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Celebrity Plastic Surgery – The Drastic Changes This is a very topical question; we have all seen celebrities who appear to look very different after undergoing plastic surgery. One of the most common surgeries that can truly alter a person’s appearance is a blepharoplasty or upper eyelid surgery. Good examples of this are Renée Zellweger and Mickey Rourke. Renée Zellweger Before & After When Renée was younger she had hooded eyelids, relatively low eyebrows and her upper eyelid could barely be seen. Hooded eyelids can be genetic or acquired with age. Some examples of young celebrities with hooded eyelids are Blake Lively, Jennifer Lawrence and Taylor Swift. Renée Zellweger is one example of a person born with hooded eyes that became even more hooded with age. The effort to restore a youthful look to her eyes was overachieved, as the surgeon overcorrected Renée ’s eyelids, causing them to lose their distinctive hooded feature. In more recent photographs of Renee, the difference in her upper eyelid can be seen. The eyes look more open and significantly different from the distinctive hooded eyes of her youth. Mickey Rourke Before & After Micky Rourke looks very different than he did when he was younger and it is particularly his eyelids that have changed with time and alleged plastic surgery. When we look at people we naturally look at the eyes in communication and changes in this area can make a celebrity look very different if the surgery performed is not conservative and specific measures are not taken. Mickey had hooded upper eyelids when he was younger. This is a common appearance in men which often makes men’s eyes appear smaller. In more recent photos of Mickey, more of his upper eyelid can be seen and as a result, his eyes appear larger. Having more visible eyelids is common in many men; many other A-list celebrities including George Clooney, Richard Gere and Tom Cruise all have relatively full eyelids and low eyebrows. Eyelid surgery in men needs to take these factors into account. Dr De Silva specializes in blepharoplasty and eyelid lift surgery, taking these aspects into account is of key importance in giving a natural looking rejuvenation. With good blepharoplasty surgery, a person will look the same after surgery, only refreshed. Why Has This Happened? Eyelid surgery, also known as blepharoplasty or eyelid lift, can be achallenging cosmetic surgery as it can change a person’s appearance, though when the surgery is performed to a high standard the surgery looks completely natural. If too much soft tissue is removed, or if the natural shape and creases of the eyelid are not considered or respected, eyelid surgery can completely change a person’s appearance. All of us look at each other’s eyelids in communication whether socially or professionally, and a change in the appearance around the eyelids can really change a person’s appearance. The results from blepharoplasty are dependent on both technical excellence and artistry by the surgeon. As a specialist in facial cosmetic and plastic surgery, Dr De Silva only performs facial surgery. Blepharoplasty, also known as an eyelid lift, is the most common surgery that he performs. “I have performed surgery for many celebrities, actors, actresses and singers, and no two people need the same surgery. It needs to be tailored to the individual to look natural. It is key with eyelid rejuvenation and blepharoplasty to consider with every celebrity how they looked when they were younger to avoid a change in the person’s appearance and discuss with the individual what they would like to achieve. The surgery can then be tailored to achieve this. I use my own customised techniques to ensure my patients have natural looking results. This does result in the surgery taking more time; however, my philosophy is to do things only once and with a natural looking outcome,” said Dr De Silva. Can Plastic Surgery Be Reversed? The upper eyelid is very intricate in terms of anatomy and function. It is challenging to reverse the previous surgery and to restore more volume to the upper eyelid. More than 20% of all eyelid surgeries Dr De Silva performs are revision surgeries on patients who have had primary surgery elsewhere. Once volume is taken away from the upper eyelid it can be difficult to restore it while still maintaining a natural look. Surgery to restore volume to the eyelids often includes a number of specialized techniques including the use of fat transfer, CO2 laser, canthopexy, 3D telescopes and tissue glue. The surgery is highly intricate and specialized as less than one millimeter of a change can make all the difference. For this reason, it is important that patients seek a facial plastic surgeon to perform eyelid surgery and revision eyelid surgery. A general plastic surgeon that performs surgery on the entire body is accustomed to surgery of centimeters of the breast and body. Eyelid surgery requires fine millimeter precision work for a great result. “The advice I would give anyone looking to have eyelid surgery is to take your time and research your surgeon. Natural surgery requires a degree of artistry by the surgeon to ensure that your appearance is only a rejuvenation of how your eyes used to look, not a complete overhaul,” said Dr De Silva. Click here for more information on eyelid surgery. Dr Julian De Silva is a London facial