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.
There may be other surgical procedures that target your problem areas more accurately 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.
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 YOUR BROW LIFT CONSULTATION, YOU WILL:
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:
Those undergoing general anaesthetic will be given fasting instructions to follow.
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:
Expert in plastic 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.
An eyelid surgery or blepharoplasty is a cosmetic procedure that aims to make the eye (or periorbital) area appear more youthful by removing excess skin, muscle or fat from the upper or lower eyelids.
Eyes are probably the centre of our expressiveness so when they look tired or “not in a good shape”, the overall outlook is poor. Eyelid surgery is the only solution to rectify in one stage all layers: skin, fat and muscle bulging.
Dr Cotrufo worked in the Maxillofacial Unit at the University College Hospital of London (UCLH) for three years where he managed the most complex cases of traumas and cancer deformities of the facial and periorbital area. He is very skilled in managing soft tissues in the periorbital area.
Age impacts the eyes in many ways, giving the appearance of tiredness even when you feel fully alert, sometimes making you look older than you feel. While it won’t remove wrinkles or crow’s feet, blepharoplasty can open up the eye area, helping you to look and feel revived and youthful.
Upper blepharoplasty: this procedure is the main solution to correct the excess of skin, excessive fat bulging or correct asymmetry in the position of the upper eyelid due to a weakness of the levator muscle or to excessive length of its aponeurosis (fibrous insertion into the tarsal plate).
This procedure is also used in facial palsy to restore upper eyelid asymmetry and insert “gold weight” to create a more symmetric movement of the upper eyelid.
Upper blepharoplasty approach consists of a round-horizontal incision that follows the shape of the upper eyelid edge (at the eyelashes). This is usually positioned where the sulcus is so that the resultant scar isn’t obvious.
A most recent technique of upper eyebrow suspension is based on upper blepharoplasty approach and insertion of a “suspension implants” on the upper orbital margin. The device is called Endotine and it is supposed to be self-dissolving.
Blepharoplasty is often combined with other facial plastic 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 Botulin Toxin or fillers. These are simpler and minimally-invasive procedures.
The main difference between surgical and non-surgical eyelid solutions is that, with the latter option, you might need more treatments to address selectively tissue-by-tissues. Non-surgical treatments are always targeting a specific tissue. For example, Botulin Toxin for the muscle, Fraxionated laser to improve skin irregularities and texture, Fillers to restore the cheek, eyebrows or jawline volume.
Initially, this might result in excessive costs and waste of energy: ultimately this can produce similar (although inferior) results with extremely lower risks of complications.
During your consultation, Dr Cotrufo will be able to advise which treatment(s) will be most appropriate for your specific aims. The balance between risks and benefits is crucial when treating the eyelid and the face. Our advice is to explore, first, the less invasive solution and you should expect this line of recommendation when visiting Dr Cotrufo.
We want your plastic 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, where you will be able to discuss your individual circumstances. Preparation to your eyelid surgery is essential as much as (or more if you are above 45 years old) the technical excellence provided by your plastic surgeon.
An eyelid surgery or blepharoplasty is a cosmetic procedure that aims to make the eye (or periorbital) area appear more youthful by removing excess skin, muscle or fat from the upper or lower eyelids.
Eyes are probably the centre of our expressiveness so when they look tired or “not in a good shape”, the overall outlook is poor. When concentrated on the area below the eye, the blepharoplasty procedure is sometimes known as eye bag removal. Eyelid surgery is the only solution to rectify in one stage all layers: skin, fat and muscle bulging.
Dr Cotrufo worked in the Maxillofacial Unit at the University College Hospital of London (UCLH) for three years where he managed the most complex cases of traumas and cancer deformities of the facial and periorbital area. He is very skilled in managing soft tissues in the periorbital area.
Dr Cotrufo performs lower blepharoplasties with transcutaneous (through the skin) or trans-conjunctival approaches (from the inside of the lower eyelid without any skin incision). He often recommends further procedures to enhance the results of eyelid surgery such as periorbital reshaping: fat injection or malar implants are top recommendations. It is essential to have at least two or three consultations before proceeding with surgery. Dr Cotrufo’s advice is always to seek a second and third opinion with other “independent” practitioners before proceeding with any facial surgery.
Age impacts the eyes in many ways, giving the appearance of tiredness even when you feel fully alert, sometimes making you look older than you feel. While it won’t remove wrinkles or crow’s feet, blepharoplasty can open up the eye area, helping you to look and feel revived and youthful. Sometimes the problem is at the level of the epidermis (superficial skin). In that case the solution is not surgical but a deep resurfacing with either fractionated laser or CO2. If young patients have obvious deposit of fat (white spots or yellow stains) over the upper and lower eyelid, it will be useful to check on the cholesterol level before planning any procedure.
Blepharoplasty is often combined with other facial plastic 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 Botulin Toxin or fillers. These are simpler and minimally-invasive procedures.
The main difference between surgical and non-surgical eyelid solutions is that, with the latter option, you might need more treatments to address selectively tissue-by-tissues. Non-surgical treatments are always targeting a specific tissue. For example, Botulin Toxin for the muscle, Fraxionated laser to improve skin irregularities and texture, Fillers to restore the cheek, eyebrows or jawline volume.
Initially, this might result in excessive costs and waste of energy: ultimately this can produce similar (although inferior) results with extremely lower risks of complications.
During your consultation, Dr Cotrufo will be able to advise which treatment(s) will be most appropriate for your specific aims. The balance between risks and benefits is crucial when treating the eyelid and the face. Our advice is to explore, first, the less invasive solution and you should expect this line of recommendation when visiting Dr Cotrufo.
We want your plastic 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, where you will be able to discuss your individual circumstances. Preparation to your eyelid surgery is essential as much as (or more if you are above 45 years old) the technical excellence provided by your plastic surgeon.
You may be asked to make small alterations to your lifestyle or to avoid particular activities and medications: this is to ensure that you are in the best possible health for surgery.
This may include:
Patients undergoing general anesthesia will be given fasting instructions to follow (usually nothing by mouth six (6) hours before surgery).
Following your surgery, you will usually be able to return home the same or next day.
After that:
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. He is an expert plastic surgeon who specialises in facial surgical procedures such as eyelid surgery. To organise an appointment with Dr Cortrufo at our Harley Street clinic, please call our clinic on 0207 8732330.
© 2024 Dr Stefano Cotrufo | All rights reserved
© 2024 Dr Stefano Cotrufo | All rights reserved