Cosmetic Surgery | Face | Eyelid Surgery

Cosmetic Surgery

Eyelid Surgery

An eyelid lift, or blepharoplasty, is one of the most popular and frequently requested of all cosmetic surgical procedures.

Signs of ageing and sun damage are particularly noticeable around eyelids where skin is thinner and where age-related loss of volume (deflation) becomes apparent over time. Also, muscle within the upper lid sometimes become weaker with age, and this may further contribute to a heavy-lid or drooped lid appearance. Typical priorities of  blepharoplasty patients include wrinkles, deep lines, puffiness and bags, which in varying combinations generate a tired, aged appearance.

Blepahroplasty may involve the upper or lower eyelids or both. The procedures aims to smooth contours and restore a youthful transition between upper eyelid and brow, or equally, lower eyelid and cheek. Modern blepharoplasty techniques rely ever less on skin removal alone, and frequently are combined with microinjections of fat or filler (hyaluronic acid) to restore lost volume. The eyelids do not exist in isolation and must be assessed in the context of brow position for the upper eyelids, and cheek position for the lower eyelids.

Upper blepharoplasty is a short, day-case procedure. Patients will typically experience a little bruising around the eyelid for about a week, at the end of which fine stitches are removed. Eye makeup may be worn from 10 days onwards.

Lower blepharoplasty is a longer procedure than upper blepharoplasty, with accordingly a slightly longer down-time post-operatively. It often includes volume restoration to smooth and blend contours. Lower blepharoplasty can also require strengthening of the outer angle of the eyelids, which when stretched create a round-eyed, tired appearance. Restoration to an almond shaped, energetic outline is desirable.