Blepharoplasty – Eyelid Surgery

One of the most common procedures I perform in my Fourways rooms is Eyelid surgery, or Blepharoplasty.

 

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This is because, unfortunately, the eye area is one of the first areas to show the signs of aging.

Indeed, many men and women suffer from droopy or hooded eyelids, either due to aging, heredity factors, or both. And the same applies to the wrinkles, puffiness and fat bulges that can develop in the lower eyelids. These conditions can be particularly bothersome, since the eyes are such a critical part of our expressions and our interactions with others. Patients often complain of appearing tired or unhappy despite feeling otherwise.

Eyelid surgery always has a tremendous impact on the overall appearance of the face and gives my patients a younger, more awake and energetic look that boosts their confidence.

Contact my Fourways plastic surgery practice on 011 875 1631 to learn more about the eyelid surgery.

 

IS BLEPHAROPLASTY THE RIGHT SURGERY FOR YOU?

Eyelid surgery is a wonderful procedure for restoring youthfulness to eyes that are showing severe signs of ageing resulting from gravity, time and genetics. During this procedure, I remove fat pockets and tighten the muscles but I explain the procedure in more details further on in this article.

The best candidates for this plastic surgery procedure are healthy men and women who are in their 30s or older and who have realistic expectations.


Of course, as with all cosmetic procedures, it is especially important that I carefully assess your eyes and the surrounding areas and understand your goals and concerns before recommending eyelid surgery.

During your consultation, I will determine if you truly have excessive eyelid skin, or if your sagging eyelids are mainly caused by a drooping brow. If this is the case, you may actually need a brow lift, either with or without blepharoplasty. Find out more about brow lift on my website

I will also decide whether you require upper eyelid surgery, lower eyelid surgery, or both, and what approach would be best suited to your condition.

Since the eyes and the eye area are such an important part of our appearance, it is extremely important that eyelid surgery be performed only by a board-certified plastic surgeon specializing in this delicate procedure. I, myself am a member of the APRSSA.

 

WHAT IS THE DIFFERENCE BETWEEN UPPER AND LOWER EYELID SURGERY?

This is probably the number one question my eyelid surgery patients ask me.

 

→Upper Eyelid Surgery

When performing upper eyelid surgery, my goal is to remove excess skin and occasional fat bulges that are responsible for the tired, grumpy look. I make an incision that runs along the natural fold of the upper eyelid, and extends just beyond the outside corner into the existing creases.

Through this incision, a strip of excess skin is removed and fatty tissue is eliminated or repositioned to create a more refreshed, alert appearance. Because the incision follows the natural crease of the eyelid, it is usually very well-concealed and rarely noticeable.

 

→Lower Eyelid Surgery

While upper eyelid surgery primarily involves the removal of sagging skin, lower eyelid surgery mainly targets the fatty deposits, which are more predominant under the eye. Removing these deposits in conjunction with the sagging skin leaves a smooth, firm, younger-looking surface above the cheek.

Lower eyelid surgery may be done through the inside of the lower eyelid, using what is called transconjunctival or “scar-less” technique which requires no external incision, and is appropriate only for the removal or redistribution of fat. It is therefore not suitable if you are showing severe wrinkling in that area.

I usually complete upper and lower eyelid surgery within one to two hours, it is usually done as an outpatient procedure. Did you know that some of my patients choose to have blepharoplasty done in conjunction with a facelift?

Here is an article I wrote about Facelift surgery at my practice
 

RECOVERING FROM EYELID SURGERY

After surgery, you will have eyelid sutures in place. They provide support to the eyelid tissue to ensure that the incision lines heal beautifully, without excessive strain or tension. These sutures are removed 5 days after surgery.

My patients usually report mild levels of pain following blepharoplasty but I will prescribe oral medications to alleviate any discomfort you may feel. You should expect bruising and swelling too, at least for the first week after your surgery. After 10 to 14 days, most of my eyelid surgery patients feel comfortable in public and return to work and social activities.

We will schedule follow up appointments so that I can check up on your healing progress. I will remove your sutures within the first week of surgery.

The eyelid surgery results can last for years but remember to be patient with yourself during the healing process. While it is imperative to be active, eat well and get plenty of rest, it is true that people heal at different paces.

I hope you enjoyed this article? It was great for me to share some key facts about blepharoplasty. If I have left out something that you would like to know more about, please leave a message right here on my blog or, alternatively, on my Facebook page or via Twitter and I will get back to you as soon as possible.

