A Blepharoplasty is a procedure that can improve the appearance of the lower and upper eyelids.

An upper Blepharoplasty can address the signs of ageing around the eye area such as sagging or hooded eyelids. Some may find that this appearance has been caused by genetics but are equally interested in improving this appearance. Excess skin on the upper eyelids doesn’t just affect the appearance but can also inhibit the peripheral vision. In removing the sagging skin, the patient’s eyesight may be enhanced.

Additionally, a lower Blepharoplasty can reduce under eye bags and puffiness that can form below your eyes for a multitude of reasons. The technique used depends on your unique concerns, and the surgeon will adapt their approach to a Blepharoplasty depending on the severity of this. In some cases, the concerns can be addressed non-surgically, and in other circumstances, the operation may be combined with another operation such as a facelift or brow lift.

Blepharoplasty London

Addressing hooded or sagging upper eyelids with Upper Blepharoplasty

If the surgeon is addressing ageing or hooding of the upper eyelids, they will likely perform an upper Blepharoplasty. An incision is made along the natural crease line that occurs above the eyelashes. The incisions may extend into the crow’s feet or laughter lines at the outer corners of the eyes. Fat, excess muscle and sagging skin are then removed. Once the surgeon is happy with the new positioning of the upper eyelid, the incisions are closed.

Lower eyelids (under eye bags and festoons) with lower Blepharoplasty

The lower eyelid can face several aesthetic issues. Patients often confuse under eye bags with festoons; however, the two concerns require different treatment approaches. (See conditions under eye bags and festoons). Some surgeons believe a Blepharoplasty procedure is the best way to treat under eye bags but may find that once the surgery is complete, festoons appear more prominent. Therefore, we may treat both festoons and under eye bags simultaneously; with this procedure, the surgeon makes an incision is concealed parallel to the lash line in the fold, down to the bones of the cheek. The excisions of muscle, excess skin and fat are undertaken internally to separate them from the soft tissue.

Blepharoplasty FAQ

What does the procedure involve?

The procedure varies from patient to patient, depending on their preferences and the complexity of the concern. The type of anaesthesia used will depend on your preferences and suitability, and the surgery technique adopted. Generally, an upper Blepharoplasty is performed under local anaesthetic, and a lower Blepharoplasty is performed under either local or general anaesthetic with sedation. Blepharoplasty is usually carried out as day surgery.

How long does the procedure take?

Blepharoplasty surgery is an operation that usually takes up to two hours to complete.

How long is recovery?

The recovery period duration depends on the approach of the procedure (surgical technique and whether it’s non-surgical or surgical). For a traditional surgical blepharoplasty, stitches are normally removed five to seven days after surgery at which time normal activity may be resumed. The majority of patients feel ready to go out in public after around 10 days.
The associated side effects vary from patient to patient and are mentioned below.

When can results be seen and are they permanent?

The permanency of the results can be affected by natural ageing and external lifestyle influences. With that said, an optimal procedure can provide long-lasting results for under eye bags and festoons. Excess skin on the upper eyelid can also be significantly improved with the appearance of ageing eyes slowed down, though it cannot completely prevent the progressive natural ageing process. The skin and its support structure will eventually weaken further, and the results may diminish minimally over time.

Who is the procedure suitable for?

Those looking for more rested, youthful-looking eyes
Those with sagging or excess skin on upper eyelids
Those with under eye bags
Those with festoons
Those whose peripheral vision is affected by sagging upper eyelids

Side effects and risks?

Common side effects include swelling and redness which usually resolves within a few weeks. The rate of recovery and side effects vary from patient to patient. Your surgeon may recommend eye ointment to keep your eyes protected and encourage healing during this time.
Recovery varies from patient to patient and the below are rough guidelines and side effects you may experience during this time.
Your surgeon will inform you of the associated risks which range from minor to more severe, which may include:
Bruising and redness; 1 to 3 weeks
Dry and irritated eyes and puffy eyelids
Difficulty closing eyelids
Infection and bleeding
Keloid or visible scarring>
Eye muscle damage
Impaired vision, in rare cases loss of eyesight
Asymmetry and overcorrection

To learn more about non surgical treatments for eye area please click here.

Browse our Before & After pictures below:

Blepharoplasty Disclaimer

BEFORE & AFTER photos are NOT guarantees that your results will be the same or even similar: your results will likely vary significantly — because you are a unique person. Our Plastic Surgeons take great pride in their patient care ethics, precise surgical measurements, custom planning & their advanced surgical techniques.

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