What is Oculoplastic Surgery?


The term oculoplastic surgery (sometimes called ophthalmic plastic reconstructive surgery or oculofacial surgery) describes the specialised branch of plastic surgery of the facial structures around the eye and includes both reconstructive and cosmetic (aesthetic) surgery.




Eyes, Eyelids, Face and almost nothing else!

Oculoplastic surgeons are specifically trained in both ophthalmology (eye surgery) and plastic surgery for the eyelid region of the face. They therefore become expert with eye conditions and their management. Unlike general plastic surgeons, oculoplastic surgeons do not offer surgery on any other parts of the body e.g. breast augmentation.

Since oculoplastic surgeons only deal with problems of this area, they treat the largest number of cases in this region and are therefore the most familiar with the specialised anatomy and physiology of the eyelid region and its relationship to the eye.

It is because of this expertise that oculoplastic surgeons are therefore referred complex cases e.g. failed/unsuccessful previous surgery, revisional blepharoplasties by other surgeons both in the NHS and in private practice.

Mr Cheung is a member of the British Oculoplastic Surgeons Society
(www.bopss.co.uk), a fellow of the Royal College of Ophthalmologists (www.rcophth.ac.uk), a fellow of the Royal College of Surgeons of Edinburgh (www.rcsed.ac.uk) and a member of the American Academy of Ophthalmologists (www.aao.org).

Mr Cheung strictly adheres to the
recommendations of the General Medical Council on cosmetic surgery



  • Complex simultaneous eyelid elevation and lower surgery

    Before complex simultaneous eyelid elevation and lower surgery: Her right eyelid is low from damaged tendon from contact lens wear. Her left upper eyelid is high from tendon scarring from thyroid eye disease

  • 1 week following surgery

    1 week following complex upper eyelid oculoplastic surgery: Consisting of blepharoplasty surgery to both upper eyelids to tidy up any excess skin, elevation of the right upper eyelid (ptosis correction surgery) with left upper lid lower surgery (levator recession)

  • 6 weeks following surgery

    6 weeks following surgery. The patient was over the moon. Her eyelids now show perfect symmetry, contour and height



  • Simultaneous ptosis and cicatricial ectropion correction

    Before complex simultaneous ptosis and cicatricial ectropion correction. Note this gentleman has a droopy upper eyelid (ptosis) and out turning (ectropion) on his same left side. His left upper eyelid is low due to age related stretching of the main tendon. His out turning lower eyelid was due to skin tightness which would therefore require either a flap of skin or skin graft to relieve the tightness. The tightness of the lower lid skin was due to age related descent of the cheek (cicatricial ectropion)

  • 5 days following surgery

    5 days following surgery: The upper eyelid tendon has been repaired and tightened therefore lifting up the upper eyelid (ptosis correction). A flap of excess skin has been moved from the upper eyelid into the lower eyelid thus relieving the lower lid tightness

  • 6 weeks following surgery

    6 weeks following surgery. All the swelling has resolved. The patient was very happy. Both the upper lid ptosis and the lower lid ectropion have been corrected



Functional oculoplastic surgery vs. cosmetic/aesthetic oculoplastic surgery
Most patients who undergo oculoplastic surgery under the NHS (or under private insurance schemes) undergo what is is known as functional or reconstructive oculoplastic surgery, for example for droopy eyelids, watery eyes, eyelid cancers. This is because these conditions are considered important and debilitating enough that the Department of Health considers that their treatment should be covered by the NHS and should therefore be free at the point of treatment.

As our society continues to live longer and longer due to a combination of better healthcare, nutrition and lifestyle; increasingly both men and women of all ages are seeing their appearance as an important factor in how they feel about themselves. Nowadays, it is common for people to feel younger and more active than their parents or grandparents did at the same age. For many people, the decision to have cosmetic surgery is a natural choice to improve their quality of life. Most surgery which is considered purely cosmetic is not covered by the NHS or by private insurance schemes and is self funded by the patient. However they see the costs as a worthwhile and lasting investment which continues to contribute to their happiness and psychological well being.

Most cosmetic oculoplastic surgery is termed rejuvenation surgery i.e to reverse/delay the changes due to ageing.

As with most cosmetic surgery, this surgery is not absolutely necessary to your health and should therefore be considered very carefully before embarking on it. Mr Cheung strictly adheres to and recommends the
advice of the British Oculoplastic Surgery Society on cosmetic surgery and the General Medical Council
If you are considering cosmetic plastic surgery, you should examine your own reasons very carefully first. You should develop realistic expectations of what to expect and decide in your own mind what changes you wish your surgeon to perform. Before embarking on surgery, your surgeon should be sympathetic and understanding to your wishes but also advise you on what can be realistically, and more importantly safely, achieved.

Cosmetic surgery by itself is not a panacea for major life problems or interpersonal relationship issues. However if performed well, successful cosmetic plastic surgery, by improving your appearance and how you see yourself, can often boost both your self esteem and confidence.

