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Scarless surgery for blocked tear ducts (endoscopic dacryocystorhinostomy or 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 injections using Restylane have proved to be a very popular mode of treatment for suitable 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. Patients generally return for top-up injections  approximately 9 months following their initial injections. The injections can be used to enhance the results of cosmetic eyelid surgery (blepharoplasty) 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 or uneven looking lower eyelids and who do not wish to undergo further surgery e.g. fat pearl grafting.

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 rejuvenation injections visit:

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

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 comfortably on a day case basis, avoiding the need for an overnight stay in hospital.

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 Tisseel, a fibrin sealant, and 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