Surgical Treatments | Miss Marta Garcia Vilaro

Surgical Treatments:

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Blepharoplasty surgery (eyelid lift)

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Eyelid bags (lower lid blepharoplasty)

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Ptosis correction

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Eyelid lumps

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Skin cancer removal and eyelid reconstruction

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Watery eyes

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Facial palsy

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Brow lifting

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Eyelid malpositions

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Thyroid eye disease

Blepharoplasty

Blepharoplasty is a type of surgery designed to repair excess of skin and fat and improve appearance of upper lids. Blepharoplasty is one of the most commonly performed functional and cosmetic facial plastic surgical procedures. It is a safe and effective aesthetic treatment, which under the right hands, will offer a rejuvenated natural look.

Why having blepharoplasty surgery?

Over time the eyelids may become droopy, hooded or puffy giving a tired appearance which distracts from the overall attractiveness of the face. The eyelid tissues stretches, the muscles thin and fat pockets bulge, becoming more noticeable. Blepharoplasty surgery corrects these age related changes and helps to refresh the ocular area.

How does the procedure works?

Blepharoplasty is done through a tiny cut hidden in the natural creases of the eyelids. Care is taken to excise the unwanted excess of tissue safely. The operation is generally done under local anaesthesia and our patients can resume their daily activity in 4 days. There is no visible scarring.

Are there any risks?

When surgery is carried out by experienced oculoplastic surgeons, complications are rare. However, as with any surgery, there is temporary oedema and bruising which is usually discreet and disappears in a matter of days and a small risk of infection.
Marta Garcia Vilaro specialises in solving postoperative unsatisfactory results from previous eyelid surgery (blepharoplasty revision). This is possible thanks to her experience in facial reconstruction and rejuvenation from training in leading hospitals, both with national and international benchmarks such as Moorfields Eyes Hospital, Chelsea and Westminster Hospital, IMO clinic in Barcelona and Barking, Havering and Redbridge University Hospitals

Eyelid Bags

Eyelid bags surgery (lower lid blepharoplasty) is a procedure that involves removing and/or repositioning of the fat under the eyes and, if necessary, removal or tightening of any redundant lower eyelid skin. It aims to rejuvenate the area surrounding the eyes and to give an overall more youthful and rested appearance to the face. The procedure is done trough a small invisible incision usually in the conjunctiva (inside of the eyelid). Each patient is different. It is key to evaluate each case methodically and have a good knowledge of options available to be able to choose the best technique individually. Extreme care is needed to ensure stable postoperative eyelid position and ocular protection.

Ptosis Correction

Ptosis describes a drooping of one or both upper eyelids.

What are the causes of ptosis?

The commonest cause of ptosis is age related due to stretching of upper lid muscle. Other causes of ptosis include: related to contact lenses use, trauma and muscle weakness (myasthenia gravis). Ptosis can also be present at birth due to an abnormality of the muscle that lifts the eyelid (elevator)

What are the symptoms of ptosis?

Ptosis can affect the vision and give a shadow in the superior field of vision when the droopy lid starts to cover the pupil. The symptoms tend to be worse when tired and looking up. A compensatory effort is made to raise the eyelids by elevating the brows, and this can in itself lead to an ache over the brows, or a frank headache. In kids ptosis can affect the normal visual development and cause a lazy eye.

Ptosis can also cause asymmetry in eyelid position and become a cosmetic issue, affecting a person’s confidence and making them avoid having pictures taken.

Is ptosis a serious condition?

In itself, a drooping upper eyelid does not pose a serious threat to the eye. However, ptosis may rarely be an indication of another underlying disorder (neurological disease or generalised facial muscular disease) and for this reason all patients with a ptosis should be assessed by a specialist oculoplastic surgeon.

Does ptosis need surgery?

If ptosis causes significant asymmetry, begins to reduce vision or affects self esteem surgery is the indicated treatment. The appropriate operation, and the degree to which the lids should be lifted, depends upon the underlying cause and the patient’s examination findings, in particular the health and natural lubrication of the front surface of the eye.

The most common form of ptosis surgery involves a small non visible cut in the natural wrinkles of the eyelid. The procedure in adults is done under local anaesthesia and lasts about 45 minutes.

Is ptosis surgery safe?

Ptosis surgery is a safe procedure when performed under an experienced oculoplastic surgeon. The procedure causes discreet bruising and swelling that recovers on a matter of days. The most common risk after ptosis surgery is undesired eyelid height (over or under correction) which is recorded to occur up to 20%. The experience of a trained oculoplastic surgeon is key to optimise ptosis surgery results.

Eyelid Lumps

Eyelid lumps can be caused by multiple type of lesions around the eyes. The most common ones are:

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Chalazion: A chalazion often starts out as a small, red, tender, swollen area of the eyelid. In a few days, it may change to a painless, slow-growing lump the size of a pea. A chalazionis an inflammatory reaction to trapped oil in the eyelid glands. Chalazions are initially managed conservatively with warm compresses and topical treatment and frequently resolve by themselves in a few weeks. If a chalazion persists a small surgical procedure called incision and curettage under local anaesthesia is helpful to remove it.

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Papillomas

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Cyst

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Xanthelasma

WATERY EYES

Watery eyes or Epiphora is a very common condition that occurs when there is a failure of the draining mechanism of tears from the eye to the nose.

The eye requires tears to lubricate and protect the ocular surface but when there is a a reduced drainage excessive accumulation of tears occurs.

The reduced drainage can be caused by an obstruction, an stenosis or a weakness of the peri-ocular muscles.

Is epiphora dangerous for your vision?

Watery eyes can affect anybody but is most common as we age and in children. The excess of tears is usually not dangerous for the vision but causes discomfort, irritation of the skin and accumulation of discharge. It can cause social embarrassment and affect self steem.

When is surgery to correct watery eyes needed?

When the watery eyes is frequent and affect the daily life of a patient dacryocystorhinostomy surgery is recommended. The operation can be performed trough a very small incision on the side of the nose or endoscopically with a camera inside the nose. Miss Marta Garcia Vilaro will evaluate your condition individually and discuss which technique is recommended in your case. The operation is usually done under general anaesthesia as a day case procedure.