Blepharoplasty, commonly known as eyelid surgery, is a popular cosmetic procedure aimed at rejuvenating the appearance of the eyes. This surgery can be performed on the upper eyelids, lower eyelids, or both, and it addresses issues such as drooping eyelids, puffiness, and under-eye bags. If you’re considering blepharoplasty in the UK, understanding the costs involved is crucial for planning your surgery. We will provide a detailed overview of the factors that influence the cost of blepharoplasty and what you can expect during your journey to achieve a more youthful and refreshed appearance.

Factors Influencing the Cost of Blepharoplasty

Several elements can affect the overall cost of blepharoplasty. It’s essential to understand these factors to get a clearer picture of what you might pay for the procedure.

1. Type of Procedure

The cost of blepharoplasty varies depending on whether you are having upper eyelid surgery, lower eyelid surgery, or both. Upper eyelid surgery tends to be less expensive than lower eyelid surgery due to the complexity and duration of the latter. Combined procedures typically cost more but can be more cost-effective than having each done separately.

2. Surgeon’s Expertise and Reputation

The experience and reputation of the surgeon performing the procedure play a significant role in the cost. Highly experienced surgeons who are well-regarded in the field may charge more for their services. It’s essential to choose a surgeon with a proven track record of successful blepharoplasty surgeries, as this can significantly impact your results and overall satisfaction.

3. Geographic Location

The location of the clinic also influences the cost. Clinics in major cities like London or Manchester may charge higher fees compared to those in smaller towns or rural areas. The cost of living and operational expenses in a particular area can affect the pricing structure.

4. Clinic Facilities and Services

The quality of the clinic facilities and the range of services offered can also impact the cost. Clinics equipped with state-of-the-art technology and providing comprehensive pre- and post-operative care may charge higher fees. Additionally, clinics that offer a more luxurious environment and additional amenities may also have higher prices. You should always seek a clinic that is CQC registered.

5. Anaesthesia and Hospital Fees

The type of anaesthesia used and the associated hospital fees contribute to the overall cost. Local anaesthesia is generally less expensive than general anaesthesia. Upper eyelid lift can usually be done under a local anaesthetic. The blepharoplasty can often be combined with other procedures such as a facelift.

Typical Costs of Blepharoplasty in the UK

While the costs can vary significantly based on the factors mentioned above, we can provide some general estimates to give you an idea of what to expect.

Upper Eyelid Surgery

Upper eyelid surgery in the Manchester at CLNQ typically costs £4250. This is the price when done under local anaesthetic in our CQC registered clinics in Manchester and Knutsford, Cheshire.

Lower Eyelid Surgery

Lower eyelid surgery tends to be more expensive, with costs starting from £6,500. The higher cost reflects the more complex nature of this procedure, which often involves addressing both excess skin and fat and also that this is usually done under general anaesthetic which include hospital and anaesthetic fees.

Combined Upper and Lower Eyelid Surgery

For those opting for combined upper and lower eyelid surgery, the cost is £8,000. While this might seem steep, combining the procedures can be more cost-effective than having them done separately. This combination is usually done under a general anaesthetic which will include the hospital cost and anaesthetic fees.

Additional Costs to Consider

It’s essential to factor in additional costs that may not be included in the initial quote. These can include:

Consultation Fees

At CLNQ, we charge a consultation fee which is £100. This fee is not deducted from the total cost of the surgery.

Post-operative Care

Post-operative care is crucial for a smooth recovery. Ensure you understand what post-operative care is included in your surgery package. This can include follow-up appointments, medications, and any necessary revisions. At CLNQ, we provide the post operative as part of our price.

Choosing the Right Surgeon

While cost is an important factor, it should not be the sole determinant in choosing a surgeon for your blepharoplasty. Consider the following when making your decision:

Qualifications and Experience

Ensure your surgeon is highly qualified and has extensive experience in performing blepharoplasty. Look for a surgeon who is a member of recognised professional bodies such as the British Association of Aesthetic Plastic Surgeons (BAAPS) or the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS).

Patient Reviews and Testimonials

Research patient reviews and testimonials to get an idea of the surgeon’s reputation and the quality of their work. Positive reviews and before-and-after photos can give you confidence in your choice.

