Why does Renée Zellweger
look so different?
This is a very topical question;
this is a question that many
patients have been asking me
about, and it’s a question that,
you know, if you’ve been
following some of the media.
Its diffi, difficult not to
have come across some articles
or photographs about Renée, and
how she looks to have changed
over the past few years and some
articles have even gone so far
as to propose she’s had quite
radical plastic surgery that
has caused this change,
well what actually is different?
Well, when you look at some
of Renée’s older photographs,
when she was in movies
such as Bridget Jones's Diary,
she had a very full upper eyelid
relatively low eyebrows.
And the distance between her
upper eyelid and her eyebrows
is relatively small,
and in a lot of photographs,
it’s actually difficult to see
her upper eyelid as a result.
And this is a very
characteristic feature of her eyelids
and really when you
look at people’s eyelids,
everyone’s eyelids
are relatively unique, 
and so when considering
having surgery,
one needs to look at
those characteristics to ensure that 
there’s a natural result
after the surgery, 
more recent photographs
of Renée show that 
she has a more open eyelid,
her eyes are more open.
You can see more of her eye
and there’s more,
you’re able to see
more of her upper eye lid, 
which was never the case,
in photos when she was younger.
And this difference
is quite a change, 
and us as human beings,
well, we can see 
a difference of less than 1 millimetre
between a person’s
right and left eye, 
and all of us use eyes 
n terms of communication,
whether it’s social,
whether it’s professional, 
we look at each other’s eyes.
And even a very subtle
difference is very noticeable.
And so, having a change
after surgery 
that is a change
in a person’s appearance 
is something that
we are able to readily see, 
and that can make someone
look like they’ve had plastic surgery, 
So, why has this happened?
Well, with blepharoplasty,
there’s a lot of intricacy
in the anatomy
intricacy in the detail 
in terms of surgical technique, 
and it looks like Renée
has had upper blepharoplasty 
where an excessive amount
of soft tissue 
has been removed
from her upper eyelid.
This has resulted in more of
the upper lid being seen.
And certainly in terms of surgery
this is something that
um, is something
potentially avoidable 
if the necessary precautions are taken, 
and I specialize in facial cosmetic
and facial plastic surgery, 
and blepharoplasty is the
commonest surgery that I perform, 
and with every patient,
I look at their unique characteristics
of their eyelids
when they were younger 
an with surgery,
I recreate that youthful appearance 
without changing
a person’s appearance.
And this requires
attention to detail 
and performing relatively
conservative surgery 
to avoid a change
in a person’s appearance.
And so what can be
done about this?
Well, in terms of restoring
fullness and volume 
to the upper eyelid, we’re talking
about revision blepharoplasty 
and revision blepharoplasty
is a common procedure that I perform.
Over 20% of all the eyelid
surgery I do is revision surgery
on patients who’ve had
surgery elsewhere, however,
putting volume into the
upper eyelid, volume augmentation,
whether that’s through
fat transfer through other
nonsurgical techniques
is a challenging procedure
and requires a great deal
of technical skill, 
it’s very difficult to recreate
this natural appearance 
once soft tissue has been removed.
And so, although things
can be improved,
the best is to avoid
the situation in the first place
and if you’re thinking about having
blepharoplasty or eyelid surgery,
I would encourage you to do
a certain amount of research 
in order to identify
the best surgeon for you,
And I have recorded 
 a separate video 
that gives you some points and tips 
on how to find that person
who is the right person for you.
I hope you find
this information useful, 
and if you have, I would be grateful
if you can give me a thumbs up,
so I can record future videos,
and thank you for watching.