Lastly, if you wish to book a consultation with me, please phone my rooms on 011 875 1631.

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DR SERRURIER’S AUGUST NEWSLETTER

WELCOME

This month is the last of winter and so begins the rush of cosmetic procedures that the year-end brings. Everyone starts to think about the beach and their bodies and start to plan their cosmetic surgeries.

Being that there is such a spike in cosmetic procedures from September to December in the practice, we thought we’d see what procedures were most popular and compare that with international trends.

A fun topic, but also some differences between my rooms, South Africa and the rest of the world.

Interesting thoughts on most popular procedures:

  1. They are mostly breast cosmetic procedures
  2. All of them will add confidence to a personality
  3. There is a 90% – 10% women to man ratio, which is growing

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INTERNATIONAL STATS

What is the number 1 international procedure?

The 2012 international most popular cosmetic procedure was: Breast Augmentation
This surgery regained top spot after being knocked into 2nd in 2011 – come back tomorrow to find out what was number 1 in 2011.
Silicone implants have only recently been made legal in the USA and this could be a reason for their rise in numbers.  Match that with more competition liposuction results with non-invasive procedures like Coolsculpt and Vela shape and you could see why Liposuction would be down.
Though quicker and easier than liposuction, these non-invasive technologies yield much less dramatic results, so it will be interesting to see how they fare next year.
Internationally Botox is number 1 too skyrocketing from 2,619,739 procedures in 2011 to 3,257,913 procedures in 2012 (recorded stats from the US)

In the UK the stats reveal some interesting differences to Dr Serruriers’ practice, with some obvious similarities.

In the UK, women accounted for 90.5% of all cosmetic procedures in 2012 with a total of 39,070 procedures. The top ones in 2012 were:

  • Breast augmentation – down 1.6% from last year but still the most popular procedure for women
  • Blepharoplasty (eyelid surgery), up 13% to become the second biggest procedure for women
  • Face/Neck Lifts were third place for the third year running, with 5,324 procedures
  • The number of breast reduction and rhinoplasty procedures for women dropped – down 7% and 11% respectively
  • Fat transfer replaced liposuction as the 7th most popular procedure for women in 2012. Liposuction saw a 14% decrease
  • Brow lifts increased by 17% on last year

Male cosmetic surgery

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Gynaecomastea is number the top male surgery, but liposuction and facelift surgery are growing in popularity.

Blepharoplasty is a very popular surgery in men, as many men undergo corrective eyelid surgery as women.

Blepharoplasty can be performed in the rooms as an outpatient procedure and it offers a quick recovery. It is little wonder that has double-digit growth in the practice. 

The total number of surgical procedures worldwide is projected to be 8,536,379 and the number of non-surgical procedures is estimated at 8,759,187  – bringing the combined worldwide total of surgical and non-surgical procedures performed by qualified plastic surgeons to: 17,295,55

Did you know that the most cosmetic procedures are performed in these countries:

  1. The United States
  2. Brazil

Did you know in South Africa 70% of all the cosmetic procedures are performed between September and December?

It makes sense that most cosmetic and aesthetic procedures are performed on women between 25 and 44 (approx. 62%) but another approx. 16% is performed on women between 45 and 54. 

THE STATS AT DR SERRURIER’S PRACTICE

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Dr Serruriers cosmetic surgery practice profile actually matches closely with Brazil, their top 7 procedures are:

  • Breast Augmentation
  • Breat Reduction
  • Breast Lift
  • Blepharoplasty
  • Tummy Tuck
  • Facial Fat Transfer
  • Liposuction

This does make sense somewhat given our similar climates and love of the outdoors.

Most, if not all of these cases, also combine with some form of aesthetic medicine.

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As an aesthetic treatment Botox is still number 1 in Dr Serruriers’ practice with dermal fillers a close second. They are often done in combination and also win combination with cosmetic surgery.

Men have a growing interest in cosmetic surgery with growth in Dr Serruriers practice throughout the surgical indications:

Breast reduction surgery at Dr Charles Serruriers’ rooms have not dropped as they did in the UK and Dr Serruriers rooms did not buck the liposuction trend as did the UK, as it is listed as a most popular combination treatment.

