DR COTRUFO

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Eye Bag Removal (Blepharoplasty)

An eyelift or blepharoplasty is a simple cosmetic procedure that aims to make the eye area appear more youthful by removing excess skin, muscle or fat from the upper or lower eyelids. When concentrated on the area below the eye this procedure is sometimes known as eye bag removal.

Why choose blepharoplasty?

Age impacts on the eyes in many ways, giving the appearance of tiredness even when you feel fully alert, making you look older than you feel. While it won’t remove wrinkles or crows feet, blepharoplasty can open up the eye area, helping you to look and feel more your age.

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What can blepharoplasty achieve?

  • Correct drooping or hooded upper eyelids
  • Remove puffy lower lids, known as eye bag removal
  • Give the eye area a more fresh and youthful appearance
  • Help you look more awake

Is there an eyelift alternative?

Blepharoplasty is often combined with other facial cosmetic surgery procedures such as a brow lift or facelift. For the correction of crow’s feet or wrinkles you may select non-surgical treatments in place of or alongside blepharoplasty, such as Botox or fillers. These are simple, non-invasive procedures. During your consultation Dr Cortufo will be able to advise which treatment(s) will be most appropriate for your specific aims.

What to expect before blepharoplasty

We want your cosmetic surgery experience to be as comfortable and relaxing as possible, which makes great communication between you and your surgeon essential. This starts with your personal consultation when you will be able to discuss your individual circumstances.

During your consultation you will:

  • Explain your reasons for seeking eyelift surgery
  • Be able to ask Dr Cotrufo questions about the blepharoplasty procedure
  • Have a full health evaluation
  • Undergo an assessment of your eyelids and surrounding area
  • Discuss the surgical options open to you and talk about benefits and risks as well as timescales and costs

As your procedure approaches, you may be asked to make small alterations to your lifestyle or to avoid particular activities and medications, this is to ensure you are in the best possible health for surgery.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding sun overexposure
  • Committing not to make stringent changes to your diet

Those undergoing general anaesthetic will be given fasting instructions to follow.

The blepharoplasty procedure

  • Blepharoplasty surgery usually takes 1-2 hours depending on the extent of work being carried out and type of anaesthesia
  • An incision is made into the natural lines of your upper and lower eyelids, these may extend into the outer corners of your eyes
  • Excess fatty tissue, skin and muscle is then removed
  • The incisions are closed with very fine sutures

After your blepharoplasty

Following your surgery, you will usually be able to return home the same or very next day

After that:

  • Start walking around as soon as possible
  • Your eyes will need lubricating with ointment and will have Steristrips applied around them
  • In the first 24 hours after surgery your eyes will feel puffy with tight eyelids
  • You should be able to shower with warm water on the second day after your procedure
  • Swelling and bruising will peak about 2-3 days after surgery and then begin to subside
  • Most bruising and swelling will be gone 7-14 days after surgery
  • You will need to keep your head elevated for the first few days after surgery and use cold compresses to relieve discomfort
  • You will clean your eyes as directed by the nursing staff and may need eye drops
  • The Steristrips and stitches will usually be removed 5-7 days after surgery
  • You should not wear contact lenses until advised
  • You should avoid steam baths, saunas and sunbathing for several months and be gentle washing your face
  • You will need to avoid all strenuous activities for up to 1 month
  • You should be able to resume normal activities after 7-10 days
  • Full recovery can take 6 weeks to 3 months
  • You will need to attend aftercare appointments with Dr Cotrufo who will monitor your progress and answer any questions you may have

Still have questions about eyelift surgery?

Deciding whether blepharoplasty is right for you is a very personal decision. If you would like more information about the procedure and whether you are suitable for this type of surgery you can book a personal consultation with our clinic’s surgeon, Dr Cotrufo. Dr Cortrufo is an expert cosmetic surgeon who specialises in facial surgical procedures such as eyelifts. To organise appointment with Dr Cortrufo at our Harley Street clinic, please call 0207 873 2330. Should you have any questions about brachioplasty, your suitability for the surgery or the treatment and aftercare you can expect to receive with us, please call 0207 873 2330 to organise a consultation.

