What Is Blepharoplasty Plus?
Blepharoplasty plus describes additional procedures that are commonly performed to enhance the result of the blepharoplasty surgery. These include:
- BoNT: Injection of the “crows feet” wrinkles or glabellar frown lines with BoNT. This has the effect of freshening the periocular skin and enhancing the result of the blepharoplasty. In addition, BoNT can also be used to lift the brow, further clearing additional skin and brow descent. BoNT can also be applied to other areas of the face such as the lower jaw and neck.
- Hyaluronic Acid Filler Injections: Application of fillers to smooth deep lines around the eyes.
- Skin Resurfacing: Laser treatments and chemical peels of other facial areas may also be performed during an eyelid blepharoplasty procedure. These options have the effect of tightening the skin and reducing fine lines and wrinkles. This is particularly important where transconjunctival ‘scarless’ surgery is employed.
- Midface Lift: In cases of midface sagging and cheek descent, a disjunction of the eyelid-cheek interface is observed. A midface lift may also be performed if desired and can be very effective in restoring the continuum between the cheek and eyelid.
- Fat Transfer: This describes the transfer of fat from the stomach or thighs. The fat is removed using a limited liposuction technique and then purified. The mesenchymal stem cells are then isolated and reinjected into the face. This is highly effective in restoring volume and also has the beneficial effect of improving skin quality. Mr Ezra grafts the fat is applied using the latest ‘Microfat’ techniques.
- Platelet Rich Plasma Injections ‘PRP’: There is growing evidence that PRP can be highly effective in improving skin quality. This is sometimes colloquially referred to as the ‘Vampire facelift’. Blood is drawn from the arm and then the component which is rich in growth factors (PRP) is carefully exctracted and then applied to the face, usually as an injection. This can be a very effective additional procedure to blepharoplasty surgery.
Preparations Before Blepharoplasty Surgery
Mr. Ezra will ask you about your past medical history, including medications you are taking, allergies, smoking habits, previous surgery and more. Any patients who are taking aspirin or other non steroidal anti- inflammatory drugs such as Ibuprofen or Voltarol are instructed to discontinue this for 2 weeks prior to the surgery. If these medications are essential to treat heart conditions and Mr Ezra will contact your cardiologist to discuss this further. Patients will also be instructed to cease smoking for a given period before and after the procedure.
Mr. Ezra may also question you about any dryness or watering of your eyes you may have, and may ask for some extra tests to eliminate any problems with your tear functions. All patients having local anaesthesia with sedation or general anaesthesia will be required to fast (no food, water, cigarettes or gum) for 7 hours prior to surgery. It is also essential not to wear any make up or apply creams on the day of surgery. All patient should think in advance about how they will be getting home and arrangements should be made for someone to accompany you home.