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Reconstructive

Lester Jones Surgery

Best Lester Jones Surgery in India

Lester Jones procedure gets its name because of the Lester Jones tubes used in the technique to correct watery eyes and related tear duct problems in patients. Lester Jones Procedure involves using this Pyrex glass-made tube to be fitted inside the nasal space to clear any obstruction causing watery eyes in a patient. These tubes present better results from plastic or silicone tubes as glass attracts water naturally. Therefore, proving to be a better option for nasal space. Furthermore, the material is inert in nature and discourages infection and related issues in the area. 

 

What Is A Lester Jones Tube?

Lester Jones tubes are tiny glass tubes used to create and retain a link between the tear ducts and nasal space for the successful passage of tear fluids. This glass tube is used by the best plastic surgeons at our clinics to create a bypass route to ensure the tear passage is working smoothly to drain the tears. Lester Jones tubes are made of pyrex glass which is a highly polished and strengthened type of glass. The glass tubes vary in size depending on the age and case severity of the patient. However, generally, the size ranges about 1 cm along with about 3.5mm width approximately. 

 

What Is The Need For A Lester Jones? 

Watery eyes and inflammation in the eyes can have underlying issues with the tear drainage system. In many cases, patients are diagnosed with having excessively teary eyes because of an obstruction in their nasal space as the chief reason. Obstruction in the nasal cavity is the most prominent issue in an inflamed and watery eye, along with various other similar symptoms. Such similar symptoms can have adverse problems for a patient. Lester Jones procedure is essentially performed for patients with blocked tear ducts by inserting these glass tubes to open the obstruction in the tear drainage system. 

 

What Is The Tear Drainage System?

The eyes are a sensitive organ of humans with varying degrees of orbital functions. Tear ducts allow the tears to travel from the lacrimal glands of the eyes to eyelids. These eyelids pump and spread the fluid evenly around the eye to keep it healthy by moisturizing by blinking. Eyelids have a very tiny opening in the inside corners of the eyes called puncta. The tears drain into these puncta after they moisten the eyes. Following which the tear then travels to canaliculi tubes attached to both upper and lower eyelids. 

Canaliculi tubes are responsible for moving the tear fluid to the lacrimal sac, present between the eye and nose. This lacrimal sac has an opening in the nasolacrimal sac that drains the tear fluid into the nasal space. The tear drainage system is the system responsible for the whole process of tear formation to their drainage in the nasal space of a person.

 

When Is Lester Jones Procedure Needed?

Tear drainage is smooth when these sacs work with the process. However, in case of a blockage in any of these parts of the orbital contents or tear drainage system can cause watery eyes. Especially when the canaliculi tubes have a blockage, standard blockage surgeries to enlarge the tubes will not be able to fully cure the problem, and insertion of Lester Jones tube will be necessary. 

Tear blockage inside canaliculi tubes is a rare occurrence and often results from abnormal growth in the development phase. These canaliculi tubes are extremely narrow and surgical intervention often stays unsuccessful to open them. Therefore, the need for the Lester Jones procedure comes into the picture as the tube can alleviate the indications of tear blockage in a patient. The best hands of an expert cosmetic surgeon are trained in the field to insert these glass tubes with minimum discomfort. 

 

What Is The Procedure Of The Surgery?

Lester Jones procedure is a surgical treatment that often is done in a hospital setting as a local anaesthetic is required. Patients are suggested not to eat anything before the surgery because of mild sedation administration. In most cases a DCR surgery is already performed earlier to open the tear ducts, hence, the need for a Lester Jones tube arises. If this was not the case for a patient then a tiny incision is made in those patients. The new opening between the eye's inner side corners and nasal space is used to put the Lester Jones tube inside. 

The Lester Jones tube is placed at the desired place in the nasal passage to felicitate tear passage. These tubes have different sizes to fit all different shapes and sizes of nasal space of the individual patients. Our top plastic surgeon might have to make a small incision inside the nasal space to create a drainage passage for tears. In some cases, there might be a need to put few stitches to keep the tube in place. These stitches may hold the tube for 1-3 weeks to make the tube settle inside with natural scar tissue formations around the Lester Jones tube. 