Brow Lift

The area around and above the eyes often shows the effects of ageing prominently. Furrowed and drooping brows and frown lines can make you appear more tired or older than you feel. An eyebrow or forehead lift seeks to correct these problems, restoring definition to the face.

Why choose a brow lift?

Every year men and women of all ages choose to have brow lifts to correct lines and furrows that can make them appear angry, tired or sad.

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What can a brow or forehead lift achieve?

  • Corrects dropping brows
  • Improves horizontal lines and furrows that can make you appear angry, sad or tired
  • Smoothing of the forehead to minimise lines
  • Correction of inherited conditions such as low or heavy brows

What are the alternatives to a brow lift?

There may be other surgical procedures that target your problem areas more acutely and Dr Cotrufo will be able to advise you of your options during a consultation. For example, some people who explore the prospect of upper eyelid surgery find that a forehead lift is better suited to their aims. In addition, you may decide to combine brow lift surgery with other procedures such as blepharoplasty (an eye lift) or a facelift.

Before your brow lift

A relaxed and comfortable surgery experience starts with good communication between you and your surgeon. During your consultation you will be able to meet with Dr Cotrufo, discuss your situation and ask him questions.

During you consultation you will:

  • Have the opportunity to explain your reasons for seeking brow lift surgery
  • Be given the opportunity to pose questions to Dr Cotrufo
  • Undergo a health evaluation
  • Have a full assessment of your brow and forehead area
  • Discuss the options that best suit your needs
  • Discuss the risks and benefits of brow lift in addition to costs and timescales

In the weeks leading up to your procedure and the days immediately prior, you may be asked to make some small changes to your lifestyle or to avoid particular medications or activities.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding overexposure to the sun, especially to the head and face
  • Committing not to make stringent changes to your diet

Those undergoing general anaesthetic will be given fasting instructions to follow.

The open brow lift procedure

  • A brow lift or forehead lift procedure usually lasts several hours
  • The type of anaesthesia will effect the time required
  • A coronal incision is made in a headphone-shaped pattern behind the hairline, patients with lesser hair may have a mid-scalp incision
  • The forehead skin is lifted and the muscles and underlying tissues are smoothed

The endoscopic forehead lift

  • This follows most of the same steps as an open brow lift but with differing incisions
  • 3-5 short scalp incisions less than an inch in length are made along the brow line, the endoscope is then inserted through one of the incisions
  • An instrument is inserted through the incisions, lifting the skin and the muscles to remove or alter underlying tissues
  • The eyebrows may also be lifted and secured into a higher position by sutures

After your brow lift

Upon discharge, we recommend a friend or relative drive you home and care for you should you need assistance during your brow lift recovery.

After that:

  • You will need to keep your head elevated for a few days after surgery
  • Bandages can usually be removed 1-5 days after the procedure
  • You should find you are able to shower in warm water the second day after surgery
  • Start walking as soon as possible
  • Stitches and clips can generally be removed 7-14 days after surgery
  • Swelling and bruising will start to subside after 7-14 days
  • Strenuous activity should be avoided for 1 month
  • As your scars heal, they may appear to worsen for the first few months before lightening and flattening
  • Do not use a hairdryer, colour or pull or wrap your hair for several months
  • Avoid steam baths, saunas and sunbathing for several months
  • Camouflage makeup can mask bruising should you need it
  • You will need to attend scheduled aftercare appointments with Dr Cortufo, who will monitor your progress

Still have brow lift questions that you’d like answered?

Expert in cosmetic surgery and reconstructive microsurgery, Dr Cotrufo, specialises in carrying out facial procedures such as brow lifts. If you have any further questions about the procedure, your suitability for surgery or the aftercare you can expect to receive should you choose to undergo a brow or forehead lift at his clinic, please call 0207 873 2330 to organise a personal consultation.

Eye Lid Correction

This area of the website is currently under construction. Please call us on 0207 873 2330 for information about eye lid correction.