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Many people seek blepharoplasty to address concerns such as drooping eyelids, puffiness, under-eye bags, visual obstruction or a constantly tired appearance. By reshaping the upper and/or lower eyelids, the procedure can significantly improve both aesthetic appearance and, in some cases, functional vision. This helps enhance confidence, comfort, and overall quality of life.
At Paul Wilson Aesthetics, Mr. Paul Wilson has extensive expertise in facial aesthetics and eyelid surgery. He combines advanced techniques with meticulous attention to detail to deliver natural-looking results tailored to your unique anatomy and aesthetic goals.
About
What is blepharoplasty surgery?
Blepharoplasty, also known as eyelid surgery, is a procedure designed to improve the appearance and function of the upper eyelids, lower eyelids or both. It works by removing or repositioning excess skin, fat and sometimes muscle to create a smoother, more lifted and refreshed eye contour.
During the procedure, your surgeon carefully reshapes the eyelid area to address concerns such as drooping upper lids, puffiness, under-eye bags or skin laxity that may contribute to a tired or aged appearance. In some cases, upper eyelid blepharoplasty can also improve vision by reducing excess skin that hangs over the lash line.
The goal is to achieve a natural, rejuvenated look that enhances facial harmony, restores a more alert appearance and, for some patients, improves visual function.
Types
Types of blepharoplasty surgery
Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both, depending on your concerns and desired results.
Upper Eyelid Blepharoplasty
Upper blepharoplasty is the most common type of eyelid surgery. It focuses on removing excess skin from the upper eyelid, which can create heaviness, hooding or a tired appearance.
In some cases, small pockets of fat that bulge forward can also be removed or repositioned to achieve a smoother, more defined upper eyelid contour. This procedure can enhance the eye shape and, for some patients, improve vision if excess skin obstructs their field of view.
Lower Eyelid Blepharoplasty
Lower blepharoplasty is a more involved procedure that targets under-eye bags, puffiness and sagging. The operation is highly effective at reducing eye bags by removing or repositioning excess fat.
Some skin may also be tightened or trimmed; however, this must be done carefully, as removing too much skin can pull the lower lid downward. While it improves smoothness and contour, wrinkle reduction is less predictable because only a limited amount of skin can be safely removed.
benefits
What are the benefits of blepharoplasty surgery?
Blepharoplasty offers both aesthetic and functional benefits by removing excess skin, tightening underlying tissues and improving the overall contour of the eyelids. Depending on whether the upper, lower or both lids are treated, benefits may include:
- A more refreshed, youthful appearance around the eyes
- Reduction of heaviness or hooding in the upper eyelids
- Smoother, firmer contours under the eyes with fewer visible bags or puffiness
- Improved definition of the natural eyelid crease
- Enhanced symmetry and balance between the upper and lower eyelids
- Potential improvement in vision if excess upper-lid skin was obstructing the field of view
- Increased confidence and comfort in social and professional settings
candidates
Who is a good candidate for blepharoplasty surgery?
Blepharoplasty may be suitable for individuals in good general health who wish to address concerns related to ageing or changes around the eyes. You may be a good candidate if you:
- Have drooping or hooded upper eyelids that make your eyes look tired or impact your field of vision
- Notice puffiness, bags or bulging fat beneath the eyes
- Have excess or loose skin around the eyelids that affects the appearance of your eyes
- Feel that sun damage, wrinkles or skin laxity have aged your eye area
- Find that makeup application has become difficult due to overhanging skin
- Feel self-conscious about looking tired, aged or less alert than you feel
- Are a non-smoker or willing to stop smoking before and after surgery
- Have realistic expectations about the improvements possible based on your natural eyelid anatomy
What to expect
What to expect during blepharoplasty surgery?
Consultation
Your surgeon will begin with a thorough consultation to ensure you feel fully informed, comfortable and confident before deciding to proceed. This appointment includes a detailed discussion about your concerns, such as drooping upper lids, puffiness or bags beneath the eyes, excess skin, changes related to ageing or sun damage and any impact these issues may have on your vision or confidence.
