Treatment: Blepharoplasty2018-12-14T15:55:46+00:00

Blepharoplasty treatment for drooping eyelids and eye bags

  • Conditions Treated

    Eyelid ptosis / Eyebags / Droopy eyelids

  • Treatable Areas

    Upper and lower eyelid

  • Practitioner


  • Downtime

    The healing after blepharoplasty surgery will take a few weeks. Therefore, we advice 5-7 days of work.

  • Your Specialists

Jane Olver

Consultant Ophthalmic Surgeon
Eyelid & Lacrimal Specialist

More about specialist


The Problem

As we age, excess, drooping folds of skin and eyebags appear above and below our eyes. A blepharoplasty is either a rejuvenating (cosmetic) or functional surgical procedure, depending on whether the excess tissue poses a cosmetic problem or interferes with the patient’s visual function. The purpose of the blepharoplasty is to correct excess folds of skin (dermatochalasis) and eyebags, or to reduce lower lid festoons.

The Treatment

If indicated, we can treat fine wrinkles with a laser or a gentle chemical peel. It is possible to have a periocular and facial trichloroacetic acid peel performed at the same time as blepharoplasty surgery.

Upper eyelid blepharoplasty

This is eyelid lifting surgery to remove excess upper eyelid skin which makes the eyelids droop.

We will typically make incisions in the upper eyelid skin crease, where they heal best and will remain well hidden.

We make the incision along the natural eyelid skin crease a few millimetres above the eyelashes. The height of this varies between six and eight millimetres and is commonly lower in Asian blepharoplasty patients who have a naturally low skin crease, unless ‘Westernisation’ is requested.

We then remove an elliptical piece of skin and muscle using a blade and a Colorado needle, which greatly reduces bleeding and helps keep the surgery very neat. We then close the skin incision using delicate sutures and /or Tisseel fibrin adhesive.

We can operate on a drooping brow ptosis or eyelid ptosis during the same procedure, however, Jane Olver does not do brow lifting surgery for brow ptosis but she does correct eyelid ptosis.

It is also possible that we remove underlying fatty material during the process to get rid of upper bulges (called the medial fat bags), particularly at the inner corner of the upper eyelid.


Lower eyelid blepharoplasty

Patients with only mild eyebags or mild lower lid skin laxity, fine lines and discolouration may not require a blepharoplasty. Instead, they may be able to get a noticeable improvement from either laser resurfacing treatment or a chemical peel with trichloroacetic acid.

If there are deep tear trough hollows (orbito-malar groove) or hollowing at the orbital rim and upper cheek (orbital rim and zygomatic hollow), we may use an injection of hyaluronic acid filler such as Restylane® or Juvéderm® in the periocular region to increase the soft tissue volume. Once the hyaluronic acid has reabsorbed after several months, we can offer a further injection. Some patients can proceed with an autologous fat transfer(also known as a Coleman fat transfer).

If a blepharoplasty is required, we make the incision from the inside of the lower eyelid, which causes little swelling and leaves no scar visible on the outside. This is known as a transconjunctival blepharoplasty. The transconjunctival route is used if we remove a small amount of fat, and reposition it into the tear trough.

If we are removing skin from the lower eyelids themselves during blepharoplasty, we’ll make a fine incision (known as an infra-lash incision) close to the eyelashes. At the same time, we can tighten the eyelid, and stabilise it using an orbicularis muscle flap. We often do a lateral canthal canthopexy at the lateral corner of the eye to strengthen and sharpen the lateral angle of the eyelids. We use discreet absorbable sutures to close the skin incision, which heals well usually leaving no visible scar.s45lowerbleph
A pinch blepharoplasty of thelower eyelid is an excision of just a small pinch of skin from either below the eyelashes or a little lower down the eyelid, without touching the orbicularis muscle.


Punctal plugs

We may insert punctal plugs at the same time as a blepharoplasty surgery with patients with dry eye, to reduce dry eye symptoms after surgery.

The Results

Eyes and eyelids look younger, with tighter and softer skin. They are more open, with better eyelid position, fewer wrinkles and fewer visual problems.


Product Range

Our product range includes:

  • Restylane®
  • Juvéderm®
  • Coleman fat transfer
  • Chemical peel
  • Punctal plugs

Talk to us about your options on 020 7935 7990

The best way to figure out whether this is something for you is to give us a call. We can answer any questions you have and help you clarify which treatment options are best for you.

Book a consultation


Administration of eyedrops:





Video: What are the benefits of upper eyelid blepharoplasty?

“Dr. Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”

Toni C.

“Jane Olver is your woman – I wish I had found her at the start. I will be forever grateful for her care and expertise.”

Nancy W.

“Just wanted to thank you for your exceptional assistance with my eye condition. I was so worried but you really helped me feel at ease.”

David T.

“I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.”

Catherine M.
“I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
“I highly recommend Jane Olver. The whole experience was calm and highly professional.”
Lorraine M.
“I am writing to you to say thank you to you, Cloe and Jane for taking care of me this week. You were all really lovely and professional and I am very grateful. Big cheer for The Clinica London Team.”
Rick A.
“Many thanks for taking care of my ptosis surgery today. I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.”

“The treatment was a great success; within 24 hours of starting the treatment the pain and swelling subsided and as a result, I was able to enjoy a great holiday in Argentina.”
“Thank you, my eye is recovering brilliantly (you almost can’t see I had it). Jane was amazing, please pass on a huge thank you.”


Recognised and trusted as a premium eye care and skin care specialist

We are accredited with the major private health and professional speciality bodies who have bestowed upon us the qualifications to carry out aesthetic and medical treatments at the highest levels of quality.

Frequently Asked Questions

Not during the surgery, but there will be some pain afterwards. Your doctor will instruct you about what pain medication to take, if needed. Most people need only non-prescription pain relievers. Narcotics are rarely necessary.

20 min to 2 hours

While you recover your eye area will be bruised and red with swollen eyes, particularly during the first few days. It will take a few weeks for the healing to complete.

5-10 years