Personal Consultation

Schedule a personal consultation with the our surgeon to discuss your goals, ask questions, and ensure you feel comfortable and confident in their care. A good surgeon will take the time to explain the procedure, discuss risks and benefits, and provide realistic expectations.

Conclusion

Blepharoplasty can be a life-changing procedure, offering significant improvements in the appearance of your eyes and overall facial aesthetics. Understanding the costs involved and the factors that influence these costs is crucial for making an informed decision. Remember that while the price is important, the quality of care and the expertise of the surgeon are paramount to achieving the best possible results.

Investing in a reputable surgeon and a well-equipped clinic such as CLNQ that can provide peace of mind and ensure a smoother, more satisfying experience. By considering all the factors discussed, you can embark on your blepharoplasty journey with confidence, knowing that you are making an informed and thoughtful decision. Book your consultation with our plastic surgeons today.

As the quest for a youthful appearance continues to be a priority for many, understanding the various facelift techniques becomes crucial. Among the most popular and effective methods are the SMAS (Superficial Musculoaponeurotic System) facelift and the deep plane facelift. Both techniques aim to restore a youthful contour to the face, but they differ significantly in their approach and results. Mr Nassab will explain the distinctions between these two facelift procedures, helping you make an informed decision about which might be best suited to your needs.

What is a SMAS Facelift?

The SMAS facelift is one of the most commonly performed facelift procedures. It targets the Superficial Musculoaponeurotic System, a layer of tissue that encompasses the muscles responsible for facial expressions. By manipulating this layer, surgeons can achieve a more natural and long-lasting lift.

How is a SMAS Facelift Performed?

1. Incision: The surgeon makes incisions along the hairline, around the ears, and sometimes extending into the scalp. These incisions are strategically placed to minimize visible scarring.
2. Lifting the Skin: The skin is carefully lifted to expose the underlying SMAS layer.
3. SMAS Adjustment: The SMAS layer is then lifted, tightened, and repositioned. This step is crucial for achieving a youthful and natural look.
4. Excess Skin Removal: Any excess skin is trimmed away.
5. Closure: The incisions are closed with sutures, and the area is bandaged.

Advantages of a SMAS Facelift

• Natural Results: Because the SMAS layer is adjusted, the results tend to look more natural compared to procedures that only tighten the skin.
• Long-Lasting: The SMAS facelift offers enduring results as it addresses the deeper structural components of the face.
• Customizable: This technique allows for significant customization, enabling the surgeon to address specific areas of concern effectively.

Considerations

• Recovery Time: Recovery can take several weeks, with initial swelling and bruising common.
• Skill Dependent: The success of a SMAS facelift heavily depends on the surgeon’s skill and experience.

What is a Deep Plane Facelift?

The deep plane facelift goes a step further than the SMAS facelift. This technique involves lifting and repositioning the deeper layers of the face, including the muscles, fat, and SMAS layer, in one continuous section. By doing so, it aims to provide a more comprehensive and dramatic rejuvenation.

How is a Deep Plane Facelift Performed?

1. Incision: Similar to the SMAS facelift, incisions are made along the hairline and around the ears.
2. Deep Layer Access: The surgeon dissects beneath the SMAS layer, accessing deeper structures of the face.
3. Repositioning: The entire facial structure, including muscles and fat, is lifted and repositioned as a single unit. This step ensures a more unified and harmonious lift.
4. Skin Adjustment: Unlike other facelifts, minimal skin is lifted, reducing the risk of a pulled or unnatural look.
5. Closure: The incisions are closed with sutures, and the area is bandaged.

Advantages of a Deep Plane Facelift

• Comprehensive Rejuvenation: By addressing deeper facial structures, this technique offers a more comprehensive and dramatic improvement.
• Natural Appearance: The minimal skin lifting involved reduces the risk of an overly tight or unnatural appearance.
• Longevity: Results are typically long-lasting due to the extensive nature of the adjustments made to the facial structure.

Considerations

• Complexity: The deep plane facelift is a more complex procedure, requiring a highly skilled and experienced surgeon.
• Recovery: Recovery time can be longer due to the extensive nature of the surgery. Swelling and bruising may be more pronounced initially.
• Cost: This procedure tends to be more expensive than a SMAS facelift due to its complexity and the expertise required.