Your eyelid anatomy, skin quality, muscle tone and the presence of excess fat will be assessed to determine whether upper blepharoplasty, lower blepharoplasty or a combination of both is most appropriate. You will have the opportunity to ask questions about the likely results, incision placement, recovery, scarring and whether blepharoplasty can be safely combined with other facial procedures if desired.
Anaesthesia and Procedure Time
Upper eyelid surgery is typically performed under local anaesthetic as a day procedure, making it a straightforward option for many patients. Lower eyelid surgery is a more involved operation and is usually performed under general anaesthesia. The duration of surgery depends on whether one or both eyelids are being treated, but most procedures take one to two hours.
Incision Placement
Incisions for upper and lower blepharoplasty are placed carefully to achieve effective results while keeping scars as discreet as possible.
For upper eyelid surgery, a small crescent of excess skin is removed from the natural upper lid crease or hairline area, allowing the lid to open more fully and appear smoother and more refreshed.
For lower eyelid surgery, an incision is made just beneath the eyelashes. Through this incision, the skin and underlying muscle are gently lifted to allow removal or repositioning of bulging fat, as well as tightening of any loose skin. The amount of skin that can safely be removed is carefully controlled to avoid pulling the lower lid downward.
Tissue Tightening and Eyelid Reshaping
In upper blepharoplasty, redundant skin (and occasionally excess fat) is removed to restore a clearer, more open eyelid contour. This helps improve hooding and reduces the tired or heavy appearance of the eyes.
In lower blepharoplasty, the procedure focuses on reducing or repositioning fat that causes eye bags. Loose skin is tightened, and the lid is smoothed to create a more rested, youthful appearance. In some cases, muscle tightening may also be performed.
Blepharoplasty may be performed alone or combined with other facial procedures, such as a brow lift or facelift, for a more comprehensive rejuvenation.
Closing the Incisions
Once the necessary adjustments have been made, the incisions are closed with fine sutures. Dressings may be applied, although upper eyelid surgery often requires minimal external dressing. Cold compresses are typically recommended in the early postoperative period to reduce swelling.
Scar Management
Your surgeon will provide personalised advice on caring for the incisions once initial healing has occurred. Scars typically sit within the natural eyelid crease or just below the lash line and fade to become barely noticeable over time.
Recovery
Recovery and results of blepharoplasty surgery
Recovery varies from person to person and depends on whether the procedure involves the upper, lower, or both eyelids. While healing times vary, most patients can return home the same day or shortly after surgery.
What to expect
Swelling and bruising around the eyes are very common in the first few days following blepharoplasty. Upper eyelid swelling typically settles within about a week, while lower eyelid swelling or bruising may take one to two weeks to resolve. Mild tightness, dryness or sensitivity in the eyelids is normal and can be managed with prescribed ointments, lubricating drops or over-the-counter pain relief.
If deep stitches are placed at the outer corner of the eye during lower eyelid surgery, some localised discomfort may persist a little longer as the area heals. If chemosis (swelling of the conjunctiva) occurs, steroid eye drops will be prescribed.
Dressings and eye care
Cold compresses are usually recommended in the first few days to help minimise swelling and bruising. Your surgeon may also prescribe lubricating eye drops or ointments to keep your eyes comfortable, particularly if they feel dry or sensitive when you blink.
Activity and movement
Most patients can resume light daily activities within a few days, and most people feel comfortable driving again after about a week. Work can often be resumed once bruising has settled and you feel ready, which for many patients is around 7–10 days.
Strenuous activity, heavy lifting, bending forward and exercise should be avoided for at least two weeks, as these can increase swelling or pressure around the eyes. Contact sports or activities with a risk of facial impact should be avoided for several weeks longer, as advised by your surgeon.
Scars and long-term results
Upper eyelid incisions sit within the natural crease and usually heal to a fine, barely visible line. Lower eyelid incisions, placed just below the lash line, also tend to fade very well over time.
Most bruising and swelling fade within one to two weeks, while final results continue to refine over several months as tissues settle. Improvements in eyelid contour, smoothness and overall eye appearance become more noticeable as swelling resolves.
Follow-up care
You will receive tailored postoperative instructions, including how to clean the incision sites, apply ointments and protect your eyes during healing. Scheduled follow-up appointments allow your surgeon to monitor progress, remove any necessary sutures and ensure the eyelids are healing as expected.
