Tessa has expertise in the management of eyelid and facial spasms and holds regular botulinum toxin clinics for these debilitating conditions. She also runs clinics at St Mary’s Hospital, in which she manages children who are born with drooping eyelids and watery eyes resulting from tear duct abnormalities.
Tessa has a special interest in cosmetic eyelid surgery, particularly blepharoplasty and ptosis surgery, to improve symmetry and rejuvenate the periocular area. From her research into perceptions of facial asymmetry and assessment of quality of life she has a deep empathic understanding of the impact that the appearance of ones’ eyes and eyelids can have on well-being and self-perception. Combined with her meticulous attention to detail and technically advanced surgical skills and experience, she can provide a comprehensive range of aesthetic surgical treatment options, tailored to individual needs, to create a natural, refreshed appearance.
In her NHS practice – at Imperial College Healthcare NHS Trust, Tessa maintains a strongly multidisciplinary approach, collaborating with colleagues from a range of medical specialties. She has a specialist interest in the medical and surgical management of thyroid eye disease and has developed a widely used questionnaire to assess the quality of life of patients with this disfiguring condition.
She performs reconstructive surgery for eyelid cancers, using specialist techniques to minimise tissue loss whilst achieving natural-looking reconstructions. In addition, she manages severe scarring diseases of the ocular surface, which cause the eyelids to turn inwards. Her judicious interventions in these painful conditions have often been life changing.