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What is Blepharoplasty?

Blepharoplasty is an eyelid procedure that renovates droopy eyelids and may include removing excess skin, muscle and fat. It is done by an oculoplastic surgeon skilled in delicate eyelid surgery.

As we grow older, our eyelids stretch, the skin thins and wrinkles, and the muscles assisting them weaken. As a result, additional skin and fat may assemble above and below the eyelids, resulting in sagging eyebrows, droopy upper eyelids and bags under the eyes.

Why should I consider Blepharoplasty?

Blepharoplasty can be done for several reasons. The ‘tired’ look is a common explanation as to why patients opt for blepharoplasty surgery. The weight of the upper eyelids, the eyelid hooding, and bags under the eyes give a continually depleted and fatigued appearance. However, in some patients, the form of the eyelids may be asymmetric, and blepharoplasty would be performed to improve symmetry.

In other patients, saggy upper eyelid skin can hinder the visual field (unable to see the full scope of your lateral and upper vision) thus blepharoplasty is done to remove this hindrance and improve vision. Patients often get a headache from continually trying to open their eyes more and see out well, which is relieved with surgery. Additionally, there are numerous disfiguring disorders, such as Thyroid Eye Disease, which needs blepharoplasty surgery in order to re-establish the natural look of the eyes.

How does ageing cause changes to occur around the eyes?

As we get older, the eyelid skin is often the first area to reveal the early signs of ageing. This occurs when the elastic fibres inside the skin tissues are depleted, leading to a loss of resilience and sagging of the skin. Due to skin ageing, the underlying orbicularis oculi muscle also loses tone and becomes loose with an unnecessary bulk of muscle, and fatty bulges.

Another key ageing factor is the decline of the midface. A youthful lower eyelid shares a form with the cheek. The ageing lid often becomes separated from the cheek as the midface descends, making us appear older.

A youthful face is filled with volume, which becomes depleted due to age. When this occurs, the face produces lines, hollows and sometimes a haggard appearance. Although these are natural ageing changes, they are fast-tracked by smoking, sun exposure and hereditary reasons.

Is eyelid surgery painful?

Blepharoplasty surgery is an effective, low-risk surgery that hardly ever results in patients needing a repeat procedure. A blepharoplasty procedure is not a painful procedure and only mild painkillers may be supplied to you if needed. Lubricating eye drops are recommended to prevent drying in the early post-operative phase. It is a quick surgery that usually takes between one and two hours and is performed at Clinica.

What can I expect in surgery?


There are two types of blepharoplasty, the first is upper eyelid blepharoplasty, and the second is lower eyelid blepharoplasty. The type of blepharoplasty surgery needed is assessed by the oculoplastic surgeon and the results are related to how the procedure is conducted. Our oculoplastic surgeons have many years of expertise required to perform all forms of blepharoplasty surgery, with very high patient satisfaction.

Upper eyelid blepharoplasty is a procedure with quick recovery. The blepharoplasty opening is measured and marked. Each patient has highly individualised requirements and varying amounts of skin, muscle and fat are removed accordingly. However, if there is pre-existing upper eyelid hollowness, these tissues may require repositioning to fill the hollows and achieve a pleasing appearance of the eyelid and improve the visual field. After the desired skin muscle and fat are removed, concealed miniature stitches and Tisseel Fibrin adhesive (a type of fibrin stimulating “glue”) are used to close up the eyelid skin securely.

A lower eyelid blepharoplasty is a longer procedure, as it often requires an opening under the eyelash line, going outside the corner of the eye. Excess skin, muscle and fat can then be removed or shifted through this incision. Occasionally, the key aesthetic issue is the main fat bulge. In these instances, a transconjunctival ‘scarless’ approach through the inside of the eyelid is preferred. If both issues exist, excess skin and fatty bulges, then a combined approach is taken.

Are there any risks or complications?

All surgery involves a level of risk, though serious risks from blepharoplasty by our experienced oculoplastic surgeons are not likely. Usually, bruising and swelling is normal due to the delicate nature of the eyelid tissue. This is not permanent and will subside after a few days or weeks, depending on the patient.

Blepharoplasty or eyelid surgery can dramatically transform and revitalise your appearance, confidence and well-being. Clinica London has award-winning, experienced oculoplastic consultants that perform this surgery regularly with immaculate results. Patients will feel reassured after their consultation at Clinica London as all possible risks and expected results are discussed candidly before the surgery. A personalised quote is given to the patient along with their detailed report and surgical information sheet, which outlines the steps required.

By having blepharoplasty surgery done at Clinica London, patients find this gives a high level of comfort and familiarity, as the same team will look after them throughout their care. We are always available on hand for any queries and for full follow up.

How long do Blepharoplasty results last?

The results of blepharoplasty are natural and should last between 15-25 years. The surgery is invariably successful at adjusting the appearance of the eyelid without the need for patients to later undergo further surgery. It is important to keep in mind that the natural ageing process remains, and the results after 15 to 25 years vary between patients, depending on their genetic makeup and on environmental effects including smoking and continued sun exposure.
We strongly advise all patients to stop smoking before considering blepharoplasty surgery so as to improve healing and long term aesthetic effect.

Miss Jane Olver

Consultant Ophthalmic Surgeon
Oculoplastic (Eyelid) & Lacrimal Specialist
Medical Director

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