Risks & complications
Risks and potential complications of blepharoplasty surgery
As with any surgical procedure, blepharoplasty carries certain risks. While complications are uncommon, it is important to be aware of potential risks, which may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Dry eyes, irritation or temporary difficulty closing the eyelids
- Changes in eyelid sensation, such as numbness or tingling
- Scarring along the incision lines
- Asymmetry or irregularities in eyelid contour
- Persistent swelling or bruising
- Lower eyelid retraction or ectropion
- Very rarely, issues affecting vision
Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.
Fees
What is the cost of blepharoplasty surgery in the UK?
PRICES STRAT FROM
£2999
The cost of blepharoplasty surgery in the UK varies depending on whether the upper eyelids, lower eyelids or both are being treated, as well as the complexity of the procedure. Factors such as the amount of skin or fat to be removed, whether muscle tightening is required, and the need for general or local anaesthesia can also influence pricing. Additional costs may include surgeon fees, hospital or facility charges.
A personalised quote will be provided after your consultation and once your surgeon has determined the most appropriate approach to achieve your aesthetic goals.
Results
Blepharoplasty before and after photos
FAQ
Frequently Asked Questions
At what age can you get a blepharoplasty?
There is no strict age requirement for blepharoplasty. Most patients choose to get the procedure in their 40s, 50s or 60s, when signs of ageing around the eyes become more noticeable. However, younger patients may be suitable if they have hereditary eyelid concerns such as puffiness, heaviness or excess skin.
Can blepharoplasty cause dry eyes?
Temporary dryness or irritation is common after blepharoplasty and usually improves as the eyelids heal. Lubricating drops or ointments are often recommended during the early recovery period. Long-term dry eyes are uncommon, and your surgeon will assess your tear function and eyelid anatomy during consultation to minimise this risk.
How long does a lower blepharoplasty last?
Lower blepharoplasty results typically last 10–15 years and in many cases even longer. While ageing continues naturally, the removal or repositioning of excess fat and skin provides a long-term reduction in under-eye bags and a smoother contour. Maintaining good skincare and sun protection can help extend the longevity of your results.
How long does it take to heal from a blepharoplasty?
Initial recovery usually takes 1–2 weeks, during which most swelling and bruising settle.Many patients feel comfortable returning to work after about a week. The eyelids continue to refine over several months, and final results are typically visible by 3–6 months once all swelling has resolved.
Can I have upper and lower eyelid surgery at the same time as my facelift?
Upper and lower eyelid surgery is often performed with a facelift and a temporal brow lift for more comprehensive rejuvenation. Your surgeon will explain which combination is best suited to your concerns and goals.
I’ve already had eyelid surgery, can I have it again?
Occasionally, secondary blepharoplasty may be required if there is residual excess skin or fat bags or lateral hooding. Your surgeon will advise you on your suitability for this procedure.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics not only for the team’s surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if eyelid surgery is the right option for you.
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A neck lift is designed to address laxity beneath the chin and along the jawline.
Some patients are less concerned with their face itself, and more with the way their neck has changed over time. Loss of definition, heavier tissue, or loose skin in this area can affect overall facial balance.
A neck lift focuses on restoring a more defined contour through careful surgical planning, with the aim of achieving a result that looks natural for the individual.
As with any procedure, suitability depends on anatomy, skin quality, and the changes being treated.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Augmentation Mastopexy | Before & After
Her primary concern was not size, but rather the degree of ptosis (drooping) and the altered shape of her breasts.
This distinction is important, as it fundamentally changes the surgical approach.
In this instance, the breasts required lifting and reshaping, not merely augmentation. We discussed achievable outcomes, the degree of support the existing tissues could provide, and the appropriate implant volume to achieve optimal results once the breasts were repositioned. The procedure combined a mastopexy with implants to address these issues concurrently, with the aim of creating a more balanced overall appearance.
These procedures require a meticulous approach. The patient`s initial anatomy, tissue quality, and the extent of lift required all influence the surgical plan.