In many cases Dr Serrurier combines cosmetic procedures with Liposuction to maximise theatre time and results. For marginally more your results can be exponentially better – but this needs to be discussed with him during the consultation process.

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Blepharoplasty is the highest gainer of all of Dr Serruriers cosmetic procedures.
Cosmetic eyelid surgery:

  1. Brightens the face,
  2. Removes that tired looks
  3. Takes years from your visible age

Although the majority of Dr Serrurier’s patients are women, it is exciting to note that there is a large range of ages represented through the practice.

I hope that you enjoyed this newsletter, remember to phone my rooms on 011 875 1630 if you wish to book an appointment of would like to know more about the procedures I perform at my Fourways practice. Also, remember to follow my Facebook page to stay up to date with my monthly info!

Finally, make sure to visit my website for more info on the procedures and treatments I offer www.drserrurier.co.za

MAY 2012 NEWSLETTER: Blepharoplasty

It’s already May 2012 and things are moving forward in my practice. Yana has joined and settled in well taking the role as practice manger to heart and we love having her with us. Yana is also a fully qualified skin care therapist with experience and training in chemical peels and skin medica facials. If you are looking for this kind of treatment then please book directly with Yana.

Introductions aside I want to focus this month on Blepharoplasty or “corrective Eyelid Surgery”. Blepharoplasty surgery, although having a quick recovery time does require some down time for the first few days.

“The gleam back in your eye”

I hope you enjoy what follows.

What is Blepharoplasty?

Blepharoplasty or cosmetic eyelid surgery, is a plastic surgery procedure aimed at improving the upper and lower eyelids. Aesthetically this means opening the eyes and removing that tired and grumpy look associated with droopy eyelids.

if you have full and heavy eyelids, with or without prominent bags under the lower lids, then you are the ideal candidate for this surgery.

However, if you are encountering substantial eye issues such as glaucoma, or dry eyes, you might unfortunately not be eligible for Blepharoplasty but it is always best to make an appointment to visit Charles for clarification.

How is Eyelid Surgery performed?

The upper blepharoplasty specifically targets and rectifies the drooping skin that overhangs the upper lid. During Upper eyelids surgery Charles will remove skin and a small amount of fat from the inner corner of your eye.

The lower blepharoplasty, on the other hand, is a superb option to improve the “bags” that form beneath the eye. This surgery usually entails an incision underneath the eyelashes (subciliary approach) or through one inside the eye (transconjunctival).

What surgeries can you combine with Blepharoplasty?

A number of other cosmetic procedures such as facelift, neck lift, brow or forehead lift, neck and cheek liposuction may be safely performed at the same time as Blepharoplasty.

It usually takes Dr Serrurier between one and two hours to perform a Blepharoplasty, and in some cases he can perform the procedure in his rooms to minimize patient cost.

What about scarring?

Scarring from Eyelid surgery should not be of much concern. Of course this will all be explained in detail during the consultation process. But if lower lid incisions are made through the conjunctiva there will be no visible scars. If the incision is made below the lashes (subciliary) the scarring is well concealed.

Similarly, the upper lid incisions are made above the lashes and then the scar is well concealed in the tarsal crease.

Post Op Recovery

In most cases you will be discharged without spending the night in hospital.  On the fifth post-operative day, Dr Serrurier will remove the stitches. This can be slightly painful.

The results of blepharoplasty will not last forever. Revision surgery is uncommon since the fat pads do not regrow after they’ve been removed. The skin, however, may need to be removed again as one ages.

Going Home?

 You will be able to return to work a few days after your Blepharoplasty. However, you should avoid exercising for about three weeks after surgery.

You will be able to wear contact lenses one week after upper eyelid blepharoplasty and two weeks after lower eyelid blepharoplasty. Glasses and makeup can be worn a few days after the surgery.

 It is unlikely that your vision will be affected by the surgery. You might find it a bit blurry for a few days and it may take you 7-10 days before you feel comfortable out and about on the town.

Dr Charles Serrurier

Plastic & Reconstructive Surgeon
MBBCH (Wits), FCS Plast. Surg (CMSA)
PR. N0. 0304131                                             

Suite A9, Life Fourways Hospital

Cedar Road & Cedar Avenue West
Fourways
2055
TEL: 011 875 1630
FAX: 011 875 163 Dr Charles Serrurier
BLOG – drcharlesserrurier.wordpress.com

WEBSITE: http://www.drserrurier.co.za/