Not everyone seeking this type of surgery is an acceptable candidate. I turn down people with serious uncontrolled disease, those who are too obese, those who I think have unrealistic expectations or improper motivation.
    Such surgery turns back the clock but it does not stop it. No operation can permanently prevent aging; but the individual never appears as old as she or he might if the operation had not been done.
    You must be willing to accept the temporary swelling and discoloration which occurs to a varying degree following such operations. Though usually visually disconcerting, it is seldom painful, and most people feel it is a negligible inconvenience to pay for the physical and psychological improvement they experience.
    As following all surgery, there will be scars, but these will be hidden in the hair or placed in natural facial folds or lines so that they eventually become inconspicuous or virtually invisible; at any rate, they may be adequately camouflaged with cosmetics and hairstyling soon after the operation. No matter how meticulously the surgery is performed, the quality of the scar can never be fully anticipated as it varies with the metabolism of healing peculiar to each individual patient and different with each region of the body. The much feared scar, called keloid, is extremely rare on the face and unheard of on the eyelid. Should poor scarring occur, minor revision under local anaesthetic six to eight months later, is carried out in anticipation of improvement.
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