The result shown here is the outcome of that process, although healing continues well beyond the initial stages.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #augmentationmastopexy #breastliftwithimplants #breastsurgerybristol #northwoodhospital
Abdominoplasty | Before & After
The abdomen can be one of the most challenging areas to restore after the tissues have been stretched. Even in individuals who are otherwise fit and healthy, excess skin and reduced support can persist.
In a suitable patient, abdominoplasty can improve the abdomen`s shape by removing excess tissue and addressing the underlying support where necessary. The aim is not to create an artificial appearance, but to restore a contour that feels more proportionate to the rest of the body.
As with any surgery, healing is an integral part of the process. Swelling subsides over time, scars soften gradually, and the final result continues to improve.
See the result in more detail.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
INDIRECT LIP LIFT + TRANSNASAL ALAR CINCH — REVISION CASE ✨
Top: before. Bottom: after revision.
This patient presented after a previous lip procedure left him with an excessively long upper lip at 18mm, minimal vermillion show, and a wide alar base disrupting central facial harmony.
Post-revision: philtral length reduced to 12mm — a 6mm correction into ideal proportion (12–15mm is the youthful range for men) — paired with a refined, narrower nasal base.
Two procedures, one harmonious result:
🔸 Indirect Lip Lift (Subnasal Bullhorn) — precise excision of skin beneath the nose to shorten the upper lip, increase pink lip show, and restore the cupid’s bow. No filler.
🔸 Transnasal Alar Cinching Suture — a rhinoplasty technique specialised by Mr Wilson. A hidden suture passed through the nose draws the alae medially, narrowing flared nostrils with no visible external scarring — a major advantage over traditional alar base reduction.
Revision work demands exact measurements, respect for existing scar tissue, and meticulous management of altered tension vectors. There is no margin for over-correction.
The synergy is what creates harmony: a shorter lip without a refined base looks disproportionate; a narrowed base alone leaves the lower face heavy. Together — balanced, masculine, natural.
Procedure by Paul Wilson Aesthetics at Northwood Hospital.
📍 Consultations — link in bio
#LipLift #BullhornLipLift #AlarBaseReduction #TransnasalCinch #Rhinoplasty RevisionSurgery PaulWilsonAesthetics NorthwoodHospital FacialHarmony MaleAesthetics BeforeAndAfter
✨ Revision Rhinoplasty at Paul Wilson Aesthetics ✨
Precision. Expertise. Artistry.
Revision rhinoplasty is one of the most technically demanding procedures in facial plastic surgery — and it’s a cornerstone of our practice at Northwood Hospital. Patients travel to us from across the country because secondary nasal surgery requires a level of skill, planning, and experience that few surgeons offer.
Every revision case is unique. Scar tissue, altered anatomy, and previous structural changes mean there’s no room for a one-size-fits-all approach. We rebuild with care — restoring both function and the natural, balanced result patients hoped for the first time.
🔬 National experts in revision rhinoplasty
📍 Northwood Hospital
👃 Functional + aesthetic refinement
💙 Patient-centered care from consultation to recovery
If your first rhinoplasty didn’t deliver the result you deserved, a second opinion can change everything.
📩 DM us or visit the link in bio to book a consultation.
#RevisionRhinoplasty #Rhinoplasty #PaulWilsonAesthetics #NorthwoodHospital #FacialPlasticSurgery NoseJob SecondaryRhinoplasty PlasticSurgery BeforeAndAfter FacialHarmony
✨ Hairline Lowering / Foreheadplasty ✨
Measuring up for a beautifully balanced result 📏
📍 Northwood Hospital, Bristol
🔗 Link in bio to book your consultation
Welcome to Paul Wilson Aesthetics — where surgical precision meets artistry. Led by Mr Paul Wilson, our clinic specialises in advanced facial and aesthetic procedures designed to enhance your natural features and restore facial harmony. With years of expertise and a meticulous, patient-first approach, we’re proud to be a trusted name for those seeking refined, natural-looking results.
All surgical procedures are carried out at Northwood Hospital, Bristol 🏥 — a private hospital known for its exceptional standards of care, comfort, and clinical excellence.
One of our signature procedures? Hairline lowering surgery (foreheadplasty).
A high or elongated forehead can throw off the natural proportions of the face — and for many of our patients, it’s something they’ve felt self-conscious about for years. Hairline lowering brings the hairline forward in a single procedure, instantly restoring balance to the upper third of the face.
