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Eyelid surgery

Eyelid surgery, or blepharoplasty, is a procedure used to restore tired-looking eyes, leaving a fresher, younger and more wide-awake appearance. A blepharoplasty can remove excess skin and fat correcting drooping eyelids and bags below the eyes.

Upper blepharoplasty is the most common form of eye surgery, where any excess skin of the upper lid is removed.

Preparing for eyelid surgery (blepharoplasty)

Upper blepharoplasty is the most common form of eye surgery, where any excess skin of the upper lid is removed. At the same time its possible to remove fat if it is bulging into the lid. Upper lids can only be treated under local anaesthetic as a day patient.

Sometimes, hooded eyelids are caused not only by excess skin but because the eyebrow has dropped down towards the eyelashes. In this case, a procedure is required to lift the brow.

Various procedures are used but the operation becoming most popular is the limited removal of a crescent of skin at the hairline.

Lower eyelid surgery, or lower blepharoplasty, is a more involved operation that requires a general anaesthetic. An incision is made just below the lashes and the skin and muscle lifted forward to allow the removal of fat that may be bulging through. Surplus skin is removed before the wound is stitched. This operation is very effective at removing eye bags but is less predictable at removing wrinkles because the amount of skin that can be removed may be limited, removing too much skin will cause the lower lid to be dragged down.

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    Frequently Asked Questions

    Typical eyelid surgery patients

    You could be a candidate for eyelid surgery if you experience any of the following:

    • Your eyes look aged and tired
    • There is puffiness around your eyes
    • You have sun damage around your eyes
    • Your eyelid(s) are drooping
    • You have excess skin or bags around your eyelids

    Preparing for your eyelid surgery

    Every patient will have undergone a full consultation with Paul so that patients are made fully aware and comfortable before entering into any surgery.

    The hospital where your operation is taking place will provide patients with full detailed written instructions on preparing for surgery.

    Lower eyelid surgery is performed under general anaesthetic, which means you will not be prohibited to eat or drink 6 hours prior to the operation.

    Eyelid surgery can be performed as a single procedure or in conjunction with other facial surgery

    Recovery process

    The recovery process can be different depending on the patient.

    Upper eyelid

    The patient must be prepared for a little swelling and bruising but this generally settles down quickly in a week or so. A scar is left in the upper lid crease that is usually of excellent quality and not normally noticeable at conversational distance.

    Lower eyelid

    Some bruising and swelling is to be expected which settles in a week or two. Some discomfort may last a little longer because it is normal for some deep stitches to be left in the outer corner of the eye to tighten the lid.


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