Frequently asked question by Non-Surgical Patients:
What is Botox?
Botox is Botulinum A and a protein which is extracted from micro-organism.
How does Botox work?
It blocks the nerve endings of the targeted muscles and relaxes it.
What is a filler?
There are many different types. But the one we use is Hyaluronic gels which are used to either add volume to the face or augment lines and wrinkles directly.
What is the difference between Botox and fillers?
Botox relaxes the muscles and the dynamic lines of the face reduces. Filler adds volume the skin or any area targeted under the skin.
How often should I have Botox and filler?
Every 4-5 months for Botox and once a year for fillers.
Can I still have facial laser treatments such as IPL/CO2/Fractora treatments after having fillers?
Yes, only radiofrequency can reduce some of the fillers under the skin. Advice should be obtained by the doctor prior to having any laser treatment following filler administration.
Will it hurt?
Botox is rather painless. Fillers will require numbing cream before injection and some lasers will require nerve block prior to administration. As a result the treatment does not need to be painful.
How long does Botox last?
This depends on the area and the dose used. 4-5 months usually for each treated area.
How long does filler last?
Depending on the type of filler used, from 1 year to 2 years.
What happens if I stop having treatment?
The effect of Botox and Filler together will sometimes take years to wear off and the face will return to the state prior to treatment.
What will happen if I have Botox too often?
It is advised not to have Botox earlier than 3 months as the effect will not be accentuated.
What are the side effects of Botox ?
Any injectable can give bruising at the area. A small number of people might experience headache or flu-like symptoms and depending on the experience of the doctor there is always the chance of droopy muscle on the part of the face treated with Botox.
Can I fly after Botox & Filler treatment?
Can I have Botox if I am Pregnant or Breast Feeding?
Although in parts of the world this is practiced, we advise against it.
Frequently Asked Questions – Prior to Eyelid Surgery
What happens after the consultation?
Following a detailed consultation and a decision on the exact type of the operation, you will be offered a date. You should stop Aspirin and non-steroidal anti inflammatory agents 2 weeks before the operation. If the operation is under local anaesthesia it will be performed as a day case. Otherwise there will be a one night stay. You will be admitted to a dedicated room in Spire Norwich Hospital. You will have your operation on the same day. Upper eyelid blepharoplasty will take about 1 hour; the same length of time is required for lower lid blepharoplasty. As a result if both upper and lower lids are done it will take 2 -3 hours. Please note that Mr Beigi’s standard blepharoplasty involves multi layer readjustment of the eyelid and is more extensive than the standard blepharoplasties offered by other cosmetic surgeons.
What happens after the operation?
Following the operation you will return to your room with dressing covering both eyes. If you are a day case patient one of the dressings will be removed in the afternoon. You will then be discharged to go home. The other dressing will be removed the next day. In the case of an overnight stay, the dressing will remain on both eyes until the next morning when the dressing will be removed and you will be discharged to go home.
- After your operation your eyelids will be swollen particularly for the first few days. If you can take oral Arnica then this is recommended, if you were on Aspirin before your operation you can restart it two days after the operation.
- We recommend that you sleep with two or three pillows for the first 2-3 nights.
- No bending or lifting for 2 days. No strenuous exercise for 2 weeks.
- No eye make-up or other products for two weeks.
- Ice packing (frozen peas wrapped in a tea towel) for three minutes three times a day for 1 week.
- If you wear glasses, please check the position of it on the nose with Mr Beigi as this may affect the final outcome.
- We recommend that you do not travel abroad during the first 2-3 weeks after your operation.
Important Comments Before Signing the Consent Form
Following blepharoplasty eyelid swelling and bruising is varied from person to person. Bruising will disappear after 2 weeks. Sub-clinical swelling might persevere up to 3-4 weeks. For lower lid blepharoplasty it takes up to 3 months to see the actual cosmetic outcome. However, in most cases the outcome is very clear within the first 3 weeks.
You will have a post operative check 1 week and 3 weeks after your surgery to assess the scars and eyelid position. The eyelid sutures will be removed on week 1. In some cases some sutures will be left on the outside aspect of the eyelid and will be removed 10-14 days after the operation.
There is a 3-5% chance of a wound hyperplasia which means that the scars might look a bit thickened which will be dealt with by massaging or by injection of steroids on week 3 revision. There is a small chance that some asymmetry of the eyelid needs to be rectified by a small procedure under local anaesthesia at this stage as well.
With extended lower lid blepharoplasty involving cheek fat lift, there will be an ongoing upper cheek swelling and numbness which can last for several weeks in 3-5% of patients. Lower lid tightness and rarely retraction with a watery looking eye can be experienced in small number of cases.
First and second post operative consultations have already been included in your surgical fee. However, in 5% of patients who will need a Depo-Medrone injection an extra consultation fee of £100 might incur. There is also a 5% chance that you will require a small revision this will incur a fee of approximately £350.00-£550.00 to cover hospital costs.