Blepharoplasty (Eyelid Surgery)

Blepharoplasty is surgery of the upper eyelids, the lower eyelids, or both. In the upper lids, excess skin and, where needed, a small amount of fat are removed through an incision hidden in the natural eyelid crease. In the lower lids, fat can be removed or repositioned and loose skin tightened, through an incision just below the lashes or from the inside of the lid.

• Drooping or heavy upper eyelids
• Excess skin folds on the upper lids
• Puffiness and bags under the eyes
• Fine wrinkling of the lower eyelid skin

When upper eyelid skin sags onto the lashes, it can restrict the upper field of vision. In these cases, upper blepharoplasty can also bring a functional benefit. This is assessed carefully during the consultation.

• Adults bothered by heavy upper lids or lower eyelid bags
• Patients in good general health without untreated eye disease
• Patients with realistic expectations
• Non-smokers, or patients willing to stop around the time of surgery

If the eyebrows have also descended, a brow lift may be recommended, because lifting the brow changes how much eyelid skin needs to be removed. Eyelid surgery can also be combined with a facelift, a midface lift or fat grafting after a personalised consultation.

• Swelling and bruising are most noticeable in the first week
• Stitches are usually removed after about five to seven days
• Many patients return to office work after around ten days
• Cool compresses and keeping the head elevated help in the first days
• Scars usually fade and become discreet over the following months

Possible risks include bleeding, infection, temporary dryness or irritation of the eyes, asymmetry, visible scarring and, rarely, changes in eyelid position. These are discussed openly and in detail during your consultation.