Dr Haertsch has performed scores of blepharoplasties, both upper and lower, and with respect to the lower lid reduction performs the Hamra technique.  Sam Hamra is from Dallas, Texas and he has visited Dr Hamra on several occasions and his technique of lower lid reduction is attended by less tendency for the eyes to be 'hollow'.

Our eyes are the first thing that people relate to, but unfortunately eyes are the first things which show the signs of ageing in both men and women. Blepharoplasty is the medical term for eyelid surgery, a simple and safe procedure which can dramatically decrease visible signs of ageing. Skin on both upper and lower lids can be reduced to produce a more youthful look. It is performed under a general anaesthetic and you are in hospital for the day only. We advise patients to take it easy for 2-3 days to allow recovery and reduce the chance of bleeding. Sutures are removed usually 4-5 days following surgery, and most patients feel that they can return to work then. Full activity can be resumed after 2 weeks.

Lower eyelid blepharoplasty addresses puffy lower eyelid "bags" and reduces the wrinkling of skin. Blepharoplasty can also treat a loss of peripheral vision caused by skin protruding over the eyelashes. Without surgery, vision is limited during activities such as driving or reading.

'Asian blepharoplasty'

The 'Asian blepharoplasty' or double eyelid surgery is a special type of blepharoplasty that creates a crease in the upper eyelid . Benefits of a double eyelid crease include the impression of a larger appearing eyelid opening and among women, making it easier to apply their eye makeup. The natural eye shape is maintained so that the final look is as natural as possible.

'Almond eye blepharoplasty'

Almond shaped eyes are used to describe two different shapes in the cosmetic and make up industry. Generally, it refers to eyes that are turned slightly upwards in the outer corners. This can be part of a classic 'oval' eye, such as in Angelina Jolie or Penelope Cruz or as part of a narrow, elongated shaped eye such as in Natalie Portman or Lucy Liu. An almond shape in and of itself is neither desirable or not desirable and needs to be considered in the overall appearance of the rest of the eye area.

Of all facial cosmetic surgery performed, blepharoplasty is the most common procedure chosen by men. The reasons are clear. Baggy eyelids not only make one appear older, they can make you appear exhausted. Whilst our society is kinder to men with respect to ageing, it can be very hard on the executive who appears exhausted because of his or her 'bags'. Men who choose blepharoplasty frequently give this as their reason.