Eyelid lift (Blepharoplasty) is one of the most commonly performed functional and aesthetic facial plastic surgical procedures. It deals with the contours of the upper and lower eyelid space.
This procedure concerns the removal of excess skin and muscle from the upper or lower eyelid and either reduces or repositions the underlying fat to a more youthful configuration.
Upper eyelid lifts concentrate on the region between the eyebrow and the eyelashes.
Lower eyelid liftsfocuses on the area between the eyelashes and the cheek.
Surgery can be performed for any of the following reasons:
A ‘tired’ look. This is the most common indication for surgery hereditary factors and evolutional changes can cause a drooping of skin and the tissues under the skin with protrusion of the underlying fat causing the ¨heavy eyelid¨ look, commonly associated with bulginess on the inner aspect of the eyelid.
Excess skin, muscle and fat in the lower lid gives a lined appearance and the presence of ‘bags’ under the eyes.
The appearance of the eyelids may be asymmetrical and blepharoplasty may be performed to improve symmetry.
Saggy upper eyelid skin can obstruct the visual field (you may not be able to see the full extent of your lateral vision). Blepharoplasty is performed to remove this obstruction and improve vision.
A full medical history will be taken to ensure that the consultant is aware of any medical conditions that may affect your ability to undergo surgery. A detailed examination of the eye, eyelids, facial skin and underlying tissues will be undertaken to ensure that the surgery will not compromise the health and integrity of your eyes.
Another essential aspect of the consultation is a detailed discussion to understand your expected outcomes of any prospective surgery to ensure that these are realistic and achievable. You may be asked to bring older photographs with you, which will help to ensure that surgery is planned to suit your facial features and history, so that you still look like you after the surgery.
A second consultation up to two weeks afterwards is sometimes required to ensure that you fully understand the procedure and that you have the opportunity to discuss any areas of concern before proceeding. This is often referred to as a “cooling off” period.
This will depend on the level of surgery required, but generally eyelid surgery would be expected to take between 45 minutes and two and a half hours.
Shorter procedures tend to be performed under local anaesthesia with sedation, whereas the longer procedures can be performed under general anaesthesia.
The recovery process for upper or lower eyelid lifts is usually quite quick. You can expect to return to your normal routine within a day or two of your treatment, although the bruising may remain for up to a fortnight. Combined upper and lower eyelid lifts may require a longer recovery period of two to three weeks.
In expert hands, an eyelid lift is a safe and predictable procedure offering significant aesthetic and functional benefit. Like with all surgery, there are some risks with the procedure and these will be discussed with you in detail at your consultation.
Firstly, you will need to book an appointment to meet one of our consultants.
You will then have a “cooling off period” to think things over. If you are still keen to proceed after that, we will book a date for your treatment.
Following treatment, you are usually able to return home on the same day depending on the level of surgery required.
Around 7-10 days after your treatment, you will return for a follow-up appointment with your surgeon to check how your eyes are recovering and to have your sutures removed.
Two to three months after your treatment, you will return for a final check-up.