 

The whole Lester Jones procedure in Mumbai lasts for about 45 minutes generally. Our top cosmetic surgeon might use a general or local anaesthetic to do the surgery. Although almost all the patients can go home after the procedure, sometimes they may have to spend the night at the hospital or clinic facility. Patients can resume their office or work after resting for a week or two. Heavy lifting works should be avoided for at least 2-3 weeks after the Lester Jones procedure in India. A patient can consult with the clinic to get an estimate of the procedure. Lester Jones procedure cost in Mumbai often varies on other factors chiefly.

 

Risks & Complications

Lester Jones's procedure in India might have some side effects and complications after the treatment. Since the surgery does not come under essential procedures and is optional, patients elect to go through the procedure. Lester Jones procedure can have the following risks involved:

  • Scarring and discomfort.
  • Lump or scar tissue abnormal growth because of stitch or skin healing. 
  • Nose bleeds.
  • Tube discomfort or problems like a protruding tube. 
  • Blockage and mild watery eyes.
  • Dry eye.
  • Double vision.
  • Infection or injury.
  • Risk of life from trauma or anaesthetic sedation. 

 

What To Expect After The Lester Jones Procedure?

The patient and doctor might have a consultation before the surgery to rule out any apprehension and confusion the patient might be having about the procedure. Following which the team of staff at our clinics in Mumbai would brief the patient about the dos and don’ts of the procedure. Following the Lester Jones procedure at The Esthetic Clinics, a patient will have a dressing in place over their eyes. The dressing is kept in place for a period of 24 hours to give the wound some time to heal before removing it. Once removed patient can clean the wound area using sterile dressing tissues and gauze to keep it clean and dry. 

Like with almost every surgical procedure, there might be some amount of swelling and bruising around the wound area. Cold compresses and elevation of the head while laying is often helpful in such scenarios. The bruising and swelling often get better in a couple of weeks. Patients are generally given prescription medication with antibiotics for oral use as well as in the form of eye drops. Nose pricking and any scratching should be avoided. Sneezing with an open mouth can help keep the tube in place. Avoid using contact lenses for few weeks. Also, the patient should not be doing swimming and any strenuous activity for around four weeks to avoid any onset of infections. 

Maintaining the Lester Jones tubes is necessary to keep them functioning well. The patient can clean the tubes by sniffing clean warm water to clear the tubes from any mucus or debris. Regular follow up at our clinics in Mumbai are required for ensuring the Lester Jones tube stays in place and there is no difficulty. If the patient experiences issues with the normal functioning of the eyes like bleeding, unable to close eyes, vision, etc., then contact the clinic at the earliest. 

 

What To Expect From The Doctor?

Lester Jones procedure is quick and often does not involve much pain or discomfort. Our expert cosmetic surgeons who have extensive experience in the field of tear ducts and lacrimal surgery can perform the surgery at our clinics in Mumbai. The surgery can be done at any of The Esthetic Clinics. It is crucial that the patient is aware of their options before choosing the Lester Jones procedure for their watery eye condition. Dr. Debraj Shome of The Esthetic Clinics suggests weighing down all the available procedures and alternate therapies before electing a procedure. 

Dr. Debraj Shome has done some extensive and significant work in the field of cosmetic surgery worldwide. This is why he has one of the best hands to treat such surgeries in India. Lester Jones tubes are a revolutionary treatment given the material used in the tube. With new advancements like Stoploss Lester Jones tubes and better-enhanced shapes of the tubes, there are endless possibilities related to every individual patient. Many times patients can choose the procedure to improve their watery eye condition, which can be a prominent cause of discomfort. 

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About Doctor

Dr. Debraj Shome

Dr. Debraj Shome is Director and Co founder of The Esthetic Clinics. He has been rated amongst the top surgeons in India by multiple agencies. The Esthetic Clinics patients include many international and national celebrities who prefer to opt for facial cosmetic surgery and facial plastic surgery in Mumbai because The Esthetic Clinics has its headquarters there.



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