Eyelid Surgery

Its purpose

This surgery (upper and lower lid blepharoplasty) is all about reducing the aging effect of drooping "hooded" upper eyelids and the all too familiar lower eye lid 'bags’ that can make you look perpetually tired. The cause is an excess of skin and underlying fat and both these areas can be significantly improved using the right procedure, giving a more open, alert and fresh appearance to the eye.

What happens

Eyelid surgery usually requires a general anaesthetic.

With the upper eyelids, your surgeon will carefully ensure that the incision is concealed in the natural crease above your eyelashes. If there is some fat contributing to the ‘hooded’ effect that will be removed to help restore a youthful and fresher eyelid contour.

With lower eyelids, incisions are either made in the skin crease just below the eyelashes (subciliary approach) OR are hidden behind the lower eyelid (Trans conjunctival approach).

The amount of skin removed is usually quite small. With the lower eyelid blepharoplasty the main emphasis is on fat redraping to abolish the tired looking fat bulges and to fill in the hollow "tear troughs" where the lower lids join the upper cheek as a semi-circular groove.

This restores a youthful contour and the healthier looking lower eye lid-cheek appearance that you want.


Your face may (but not always) look a little bruised and feel tender after the operation, so cold packs are placed over your eyes for comfort. It will take a couple of weeks for any swelling to settle down, and while there is not a lot of discomfort afterwards we’ll make sure you have appropriate painkillers and eye drops-ointment during your recovery.

Most people go home the same day after the Upper Lid Blepharoplasty operation. We prefer one night stay for the Lower Lid patients as they require closer observation post operatively.

You should take a week off work and avoid strenuous activities for at least six weeks.