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SEN SURGICAL

I specialise in Ophthalmic Plastic Surgery, using my extensive  anatomical knowledge and surgical skills to cure skin cancer, restore tear drainage and correct eyelid malpositions, which often result in cosmetic distress, discomfort or vision loss.

Ultra professional, but so welcoming, I was immediately at my ease. I'm so very glad I overcame my reluctance to have the surgical procedure because the result has been so good, I wish I hadn't waited so long. I highly recommend this practice - Jacqueline
Julia provided exceptional care and warmth to treating and dealing with people that inspires confidence. I would recommend here to anyone in a heartbeat. Aside from her obvious medical skills she treats the whole person and has made a difficult time for me far more bearable - Andrea
Julia and her team were welcoming, reassuring and calming and I felt totally at ease from start to finish. Thank you for everything you have done for me and for the caring and reassuring manner in which you and your team have conducted themselves - David
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Blepharoplasty

Upper eyelid blepharoplasty is a procedure where redundant skin is removed to rejuvenate the appearance of the eyelids upper lids. There may also be visual benefits if overhanging skin obscures the upper part of the field of vision.

 

Lower eyelid blepharoplasty surgery improves the appearance of the lower lid area lid/cheek junction or “tear trough” eliminating eye “bags” and/or redundant skin from the lower eyelids. Blepharoplasty procedures are usually performed as a day case procedure under local or general anaesthetic.

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Basal Cell Carcinoma

Basal Cell Carcinoma is almost always curable if treated in a timely fashion. Surgical removal is usually recommended. If the BCC is large, recurrent after previous treatment or situated in a functionally or cosmetically sensitive area such as the eyelids, specialist Mohs Micrographic surgery may be indicated.

 

Other treatment modalities include radiotherapy, cryotherapy and photodynamic therapy and chemotherapy creams but these are not usually recommended around the eye because of potential damage to the eye and/or eyelid structures.

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Chalazion

A chalazion is a cyst within the Meibomian gland (specialist oil glands) in the eyelid. These occur when the opening of a gland becomes blocked and secretions are retained in a palpable, firm lump.

Occasionally a chalazion can leak into the surrounding tissues, provoking an intense inflammatory response (cellulitis). This causes redness and swelling of the eyelid and surrounding area. Chalazion surgery (incision and curettage) is a minor operation carried out under local anaesthetic in the clinic. Following the procedure, warm compresses and massage should be continued to prevent recurrence.

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Ptosis

Ptosis is where the upper lid position is lower on one or both sides, associated with trauma, contact lens wear, allergic conjunctivitis, certain medical conditions and age. It can restrict the field of vision and worsen during the day and is most troublesome in the evening.
 
Treatment options include: If a treatable medical cause is excluded, correction of ptosis under local anaesthetic as a day case. The muscle responsible for lifting the upper lid is identified and tightened. Skin redundancy may be more pronounced once the lid has been lifted and can be removed at the same time.

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Xanthelasmata

Xanthelasmata are flat, yellowish lesions consisting of fatty deposits within the skin of the eyelids. They most commonly affect the innermost aspects of the eyelids. They can occur in adults of any age, although peak between 50 and 60. Woman are affected more commonly than men. Xanthelasmata are not harmful and do not cause symptoms other than their cosmetic appearance.

Treatment options include: Surgical excision, chemical peel, laser, radiofrequency, plasma and cryotherapy. Recurrence rates are reported in approximately 50% of cases. Retreatment is usually possible if this should be the case.

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Milia are small pale whitish-yellow cysts which form under the skin. They most frequently occur on the eyelids and the cysts contain keratin. Milia are not painful or itchy unless irritated by scratching. They may appear spontaneously or secondary to burns (including sunburn), skin resurfacing treatments, topical application of steroids and some petrolatum products and blistering disorders of the skin. They are not harmful but may be a cosmetic concern.

Treatment options include: Topical vitamin A (Retinoids), deroofing using a sterile needle, chemical peels, laser ablation, diathermy (heat treatment) and cryotherapy.

Milia

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Ectropion

An ectropion is where the lower eyelid is everted, turning away from the eye resulting in watering. Because the tear duct is not able to collect tears the eye may become dry, red and irritable. It is most commonly caused by advancing age and also as a result of facial nerve trauma or compression (Bell’s palsy) and scarring from eczema or trauma.

Treatment options include: If mild, no treatment is necessary. If the eye becomes problematic, the eyelid can be repositioned. This requires an operation, usually performed under a local anaesthetic as a day case and takes less than one hour. Although in cases of scarring or facial nerve palsy this may take longer.

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Entropion

A common condition where the lower eyelid rotates inwards causing the eyelashes, causing irritation, redness, watering and stickiness. It is usually the result of laxity of the eyelid, more common in later life, and also be associated with certain medical conditions such as obstructive sleep apnoea. It is also possible for the upper eyelid to rotate inwards resulting in similar symptoms.

Surgical treatment is usually necessary, although temporary relief of up to three months can be achieved with botulinum toxin. Surgical correction involves tightening and reorientation, usually performed under local anaesthetic as a day case procedure.

Papilloma

A benign (non-cancerous) tumour which takes the shape of a tag, finger or frond. Papillomata arising from the skin are the same colour as the surrounding skin, are painless, grow slowly and rarely bleed but often itch. Rubbing a lesion in response may help it spread to the local area or to others, as they are caused by the human papilloma virus and therefore contagious. They are not harmful but can be a cosmetic concern andd can occasionally obstruct the vision.

Treatment options include excision (preferred method to avoid damage to adjacent structures), cautery, laser surgery, cryotherapy and liquid nitrogen.

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07939 286850

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