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Scarless surgery for blocked tear ducts (endoscopic DCR). This is particularly suitable for the patient who wears glasses or who is young and wants to avoid a permanent visible scar in a very visible location on the face. Read about this at: http://www.eyelidsurgery.co.uk/conditions/blb-wateringeye.htm

Tear Trough Restylane injections have proved to be a very popular mode of treatment for patients with dark circles under the eyes. These dark circles create a very tired look. The injections take a few minutes to perform and in the hands of a skilled and experienced oculoplastic surgeon yield very good results with a very high patient satisfaction rate. Experience has shown that patients experience very little discomfort during the treatment and the application of a topical anaesthetic cream a few minutes before the treatment is all that is required. To date I have not had to resort to any anaesthetic injections for any of my patients. Patients generally return for top-up injections 6-9 months following their initial injections. The injections have also proved popular with patients who have undergone lower lid blepharoplasty surgery for eye bag removal elsewhere and who have been left with rather hollow looking lower eyelids and who do not wish to undergo further surgery e.g. Coleman fat injections.

Your eyes are precious: why entrust them to anyone other than an oculoplastic surgeon?

Can the injections be combined with anti-wrinkle injections? Yes they can.

For more information on Tear Trough Restylane injections visit:

www.faceandeye.co.uk/face/teartroughrejuvenation.html

Mr Leatherbarrow has recently become an inter-specialty member of BAAPS. He was an invited speaker at the annual meeting of BAAPS in Chester in Sept 2008 giving a lecture on the management of complications of eyelid surgery. The major emphasis of this lecture was the very careful preoperative ophthalmic examination of any patient requesting cosmetic eyelid surgery to avoid predictable and preventable ophthalmic complications of such surgery by the non-expert.

Many patients are very anxious about their surgery and many fear general anaesthesia. “Twilight” anaesthesia is the answer for many such patients. I work very closely with a very skilled consultant anaesthetist who has over 15 years of experience in giving intravenous sedation using a combination of Midazolam and Propofol specifically for patients undergoing a wide variety of oculoplastic procedures. These agents provide safe conscious sedation allowing the painless delivery of local anaesthetic injections at the beginning of your operation. The agents are then titrated to your own needs so that you are comfortable throughout the procedure. You have very little recollection of most of the procedure and the recovery from the effects of the sedation is very rapid. This allows many procedures to be carried out on a day case basis.