For further information on how to choose your oculoplastic surgeon, visit
www.bopss.co.uk.

In 2004, the different UK Royal colleges/societies, which represent the different specialities of surgeons who offer cosmetic surgery, jointly drafted recommendations to help their patients. To download their recommendations
click here
The Department of Health website also has very useful pages for patients considering cosmetic surgery click here
Although It is not imperative to ask your GP to refer you to Mr Cheung, on the whole it is often beneficial since your GP will often be able to provide a lot of important medical information in the referral letter. Often after discussing with your GP first, will be quite comfortable about referring you to Mr Cheung or another Ophthalmic and Oculoplastic Surgeon who is registered on the Specialist List of the UK General Medical Council. The General Medical Council recommends that your GP should be kept informed of all medical treatment that you undergo, and Mr Cheung will abide by this guideline.
The goals of surgery should always be determined jointly between you and your surgeon. It is very important to make clear your requirements at the time of your consultation.

Bad plastic surgery is easily recognisable. Instead of enhancing the features it invariably detracts from them. Furthermore, poorly performed plastic surgery in the eyelid region can also prove a threat to the health of the eye and eyesight.

Well performed oculoplastic surgery should be safe for the eye and is often subtly enhancing. Patients commonly report following surgery that their work colleagues still do not know that they have had any surgery done but ask if they have been holiday as they look refreshed in some way.

Oculoplastic surgeons perform a similar range of eyelid procedures, including blepharoplasty and brow lift both in the NHS and in private practice and are recognised accordingly as specialists in surgery in the eyelid region of the face. It is for this reason that they are referred patients, who have had unsatisfactory surgery elsewhere, for revisional work.
Unlike many clinics elsewhere, once you attend for a consultation with Mr Cheung and agree to proceed with a specific treatment, rest assured that your treatment will be carried out by Mr Cheung only. He will however on occasion, have junior surgeons in-training assisting him during your treatment.
Firstly, common to all surgical procedures is an inherent risk of complications despite the highest standard of care and expertise. The majority of complications are either uncommon (less than 5% of cases) or rare (less than 1% of cases). However, it is important that before you agree to undergo any surgery or treatment that you ask about and fully understand the risks and side-effects of the procedure. As a surgeon of good standing, Mr Cheung will always go through the potential risks with you prior to any treatment.
Procedures vary greatly in complexity and the fees reflect this. Each patient is different and the treatment offered is bespoke for that patient. It is for this reason that many fees are not given in this website but you will be informed of all costs prior to your surgery. Mr Cheung's fees are in line with equivalent providers. Full payment will be due and payable before the day of your treatment or surgery.


Private Patient Appointments



Mr Cheung sees self funding patients and patients with private medical insurance at The Edgbaston Hospital, The Westbourne Centre & The West Midlands Hospital.


The BMI Edgbaston Hospital, Birmingham Website / Location
22 Somerset Road
Edgbaston
Birmingham
B15 2QQ
Tel: 0121 456 2000

Appointments: 0121 4522810
Clinics held on Wednesday mornings




The Westbourne Centre, Birmingham Website / Location
53 Church Road,
Edgbaston,
Birmingham
B15 3SJ
Tel: 0121 456 0880

Appointments: 0121 456 0880
Clinics held on Saturday mornings




The West Midlands Hospital, Halesowen Website / Location
Colman Hill
Halesowen
West Midlands
B63 2AH
Tel: 0138 456 0123

Appointments: 01384 632607 & 07384 4253011
Clinics held on Thursday mornings




Forthcoming clinics for Mr Cheung



Frequently Asked Questions

  • - Probably about 70% of Mr Cheung’s patients live outside the West Midlands area. Indeed about 20% live abroad.
  • - Mr Cheung often sees patients with quite complex eyelid problems e.g. patients requesting revisional eyelid surgery, patients wanting bespoke cosmetic eyelid surgery. Thus many patients come quite a distance to see him, rather than a general ophthalmologist or general plastic surgeon.

Mr Cheung runs regular clinics for consultation on:
  • - Wednesday mornings (8.30am-12.30pm) at the BMI Edgbaston hospital in central Birmingham. Telephone: 0121 452 2810.
  • - Thursday mornings (8.30am -12.00pm) at the West Midlands Hospital in Halesowen, B63 2AH. Telephone: 01384 632607 and 07384 253011
  • - Saturday mornings (8.30am - 12.30pm) at the Westbourne Centre in Central Birmingham 0121 456 0880
Most patients living outside Birmingham prefer to see Mr Cheung at the BMI Edgbaston hospital due to its central convenient location. It is approximately 10mins by taxi from Birmingham New Street Train station and 45 minutes taxi from Birmingham International Airport. Currently 30% of Mr Cheung’s patients are from London: many of whom commute for their morning appointments by train, to arrive back home just around lunchtime.
Patients attending for eyelid problems rarely need to have dilating drops instilled during their consultation and are therefore fine to drive.
  • - Look at the calendar above to find a suitable appointment date

