Eyelid Surgery

Blepharoplasty is a surgical procedure that rejuvenates the upper and/or lower eyelids, helping to restore a more refreshed and youthful appearance. It is one of the most effective facial rejuvenation surgeries, often performed alone or alongside other procedures such as brow lift or face lift.

There are two types:

Upper blepharoplasty

This procedure targets:

  • Excess skin that causes heaviness, hooding, or visual obstruction

  • Bulging fat in the upper eyelid, which may create a puffy appearance

  • Lax muscle contributing to droopiness

The position of the eyebrows is always considered, as brow descent with age can exaggerate upper eyelid fullness. In some cases, a brow lift may be recommended to complement the results.

Lower blepharoplasty

This procedure is typically performed to treat:

  • Under-eye bags or puffiness caused by fat prolapse

  • Loose or wrinkled skin under the eyes

  • Hollowing or tear troughs

If there is significant ageing in the cheek or midface region, a face lift may be advised to provide comprehensive rejuvenation and better support for the lower eyelid.

  • Blepharoplasty is typically performed as a day-case procedure. It can be done under local anaesthetic with or without sedation, or general anaesthesia, depending on the complexity and your preference.

    The operation takes approximately 45 to 90 minutes, depending on whether both upper and lower eyelids are treated.

  • You may experience mild discomfort, bruising, and swelling for the first 7–10 days. Cold compresses and sleeping with your head elevated can help reduce swelling. Sutures are usually removed (or dissolve) within 5–7 days. Light activities can resume after a few days; most people return to work in 10–14 days.

    Avoid heavy lifting, strenuous exercise, and eye makeup for 2–3 weeks.

    Final results take shape gradually over several weeks to a few months.

  • As with any surgery, blepharoplasty carries some risks. These include:

    • Scarring, typically well-hidden in the natural eyelid folds

    • Bruising and swelling, which usually resolve within 2–3 weeks

    • Dry eyes, tearing, or irritation, often temporary

    • Asymmetry or slight differences in eyelid shape

    • Under- or over-correction, which may require revision in rare cases

    • Temporary blurred vision or light sensitivity

    • Lower eyelid malposition or ectropion, rare but may need further treatment

    A thorough pre-operative consultation will help assess your facial anatomy, skin type, and goals. Sometimes, combining blepharoplasty with a brow lift or face lift gives better, longer-lasting results.

  • The results of blepharoplasty are typically long-lasting:

    • Upper blepharoplasty results often last 10 to 15 years or more. However, natural ageing will continue, and over time some looseness of the skin or descent of the brow may reappear.

    • Lower blepharoplasty results are usually permanent, especially when fat is removed or repositioned. Skin and soft tissues do continue to age, but most patients do not require further surgery.

    Good skincare, sun protection, and healthy lifestyle habits can help prolong your results.

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