There is a wide range of surgical and non-surgical procedures in Nottingham that can revitalise your appearance and help turn back the ageing process. The facelift is probably most well-known, but Ciaran also performs eyelid lifts and brow lifts, depending on the patient’s individual requirements.
A popular surgical procedure as people seek to regain a more youthful look. Often combined with other procedures such as eyelid surgery or a neck lift, a facelift works to reverse the signs of ageing by tightening muscles and removing excess skin.
Eyelid Surgery (also known as a blepharoplasty)
One of the most commonly performed cosmetic surgery operations is the blepharoplasty, or reduction of baggy eyelids. Bagginess of the eyelids occurs naturally and tends to increase with age. Occasionally, the condition will run in the family, but mostly, it is the result of natural loosening of the supporting tissues of the face and the ever-present force of gravity.
Problems related to the eye area: the upper eyelids
Sometimes, only the upper eyelids are affected, sometimes only the lower lids and sometimes both upper and lower lids require treatment. In the upper eyelids, the main problem tends to be excess skin, hanging down in a fold, which may even fall into the field of vision, often described as being like a draped curtain. Many people will unconsciously raise their eyebrows to lift the lids upwards. This constant work throughout the day causes the eyebrows and eyelids to feel heavy, tired, and even painful, especially towards the evening.
Problems related to the eye area: the brows
Often, laxity of the eyebrows causes the brow to droop and makes any laxity of the upper eyelids worse. This causes a similar reflex tightening in the forehead muscles that raise the brows and can make sensations of tiredness and fatigue even worse. I’ll discuss eyebrow surgery in a separate section.
Problems related to the eye area: the lower eyelids
Problems in the lower eyelids tend to involve bagginess below the lid. This can be due to laxity of the lid skin, excess fat underneath the skin or loosening of the supporting tissues of the face on the cheek. Sometimes the whole lower eyelid is genuinely loose and baggy and in this case, removal of a small segment of the eyelid may be necessary.
The eyelid lift consultation
When examining the patient, the surgeon tries to determine whether the condition involves the eyelid skin, the muscle, the underlying fatty tissue, other supporting tissues of the face, or a combination of all of these. In addition, the eyebrows are examined, as a procedure to elevate the eyebrows also may be required, in order to properly correct the problem – the brow lift procedure.
I will advise you if I think surgery is necessary at all. If it is, we will look at all the options and make a plan for the procedure. We will discuss the benefits and risks of surgery and I’ll give you time to come to a decision about whether or not you would like to go ahead with the operation. Very often, this will involve you going home to think about things for a few days. I will never press someone to make a decision there and then, or offer a financial incentive to book surgery on the day of our first consultation.
The eyelid lift operation and post-op care
The surgery for eyelid correction is, in most cases, fairly quick, but must be fine and meticulous. It can be done under general anaesthetic or local anaesthetic, although, if a brow lift is also required, I would do this surgery under general anaesthetic. You will have some stitches on the eyelids, which can be removed in the treatment room after a week.
In addition, you will have some sticky tapes applied over the stitches to support the skin and help improve the scar. The operation leaves a scar across the eyelid, which sits within a natural crease in the eyelid, making it less visible. After the surgery, you will lie with your head elevated for a couple of hours, but will then be free to get up and walk around. Most people have this surgery carried out as a day case, meaning you can go home on the day of surgery.
The Asian Blepharoplasty
Oriental eyelids differ from Western races’ eyelids in several ways and this can mean that surgery for oriental eyelids differs as well. In my time in Taiwan, I was involved in this procedure and learned the surgical refinements necessary to operate on Asian eyelids. The two main aspects of this procedure involve creating a crease in the upper eyelid and a separate incision on the inner aspect of the eyelid, next to the nose, to flatten out the skin fold that often sits there – the ‘medial epicanthic fold’.
All cosmetic surgery operations are slightly different, because everyone’s needs are slightly different. You should think what troubles you about your eyelids and discuss this with your surgeon, so that a plan can be created which is individual for you. This will give you the best chance of achieving the best results. Blepharoplasty is a safe procedure, with very good outcomes for the vast majority of people.
Nasal Reduction (Rhinophyma)
Rhinophyma is an enlarged nose that is associated with the condition rosacea – much more common in men than women.
Ear Reshaping (Otoplasty)
Too big, misshapen or very protruding ears can have a massive impact on your self-confidence. Ear reshaping surgery (also known as otoplasty or pinnaplasty) can involve reshaping or resizing the ear or pinning protruding ears closer to the head.