This lady wished to improve the appearance of her periorbital region. She has a lot of excess skin in the upper lids with hooding but it is in her lower lids where her ageing is even more apparent. The orbital septum has weakened and the orbicularis oculi muscle no longer contains the fat in the eye and the septum. The midface has dropped and this has given the appearance of aging at the lid cheek junction as seen preoperatively. She also has a superficial burn on her nose in the preop picture.
This lady underwent an upper lid blepharoplasty and this has improved the hooding and skin excess in the upper lids improving the lid show. In the lower lids the fat within the septum has been repositioned and the arcus marginalis and orbicularis retaining ligaments have been released with elevation of the midface and restructuring the orbicularis and midface onto the inside of the orbital rim through the incision used for the upper lid blepharoplasty. The excess skin has been removed. This technique perceptually raises the midface and decreases the distance from the pupil to the cheek. This in turn improves the appearance of ageing.
The results are shown at 6 months and these have led to an improvement in the aesthetic appearance of the periorbital region.
When considering blepharoplasty surgery patients must consider the various non surgical options and the surgical options of facelifting, neck lifting, liposuction, autologous fat transfer and brow lifing and facial implants.
At a consultation, it is important to run through all the pros and cons and the various options of facial surgery and non surgical techniques so that you can be empowered to proceed. Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected.
Mr. Ross is a plastic, aesthetic and cosmetic surgeon that underwent specific training in plastic surgery. https://www.garylross.com/ Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) and the British Association of Head and Neck Oncologists (BAHNO) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS and BAHNO. Mr Ross has written many articles and book chapters in relation to head and neck surgery and will be able to individualise your surgery to give you the optimal outcome. Mr Ross was the first cosmetic surgeon to be certified by the Royal College of Surgeons for cosmetic surgery of the face including upper and lower blepharoplasty.