Mr Cheung runs regular clinics for consultation on:
  • - Wednesday mornings (8.30am-12.30pm) at the BMI Edgbaston hospital in central Birmingham. Telephone: 0121 452 2810. Website
  • - Thursday mornings (8.30am-12.00pm) at the West Midlands Hospital in Halesowen, B63 2AH. Telephone numbers: 01384 632607 and 07384 253011 Website
  • - Saturday mornings (8.30am- 12.30pm) at the Westbourne Centre, Birmingham. Telephone 0121 456 0880 Website

  • - Ring the clinic on the phone numbers above to arrange the appointment to suit you. You may be asked to leave a voicemail message since the clinics can be very very busy.
  • - Please bear in mind that rush hour traffic congestion can be severe especially during school term time in central Birmingham and if necessary allocate additional travelling time for this.
  • - If you have any difficulty booking an appointment, then please feel free to email Mr Cheung directly:
  • - Mr Cheung’s operating lists of usually in the morning. Patients commonly arrive for 7.45- 8am, undergo their surgery and are going home by lunchtime. Most patients are usually back home by mid afternoon.
  • - Less commonly patients book a hotel nearby for the night before and night of the actual operation. This is usually for convenience’s sake so that the commute is less rushed but Mr Cheung is quite happy for patients to commute back and forth on the day of their surgery.

Local Anaesthetic Surgery
Most patients undergo their surgery under local anaesthetic due to its lower costs and convenience. Patients often commute by public transport or are driven to the hospital by friends or family. For some smaller procedures Mr Cheung is happy for the patient themselves to drive and attend accompanied.

Twilight Sedation Surgery
Patients can request for an anaesthetist at extra cost to be present during the operation to administer sedation. Following intravenous sedation though, patients may have slightly slower reactions and are therefore advised not to drive nor operate machinery for 24 hours afterwards. They should attend hospital for their operation accompanied by a friend or family and can commute by public transport or be driven by car.
  • - Mr Cheung is able to offer consultation and outpatient minor operations/ filler work at the same attendance. However this needs to be prearranged and Mr Cheung would therefore prefer the patient contact him beforehand so that it can be organised.
  • - For most operations, including all those which need to be performed in an operating theatre, Mr Cheung is unable to offer same day consultation and surgery. Like most reputable hospital facilities, the hospitals at which Mr Cheung operates insist on a ‘cool down’ period of at least 10 days to allow the patient to fully consider the consequences, risks and benefits of any discussed surgery. If you do have a specific date in mind for your consultation and surgery, then please feel free to email Mr Cheung directly to discuss further.
  • Patients undergoing minor procedures sometimes do not need to be seen again following their procedure.
  • However most patients undergoing more extensive operations e.g. double eyelid surgery, blepharoplasty surgery, cosmetic eyelid surgery, are usually seen at 1-2 weeks afterwards. Stitches are often removed at the appointment.
  • Most patients are then seen again at 3-6 months following their procedure just as a final check up. However many patients from outside the West Midlands are quite happy to cancel this final outpatient appointment and email Mr Cheung to reassure that everything is fine.
Consultation costs vary depending on the type and complexity of the patient’s condition.



SELF FUNDING PATIENTS WHO WISH TO ATTEND FOR COSMETIC PROBLEMS
  • For most patients, initial consultations typically cost £100 and are payable on the day and any follow up consultations e.g. following surgery, are typically free.
  • However for patients with more complex cosmetic problems e.g. for patients requesting a second opinion following surgery performed by another surgeon, the initial consultation cost is £250.



SELF FUNDING PATIENTS WHO WISH TO ATTEND FOR FUNCTIONAL PROBLEMS
  • Initial consultation appointments cost £160.
  • There may be additional costs for diagnostic procedures performed in clinic and Mr Cheung will inform the patient fully about these before performing any tests.
  • Follow up consultation appointments are typically free.



PATIENTS WITH PRIVATE MEDICAL INSURANCE WHO WISH TO ATTEND FOR FUNCTIONAL PROBLEMS
  • Mr Cheung will charge your medical insurer £250 per consultation for both initial and follow up appointments.
  • Please ensure that you know the claims excess on your insurance policy as this is typically collected from the patient at the initial consultation.
  • Mr Cheung is a recognised provider for all major health insurance companies e.g. BUPA, AXA/ PPP, PruHealth, Aviva, WPA, Simply Health, PHS/ PoliceHealthcare etc but is NOT a ‘fee-assured’ provider. This is because he believes in an individual patient’s freedom of choice to see whichever consultant he/ she wishes. Click here for further information from the Federation of Independent Practitioner Organisations (FIPO). Please ensure that any costs have been preauthorised by your health insurer before booking an appointment as any shortfalls will be charged to the patient directly.







Mr Cheung's PA for private patients
Mrs Elizabeth Carter
Tel: 01384 632636
Email:

For technical questions relating to surgery and advice, Mr Cheung would be grateful if you would kindly direct any queries via email to him directly via: