Take a fresh look at your lifestyle.

Do you dare to have a full eye lift … while you are wide awake?

Patients are offered cosmetic surgery to banish stubborn eye bags – while awake and with their eyes wide open.

While certainly not for the faint hearted, the method involves three minimally invasive procedures, each lasting less than two hours.

Unlike normal operations under the eye lift, where incisions are made under the lower eyelid and bulging tissue is removed under the skin, the new technique involves only three small cuts close to the lashes.

Dr Sabrina Shah-Desai, the pioneer of the art, says: “By disrupting the cheek fat pads, patients often have to be put to sleep because there is a risk of nerve damage if the patient cramps a muscle. But I avoid excessive touching in this area, which can keep patients awake. ‘

Kimberly James, 51, from Essex, pictured left before the procedure and immediately after, describes the results of her treatment as 'life-changing'

Kimberly James, 51, from Essex, pictured left before the procedure and immediately after, describes the results of her treatment as ‘life-changing’

Keeping patients clear also helps surgeons get a better idea of ​​what the eye will look like when they are ready, as they can prevent the skin from stretching to make it uncomfortable or unnatural.

Kimberly James, 51, from Essex, describes the results of her treatment as ‘life-changing’.

“For ten years, I have worn sunglasses everywhere I went because I was crippled with uncertainty about the drooping, sagging skin under my eyes,” she says.

“I couldn’t make eye contact with people and found it very difficult to date with potential partners. Hundreds of pounds of creams, masks, and drinks didn’t work – but I was so afraid of surgery and falling asleep. ‘

Every year, more than 2,000 Brits undergo eye lift procedures called blepharoplasty to remove and lift sagging skin around the eyes.

Upper eyelid surgery, which removes drooping skin around the upper eyelid, is especially common, and many surgeons offer rapid procedures under local anesthesia. Lower eyelid surgery, which tackles eye bags, is more complicated, however.

What to read, watch and do

Don't worry, Little Crab, by Chris Haughton

Don't worry, Little Crab, by Chris Haughton

Don’t worry, Little Crab, by Chris Haughton

READ

Don’t worry, Little Crab, by Chris Haughton

A children’s story designed to help anxious youth overcome fear and, with the support of a loved one, find the courage to take on a great challenge.

£ 6.49, Walker Books.

Frontline of Italy: A Doctor's Diary

Frontline of Italy: A Doctor's Diary

Frontline of Italy: A Doctor’s Diary

WATCH

Frontline of Italy: A Doctor’s Diary

An intimate and in-depth portrait of one doctor’s battle as she fights to save lives at the height of the coronavirus pandemic in one of Italy’s worst-hit cities.

Monday, 9:00 PM, BBC2

TO DO

Men and their health problems

A free online webinar about the common health problems in men and when to seek help, with a separate presentation on how to avoid exercise-related health problems.

Tuesday 6:00 PM

eventbrite.co.uk (search PSM Men’s Health webinar)

Some puffiness and drooping in the skin under the eyelid is a normal part of the aging process when the muscle supporting the eyes weakens and the skin becomes less elastic. The relaxation of the muscle also causes fat tissue from the eye socket to slide into the space under the eyelid, giving a permanently swollen appearance.

For some, this can be remedied with non-invasive treatments that use heat or other forms of energy to firm and tighten the skin and muscles. However, for many, including Kimberly, moisture collects in the space under the eye, creating pockets of dark, flabby skin that spread to the cheek.

Sometimes known as garlands, they are believed to be genetic as they are often run in families. Smoking and heavy drinking are also common triggers, as both cause inflammation in the tissues and release moisture under the skin.

Festoons are notoriously difficult to treat, even with surgery, says Dr. Shah-Desai.

“Below the eyes, toward the cheek, there are a series of tubes involved in the drainage of fluid from the eye,” she adds. “If you disturb this too much during surgery, you can cause an increase in fluid buildup over time. And if you don’t address the laxity in the skin and muscles, they can return after a year or two. ‘

The first part of Dr. Wakeful Eye Lift Shah-Desai is a 20-minute non-invasive treatment that tightens facial muscle and improves skin firmness.

She first applies an anesthetic cream before turning on a wearable device called a Morpheus8. It contains small, heated needles that shock the deeper layers of the skin.

This causes the production of the protein collagen – responsible for making the skin elastic and plump. “It also tightens the muscle, so in the next six months the gap between the muscle and the fat will close and the skin will become firmer and tighter,” explains Dr. Shah-Desai.

“For some patients with mild to moderate slings, two to three rounds of this treatment completely resolve the problem.”

But despite two treatments in 2016, Kimberly’s eye bags persisted. A year later, she had the second procedure – an upper eyelid correction.

The 50-minute procedure begins with an injection of local anesthetic in the upper eyelid.

Dr. Shah-Desai then makes a 1mm incision in the crease of the upper eyelid and cuts away the excess skin. The skin underneath is pulled tight and stitched back together.

Dr. Sabrina Shah-Desai, pictured left, with a patient, pioneered the technique, encompassing three minimally invasive procedures, each lasting less than two hours.

Dr. Sabrina Shah-Desai, pictured left, with a patient, pioneered the technique, encompassing three minimally invasive procedures, each lasting less than two hours.

Dr. Sabrina Shah-Desai, pictured left, with a patient, pioneered the technique, encompassing three minimally invasive procedures, each lasting less than two hours.

“There is usually no visible scar – it is small and hidden in the crease of the eyelid – and it takes only about two weeks for the swelling to subside,” says Dr. Shah-Desai.

A few months later, Kimberly completed her transformation by undergoing lower eyelid surgery to tackle her slings.

During the two-hour operation, Dr. Shah-Desai first applies a local anesthetic to the lower eyelid and cheek, and then injects a mild sedative to relieve anxiety.

“Patients can still have a conversation and usually open their eyes,” says Dr. Shah-Desai.

Then she makes two 1cm incisions – one in the lower eyelash lid and one in the outer corner of the eye – and the loose tissue under the eyes is reshaped without disturbing the deep tissues at the cheek.

She uses small stitches to close each incision, which is removed after a week and leaves a barely visible scar. “I was chatting about my summer vacation and everything,” says Kimberly. “At times Dr Shah-Desai had to tell me to be quiet so she could concentrate.”

When the sedation wears off, Kimberly immediately noticed a difference. She says, “My under eye area was red and swollen, but that gradually diminished in five weeks. After three months, the swelling disappeared completely and I couldn’t believe there were no scars at all. ‘

Kimberly returns to Dr. Shah-Desai’s clinic every two years for additional treatment with the Morpheus8. “It is essential for long-lasting results,” says Dr. Shah-Desai. “Otherwise the muscle will loosen and the skin will begin to sag.”

All told, Kimberly paid £ 8,000 – so was it worth it?

“Absolutely,” she says. “It has changed how I wear myself. People can see my face now – it’s not hidden behind stupid sunglasses. ‘

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