Dr Laurence Kirwan’s biography published on WIKIPEDIA gives an overview of his professional achievements and personal ethics.
Definition: The removal of skin and fat from the upper eyelid and removal of fat and laser resurfacing of the lower eyelid to remove fine lines and wrinkles, says Kirwan.
Age: 30 plus.
Dr. Laurence Kirwan explains that most people benefit from eyelid surgery from the middle to late thirties and beyond. However some people have family traits of excess skin in the upper eyelids and bags under the eyes. They will often benefit from surgery in their early 30’s or even in their 20’s.
Surgical technique: Eye-lifting removes fat and extra skin from the upper eyelids. The corrugator muscle, which causes frown lines, can be removed through the same eyelid incision taking away that angry look, says Laurence Kirwan .
The lower eyelid fat is removed through the inside of the lower eyelid and the skin is smoothed with a laser. In patients with excessive skin of the lower eyelid or who may not be suitable for laser resurfacing, Prof. Laurence Kirwan says that an external incision is made and skin is removed.
Philosophy: Do you look tired after a good night’s sleep? asks Dr. Laurence Kirwan. Eyes are the windows of the soul. People see you through your eyes. If your eyes look tired, they will distract from the rest of the face. That is why a facelift should be done with eyelift surgery if they have not been previously corrected, says Kirwan.
Surgical time and recovery with Prof. Laurence Kirwan: Surgery takes about an hour. Stitches are out at 3-4 days. The patient can go back to work within the week.
Related procedures: Don’t confuse this operation with a browlift that is often combined with an eyelift. The lower eyelid may also be tightened at the outer corner. This prevents drooping of the lower eyelid and gives a more youthful appearance, says Kirwan
Prof. Laurence Kirwan browlift procedure:
Definition: Lifting the eyebrows with improvement of frown lines and horizontal lines of the forehead, says Kirwan.
Age: Usually 35 and beyond.
Surgical technique: Dr. Laurence Kirwan explains the elevation of the eyebrows, removing the frown muscles and smoothing the horizontal lines in the forehead. It can be done at the same time as laser resurfacing to erase the deeper wrinkles.
Surgery may be performed with an endoscope (small telescope) – see Endotine Brow Lift section below – through small scalp incisions or using an open technique with an incision hidden behind the hairline, says Kirwan.
The open technique is useful if horizontal lines in the forehead require correction or if there is severe drooping of the eyebrows. The endoscopic technique is useful for the younger patient and those with thin hair.
Laurence Kirwan‘s philosophy: A natural but not surprised look.
Surgical time and recovery: Surgery takes an hour. Stitches or staples are removed in 9 days. Swelling is resolved after about one week. The patient can go back to work in 7-10 days, says Dr. Laurence Kirwan.
Related procedures: None.
Pro. Laurence Kirwan for Control of Fixation in Open and Endoscopic Brow Procedures:
Soft tissue fixation remains the least controllable and least predictable part of the forehead lift procedure. Until now, only suture based and percutaneous screw fixation techniques were available, often with frustrating results says Dr. Kirwan.
For Dr. Laurence Kirwan, the ENDOTINE Forehead offers a novel and effective solution for fixation of the scalp tissue, addressing a primary challenge of the forehead lift procedure. The ENDOTINE Forehead features sutureless MultiPoint Technology (MPT™), a breakthrough platform technology designed to facilitate facial aesthetic procedures, reduce operating time and improve surgical outcomes.
The device’s unique design provides multiple points of contact with the suspended tissue, distributing tension to maximize fixation strength.
Fast The ENDOTINE Forehead allows fixation times approaching less than one minute per side in the hands of experienced clinicians, says Prof. Kirwan.
Designed for Simplicity and Predictability
The ENDOTINE Forehead is designed for optimal control of brow height and shape.
Benefits for Endoscopic and Coronal Application
Sutureless Fixation Rapid deployment and prevention of tissue strangulation.
Multiple Tines High structural integrity and balanced distribution of tension.
Bioabsorbable Co-Polymer Unlike metallic screws, this device does not need to be removed, says Kirwan.
Additional Benefits for Coronal Application
Tension Free Closure The absence of tension on the scalp closure minimizes scar widening and hypertrophy.
Reduced Scalp Excision Fixation from the ENDOTINE Forehead devices reduces the need to excise hair bearing scalp in order to suspend the forehead.
Dr. Laurence Kirwan consideres that minimal Alopecia Reduced tension on the scalp closure minimizes damage to hair follicles and resulting alopecia.