What it can do:
🌿 Reduce forehead height by up to 2.5cm in one procedure
🌿 Create softer, more feminine facial proportions
🌿 Frame the face beautifully
🌿 Deliver immediate, natural-looking results
Every journey at Paul Wilson Aesthetics begins with precise measurements and a personalised consultation — because no two faces are the same, and careful planning is what turns a good result into a stunning one.
Ready to feel more confident in your reflection? 💌
📍 Northwood Hospital, Bristol
🔗 Link in bio to book your consultation
#HairlineLowering #Foreheadplasty #PaulWilsonAesthetics #BristolSurgeon #NorthwoodHospital FacialHarmony AestheticSurgery CosmeticSurgery FacialProportions HairlineSurgery BristolAesthetics ConfidenceBoost BeforeAndAfter
Sometimes, the first signs of ageing appear around the eyes.
Excess skin or heaviness in the upper eyelids, or puffiness beneath the eyes, can make the face look more tired than it feels. Blepharoplasty is designed to address these changes with a careful, tailored approach to the upper eyelids, lower eyelids, or both.
The aim is not to change the eyes` appearance, but to restore a fresher, more open look while ensuring the result is natural and in harmony with the rest of the face.
As always, the most suitable surgical plan depends on the individual, their anatomy, and the underlying cause of their concerns.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Foreheadplasty | Before & After
This type of surgery is less about changing a feature and more about restoring balance.
Where the forehead feels too dominant, lowering the hairline can alter the proportions of the upper face in a meaningful way. The procedure, often referred to as forehead reduction or hairline lowering, advances the scalp to reduce forehead height, with the plan carefully tailored to the individual.
As always, what matters most is choosing the right operation for the right reason, then allowing time for healing and scar maturation afterwards.
See the results for yourself.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
The setting matters, but so do the people within it.
At Northwood Hospital, patients are supported by a team whose role goes far beyond logistics. Their priority is to create an environment that feels calm, professional, and reassuring from the moment you arrive.
Excellent surgical care is never delivered by one person alone. It depends on experienced theatre staff, nursing teams, hospital support, and clear communication at every stage.
This is the team that helps make that positive experience possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Augmentation Mastopexy | Before & After
Over time, she felt her breasts had lost fullness, shape, and position. Her main concern was not simply size, but the way her breasts sat and the lack of support in the upper part of the breast.
We discussed the changes she had noticed and the type of result that would feel balanced for her figure. The plan was to restore upper fullness and improve breast position in a way that looked proportionate and in keeping with her frame. To achieve this, I combined a breast lift with implants, allowing both shape and volume to be addressed in the same operation.
Augmentation mastopexy is a procedure that requires precision and judgement. The tissues need to be managed carefully, and the surgical plan must be tailored to the individual anatomy, rather than following a standard formula.
The early result is only part of the process. The breasts will continue to settle, soften, and refine as they heal over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Abdominoplasty | Before & After
Changes to the abdomen can involve multiple concerns simultaneously. Excess skin, reduced abdominal wall support, and an altered overall contour can all affect how this area sits in relation to the rest of the body.
In this case, the aim of surgery was to improve the abdominal contour in a way that looked balanced and suited the individual. As always, this begins with a careful assessment, a clear plan, and an honest discussion about what surgery can realistically achieve.
Healing takes time. Swelling settles gradually, scars continue to mature, and the result refines over the following months.
Take a closer look at the result.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Not all facelift techniques work in the same way.
A deep plane facelift goes beyond the surface, releasing and repositioning the deeper facial tissues that have shifted with age. This allows the cheeks, jawline, and neck to be addressed more comprehensively, with results designed to look balanced and long-lasting.
The goal is not to create a different face, but to restore support, contour, and harmony while respecting the individual features already there.
The following facial rejuvenation procedures are available:
* Minimal incision browlift
* Deep plane facelift
* Deep neck lift
* Lower eyelid bleapharoplasty
* Upper eyelid bleapharoplasty
* Chin implant
* Cheek implants
* Lip lift
* Earlobe reduction
* Buccal fat reduction
* Fat transfer
* Full face CO2 resurfacing
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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