Before and Afters

This patient had a loss of confidence due to bilateral upper eyelid xanthelasma, which are fatty deposits within the skin. She wanted them removed in a natural way so it wouldn’t significantly change her appearance. Below are her results two weeks after the procedure. 

This patient was concerned that her eyes looked too small and that her upper lids were blocking her vision. As a result, she underwent ptosis surgery where the scar was hidden within the upper lid skin crease. The result is shown here where you can see it looks natural as if she hasn’t had surgery at all!

This patient was suffering from hooding of the eyelids with excess skin and was looking for a bilateral upper eyelid blepharoplasty. The blepharoplasty was done under a local anesthetic and the results show that she now has a skin crease, an area to apply makeup and the skin is no longer blocking the vision. It has taken 10 years off her, at least!

This patient wanted an bilateral upper eyelid blepharoplasty but wanted it to be subtle so that people wouldn’t notice that her appearance has significantly changed. She still wanted an area to apply makeup and the results shows a very elegant lower eyelid and upper eyelid blepharoplasty with an area for her to apply makeup to the face.

This patient had a bilateral upper eyelid blepharoplasty because the extra skin was blocking her vision. We reformed the skin crease when she previously had a very subtle skin crease and as a result, a more youthful and refreshed look!

This young patient had ptosis, or droopy eyelid, that was blocking vision. The concern with young kids when they have a droopy eyelid, it can result in a lazy eye and permanent loss of vision in that eye. They underwent a scarless upper lid ptosis repair where there is only one scar in the brow. As a result, their vision was restored and they had better symmetry and mom and dad were incredibly happy!

This patient was unhappy with her appearance and the eyebags to the lower lid and the excess skin to the upper lids. She underwent an upper lid blepharoplasty to both eyes as well as a tranconjutiable lower lid blepharoplasty where the scars are hidden on the inside of the eyelid. The result is a more refreshed look with no eye bags!

This patient is showing the results of ptosis surgery as a lot of people are concerned about the hangup of the eyelid on downgaze with the eyelid being positioned slightly higher when they look down. This is to show that not all patients suffer from this and as this lady looks down, she has perfect symmetry and both eyelids go down equally. 

This patient presented with already having ptosis surgery on her right eye and was unhappy with the result. She underwent a re-do procedure where we hid the scar within the skin crease. She now has more symmetry and is happy with the result. 

This patient previously underwent ptosis surgery and was unhappy with the right eye drooping. She had a re-do ptosis surgery and this is the result following the procedure.

This lady was delighted with her upper eyelid Blepharoplasty to remove the heavy appearance to her upper eyelids. She initially wanted a brow lift but this Blepharoplasty with an internal browpexy was enough to give her the result she desired.
Asian eyelid surgery can have challenges in the incorrect hands. Here this lady wanted an upper eyelid Blepharoplasty whilst maintaining her upper eyelid crease. The excise skin was removed and the skin crease was reformed to give a well defined and subtle look to the upper eyelids with a well defined and natural looking crease.
This patient has previous lower eyelid surgery to remove a skin cancer. You can see the thickened area to the lower eyelid and the lower eyelid pulling away from the eyeball. This is called ectropion. With no surgery and using scar modulating injections this patient has a more natural appearance to the lower eyelid and the ectropion has completely resolved.
This gentleman had dark circles and a sunken eye appearance and wanted his eyes to look brighter and fresher without it appearing that he had filler. Using small amounts the desired look was achieved and the laughter lines or crows feet due to the loss of volume were improved.
This is just 2 weeks following a natural looking upper eyelid Blepharoplasty and canthoplasty to improve the shape of the lower eyelids and reduce the appearance of the white of the eye above the lower eyelid which is known as sclera show.
Cheek filler can be very effective at rejuvenating the mid face and restoring the loss of volume whilst looking natural. With minimal downtime it can be done in clinic and give very quick results.
The phenylepherine test can be used to determine if you are suitable for a scarless repair of your droopy eyelid or ptosis. The procedure means that there are no skin incisions and the mullers muscle from the under surface of the eyelid is shortened. It gives good results in many cases although in some patients a tradition ‘anterior approach’ with a scar hidden in the eyelid crease is required.
This gentleman had a large cyst to the lower lid and was offered surgery with a scar to remove it. By going from the inside of the eyelid we were able to remove it entirely and leave no scar on the skin. This is the result after just 1 week and the redness takes about 2 weeks to settle.
Ptosis is a droopy eyelid and here the eyelid droop was blocking the pupil and obstructing vision. With an anterior approach and the scar hidden in the eyelid skin crease a natural result was achieved and this lady was able to see clearly again
Ptosis can sometimes be one sided or unilateral and affect a persons confidence. This subtle lift corrected the ptosis and the patient was able to gain their confidence again.
Tear trough fillers in the wrong hands can go wrong. Here is the shiny effect of filler injected in the wrong area giving a Tyndall effect which is a blueish colour to the skin. It can be difficult to treat. The filler was dissolved gently to not affect the tear trough and the problem was solved.
This gentleman had an upper and lower eyelid Blepharoplasty due to excess skin. He had no significant eyebags to the lower lids and it was the excess skin causing the issue of concern. As a result a skin pinch was performed to the lower lids along with an upper eyelid Blepharoplasty. The lower lid scar was hidden under the lower eyelashes. This is the result 3 weeks following surgery. The skin pinch is a less favoured technique but gives good results in the right hands and when the right patient is selected.
Forehead lines or the ‘angry 11s’ are noticeable and give an aged appearance. Here is a person frowning before and after botulinum toxin or Botox injections showing how effective the treatment is.
This lady has lower eyelid bags that were affecting her confidence. It is important when doing a transconjunctival lower eyelid Blepharoplasty that leaves no scar on the skin, not to leave the lateral fat pad. Here there fat pads were repositioned into the cheek to give a smooth contour and help Columbia’s the mid face. The patient is smiling post op and is very happy!
The difference an upper eyelid Blepharoplasty makes. Here is a two week post procedure photograph of an upper eyelid Blepharoplasty patient. The excess skin was blocking vision and made completely covered the skin crease. The result after two weeks still has some swelling which will settle but the improvement is significant and the vision is clear.

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