Eyelid Surgery in London
Eyelid surgery and Oculoplastic surgeon in London
I am a London oculoplastic surgeon working in Harley Street and Marylebone specialising in eyelid surgery and reconstructive surgery with treatments tailored to the person’s eyelid. Oculoplastic surgery is the specialist field of plastic surgery dedicated to the area around the eye, the tear duct and tear drainage system.
Removing excess skin and surgery for prominent eye bags such as blepharoplasty which can be done with or without lower lid tightening canthopexy and redistributing an excess fat.
Changing the eyelid height or position is possible with ptosis surgery.
Brow surgery in brow lift or browpexy,
Creating of upper lid skin creases for symmetry,
Treatment of watery eye.
Tumour reconstruction in the peri-ocular area
Management of thyroid eye disease
Treatment to the eye socket
Botox injections for treatment of wrinkles
Using an oculoplastic specialist is important to ensure the best outcome and least damage to the area. At this Central London clinic which is easily accessible you can access great care and an honest opinion tailored to you.
The following conditions can be treated:
LACRIMAL (WATERY EYE)
Watery eye is an overlooked condition that has a significant impact on the quality of life. With thorough assessment the correct surgical option can be used to help treat this condition including:
Punctoplasty (tear drainage opening)
Eyelid reconstruction is important to restore facial symmetry following injury or tumour surgery.
A number of restorative options include:
Eyelid injury (laceration) repair
Canalicular (eyelid tear duct) repair
Orbital conditions affect the eye socket. It is more specialised field of oculoplastics and includes the treatment of:
Orbital/Eye Socket Trauma and bones
Orbital fat prolapse
Should I see an oculoplastic surgeon or plastic surgeon?
Seeing Oculoplastic specialists means that you are seeing cosmetic surgeons who also have an understanding on how an operation can affect the eye and the lacrimal system. They tend to be the go to surgeons to treat a droopy eyelid with a procedure known as ptosis repair. They understand and specialise in this small region around the eye which has some of the thinnest skin in the body having had advanced training in this area and the surgical impact on the upper and lower eyelashes. They have an in-depth knowledge of the loose skin around the eyes and how best to perform an upper blepharoplasty or eyelid lift.
Lower eyelid blepharoplasty is also challenging and in-depth knowledge of the anatomy and its relation to the cheek is required. A lower blepharoplasty can be done in a transconjunctival and starless way under general anaesthesia. Blepharoplasty surgery is otherwise done under local anaesthetic.
Oculoplastic experts are usually a skilled surgeon in cosmetic eyelid surgery. Oculoplastic surgery includes treatments to the skin surrounding the eye whether that be injections to relax the underlying muscle as in the condition of blepharospasm or upper and lower eyelid surgery. Suitable treatment options vary from person to person and the assessment of a persons anatomy. The cosmetic reasons for wanting any intervention need to be taken into consideration to achieve the best possible outcome. Assessments are done on an outpatient basis and outpatient surgery is common allowing the patient to leave hospital on the same day and begin the healing process in the comfort of their own home during the recovery period.
The mainstay approach tends to be under local anaesthesia although general anaesthetic in the operating theatre may be required in some cases and more nervous and younger patients.
Whilst plastic surgeons may be competent in their field and able to provide you with youthful look, they are unable to perform a comprehensive evaluation of eye before and after a surgical procedure as they generally have had no training in ophthalmology. They are trained in facial plastic surgery as a whole without the ophthalmic training on the eye, peripheral vision or the tear duct and lacrimal system. They cannot perform a visual field test to see if you qualify for surgery under your health insurance plan if you have excess skin to the upper eyelid for example.
What training has an oculoplastic surgeon had?
Oculoplastic surgeons tend to have carried more oculoplastic procedures in their training and career than plastic surgeons in droopy eyelids, brow lift, the eye socket, procedures of the lower eyelid, tear duct surgery and reconstructive procedures to the eyelid. They have an in depth understanding of the soft tissue in this area. They are aware of how sun damage can affect the skin, how an operation can impact vision, and how changes in this area may mask other medical conditions such as thyroid eye disease. At the initial consultation an oculoplastic surgeon is able to assess the health of the eye and if there is dry eye prior to blepharoplasty procedure where removing the eyelid skin can make the symptoms worse.
Thyroid eye disease is a condition can also present with eyelid swelling and may require medical treatment and eventually orbital decompression prior to undertaking any cosmetic intervention. An oculoplastic surgeon tends to be familiar with orbital surgery and orbital fracture repairs where an ophthalmic assessment is essential before and after the repair. They are able to carry out cosmetic surgery and cosmetic procedures such as botox and filler injections around the eye to give a more youthful appearance. In the unlikely event of there being an eye problem following an intervention, oculoplastic surgeons are well positioned to manage this whilst a plastic surgeon would have to refer you on to someone who is able to manage this.
Your eyes are important to you and to me as well.