Upper Eyelid Surgery, also known as Upper Eyelid Blepharoplasty is the gold standard to correct eyelid hooding, sagging, bulging and tired-looking eyes. During a short operation (normally less than 1 hour), excess skin and/or fat is removed from the upper eyelid to create a fresher and more youthful appearance. The incisions are made along the natural crease of the eyelid and are virtually invisible once fully healed.
Aesthetic outcomes can be enhanced when combined with other treatments such as CO2 laser, Morpheus 8 or chemical peels. Intense sun exposure should be avoided one month following treatment.
WHAT TO EXPECT?
By making an incision along the natural eyelid skin fold, it is possible to remove skin and fat and leave only a fine, discrete scar along the natural skin crease of the eye. Excess upper eyelid skin can lead to functional problems in the eye; causing a loss of peripheral vision, especially in the outer and upper parts of the visual field. Initial bruising and swelling resolve in as little as one to two weeks, however, the final outcome of the surgery may not be seen for several weeks.
On the day of surgery, the amount of skin to be removed is carefully marked in an upright position and then rechecked with the patient reclined to ensure that the eyes will close without difficulty after surgery. A local anaesthetic is injected under the skin and the incisions are placed within the eyelid. The procedure generally takes 30-60 minutes. Fat pads that are normally present in the eyelids can be trimmed or repositioned to contour the eyelid for a youthful appearance. Non-dissolvable sutures are placed under the skin to minimize scarring, and bandages may be placed to secure the sutures. These sutures will be removed 1 week later.
Immediately after surgery, you may notice your vision is blurry due to the antibiotic ointment that has been applied during surgery. You will be asked to use this ointment at bedtime in the eye and on the wound. Artificial tears will be prescribed to prevent dryness in the postoperative period. The degree of swelling and potential bruising differs from patient to patient. We will give you cold compresses to use for 10 minutes every hour while awake for the first 48 hours to minimize bruising and swelling. It is encouraged to sleep with 2-3 pillows to help prevent fluid accumulation and swelling.
Regular daily activities can resume the day of or after surgery, but exercise and strenuous activity should be avoided until after the first postoperative visit. I recommend no driving until after the sutures have been removed. Patients return to 1 week after surgery for examination and suture removal. Eye make up can be resumed 7-10 days after surgery. It is normal to have feelings of numbness along the eyelash margin, tightness of the eyelids and mild dryness temporarily. Most patients do not experience any pain after the surgery.
It is important to keep the eyes dry for the first 48 hours. Hair can be washed. The eyes can be gently washed from days 3-7 and once the sutures are removed at one week, normal washing routines are initiated.
Serious complications after upper eyelid blepharoplasty are rare. However, there are potential risks and complications as with any surgery: infection, bleeding, and poor wound healing. In an experienced and conservative surgeon’s hands, complications such as the inability to close the eyes or vision impairment are extremely unlikely. A detailed discussion of all possible risks and complications is made at the time of operative consultations and detailed with the written information summarizing discussions.
Blepharoplasty is designed to improve the appearance of the eyelids and most patients do not feel the need to have a second surgery. However, the natural ageing process will continue and results will vary between patients. Blepharoplasty results last between 7-15 years. Blepharoplasty can be enhanced by other surgical and non-surgical procedures done at the same time.
WHAT ARE THE BENEFITS OF UPPER EYELID BLEPHAROPLASTY?
Upper eyelid blepharoplasty restores the field of vision, as well as the natural youthful beauty of the eye. By removing excess skin and fat, the eyelid will appear smooth and better defined, giving a more youthful appearance while often improving peripheral vision and eyelid fatigue. External skin resurfacing with a chemical peel or laser resurfacing treatment may be possible at the same time to improve the appearance of crepey skin.
UPPER EYELID BLEPHAROPLASTY FROM £9,700