The Daily Telegraph


The Daily Telegraph - May 12th, 2009

The Daily Telegraph

Ultimate Cosmetic Treatments


Whatʼs new in cosmetic eyelid surgery


Jesper Sorensen MD, PhD

Plastic and Reconstructive Surgeon


Eyelid surgery (blepharoplasty) continues to be a very popular cosmetic procedure and is one of the most effective ways of providing facial cosmetic enhancement. Usually a relatively minor operation, it provides patients with a rejuvenated appearance.


What it does

Upper eyelid surgery (upper blepharoplasty), can rejuvenate puffy, sagging or tired-looking eyes by removing or redistributing excess fat, skin and muscle. It may be performed for purely cosmetic reasons, or to improve sight by lifting droopy eyelids out of the field of vision. Lower eyelid surgery (lower blepharoplasty), helps rejuvenate lower eyelids by removing or relocating excess fat bulging beneath the eyes, and where indicated, tightening loose or sagging tissue such as the skin, muscle and eyelid rim. The results are softened wrinkles, tightened skin and improved eyelid function.


Whatʼs new

Traditionally, eyelid surgery is performed through the removal of skin, muscle and/or fat. However, an aged appearance is often marked by the loss of fat and volume in the face, so although the procedure may reduce wrinkles, it has become increasingly evident that the undue removal of tissue may not be the most effective method for producing a full and youthful appearance. In order to address some of the shortcomings of the traditional procedures, new methods are being utilised.


Volume enhancing upper eyelid surgery

For the upper eyelid, a new volume enhancing technique has been developed that preserves the muscle and fat around the eyes, restores fullness, and improves lid crease definition. Maintaining the balance between fat and tissue, this approach resolves the issues surrounding the effects of further ageing. Furthermore, the procedure can also be adapted to individual patient needs, such as for the correction of lid asymmetries.


Muscle-conserving lower eyelid surgery - the dual access technique

For the lower eyelid, there is a new method known as the dual access eyelid technique, which involves two incisions. The first accesses the fat deposits from the inside surface of the eyelid (transconjunctival blepharoplasty) and is followed by a second incision below the lashes to address any external issues related to loose and wrinkled skin. Although the dual access technique may take longer to perform, it creates less scarring and improves the surgeonʼs ability to evaluate levels of fat removal. More important, accessing the eyelid from the inside means it is possible to maintain the structural integrity of the eye muscle and keep its nerve supply intact. It is a minimally invasive procedure, with little down time that delivers long-lasting natural results.


Better techniques, natural results

As we consider the true effects of ageing, it becomes increasingly evident that a “less is more” approach is the preferred route for cosmetic surgery. Recent progress in surgical techniques has made it possible to retain tissue volumes and focus on delivering natural aesthetics. Although, undoubtedly progress will continue to be made, the current level of development in this area means that plastic surgeons capable of performing these high precision techniques can now provide some satisfying results.




The Daily Telegraph - May 12th 2009