Mr Litwin sees patients with general eye concerns, cataracts, eyelid problems and watery or dry eyes. His full-time NHS work is in eyelid surgery making him an expert in aesthetic surgery including blepharoplasty.
For information regarding cataract surgery, please click here.
With ageing of the face comes volume loss – “hollowing”. Fat can now be removed and processed from your thighs, stomach or arms (liposculpture) and carefully placed back into your face to restore a more youthful appearance – Autologous Fat Transfer. This minimally invasive “face-lift” requires no stitches and minimal time off from your usual routine. It has a natural rejuvenating effect without the need to resort to regular injection of “Fillers”. I perform this procedure regularly in my NHS role for people who have lost facial volume through medical reasons as part of their rehabilitative surgery. This is important when you are considering who will perform your surgery.
Tired, hollow or sagging eyelids are some affect most of us at some stage in our life. Surgery can help restore a more youthful appearance.
Blepharoplasty is often combined with ptosis surgery (when a person has trouble opening their eyes wide open). It is can be performed under local anaesthetic injection alone, or combined with intravenous sedation from an Anaesthetist or under general anaesthesia (asleep). The surgery takes just over an hour, longer depending on each person’s requirements. The upper eyelid incision is kept within the eyelid crease so that no scar is usually visible once healed. Lower eyelid incisions can be either hidden on the inside of the eyelid (trans-conjunctival) or by means of a cut just below the eyelashes.
Brow descent can occur as part of the natural ageing process, or after trauma or other surgeries. A brow lift can be done either along the browline (direct) or through key hole incisions (endoscopically).
Watery eyes are at the very least annoying, but can actually be sight or life threatening in rare instances. You will need a complete assessment on your visit to my clinic and be advised how best to treat your condition. If tear duct surgery is required, I perform this almost entirely endoscopically (from within the nose), with no external (skin) incision required.
Eyelid tumours reconstruction
Eyelid malpositions – Entropion / ectropion repair
Eyelids that turn inwards (entropion) or outwards (ectropion) can cause discomfort, watery or sticky eyes.
Thyroid eye disease and Orbital decompression
Rehabilitation after facial palsy
People affected by a facial weakness often have difficulty closing their eye (lagophthalmos). This can result in dry or watery eyes, pain, breakdown of the surface of the eye, infection and even visual loss.
Evisceration or enucleation
Occasionally the best treatment for a non-seeing painful eye is removal with subsequent placement of a prosthesis.