cosmetic surgeon who Specialises exclusively in the eyes, nose, face and neck areas. Dr De Silva is recognised as an expert on the latest advances in facial cosmetic surgery, and previously worked in both Beverley Hills and New York before settling in London. Top Qualifications from World Class Cosmetic Surgery Centres International Speaker and Surgical Trainer in Facial Cosmetic Surgery Voted Best Leader by colleagues, Awarded the only Distinction in Masters Known for Innovative techniques that deliver Natural Looking Rapid Results Nomination by Peers for Best Cosmetic Surgeon in 2011-2012-2013 Talk through your concerns with a facial cosmetic surgery expert. Contact us today. Centre for Advanced Facial Cosmetic & Plastic Surgery Dr Julian De Silva MBBS MD FACO FACS BSc PGc DIC The Centre, 89 Hammersmith Grove, London, W6 0NQ, UK 10 Harley Street, London, W1G 9PF Phone: 033 0808 4392 Email: info@londonfacialplasticsurgery.co.uk

This is a very topical question that many of my patients have asked me. It is difficult not to be curious when you come across photos of Renee and how much her appearance has changed over the past few years. Many articles in the media have suggested she has had some radical plastic surgery, so what has really happened? What Has Changed? Renée’s appearance has changed, specifically her eyelids. When she was younger she had very full upper eyelids, relatively low eyebrows and a relatively short distance between her eyebrows and her eyelid. As a result, you could barely see her upper eyelids. They were quite hooded. Now you can see a great deal more of her eye and her upper eyelid. While most women have relatively high eyebrows and a more open eyelid appearance, it can be an error to over-generalize appearance. Why Has This Happened? It appears that Renee had an upper eyelid blepharoplasty. It looks as if too much soft tissue was removed with the eyelid surgery, changing her appearance. All of us look at each other’s eyelids in communication whether socially or professionally, and a change in the appearance around your eyelids can really alter person’s appearance. As a specialist in facial cosmetic and plastic surgery, I only perform facial surgery and blepharoplasty (also known as an eyelid lift.) Eyelid surgery is the most common procedure that I perform. A key factor in eyelid rejuvenation and blepharoplasty is maintaining the patient’s facial identity. A surgeon must consider what the patient looked like when they were younger so as to avoid an unrecognizable change in his/ her countenance. Eyelid surgery is both delicate and intricate as the human eye can notice even a one millimeter difference between the two eyes. A general plastic surgeon is accustomed to performing surgery of the centimeters of the breast and body. Eyelid surgery requires fine millimeter precision work for a great result. It is important to discuss what the patient would like to achieve; the surgery can then be tailored to achieve this. I use my own customized techniques to ensure my patients receive natural-looking results. The attention to detail does require a longer surgery time, however my philosophy is to do things only once and with the best outcome. Can This Appearance Be Changed? The upper eyelid is anatomically and functionally intricate. It is challenging to reverse the previous surgery and to restore more volume to it. Approximately 20% of all eyelid surgeries I perform are revision surgeries on patients who have had an initial blepharoplasty elsewhere. Once volume is taken away from the upper eyelid it can be difficult to restore the appearance while still maintaining a natural look. Fat transfer to the upper eyelid is a viable option for restoring volume to the upper eyelid, but it is a highly intricate and specialized procedure that requires an expert hand. Do you want to know more about eyelid surgery? Check out this web page on eyelid surgery. Avoid the Situation in the First Place The advice I would give anyone looking to have eyelid surgery is to take your time, and research both the procedure and your surgeon. Watch my video for suggestions and tips for choosing the best blepharoplasty surgeon for you. Natural surgery requires a degree of artistry by the surgeon to ensure that your appearance is only a rejuvenation of how your eyes used to look. Although Renee’s appearance has changed she still looks healthy, rejuvenated and happy. About the Doctor Dr Julian De Silva is a London facial cosmetic surgeon who specializes in the eyes, nose, face and neck areas only. Dr De Silva is recognised as an expert on the latest advances in facial cosmetic surgery, and previously worked in both Beverley Hills and New York before London. Top Qualifications from World Class Cosmetic Surgery Centres International Speaker and Surgical Trainer in Facial Cosmetic Surgery Voted Best leader by colleagues, Awarded the only Distinction in Masters Known for Innovative techniques that deliver Natural Looking Rapid Results Nomination by Peers for best Cosmetic Surgeon in 2011-2012-2013 Talk through your concerns with a facial cosmetic surgery expert. Contact us today.Centre for Advanced Facial Cosmetic & Plastic Surgery Dr Julian De Silva MBBS MD FACO FACS BSc PGc DIC The Centre, 89 Hammersmith Grove, London, W6 0NQ, UK 10 Harley Street, London, W1G 9PF Phone: 033 0808 3923 Email: info@londonfacialplasticsurgery.co.uk (Photo: Brian To / WENN.com)