Upper blepharoplasty surgery (droopy eyelids)

Summary
Anaesthesia required.
Local anaesthetic, ie lignocaine. Duration of surgery. 75 minutes. Place of procedure. Belfast Recovery period. Bruising:- 1 week.

Return to work:- desk/home based work1 day.

Office based work 5 to 7 days.
Q. Is upper blepharoplasty surgery correction successful?

Upper blepharoplasty surgery is extremely successful with very high patient satisfaction levels and a natural appearance.

Q. What is involved in a consultation?

Outpatient consultation with Mr Fogarty will allow an assessment of one's likely benefits balanced against individual risks. He will then be able to give you an honest opinion as to whether you would benefit (or otherwise) from a procedure.

As per Mr Fogarty's practice he will not ask a patient whether they wish to proceed to an operation but will write to you to recap on the consultation so that you may make a decision in unfetterred fashion in the comfort of your home. One is then at liberty to contact his office should you wish to take things forward.

Q. Is there any special preoperative preparations required ?

- Botulinum toxin (eg Botox ® ) cessation.

If botulinum toxin treatment has taken place in the past 3 months then the effects of this should be allowed to wear off by the time of surgery.

- anticoagulants/blood thinners/complementary treatemnts.

Any prescription medicines to thin the blood( eg Aspirin) or complementarty products that may thin the blood (eg fish oils) may have to be stopped after consultation and consideration with Mr Fogarty in preparation for a procedure.

Q. How is surgery carried out?

Local anaesthesia ie lignocaine is used so tyhe eyes are closed but you can talk with Mr Fogarty and there is relaxing music in the background. Any excess droopy tissues are judiciousy removed with care taken to avoid excessive removal of tissue. At the end of the procedure the eyes are open ie without any need for patching the eye, but if paper tapes aree used for holding stitches they are at either side of the eye.

Q How long does the surgery take?

The procedure takes approximately 75 minutes to carry out. Mr Fogarty is very conscious that an unhurried approach is most conducive to a relaxed atmosphere for the patient and to achieve optimal results.

Q Who carries out the surgery?

Mr Fogarty.

Q Where is the surgery carried out?

Belfast.

Q What techniques are used?

Mr Fogarty has expertise in a range of techniques so that he can tailor the appropriate technique to an individual patient so that the best aesthetic outcome is achieved, yet minimise any potential risks of the procedure.

Q What are the risks of surgery?

The risks of surgery are small with the patient satisfaction being extremely high. No procedure is without risk but in the event of complications occurring then early intervention to minimise the consequensces are important.

Bleeding ( < 1%)

The risk of bleeding is extremely small and can occur as the anaesthetic solution wears off and increased blood supply returns to the eye. In the unlikely event of any bleeding occurring then a return to the operating theatre would be required to staunch any bleeding.

Usually the cosmetic outcome is not adversely affected by such bleeding and having Mr Fogarty on hand to address any bleeding issues mitigates any potential problems due to any delay in addressing complications.

Asymmetries

All patients have asymmetric eyelids including the normal population and thus a slight degree of asymmetry is inevitable and indeed normal.

Scarring

An incision and subsequent scar is made within the natural skin creases. The scar that results would thus not be visible in a public situation. Although scars by their very nature are unpredictable in their outcome the vast majority will form pale indistinct scars that would not be visible to others. In the very rare situation (less than 1/300) that a lumpy scar forms ( eg a keloid scar or cyst ) then this can be corrected by Mr Fogarty.

Infection (less than 1%)

With any surgical procedure there is a risk of infection. While measures are taken to minimise the risk of infection unfortunately the risk of infection is not zero. In the unlikely event of infection occurring early review with Mr Fogarty will again mitigate any significant complications that could occur as a result of infection.

Pain

Usually the procedure itself is carried out under local anaesthesia and this is relatively painless. Once the local anaesthesia wears off after a number of hours, mild discomfort may be discerned but this is readily treatable with simple painkillers such as Paracetamol or ibuprofen.

Residual excess skin.

It is not possible to remove all excess skin of the upper eyelid and leave an upper eyelid without a degree of a skin fold, otherwise one would not be able to close the eye ! Mr Fogarty is extremely assiduous in estimating how much skin to remove ensuring that neither too much or too little is removed.

Revisionary surgery ( 1/100 to 1/50)

With any surgical procedures there is a risk of requiring revision surgery. This may be either due to complications eg bleeding, or a desire for aesthetic improvement. There is no additional fee in such circumstances

Threat to eyesight (1/40,000)

With any eyelid surgery there is an extremely small risk of sight loss, e.g. due to haemorrhage / nerve damage. The risk is very small eg akin to the risk of going blind in a car accident. In the event of such an extremely rare event eg significant haemorrhage, then admission to the health service as an emergency would be required.

Q What is the post-operative aftercare & recovery after surgery?

Patients will have Mr Fogarty's contact number to contact him about any queries that may arise.

Day 5 post op - removal of sutures with Mr Fogarty in Belfast(unless absorbable sutures are deccided upon

Week 6 post op - review with Mr Fogarty and final result will be largely visible at this stage although sutle improvement may occut after this.

Dressings/sutures

Dressings per se are not required but paper tapes may be used to hold sutures in place for a 5 day period. Non-absorbable suture removal is entirely painless. In some patients however dissolvable sutures can be used eg if travelling a large distance for surgery. Any removable sutures are painlessly removed with the paper tapes on day 5.

Eye masks/cool packs.

On the 1st post-operative day, cooled eye-masks with head elevation is of benefit to minimise any swelling or bruising. Within 5 days most of the visible swelling is settled but the bruising may still be visible but if at the yellow phase of bruising it is easier to disguise with make-up.

Washing/showering

This may be recommenced the day after surgery and it is advisable to avoid too hot a water temperature in order to avoid facial flushing/redness.

Resumption of activities
Return to work:-
- home based work 1 day

- office based work 5 to 7 days (social disguise)
Return to sports:- - 2 -3 weeks (discuss with Mr Fogarty) Overseas holidays - 1 week





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Some of Mr Fogarty's procedures include:

Anti Wrinkle Treatments More details
Dermal Fillers Eg Hyaluronic acid(HA), Hydroxyapatite
Breast Augmentation - More details
Breast Surgery
Breast Reduction & Mastopexy - More details
Tummy tuck
Abdominoplasty & Body Contouring - More details
Liposuction More details
Rhinoplasty
Skin lesion
Face Lift More details
Blepharoplasty - More details
Medico Legal Reports - More details
Prominent Ear Correction - Ear-otoplasty More details


For Appointments or Enquiries Call :
Phone : +44 7885 568410 (Mon -Thurs 9am - 5pm)
Email : info@fogartyplasticsurgery.com

 

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