Key Differences Between SMAS and Deep Plane Facelifts

1. Depth of Adjustment:

• SMAS Facelift: Adjusts the superficial musculoaponeurotic system layer, providing significant but less extensive facial rejuvenation.
• Deep Plane Facelift: Involves lifting and repositioning deeper facial structures, offering more comprehensive rejuvenation.

1. Incision and Dissection:

• SMAS Facelift: Involves more superficial incisions and dissection.
• Deep Plane Facelift: Requires deeper dissection, affecting more structural components of the face.

1. Results:

• SMAS Facelift: Provides natural and long-lasting results, with moderate improvement in facial contours.
• Deep Plane Facelift: Offers dramatic and enduring results, with a more unified lift of the facial structure.

1. Recovery:

• SMAS Facelift: Generally involves a shorter recovery period, though still significant.
• Deep Plane Facelift: May have a longer recovery period due to the extensive nature of the procedure.

1. Risk and Complexity:

• SMAS Facelift: Considered less complex and is widely performed.
• Deep Plane Facelift: More complex, requiring a surgeon with substantial expertise in this specific technique.

Choosing the Right Facelift for You

Deciding between a SMAS facelift and a deep plane facelift depends on several factors, including your specific aesthetic goals, the degree of facial aging, and your willingness to undergo a more complex procedure with a potentially longer recovery time. Here are some considerations to help you decide:

• Aesthetic Goals: If you are looking for a moderate improvement with natural-looking results, a SMAS facelift may be suitable. If you desire a more dramatic and comprehensive rejuvenation, the deep plane facelift might be the better choice.
• Facial Anatomy: Your unique facial structure and the degree of sagging or aging can influence which procedure is more appropriate.
• Recovery Time: Consider how much time you can allocate for recovery. The deep plane facelift may require a longer downtime.
• Surgeon’s Expertise: Ensure your chosen surgeon has extensive experience with the specific facelift technique you are considering. Both procedures require a high level of skill, but the deep plane facelift, in particular, demands considerable expertise. Mr Nassab has spent time visiting and learning the Deep Plane facelift from surgeons such as Mike Nayak and Dominic Bray.

Conclusion

Both the SMAS facelift and the deep plane facelift offer excellent options for facial rejuvenation, each with its own set of advantages and considerations. Understanding the differences between these techniques can help you make an informed decision and achieve the youthful appearance you desire. Book your consultation with Mr Nassab to discuss your options for facial rejuvenation.

The concept of beauty has intrigued humanity for centuries, and one of the most enduring mathematical formulations related to aesthetics is the golden ratio. Also known as the divine proportion, this ratio has been used in art, architecture, and, more recently, in plastic surgery to create pleasing and harmonious results. We explore the golden ratio, its relevance to plastic surgery, and the studies that support its application in cosmetic procedures.

 Understanding the Golden Ratio

The golden ratio, often denoted by the Greek letter phi (φ), approximately equals 1.618. It is derived from the Fibonacci sequence, where each number is the sum of the two preceding ones (e.g., 1, 1, 2, 3, 5, 8, 13, and so on). The ratio between successive Fibonacci numbers approaches the golden ratio as the numbers increase.

Mathematically, the golden ratio occurs when the ratio of two quantities is the same as the ratio of their sum to the larger of the two quantities. This proportion is often found in nature, from the arrangement of leaves on a stem to the spirals of shells and galaxies. It is also seen in the human body, where the dimensions of various body parts exhibit the golden ratio.

 The Golden Ratio in Plastic Surgery

Plastic surgeons have long sought ways to achieve aesthetic balance and harmony in their procedures. The golden ratio provides a mathematical basis for these goals. By using this ratio, surgeons can design and execute procedures that enhance facial and body symmetry, contributing to a more natural and attractive appearance.

 Facial Proportions

In facial plastic surgery, the golden ratio can be applied to various features:

– Facial Height to Width: The ideal face is said to have a height-to-width ratio close to the golden ratio.

– Eye Placement: The distance between the eyes and their placement relative to other facial features often follow this proportion.

