Cosmetic Surgery in London
Mrs. Shah-Desai is a Consultant Ophthalmic and Plastic Reconstructive Surgeon at Queens Hospital, Romford, Essex.
She also specializes in cosmetic eyelid surgery and periocular rejuvenation procedures, plastic reconstructive surgery and cosmetic eyelid surgery. Having trained as an undergraduate in Bombay, Sabrina went on to complete her postgraduate training in Ophthalmology at Sir JJ Group of Hospitals, Bombay. Sabrina undertook three subspecialty fellowship trainings in her quest to master the art of periocular plastic and reconstructive surgery. Sabrina first focused on a fellowship in Cornea & Oculoplastics at The Queen Victoria Hospital, East Grinstead (1996-1997), where she developed extensive expertise in managing periocular trauma, chemical burns and ocular surface diseases that require an expert knowledge of the eyelids and the cornea.
Upper lid blepharoplasty or “eyelid rejuvenation":
Your eyes are often the first thing that people notice about you, and are an important aspect of your overall appearance. Young eyelid skin is smooth, but over time, the eyelid skin stretches, the fat bulges, and the muscles weaken.
The eyebrows may also droop and sag (a condition called brow ptosis) and in some cases may actually go higher than their youthful position, altering the facial appearance dramatically.
Age, hereditary factors, sun exposure and smoking all contribute to this process.
Loose or baggy lids detract from your overall appearance and make you look tired or older.
When the brow droops, it crowds more skin down over the upper lids and exaggerates the hooding and crow's feet at the outer corners of the eyes, making you look sad, tired or angry. When severe enough, the upper eyelid skin may hang over the lashes and obstruct peripheral vision.
When Botox is injected into a muscle that causes a wrinkle in the overlying skin when it contracts, paralysis of that muscle prevents the wrinkle from forming. The effects of Botox are most noticeable in dynamic wrinkles, or wrinkles that are only present when the muscle contracts.
As we get older and lose elasticity in the skin, a permanent crease can form leaving a wrinkle that is noticeable even without muscle contraction. Botox does not get rid of these wrinkles, but may help soften them.
The injections are usually painless and invisible. They start to work after the first few days, reaching maximum effect by 2 weeks. For most people the effect lasts for 3 to 4 months, as it wears off you will start to be able to frown more deeply again. After a course of 3 injections over the first two years, most patients feel the effect can last 6 months or longer, thus requiring less frequent injections or smaller doses. The best results are achieved by experienced surgeons trained in the anatomy of the periocular region, and able to adjust their injections to match each individual.
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