entire appearance. But how do you get rid of jowls? Can you permanently eliminate them? In this article, I will talk about how you can get rid of jowls and prevent future sagging skin. I will also answer the most common questions about jowls. Can You Reverse Sagging Skin and Jowls? Jowls are less pronounced in people who have thicker skin, but they become more noticeable as one age. Yes, you can reverse sagging jowls. While jowls are a natural sign of ageing, you can reverse them through many treatments. For one, injectable solutions such as dermal fillers are great for restoring your face volume. Ultrasonic treatments such as Ultherapy are also helpful for stimulating the creation of more collagen. This immediately lessens the sagging effect of jowls. Radiofrequency (RF) skin treatments can also recontour, smooth, tighten, and lift the skin on your jaw and chin areas. Each treatment has its own distinct advantages, and our professionals can assist you in selecting the best process for your specific skin needs. However, if you want a permanent fix for pronounced jowls, surgery performed by board-certified plastic surgeons like Dr. Julian De Silva, M.B.B.D, MD is the right way to go. Will Losing Weight Get Rid of Jowls and Saggy Skin? Unfortunately, weight loss isn’t the most effective way to eliminate frustrating jowls. Losing weight won’t help eliminate droopy jowls. In fact, for many, especially individuals with older skin, losing lots of weight might make the jowls stand out even more. That’s because weight loss can actually highlight them to begin with. However, according to some studies, facial exercises and exercise, in general, can help reduce the look and severity of droopy skin and jowls. They do this by improving the ability of the facial, jaw, and neck muscles to keep their form. The majority of prescribed exercises should be performed one after the other to ensure that the face muscles are exercised evenly. Each exercise should be held for 10 to 20 seconds before being released. The following are some common facial exercises that may help improve jowls: Yawning and opening the mouth as widely as possible, then gently shutting it without allowing the teeth to contact. Outward puckering of the lips This practice is most effective when performed laying down and drawing the sides of the lips downwards with the fingers. Blowing up the cheeks as far as possible. Chewing with the head slightly inclined up. Grinning as wide as possible, then tilting the head up and down gently. Tilting the head up and placing the lower lip on the top lip. Lying down flat, curving the neck in towards the chest, and pushing the tongue on the roof of the mouth. Humming while pressing the tongue on the roof of the mouth. Facial exercises are not statistically proven to treat jowls. However, all existing research on the effect of facial exercises on treating jowls is not enough to pull out statistical evidence. Hence, only a treatment plan that includes one or more procedures like jowl soft tissue reduction and plastic surgery ensures results. This should not stop you from exercising your body and facial muscles though. Exercise greatly improves various elements that contribute to your skin health. This may help lessen the age at which jowls form, as well as their severity. Any repetitive facial habits that evenly activate or stretch the face muscles without overusing them may also aid in the reduction of jowls. Jowls: Why It Happens and What You Can Do Bad lifestyle choices can cause jowls and saggy skin. Jowls are drooping or excess skin on the neck, directly below the jawline and chin. Almost everyone gets jowls as they become older, mainly because their skin loses elasticity. Several causes, including genetics, sun damage or UV rays, lifestyle factors, and lost volume can contribute to more prominent jowls. Though various variables are known to enhance the frequency and severity of jowls, age is the root reason. This is because the skin begins to lose some of the substances that help it maintain its form as it ages. These substances include fat and connective tissue proteins like elastin. The skin also becomes drier and thinner, making it more difficult to keep its shape. As the skin loses its elasticity and volume, it becomes more sensitive to gravity. Sagging skin around the lips and cheeks migrates to the chin and jawline, resulting in jowls and a sagging jawline. The following are risk factors for jowls: Sunburn history Excessive or chronic alcohol consumption Smoking Dehydration, whether chronic or severe Long-term or severe stress Diets deficient in antioxidants, good fats, and other vital elements Frowning, chewing gum, chatting on the phone, and other behaviors or expressions that use the cheek, mouth, and jaw muscles. Skin allergies A lack of skin hygiene Little to no physical activity Poor lifestyle choices How to Eliminate Jowls Fast: Treatment and Prevention A treatment plan for jowls can include more than one procedure. 