insideKENT Magazine Issue 27 - June 2014 | Page 85

HEALTH+WELLNESS The Best Cosmetic Surgical Procedure? WITH JOHN DAVISON I was recently asked which cosmetic surgical procedure I thought was the best. Not much hestitation – I’d say an upper eyelid blepharoplasty (eye lift). I have often thought that if Which Magazine looked at the most common surgical operation, they’d conclude an upper eyelift would be the ‘best buy’. They would look at a number of features including cosmetic improvement, cost, recovery time, any long-term consequence and of course the risks of complications. Upper eyelid skin excess and laxity is one of the earlier signs of facial aging and is certainly one of the features which people seem to struggle with. However, this is not only an operation for age-related changes. There are many younger people who have a heaviness of the skin of their upper eyelids. This can often be an inherited feature. Some patients I see do not like this appearance, or worry about how this will worsen with age. When I meet a new patient, they are often a little anxious about seeing me; they are not being flippant, they have a genuine concern. After we have a chat and after I have done an examination, I talk about the operation, and this discussion is in three sections. The initial part of our talk is about the actual operation itself – what it involves, and what I will actually do. I talk about what we achieve, the anaesthetic and what the consequences are in terms of scars, symmetry and improvement. I then discuss the recovery – whether there is a hospital stay, what they will be able to do and not do early after