Patients who come to see me with a complaint to eye bags are usually present because they’ve developed prolapses of fat in their eyelids rather than excess loose falls of skin. For those patients I undertake a transconjunctival blepharoplasty. This involves an incision on the inside of the eyelids where the fat is either developed or repositioned into the area of the imperial orbital margin, trying to improve the appearance of the eyelids by recreating a smooth transition between the eyelid and the cheek area.
For those patients with loose falls of skin, a skin incision is made instead. However, a transconjunctival blepharoplasty is preferable for most patients, because it doesn’t leave signs of the oculoplastic surgery and the recovery tends to be much faster.
Mr Brian Leatherbarrow is a Consultant Ophthalmic, Oculoplastic and Orbitofacial Surgeon at Clinica London. He has over 20 years of specialist experience in oculoplastic, orbital and lacrimal surgery, which involves reconstructive and cosmetic operations of the areas around the eyes, the midface and the upper face. Common problems he manages include droopy eyelids and brows, eyelid bags, and watery eyes. He is the author of a major textbook “Oculoplastic Surgery”. At Clinica London he sees patients with eyelid, tear drainage, and orbital disorders. He also sees patients for medical reports at the request of solicitors.