1. Facelift and Neck Lift If you want to get rid of fat and tighten your face and neck, then a neck lift is for you. In most neck lifts, the incisions are made in front of and behind the ear, reaching into the hairline. In some circumstances, a complete neck lift and facelift may be necessary to enhance your look. This plastic surgery eliminates fat, makes your skin tight, enhances your cheek muscles, and repositions skin on the lower half of your face so that your neck and face look the same. While these procedures are promising, there are different type of facelift that can be tailored to your individual needs. For most patients a natural vertical lift, restoring the areas that have dropped to their original position is best (modified deep plane facelift), for some patients less is more (pony tail facelift, mini facelift). 2. Fat reduction & Chin Implant For younger patients with fullness under the neck and jaw line, another way to get rid of fuller neck is through fat reduction with or without a chin implant. During this treatment, the surgeon will use a microcannula to remove fat from your chin region. They will also restructure the skin and jawline to avoid sagging in the future. Combined with bringing the chin forward this can work well for younger patients with good skin elasticity. Fat reduction can also be done with radio frequency or laser therapy to ensure that your skin remains tight and smooth. Dr De Silva frequently tightens the neck muscle (platysma) to reduce seeing a band in the neck that commonly comes with age. Although this is a universal aspect of ageing these stitches can help hide this change. 3. Radiofrequency Jawline Tightening This technique tightens the skin around your neck and chin using heat and radiofrequency energy from a gadget. It may be repeated several times to guarantee that your skin remains tight. The recovery period is short, and the treatment may be completed in a single day. 4. Dermal Fillers Dermal fillers can help treat those stubborn jowls of yours. Dermal fillers are formed of a substance known as hyaluronic acid. In addition, dermal fillers are filler injections placed into the neck and chin to fill up jowls and make them appear less sagging. Some dermal jawline fillers also stimulate your body’s production of collagen, allowing you to keep your skin tight. Although most fillers are soft and made of a gel called hyaluronic acid. They can be mixed with a calcium filler that will give a stronger more defined and shaped jaw line. 5. Ultrasound Ultherapy is the use of ultrasonic therapy to encourage long-term collagen formation in the skin’s deep layers. It typically takes one session, and patients are able to resume their normal activities immediately following the operation. Several months following treatment, most patients report a continuous improvement in skin tightness and stiffness. This is a non-surgical treatment and often the results are relatively mild and conservative, not suitable for patients wanting marked change and the results are three to six months after receiving ultrasound therapy. 6. Radiotherapy Radiotherapy employs intense, radiating heat to promote collagen and elastin fibre bundles around 2 millimeters beneath the skin’s surface. As a result, the bundles recoil and the skin tightens. Radiotherapy also increases protein formation by deceiving the body into believing connective tissues are injured. For best outcomes, many patients need to repeat treatments a few times a year. Pelleve is the most commonly used brand name for jowl radiation. What Can I Do to Reduce My Risk? You can prevent jowls and reduce risk by avoiding smoking. Here are things you can do to reduce the risks associated with procedures involving the jowl area: Avoid smokingCigarettes and other kinds of tobacco contain toxins that can harm your skin. Limit your exposure to the sunBefore going out for the day, always apply sunscreen with at least SPF 30 on your face and neck. Make it a part of your morning routine to protect your skin from UV rays. Limit your screen timeWhen using a computer or phone, try to maintain your head in a natural, comfortable position. Avoid bunching up or stretching out your neck skin. You may also safeguard your muscles by taking a 10-minute break for every hour spent on the computer. What if I Already Have Jowls? If you have jowls and a sagging chin area, know that you have many treatment options. There are various techniques for correcting drooping jowls or making them seem less saggy or droopy. Neck lifts, for example, can tighten your skin and make it appear less saggy. Non-surgical therapies such as thermage, lasers, and fillers can alter the collagen composition of your skin. To conceal empty regions around the jowls, fillers might be employed. When you go out, you can also disguise your jowls with clothes and cosmetics. What Causes Jowls? Jowls are caused by the same factors that cause wrinkles. Here are the common causes of jowls: 1. Loss of Elastin and Collagen The skin on your cheeks and the skin below your jaw loses a lot of elastin and collagen as time passes by. Collagen is a protein that builds up your body’s connective tissue. Elastin is another substance that gives your skin the ability to go back to its original form after being stretched. 