Blepharoplasty (Eyelid surgery)

What is Blepharoplasty (Eyelid Surgery)?

Blepharoplasty is eyelid surgery designed to refresh and restore the appearance of the upper and/or lower eyelids. It addresses excess skin, muscle laxity and fat prominence that can create hooding, puffiness or under-eye bags.

With ageing, skin elasticity reduces and the supportive tissues around the eyes weaken. This can lead to drooping of the upper lids and bulging of the lower eyelids, sometimes contributing to a tired appearance or, in certain cases, visual obstruction.

Upper blepharoplasty removes excess skin and refines contour where hooding is present, while lower blepharoplasty addresses fat prominence and skin laxity beneath the eyes. The procedure may be performed alone or combined with other facial procedures for balanced rejuvenation.

How is Blepharoplasty Performed?

Upper eyelid surgery is usually performed under local anaesthetic, with or without light sedation. Incisions are placed within the natural eyelid crease, allowing precise removal of excess skin and refinement of underlying muscle or fat, with scars designed to remain discreet.

Lower eyelid surgery is typically performed under general anaesthesia. A fine incision is made just beneath the lash line (subciliary approach), allowing careful repositioning or reduction of fat and treatment of skin laxity to restore a smoother, more defined contour.

Risks and Complications of Blepharoplasty

All surgical procedures carry potential risks. With blepharoplasty, these may include swelling, bruising, temporary dryness or irritation of the eyes, minor asymmetry, delayed wound healing or unfavourable scarring.

More significant complications are uncommon but can include bleeding, infection or changes in eyelid position. Visual disturbance is rare.

Risks are minimised through careful patient selection, meticulous surgical technique and structured aftercare. These considerations will be discussed in detail during consultation to ensure you are fully informed before proceeding.

Blepharoplasty Recovery & Aftercare

Aftercare: Cold compresses are advised during the first 48 hours to reduce swelling. Lubricating eye drops are typically used during the day, with ointment at night if prescribed. Keeping the head elevated and taking simple analgesia as required can help support early recovery.

Recovery: Swelling and bruising are most noticeable in the first 7–10 days. Most patients take around 1–2 weeks away from work or social activities. Sutures are usually removed at approximately one week. Light activity can resume early, but strenuous exercise should be avoided for around two weeks or as advised.

Wound Care: Incisions should be kept clean and dry. Makeup is usually avoided until wounds have healed and sutures are removed. Scars may appear pink initially but typically soften and fade over time; scar care and sun protection advice will be provided. Any increasing redness, pain or discharge should be reported promptly.

What is blepharoplasty?

Blepharoplasty, or eyelid surgery, is a procedure that removes excess skin and fat from the upper or lower eyelids to refresh and rejuvenate the eyes, improve drooping lids, reduce under-eye bags, and create a more youthful appearance.

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Who is a good candidate for blepharoplasty?

Ideal candidates are adults with sagging or drooping upper eyelids, puffiness or bags under the eyes, and good overall health. Non-smokers with realistic expectations typically achieve the best results.

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How is blepharoplasty performed?

Upper eyelid surgery involves incisions in the natural folds of the eyelid to remove excess skin, tighten muscles, and reposition fat. Lower eyelid surgery uses incisions just below the lash line to remove or reposition fat and skin for a smoother, refreshed look.

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What type of anaesthesia is used?

Blepharoplasty is usually performed under local anaesthetic, sometimes combined with sedation (twilight anaesthetic) for comfort. General anaesthesia may be used in certain cases.

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How long is recovery after blepharoplasty?

Swelling and bruising usually improve within 1–2 weeks. Most patients return to normal activities after around 7–10 days, with final results visible in a few months as the eyelids settle.

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Are the results of blepharoplasty permanent?

Results are long-lasting, though natural ageing continues. Proper skincare, sun protection, and healthy lifestyle choices help maintain the rejuvenated appearance.

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What are the risks of blepharoplasty?

Risks include infection, bleeding, dry eyes, scarring, asymmetry, and temporary or permanent changes in eyelid sensation. Choosing an experienced surgeon and following post-op instructions reduces complications.

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Can blepharoplasty be combined with other procedures?

Yes. Blepharoplasty is often combined with brow lifts, facelifts, or other facial rejuvenation procedures to achieve a harmonious, youthful appearance across the entire face.

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