Blepharoplasty

Under Eye Bag Removal Approaches

Upper Eyelid Surgery

An upper blepharoplasty addresses signs of ageing around the eye area such as sagging or hooded eyelids. Excess skin on the upper eyelids doesn’t just affect the appearance but can also inhibit the peripheral vision. In removing the sagging skin, your eyesight may improve.

Additionally, the operation can correct genetically attributed hooded eyelids.

There’s also the browpexy that can improve both the brow and upper eye area by correcting sagging of the upper brow and eyelids. We can combine surgical operations to create the most aesthetically-pleasing eye and brow shape.

During an upper blepharoplasty, the surgeon will make an incision 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 is then removed. Once the surgeon is happy with the new positioning of the upper eyelid, the incisions are closed.

Lower Eyelid Surgery

A lower blepharoplasty reduces under-eye bags and puffiness or fluid build up that can form below your eyes for a multitude of reasons.

The lower eyelid can face several aesthetic issues and so the surgeon will alter the approach depending on the concerns the under-eye faces. The incision is usually just below the lash line or inside the lower eyelid. The surgeon will then reposition the muscles and remove fat from the under-eye area. They will also tighten loose skin.

Double Eyelid Surgery

Other patients may seek to improve their upper eye appearance for ethnic preference. For example, ‘double eyelid surgery’ is an in-demand technique (of which we have performed thousands) amongst our Asian patients. The double eyelid surgery is a specific approach that creates a natural-looking crease in the upper eyelid that is visible when the eyes open.

During the surgery, we create a new crease using an external incision or by applying a suture to part of the underlying structure of the eyelid like a blood vessel. The latter approach speeds up recovery and is less invasive. The surgeon may also address any excess skin, muscle and fat to improve the outcome.

The Botox Brow Lift

Heavy brows can cause the skin to hood over the upper eyelids. Using targeted injections of Botox, the eyebrows and excess skin can be slightly elevated to a more youthful-looking position.

Soft Thread Lift

Using bioabsorbable threads, this injectable treatment can elevate the brows and eyes to create the coveted snatched-eye look. The treatment is customisable to the patient’s desires. For example, it could give a straighter brow, or cat-eye look or lift hooded eyelids.

In some cases, we may be able to treat your concerns non-surgically. In other circumstances, we may suggest combining the procedure with other operations such as a facelift, fat transfer or brow lift.

iPixel

The Erbium laser delivers energy to the skin, causing it to retract, remodel and resurface. This laser treatment is great for addressing crepey skin on the upper and lower eyelids.

Dermal Fillers

Dermal filler can be an option for tear troughs and improving the under eye area but doesn’t treat upper eyelid concerns. The filler can conceal areas in the upper cheek and lower eye to give a more lifted appearance. Through minimising tear troughs, darkness under the eyes lessens.

Why 111 Harley St?

• An upper and lower blepharoplasty can be performed under local anaesthesia or mild sedation and can be performed in our safe day-surgery theatre.
• The possibility of local anaesthesia minimises the risks and reduces post-op nausea.
• Dr Yannis Alexandrides understands and has extensive experience in tailoring the surgical approach according to ethnicity preferences. He has performed over 3000 eyelid surgeries.
• Dr Yannis Alexandrides may combine the procedure with fat repositioning, a brow lift, face lift, or other surgical intervention to achieve the best aesthetic outcome.