2. Genetics Your genes can also influence whether you acquire jowls and how visible they become over time. For one, you are more prone to get jowls if either of your parents has them. If you have thin skin or a lack of collagen and elastin in your skin, you may develop jowls at a young age as well. Jowls can appear as early as your twenties or thirties. 3. Facial Expressions Making specific facial expressions often might stretch out your face or neck skin. 4. Sun exposure Overexposure to ultraviolet (UV) radiation in sunlight might harm your skin. As a result, your skin may sag sooner. 5. Smoking Cigarette nicotine and other substances can harm your collagen and elastin levels. On top of that, smoking can cause your blood vessels to constrict. This reduces blood circulation and inhibits your skin from receiving essential nutrients such as vitamin A. 6. Using computers or phones Long durations of computer use or staring down at a smartphone can cause your neck area to lose its suppleness. The term “tech neck” refers to these jowls. What Are the Best Procedures for Jowls? The best treatment for jowls include a facelift and neck lift. The best procedures for sagging jowls are undoubtedly a neck lift and full facelift. For one, a neck lift and full facelift are permanent fixes. This means that you only have to get them once. In fact, many of my patients who get these procedures enjoy the results for a lifetime. Visit Dr. Julian de Silva – Facelift, London If you’re dissatisfied with your jowls, you have numerous alternatives for treating them. Talk to me, Dr. Julian De Silva, an experienced and qualified plastic surgeon about the best choice. Contact us to book a consultation with Dr. De Silva now! As an alternative, you may visit our Harley Street clinic, the Centre for Advanced Facial Cosmetic & Plastic Surgery.

A facelift paired with a neck lift or reduction of soft tissues (including fat) with tightening of the loose neck muscle (termed platysma) is a common procedure to reduce double chin removal. Many people wish their faces looked slimmer, but extra fat might give us a double chin. Different things can cause a double chin, like our genes, our weight, the shape of our face, or where our airway sits. When you’re unhappy and annoyed with that double chin of yours, know that you’re not alone. In fact, approximately 68% of individuals suffer from excess fat cells under their chins. So how do you get rid of a double chin? Can it be removed in the first place? If yes, how much does it cost? In this article, I will talk about double chin removal and how much it usually costs. I will also show you before and after photos of my patients who went through double chin treatments. How Do I Get Rid of the Fat Under My Chin? You can choose from many treatments to get rid of the fat under your chin. To get rid of your double chin, you need to go through a certain procedure. Now, the exact procedure depends on your needs and goals. For this reason, it’s crucial that you consult a plastic surgeon first. Together, you can decide which treatment will suit you the best. In general, treatments such as facelifts and neck lifts can get rid of the fat under your chin. Can a Double Chin Be Removed? You can have your double chin removed via double chin surgery. Thanks to the advanced in cosmetic surgery, you can eliminate ylur double chin. Depending on your goals, a double chin can be simply reduced or totally removed. In addition, the only real solution to this problem is decreasing your fat content through double chin surgery. This is where treatments like facelift and neck lift surgery come in. All of them are permanent solutions to your double chin. They also work when you can’t lose your double chin despite losing a lot of weight. Considering Double Chin Surgery? Know Your Options You can choose from double chin surgery or chin fat reduction that removes excess fat cells. Depending on your needs and goals, I may use one or a combination of the following procedures: Have a Facelift A facelift removes excess skin first. Facelifts also tighten muscles and underlying tissues. Moreover, the procedure eliminates drooping skin for a more youthful appearance. Depending on where the signs of age have appeared, different