Dr. Harlow Hollis, FRCS (C)
Plastic and Cosmetic Surgery

Eyelid Lift
Who is a candidate?
If you have excessive, sagging, or wrinkled upper or lower eyelid skin.
If you have excess upper eyelid skin that interferes with vision.
If you have lost your natural upper eyelid crease.
If you have puffy pouches of fat in the upper or lower lids that created a tired or aged appearance.

Intended Results
A more youthful and rested appearance of the eyes.
Widening for visual fields if excessive upper lid skin has partially blocked vision.
It will not remove or erase all wrinkle lines. It will soften wrinkle lines.

Procedure Description
The procedure is done on an outpatient basis under sedation and local or general anesthesia.
The incisions are made where the natural crease should be in the upper lids and below the lash line in the lower lids. Excess fat and skin are removed.
If only excess fat is present in the lower lids, it may be removed through an incision inside the lower lids with no external incision or scar (transconjunctival blepharoplasty).

Recuperation and Healing
All sutures are usually removed within 4 to 6 days.
Initial mild discomfort is easily controlled with oral medication.
Bruising and sensitivity to light last at least a week or two. Swelling progressively disappears over several weeks.
Eye makeup can be used shortly after sutures are removed.
Contact lenses can be worn when comfortable – usually within 7 to 10 days.

Other Options
Additional procedures that would enhance the result are: forehead lift, face lift, chemical peel or laser skin resurfacing.

Insurance Guidelines
Occasionally, if surgery is being done to improve the field of vision, insurance may cover upper lid surgery. Otherwise, these procedures are considered cosmetic, and the patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Facelift
Who is a candidate?
If you have experienced a loss of skin elasticity and muscle tone of the face and neck.
If you have the appearance of jowls and deep creases between the base of the nose and the corners of the mouth.
If you have developed facial and neck wrinkles.
If you believe you lack youthful chin and neck contours.
If you think you have a tired facial appearance.

Intended Results
A more rested and youthful contour to the face and neck.

Procedure Description
The procedure is done on an outpatient basis under local anesthesia with sedation, or under general anesthesia. Full facelifts usually stay overnight in the clinic
Facelifts range in size from ’mini’ to ‘standard’ depending on location and extent of skin laxity.
Incisions are made within the hairline (or along the hair margin) above the ear, extending down around the lobe and ending in or below the hairline behind the ear. The subcutaneous layers and neck muscles are tightened, the facial skin is re-draped and lifted, and the excess skin is removed.

Recuperation and Healing
The patient goes home with head and neck wrapped in dressings, which are usually removed the next day.
Minimal initial discomfort is easily controlled with oral medication.
Sutures are removed within 14 days. Bruising and swelling decrease to ‘socially acceptable’ levels in 10 to 20 days.
The final result is evident in 4 to 6 weeks or sooner with continued improvement for several months.

Other Options
Additional procedures that would enhance the result are: eyelid lift, brow lift, chemical peel, facial sanding (dermabrasion), chin enlargement, nose reshaping (Rhinoplasty), fat suction, and laser skin resurfacing, cheekbone enhancement, augmentation/enhancement of lips, reduction of earlobes.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

 
Dr. Harlow Hollis


Canadian Society for Aesthetic Surgery
The Canadian Society for Aesthetic (Cosmetic) Plastic Surgery was
established in 1972 with a membership of certified (FRCS(C)) Plastic
Surgeons specializing in cosmetic surgery...

 Dr. Harlow Hollis MD FRCS (C)
100 1830 Oak Bay Avenue
Victoria, BC  V8R 6R2
Tel: (250) 592-7368
Fax: (250) 592-8998
email: hollismd@shawcable.com

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