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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

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.

Brow lifts

It is generally assumed that brow lifting surgery is very invasive and requires incisions in the scalp. This is not the case.  Many patients can undergo a brow lift with the surgeon only having to use an upper lid blepharoplasty incision with the scar hidden within the skin crease. This is achieved using a small dissolvable implant referred to as the “Endotine Transbleph”. It can be combined with the use of anti-wrinkle injections to achieve the best long term results. For more information on this new technique visit: 

www.eyelidsurgery.co.uk/treatments/blb-brow.htm