facelift methods are available. The upper face, mid-face, or lower half of the face, including the neck and chin, can all be treated. In addition, this procedure is often done with a neck lift to get rid of saggy skin and improve skin laxity in the neck area. Get a Neck Lift A neck lift offers the same advantages as a facelift. However, it concentrates on loose skin behind the chin and along the neckline. It can also be done with fat reduction to further tighten neck skin, address tiny fat pockets under the chin, and remove excess skin. The good news is that a neck lift cosmetic surgery can smooth and refine the neck skin and chin region without causing drastic alterations to your face. As a result, you will enjoy natural and subtle results. Remove Excess Fat Cells Through fat reduction Submental fat reduction is a surgical procedure that removes fat cells for patients who want a one-time treatment. A local anaesthetic or an injectable numbing medication can be used for this reduction of fat. After the skin has been numbed, a tiny incision is made beneath the chin in a hidden skin fold. Through a small incision, the skin is separated from the fat, and the excess fat is suctioned away. Try a Coolsculpting Treatment CoolSculpting or fat freezing for the chin is a non-invasive fat reduction treatment that doesn’t require any anaesthetic, needles, or incisions. It operates on the idea of fat freezing. In particular, fat freezing works by chilling subcutaneous fat to the point where the fat cells are destroyed and absorbed by the body. The fat layer right under your skin is known as subcutaneous fat. Fat freezing is meant to be used as a treatment for people who have already attained their optimum weight. You must take note that fat freezing is not a means of losing weight. Fat freezing is also not an alternative to living a healthy lifestyle. Before and After Photos Are you wondering what a double chin removal looks like? Here are before and after photos of my patients: Patient 1 This 40-year-old lady observed sagginess in her neck. She was also bothered by the lack of natural curves and contours. She came in for a consultation with me, Dr. De Silva, to evaluate neck lifting alternatives. However, she was not interested in invasive surgery with a lengthy recovery period.On examination, the skin around her jaw had begun to droop over time, with some fat deposit weakening her neck skin and jawline. This left her jaw looking uneven, which was exacerbated by her relatively tiny chin. I, Dr. De Silva, examined her neck. Then, we talked about the best way to rejuvenate her appearance with the least amount of downtime.As you can see, her double chin was removed after neck lift procedures. She couldn’t be happier with the results. Patient 2 This doctor in her fifties had observed that she was looking fatigued. She also had a drooping turkey neck and various creases and lines on her skin. A coworker sent her to me, Dr. De Silva, to explore face and neck lifting alternatives.On examination, the skin around her jaw had begun to droop with time. Plus, with some fat buildup, her jawline became weak and appeared uneven.I, Dr. Julian De Silva, examined her neck and talked with her about the best way to fix it with the least amount of downtime. To restore a more youthful jaw and neck angle, she had micro-cannula neck and chin fat reduction. Her neck and jaw angle were also contoured.As you can see, her double chin and turkey neck were gone. She also looked more alive and youthful. Patient 3 This 55-year-old woman was dissatisfied with the drooping soft tissues beneath her jaw and droopy neck muscles. There were noticeable soft tissues and slack skin around her jaw, giving her jaw an uneven appearance and deep nasolabial lines.She had facelift and neck lift surgery. I used my deep plane facelift technique, which incorporates triple-layered skin closure in the treatment area. This eliminates obvious scarring and assures optimum results.As you can see, her double chin was reduced and her neck became smoother. Patient 4 This patient’s mother had noted an increase in his fatigued look, including a sagging neck and various creases and lines in his skin. He had previously undergone a face and neck lift treatment and came to me, Dr. De Silva, a plastic surgery and chin fat reduction specialist, to discuss additional alternatives.On examination, he had a tiny chin with loose skin along his jaw that had begun to sag over time, as well as some fat buildup and weakening of his jawline. He had to undergo cosmetic surgery. Particularly, he had more than one treatment namely a neck lift and fat reduction.As you can see, his neck area became smoother and his double chin was removed. Patient 5 For many years, this lady in her 30s was unhappy with her neck and jawline. She wanted to improve her looks, so she