ENDOTINE MultiPoint Fixation
Stress concentration is much higher for single point than for multiple point fixation devices.
High concentrations of stress cause soft-tissue to deform, hair follicle loss and failures of fixation that may be the cause of forehead re-descent and undesirable results. The ENDOTINE Forehead is designed to distribute tension allowing more stable tissue shape, less distortion, and the prevention of high concentrations of stress, says Dr. Kirwan.
Dr. Laurence Kirwan in the press:
Dr. Laurence Kirwan personal pages and blogs:
Dr. Laurence Kirwan webprofiles:
Laurence Kirwan, MD, FRCS, FACS, a Board Certified Plastic Surgeon, specializes in Aesthetic Plastic Surgery of the face, breast and body.Professor Kirwan was born in Liverpool and graduated from the Victoria University of Manchester. He is a Fellow of the Royal College of Surgeons of England. He also trained in General Surgery at Columbia Presbyterian Medical Center in New York. Dr. Laurence Kirwan training in Plastic Surgery was undertaken in University of Missouri, Kansas City, and in Hand Surgery at the University of Colorado in Denver. He has a Plastic Surgery practice in Manhattan Park Avenue, New York and Norwalk Connecticut in the United States (USA) and in Harley Street London, England, UK (United Kingdom). He is certified by the American Board of Plastic Surgery (ASPS). Prof. Laurence Kirwan has been in private practice in the United States in Connecticut and New York since 1987. He has practiced in the United Kingdom since 1998. He is a Clinical Instructor for the Aesthetic Surgery Fellowship at New York Eye & Ear Infirmary, where he is a Member of the Plastic and Reconstructive Surgery section. In 1996 Laurence Kirwan was appointed a Professor of Aesthetic Plastic Surgery (University of Belgrade.) at the International School of Aesthetic Plastic Surgery.Dr Kirwan has been named one of the Best Plastic Surgeons in the Tatler Guide to Cosmetic Surgery in 2004, 2007,2008, 2009, 2010 and 2011. His patient, Ulrika Jonsson, a UK media celebrity and author, was featured on the cover of Hello Magazine after her breast reduction surgery by Prof. Kirwan, in 2009. The London Evening Standard has nominated him as one the 1000 Most Influential Londoners in 2008, 2009 and 2010. He is listed in Debrett’s ‘People of Today’ and was also named as one of the Top 20 Plastic Surgeons, Worldwide in the January 2006 issue of Russian Vogue.
Prof. Laurence Kirwan has published extensively in journals (Aesthetic Surgery Journal, Canadian Journal of Plastic Surgey, Reserarch Gate) ) and books related to Plastic Surgery and Hand Surgery and taught Instructional Courses and participated in Expert Panels at National and International Scientific Meetings such as the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons.
Laurence Kirwan has written several books, including The Cutting Edge,:(Artnik, 2004) ISBN 1-903906-22-9 My Mole Book – a guidebook for children, explaining what happens when stitches or a mole are removed and, My Life So Far, a biography of Ophelia Kirwan, his daughter with Down Syndrome. These are all available either through Artnik Publishers or Amazon.com. He was featured in several others such as Plastic Surgery: The Worlds’ Top Surgeons and Clinics (Beyond Black Publications, 2007) and The Goddess Guide by Gisele Scanlon (Harper Collins, 2007).
Professor Laurence Kirwan’s philosophy is never to do so much that the patient looks unnatural and never to do too little so that improvement is only in the eye of the beholder. His constant goal is to improve the aesthetics and quite simply create ageless beauty, whether it be a harmony of form or a recreation of youthful features.
Laurence Kirwan is a member of these professional organizations:
Prof. Kirwan holds these credentials:
• Diplomate of the American Board of Plastic Surgery
• Specialist Register, Plastic Surgery, Republic of Ireland
• Specialist Register, Plastic Surgery, Finland
• Fellow of the Royal College of Surgeons of England
• Fellow of the American College of Surgeons
• Professor of Plastic Surgery, International School of Aesthetic Plastic Surgery, 1996
• New York Eye and Ear Infirmary, New York, New York USA
• Norwalk Hospital, Norwalk, Connecticut USA
• Greenwich Hospital, Greenwich, Connecticut USA
• Hospital of St. John & St. Elizabeth, London, England
• London Welbeck Hospital, London, England
• Princess Grace Hospital, London, England