Plastic Surgery, through science.
Evidence-based information about plastic, reconstructive and aesthetic surgery, written for patients.
I use this space to answer questions that frequently come up during consultations, explain the anatomy and reasoning behind different procedures, and look critically at some of the treatments and trends in aesthetic medicine.
The aim is simple: to help patients understand what a treatment can realistically achieve, what the evidence actually supports, and where its limitations are.
Why I Rarely Use Hyaluronic Acid Filler in the Tear Trough
Tear trough filler can initially smooth the hollow between the eyelid and cheek, but the under-eye is one of the least forgiving areas to inject. I explain the anatomy behind persistent puffiness, malar edema, filler migration and long-term HA persistence—and why I often prefer microfat grafting or fat-transposition blepharoplasty.
Why You May Need a Brow Lift Instead of an Upper Blepharoplasty
Many patients believe they need an upper blepharoplasty because they have "too much eyelid skin." In reality, a drooping brow can create the same appearance. Understanding whether the heaviness comes from the brow, the eyelid, or both is essential to choosing the right procedure and achieving a natural result.
Eyelid Revision Surgery - Managing Unintended Consequences
Eyelid revision surgery requires precision and restraint. From hollow eyes and ectropion to brow ptosis, revision blepharoplasty addresses complications from previous eyelid surgery with a tailored, anatomy-respecting approach.
Upper Blepharoplasty or Eyelid Ptosis Surgery: How to tell which you Need
Blepharoplasty removes excess eyelid skin, while ptosis surgery lifts a drooping lid margin. In some cases, both can be done together for full correction.
Oculoplastic Surgery: A Plastic Surgeon's Perspective
Oculoplastic surgery from a plastic surgeon’s perspective is a specialized field of ophthalmology and plastic surgery that focuses on the surgical treatment of conditions affecting the eyelids