started seeking a qualified facelift surgeon to assist her.I, Dr. De Silva, performed a neck lift and chin augmentation using my neck contouring guide, which resulted in a significant improvement in her neck, chin, and jawline.As you can see, the fat under her chin was gone. Her sagging skin improved as well. Patient 6 For almost ten years, this woman had been unhappy with the look and overall sagginess of her neck. Despite being offered non-surgical options, none of them had made a significant change in her neck.She came in for a consultation with me to evaluate neck lifting alternatives. On examination, the skin and fatty tissue around her jaw had begun to droop significantly over time, with loose skin and considerable fat deposits.The patient had various surgical procedures. She had face and neck lift cosmetic treatments with fat transfer. I also used biotechnology to speed up her recovery. As you can see, her double chin was gone. Her chin and neck significantly improved as well. Patient 7 This man in his fifties wanted to improve his looks, specifically his eyelids, drooping jowls, chin, and neck. With time, the skin around his jaw had begun to droop, giving him an uneven jaw and a web of surplus skin behind his chin and neck.He requested a meeting with me, Dr. De Silva, knowing that an expert London facial cosmetic surgeon could advise him on the best surgery for facial skin sagging.This patient had a facelift and neck lift. As you can see, his double chin and the surrounding tissues were greatly reduced. His neck also became smoother, making him look younger and refreshed. How Much Does Double Chin Surgery Cost? The cost of treatments that remove excess fat cells depends on many factors. While the exact cost highly depends on your goals, the surgeon, and the facility you’re going to, here’s how much the procedures for double chin removal usually cost: Neck Lift Because each patient’s neck lift is unique, there is no set fee for the operation. The average neck lift cost starts at £5,000, according to estimates. However, it varies widely depending on the patient’s goals and needs. The cost is also determined by the scope of the process. Plastic surgeons charge for the surgery depending on their competence, the method of the procedure, and the location. Facelift Facelift prices in the UK range from £10,000 to £20,000. Just like any procedure on this list, the exact cost can go up or down depending on your needs and goals. High-end surgeons might also charge more. However, the procedures they perform are more reliable, safer, and more effective than those with less experience. Visit Julian de Silva – Facelift, London Are you looking for one of the best plastic surgeons in London and the world? Visit my Harley Street clinic to see what I can do for you. As an alternative, you can contact us to book a consultation. See you around!

An increasing number of men now get nose jobs as cosmetic or revision surgery. Nose jobs used to be popular among women. All of that is changing now. Men are increasingly getting rhinoplasty surgery with the aim to enhance their nose shape. One method for determining the ideal nose shape for your face and proportions is to use the Golden Ratio. The Golden Ratio, as the name implies, is a mathematical method for facial plastic surgery, including nose reshaping. But how exactly does the Golden Ratio affect a male nose job? How much does a male nose job usually cost? In this article, I will talk about male nose job, how the Golden Ratio relates to rhinoplasty, and how much the said cosmetic surgery usually costs. I will also discuss how the procedure usually goes. What is nose surgery for men? Men now get nose jobs for many reasons such as improving their confidence. Male rhinoplasty is one of the most common cosmetic treatments for men, according to the American Society of Plastic Surgeons. With over 200,000 surgical operations done on males in 2018, rhinoplasty was the most common, accounting for over 52,000 procedures. Men receive nose jobs for the same reasons that women do, such as: Improved Nose SymmetryMen benefit from a natural-looking nose that suits their face. Male rhinoplasty can produce a manly facial appearance. Repair of Nose Structural ProblemsMale nose surgery is frequently performed to repair structural defects in the nose, such as a deviated septum. Nose reshaping surgery can enhance airflow and reduce snoring and difficult breathing habits. Improved Self-ConfidenceMen’s nose jobs can improve the patient’s face look, resulting in improved self-confidence and more favorable social interactions. This surgical procedure can make a significant impact on individuals who are concerned about their personal looks. How is nasal cosmetic surgery done? Rhinoplasty procedure changes the nose’s form or function. Before plastic surgeons perform nose surgery, they usually assess the medical history of the male rhinoplasty patient. They also discuss the patient’s goals during the consultation. In addition, experienced surgeons discuss the differences between the male and female nose. Once both parties agree to a surgery date, the patient then prepares according to guidelines given by their cosmetic surgeon. During rhinoplasty procedures, specialist surgeons like me, Dr. Julian De Silva first administer anaesthesia. Then, I make surgical incisions. Most rhinoplasty incisions are done using specific techniques. After this, I will manipulate what needs to be manipulated. This can include the bone, cartilage, muscles, or all of them. Lastly, I will close the incision and dress the patient’s nose. By doing this, the patient will have an evenly proportioned nose shape. In a gist, nose job surgery includes the following: Eliminating a hump on the nose Repairing the bridge Reshaping the tip Increasing or lowering the nostril size Putting the nose back together after an injury Passageways become more open Increasing or decreasing the size of the nose The best nose jobs can be done to enhance your look or to solve medical issues like breathing difficulties and pain. For instance, some individuals have top undergo treatment to fix a deviated septum. Others may only want to decrease the size or form of their nose to enhance their facial features. Rhinoplasty often doesn’t require an overnight stay. You can leave the facility right after the procedure. Can males get nose jobs? Yes, men can get nose jobs. Yes, males, just like females, can get rhinoplasty. Male nose jobs are becoming more common with celebrities and social media influencers. Due to this, several men got nose jobs. Why do the majority of men do it? Of course, motivation varies, but certain common elements may be at work: Breaking the Stereotype An increasing number of men are more willing to get nose jobs these days since they are no longer constrained by the stereotype that only women can get cosmetic treatments. Even if the traditional prejudice holds that men don’t care about their appearance, when we’re being honest, we have to recognise that men do care about how they look. Enhancing Their Appearance Because today’s society is more focused on appearances, notably those appealing pictures on social media, more guys step forward to enhance their noses. What about the ever-increasing emphasis on physical fitness and health? Of course, people eat well and exercise for health, but there’s also an attractiveness factor at work. Moreover, some males wish to get rid of the “family” nose they received, while others prefer a smaller or more refined version of the nose they acquired. Increasing Their Confidence Male rhinoplasty tends to promote confidence or self-esteem. These are frequent beneficial side effects for most guys, even if nose surgery is not their primary objective. The motive for male rhinoplasty is an intriguing subject to consider, but in the end, each man has his own unique set of motivations and goals for male rhinoplasty. Ideal Patients for Male Rhinoplasty Those in good health and the right age are ideal candidates for male rhinoplasty. You are likely an ideal patient for the procedure if you have great health and if your expectations are realistic. If you’re a male teen, the cosmetic surgeon has to check you to make sure the bones of your face are ready for teenage rhinoplasty. Male rhinoplasty success is dependent on a few factors. Most significantly, rhinoplasty patients need surgeon expertise, especially if it’s their first time getting primary rhinoplasty. What is the perfect golden ratio for a man? The Golden Ratio determines how beautiful one’s face is. People in Ancient Greece were quite knowledgeable about beauty. They devised a formula called the Golden Ratio to determine how near each person’s face was to the ideal one. I, Dr. Julian De Silva, a celebrity cosmetic surgeon, wanted to use his computerised mapping skills to see if these theories are still relevant today. The Greeks devised the Golden Ratio of Beauty Phi as a mathematical calculation to assess beauty. It is divided into three components. First, the width and length of the face are measured, and the results are split. The closer the outcome is near 1.6 (number Phi), the better the face. The dimensions from the hairline on the forehead to the spot between the eyes, the spot between the eyes to the bottom of the nose, and the tip to the bottom of the chin are also taken into account. A person is considered attractive if all of the numbers are equal. Lastly, the eye width should be equal to the distance between the eyes and the length of the ear should be equal to the length of the nose. How much is a nose job for a male? The cost of a male nose job depends on many factors. If you hurt your nose and need surgery to restore its form, or if you need a rhinoplasty to breathe correctly, your insurance might cover it. If you only want the procedure for cosmetic reasons, you will have to pay for it. On average, rhinoplasty cost for males ranges between £5,000 and £10,000. The exact nose job cost depends on where it is performed and the experience of your surgeon. If you do it with more cosmetic procedures such as chin augmentation, cheek implants, blepharoplasty, and facelift surgery, the cost will be higher. A cosmetic surgery package pricing often includes all costs of your procedure. These include facility charges, surgeon fees, and anaesthesia. The charges differ from one surgeon to the next and from one facility to the next. After your initial appointment, you should be offered a definite fee and ample time to decide. How much does a good nose job cost? High-end nose jobs often cost more than those performed by less experienced surgeons. In the UK, nose reshaping costs between £5,000 and £10,000. However, high-end nose jobs may cost more than this. You must also factor in the cost of any additional consultations, surgery, or follow-up treatment you may require. At my Harley Street clinic, the cost of your initial consultation will be deducted from your rhinoplasty fee. It is difficult to provide a completely accurate estimate of the cost of your operation until we have met and thoroughly analysed your needs and goals. We strive to provide all of our nose job at the most affordable costs while maintaining the greatest standards of quality at all times. About Rhinoplasty Surgery It is critical to understand what you can expect before undergoing nose surgery. The shape of your nose has a big influence on your overall face look. A nose modification might influence your perceived beauty, physical ties to your ethnicity, family history, and the distinctive features that make you look like you. You should also look at nose job transformation images or before and after photos of real patients so you can set realistic expectations. I, Dr. Julian De Silva use computerised imagery to anticipate how surgery could change your nose and facial look. Before Rhinoplasty To avoid delays, you must come on time for your nose surgery. If you’re unfamiliar with the location, allot additional time to look for a parking area. As the surgery time begins, you’ll be led to an area or room. Inside this room, the doctor will check your vitals. You will also receive a medical gown to wear while you wait. The anaesthesiologist will administer the sedation anaesthesia first. Then, I will enter the operating room to do the procedure. During Rhinoplasty Once you’re sedated, I will make a cut to elevate your skin. Doing this will also reveal your nasal cartilage and bones. I may carve your nasal cartilage & bone, manipulate your tissues, or add a graft. After Rhinoplasty After your nose surgery, you’ll probably go home after the procedure without staying overnight. You might have some gauze and possibly internal supports. It’s uncommon to have a full cast, but you might have a firm cover over your nose. This cover is made from a stiff material, warmed in warm water to make it flexible, and then shaped to your nose. Once it cools, it stays firm. Painkillers might upset your stomach, so many people start with clear drinks until they feel like eating regular food. In the first days after the operation, it’s a good idea to consume soft and mildly-flavored food. Things like yoghurt, cooked veggies, and porridge are good. Avoid anything too chewy or crunchy because it might be hard to bite and chew. It’s best to steer clear of items containing caffeine and alcohol until you’re feeling better. Remember, extremely cold or hot foods might feel uncomfortable on your healing nose. To avoid getting constipated, make sure you’re drinking enough and eating foods with fibre. Conclusion Whether it’s for medical reasons, aesthetics, or a combination of the two, nose surgery may drastically enhance your self-image and quality of life. Take the time to look for a surgeon who is familiar with the surgery and will listen to your desires. Finding the proper expert to help you through the rhinoplasty procedure or nose surgery is critical since your nose may have a big influence on how you view yourself. Visit Julian de Silva – Rhinoplasty, London Want to know more about nose jobs? Check out our post about everything you should consider before getting a nose job to learn more about the rhinoplasty process. Dr. Julian De Silva is an expert rhinoplasty surgeon based at Harley Street, London, UK. He has performed hundreds of nose surgeries that changed his patients’ lives for the better. You may visit Dr. Julian De Silva at his Harley Street Clinic. You may also book a consultation with Dr. Julian De Silva now.