– Nasal Aesthetics: The dimensions of the nose, including the width, length, and the nasolabial angle, can be refined using the golden ratio.

– Lips: The width and height of the lips, as well as the philtrum (the groove between the base of the nose and the top of the lip), are often adjusted to conform to the golden ratio.

 Body Proportions

For body contouring procedures, such as breast augmentation, liposuction, and tummy tucks, the golden ratio can guide the surgeon in achieving a balanced and proportionate silhouette. For example:

– Breast Augmentation: The ideal breast shape often adheres to the golden ratio, with the upper pole being smaller than the lower pole by this proportion.

– Waist-to-Hip Ratio: A waist-to-hip ratio of approximately 0.618 is often considered ideal, reflecting the golden ratio.

Studies on the Golden Ratio in Cosmetic Surgery

Several studies have explored the application of the golden ratio in cosmetic surgery, providing evidence for its efficacy in achieving aesthetically pleasing results.

 Facial Analysis and the Golden Ratio

A study published in the Journal of Cranio-Maxillofacial Surgery analyzed the faces of models and celebrities to determine if their features conformed to the golden ratio. The researchers found that individuals considered highly attractive often had facial dimensions that closely matched the golden ratio. This suggests that the golden ratio could be a useful tool in planning facial surgeries to enhance attractiveness .

 Rhinoplasty and the Golden Ratio

In rhinoplasty, the application of the golden ratio has been shown to yield superior outcomes. A study in the Aesthetic Surgery Journal assessed the nasal proportions of patients undergoing rhinoplasty. The results indicated that post-operative noses that adhered to the golden ratio were rated more aesthetically pleasing by both surgeons and laypeople .

 Breast Augmentation

Breast augmentation procedures also benefit from the golden ratio. A study in Plastic and Reconstructive Surgery evaluated the outcomes of breast augmentations performed using the golden ratio as a guide. The findings revealed that patients and surgeons were more satisfied with the results when the golden ratio was applied, as the breasts appeared more natural and proportionate .

 Body Contouring

The application of the golden ratio in body contouring, such as liposuction and tummy tucks, has also been supported by research. A study in the Annals of Plastic Surgery demonstrated that patients who underwent body contouring procedures designed with the golden ratio in mind had higher satisfaction rates and perceived their bodies as more balanced and aesthetically pleasing .

 The Role of the Golden Ratio in Modern Plastic Surgery Practice

While the golden ratio is a valuable tool, it is not the sole determinant of beauty. Each patient is unique, and individual variations must be considered. Surgeons must blend artistic intuition with scientific principles to achieve the best results.

 Consultation and Customisation

During a consultation, plastic surgeons, such as Mr Nassab, assess a patient’s features and discuss their aesthetic goals. By understanding the patient’s desires and expectations, surgeons can create a personalised treatment plan. The golden ratio serves as a guideline, but the final approach is tailored to the individual.

 Technological Advancements

Advances in technology have further refined the application of the golden ratio in plastic surgery. Computer imaging and 3D modelling allow surgeons to simulate procedures and visualise outcomes. These tools help in planning surgeries that adhere to the golden ratio, ensuring precision and predictability.

 Conclusion

The golden ratio is a timeless principle that continues to influence modern plastic surgery. By providing a mathematical foundation for aesthetic harmony, it helps surgeons achieve natural and balanced results. Studies support its application, demonstrating higher satisfaction rates and more pleasing outcomes when the golden ratio is considered. However, the golden ratio is just one aspect of the complex and nuanced field of plastic surgery. Personalisation and a holistic approach remain key to delivering the best possible results for each patient.

References

1. Popenko, N. A., et al. (2017). “Golden Ratio in the Faces of Models: Myth or Reality?” Journal of Cranio-Maxillofacial Surgery.

2. Rohrich, R. J., et al. (2019). “The Golden Ratio in Rhinoplasty.” Aesthetic Surgery Journal.

3. Persichetti, P., et al. (2018). “Application of the Golden Ratio in Breast Augmentation Surgery.” Plastic and Reconstructive Surgery.

4. Mustoe, T. A., et al. (2020). “Golden Ratio in Body Contouring: Enhancing Aesthetic Outcomes.” Annals of Plastic Surgery.

