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Eyelid surgery, (Blepharoplasty) Dr Frati

Ageing can bring a multitude of annoying facial issues which are considered a natural part of this process. Our eyelids can stretch and the muscles that support them can weaken. As a result, excess fat may gather above and below the eyelids, causing a heavy appearance in the eyelids, sagging eyebrows and under eye bags. Severely sagging skin can not only make us look older, but also can reduce and effect your side vision (peripheral vision), especially the upper and outer parts of this vision.

Blepharoplasty is a surgical procedure to repair droopy eyelids that may involve removing excess skin, muscle and fat and Dr Riccardo Frati, a fully qualified cosmetic surgeon, offers blepharoplasty from him Harley Street clinic.

Am I suitable for blepharoplasty?

Blepharoplasty can be performed on those with issues with bags under their eyes from early 20s. A reduction of the skin can be carried out from the age of 35. Prior to any treatment being performed, Dr Frati will conduct and examination of the eye area as well as a full consultation where he will discuss your concerns and look at your medical history, to ensure that you are fit for surgery

What is involved in the procedure?

Depending on the course of treatment Dr Frati decides on, you may have the procedure under general or local anaesthetic, the details of which will be discussed in a consultation prior to treatment. In a typical procedure the Dr Frati will make incisions following the natural lines of your eyelids; in the creases of upper lids and just below the lashes in the lower lids. These incisions are extended a little way into the crows’ feet or laughter lines at the corner of the eyes. Through this incision surplus fat is removed and excess skin and sagging muscle removed. If you have a pocket of fat beneath your lower eyelids without surplus skin, then the fat may be removed through the inside of the lower eyelid.

What happens after surgery?

Following the surgery it would be best to keep your head elevated when you sleep for a few nights to reduce the swelling. A Cold compress can also help with any swelling, bruising and discomfort. Dr Frati will normally apply some suture strips or steri-strips as support to the eyelids after surgery and if these become crusted they can be replaced. Cleaning the eyes with water is useful and the surgeon may advise the use of eye drops or ointment. The sutures are usually removed after 3 to 5 days and soon after you will be able to use make-up. Sometimes you will be advised to use the suture strips or steri-strips as support to the lower eyelids for a week or so. Your eyes may feel slightly tight when they close after surgery because some skin has been removed, however, this will subside in a few days and you may be given an ointment to use to enable faster healing. Your eyes may appear watery after the surgery and this is is due to the tear ducts being swollen. This will subside in a few weeks. The pinkish scars will fade over the course of a few months and eventually will become almost invisible.

What are the risks?

All surgery carries some uncertainty and risk. When eyelid surgery is performed by a qualified Plastic Surgeon complications are infrequent and usually minor. Occasionally a small pool of blood can collect under the skin after the operation and this usually disperses naturally over 2 or 3 weeks but it may need to be drained if it is large. Quite commonly the margin of the lower lid is slightly pulled away from the eye during the first day or two after surgery due to swelling. This will settle on its own or with the help of suture strips or steri-strips. Very occasionally another operation is necessary. Sometimes tiny white cysts can appear along the stitch line. They are nothing to be concerned about but can be pricked out with a needle. Dr Frati is a fully qualified surgeon with extensive experience in performing blepharoplasty and will ensure you are in the best hands possible with himself and his team.

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