Oculoplastic Surgery 

Oculoplastic surgeons are trained eye doctors, who understand the complexity of the eye and can carry out both medical and cosmetic surgery on the eye and eyelids. Typical surgery performed by oculoplastic surgeons includes the removal of eyelid lumps and cysts, the repair of eyelid complications, such as where the eyelid turns in or out (entropion and ectropion) or droops (ptosis corrections) and eyelid reshaping (blepharoplasty).

Robert Dapling, Shropshire’s leading private oculoplastics surgeon with over 20 years of experience, runs a dedicated oculoplastic service at St. Michael’s Clinic. He was previously a NHS consultant at Shrewsbury and Telford Hospitals NHS Trust before retiring from NHS practice. Robert offers weekly clinics and surgical lists at St. Michael’s Clinic, specialising in eyelid surgery. Robert is also available to consult on other conditions of the eye including cataracts, glaucoma, tear drainage and eyelid problems.

During your consultation at St. Michael’s Clinic, your condition will be assessed and the most appropriate treatment option discussed with you. If you are having surgery, you will be provided all the information required and have the opportunity to ask any questions you may have.

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Blepharoplasty

As you get older, your skin becomes less elastic and gravity can cause it to sag. Skin sagging around the eyes can be ageing and affect a person’s confidence. A blepharoplasty, or eyelid surgery, is a cosmetic operation to tighten the skin and soft tissues of your eyelids, resulting in a more youthful look.

A blepharoplasty is a relatively short cosmetic procedure, taking around one hour to complete and usually performed under a local anaesthetic. A small cut is made along the natural crease of the eyelid, excess skin and fat is removed and then the cut is closed using very fine stitches. You will be able to return home shortly after the operation and are likely to experience some swelling and bruising in the days following your eyelid surgery. You will be required to return back to the clinic after 7 days to have your stitches removed and the results assessed by your oculoplastic surgeon. You should be able to return back to normal activities a week or two following the eyelid surgery and high impact exercise is not advised for the first month post surgery.

You will be able to see the final results of the eyelid surgery a few months after the operation once all swelling has gone and the wound is fully healed. It is very unlikely you will need another eyelid surgery, with results lasting for 5 to 10 years and in some cases the improvements are permanent. It is important to note that naturally the face will continue to age over time, but the effects of eyelid surgery will make you appear younger than if you had not had the procedure.

Eyelid Lumps and Cysts

An eyelid cyst is a common condition, often called a chalazion or meibomian cyst, is a small lump in the eyelid that contains fluid. This cyst is caused by a blockage in the meibomian gland, which is located in the eyelid, and becomes inflamed or infected which can lead to swelling. The cyst can cause mild pain or irritation and appear red and inflamed. In some cases the cyst may be large enough to block an area of your vision or press on the eyeball causing blurred vision. If other treatments aimed at reducing the inflammation have not worked, a cyst can be removed by a small incision and curettage operation under local anaesthetic, which involves making a small cut to the cyst and then draining out its contents.

Malpositions of the eyelid

Eyelid malposition is a condition where the eyelid is not positioned against the eyeball in the way it should be. Not only a cosmetic problem, this condition can sometimes cause pain and redness of the eyeball, blurry vision and in some cases damage to the cornea. The malposition of the eyelid can take on many different forms. The eyelid can turn outwards (ectropion), turn inwards (entropion) or droop over the eyeball (ptosis). In most cases, this condition is associated with ageing, and typically occurs because the skin and muscles of the eyelids stretch as you age. There are a small number of cases where these malpositions of the eyelid can occur due to trauma or due to another illness. Malpositions of the eyelid can be treated using surgery, often performed under local anaesthetic.

Mr R Dapling 

FRCS (Ed). FRCS Ophth, MB BS

Robert Dapling qualified in medicine at Westminster Medical School, London in 1982. After postgraduate basic surgical training in the West Midlands, he completed his training in ophthalmology in Sheffield. Further subspecialty training in oculoplastic and lacrimal surgery at Nottingham followed this.

He has over 25 years of experience in small incision cataract surgery and extensive experience in oculoplastic surgery treating both functional and cosmetic conditions affecting the eyelids and upper face. He offers a complete service in the management of lacrimal drainage system disorders.

Membership of Professional Organisations:

  • General Medical Council
  • Royal College of Ophthalmologists
  • Royal British Oculoplastic Surgery Society
  • Royal College of Physicians and Surgeons of Glasgow
  • European Society of Ophthalmic Plastic and Reconstructive Surgery
  • Royal College of Surgeons of Edinburgh

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