Facelift surgery, or rhytidectomy, is a popular cosmetic procedure aimed at reducing the visible signs of ageing on the face and neck. While the results can be transformative, one common concern among patients is the potential for scarring. Understanding what to expect in terms of scarring can help set realistic expectations and prepare you for the post-operative healing process.

Types of Scars from Facelift Surgery

Facelift surgery involves making incisions in strategic locations to minimise visible scarring. The typical types of scars you can expect include:

1. Preauricular and Postauricular Scars: These scars are located in front of and behind the ear. The incisions usually follow the natural contours of the ear, extending into the hairline behind the ear, making them less noticeable.

2. Temporal Scars: These are made in the hairline at the temples. The goal is to lift the skin and underlying tissues to create a smoother, more youthful appearance. Temporal scars are generally well-concealed within the hair.

3. Submental Scar: In cases where neck tightening is also performed, an additional small incision may be made under the chin. This scar is typically very discreet and fades well over time.

 Factors Influencing Scar Formation

Several factors can influence the extent and appearance of scars after facelift surgery:

1. Surgical Technique: The skill and experience of the surgeon play a crucial role. A well-trained plastic surgeon like Mr Nassab will use meticulous techniques to minimise tissue trauma and ensure precise wound closure.

2. Skin Type and Genetics: Your skin’s natural healing ability and genetic predisposition to scarring will affect the final outcome. Some individuals may develop more noticeable scars due to their skin type.

3. Post-Operative Care: Proper aftercare is essential for optimal healing. Following our postoperative instructions regarding wound care, avoiding sun exposure, and not smoking can significantly impact scar formation.

4. Age: Older patients often have thinner skin with less elasticity, which may affect how well scars heal and how noticeable they are.

 Scar Healing Timeline

The healing process of facelift scars generally follows a predictable timeline:

– First Few Weeks: Initially, scars may appear red and slightly raised. Swelling and bruising around the incision sites are common during this period.

– 1 to 3 Months: The redness of the scars typically begins to fade, and they start to flatten. Swelling and bruising continue to diminish.

– 3 to 12 Months: Scars gradually become less noticeable, blending more with the surrounding skin. By the end of one year, most scars are mature, appearing as thin, pale lines.

 Minimising and Treating Scars

There are several strategies to minimise and treat scars after facelift surgery:

1. Scar Massage: Gentle massage of the scar tissue can help to soften and flatten scars.

2. Silicone Gel or Sheets: These products are often recommended to keep the scars hydrated and promote smoother healing. They can be applied once the incisions are fully closed. CLNQ offer their own brand of silicone scar gel.

3. Topical Treatments: Prescription creams containing ingredients like corticosteroids or other agents may help reduce redness and improve scar appearance.

4. Laser Therapy: Laser treatments can be effective in reducing the redness and improving the texture of scars. They work by promoting collagen remodelling in the scar tissue.

5. Microneedling: This technique involves tiny needles creating micro-injuries in the scar tissue, stimulating collagen production and improving the scar’s appearance.

 What to Avoid

To ensure your scars heal as well as possible, certain activities and habits should be avoided:

– Sun Exposure: UV radiation can darken scars, making them more noticeable. Always use a high-SPF sunscreen or wear protective clothing if you need to be outdoors.

– Smoking: Smoking impairs blood flow and can delay healing, leading to more prominent scarring.

– Excessive Movement: Strenuous activities or movements that stretch the skin around the incision sites should be avoided during the initial healing period.

 When to Contact Us Following your Surgery

If you notice any unusual changes in your scars, such as excessive redness, swelling, pain, or if the scars are not healing as expected, it is important to contact us. These could be signs of infection or other complications that may require medical attention.

 Conclusion

Scarring is an inevitable part of any surgical procedure, including facelift or deep plane facelift surgery. However, with skilled surgical techniques, proper aftercare, and modern scar management strategies, the visibility of scars can be minimised. It’s essential to have a thorough discussion with your surgeon about your concerns and to follow their post-operative care instructions diligently to achieve the best possible outcome. Remember, the ultimate goal is to enhance your appearance and confidence, and minor scars are often a small trade-off for the significant rejuvenation a facelift can provide.