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 and younger
Improve specific muscle weakness and achieve better symmetry.
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 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.
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, 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.
DURING YOUR CONSULTATION YOU WILL:
Explain your reasons for seeking eyelift surgery and score it between 0 to 10 (scale of relevance).
Be able to ask Dr Cotrufo questions about the blepharoplasty techniques, recovery, complications and associated procedure.
Have a full health evaluation.
Undergo an assessment of your eyelids, sight and surrounding area: you might be referred to another “independent consultant” for a second opinion. Their main interest could be ophthalmology and/or periorbital surgery. You are free to select your second and third consultant but Dr Cotrufo will always be there to suggest and discuss outcomes from other consultations. “No obligation” means that you will be free to proceed with any other consultant you choose. Dr Cotrufo will assist you in any way with his written advice and communication with your selected surgeon, the target is your happiness.
Discuss the various surgical and non-surgical options along with their risks and possible complications.
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 that you are in the best possible health for surgery.
This may include:
Taking a blood test or other medical tests.
Adjusting or taking certain medications.
Avoiding aspirin, herbal supplements and anti-inflammatory drugs.
Refraining from drinking alcohol.
Avoiding overexposure to the sun, particularly to the eye area.
Committing not to make significant changes to your diet.
Patients undergoing general anesthesia will be given fasting instructions to follow (usually nothing by mouth six (6) hours before surgery).
THE BLEPHAROPLASTY PROCEDURE:
Blepharoplasty surgery usually takes 1-3 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 inner and outer corners of your eyes.
Excess fatty tissue, skin and muscle is then removed or reshaped.
The incisions are closed with very fine sutures, usually a mixture of self-dissolving and not: Dr Cotrufo invites his patients at one (1) week after surgery to remove the most superficial sutures and plan the next follow up appointment.
AFTER YOUR BLEPHAROPLASTY:
Following your surgery, you will usually be able to return home the same or next day.
Start walking around as soon as possible.
Your eyes will need lubricating with ointment and will have fine tape applied around them.
In the first 24-72 hours after surgery, your eyes will feel puffy with tight eyelids.
You should be able to shower with warm water one week after surgery: until then dressing need to be clean and dry.
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 (2-4) after surgery and we will provide cold compresses straight after surgery/treatment to avoid excessive swelling and relieve discomfort.
You will clean your eyes as directed by the nursing staff and may need eye drops (saline 0.9%).
The dressings 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 6 months. Revision surgery usually takes much longer to recover and the quality of the scar is unpredictable.
You will need to attend aftercare appointments with Dr Cotrufo very carefully. He will monitor your progress and answer any questions you may have.
STILL HAVE QUESTIONS ABOUT EYELID 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. 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.