Blepharoplasty (Eyelid Surgery)
Blepharoplasty, by an ophthalmologist.
A surgical procedure to correct excess eyelid skin, fat herniation, or structural change around the eye. Performed under local anaesthesia with sedation. My oculoplastic training means I plan the lid around the eye's function — tear film, closure, protection — not appearance alone.
Best for structural eyelid change — not subtle smoothing.
- ·Excess upper eyelid skin (dermatochalasis)
- ·Lower eyelid fat herniation / bags
- ·Visual field obstruction from drooping lids
- ·Eyelid asymmetry
- ·Functional + aesthetic correction
- ·Revision of earlier blepharoplasty
Five steps, planned in detail.
- Pre-operative assessment
Full ophthalmologic examination, dry-eye testing, and photography. I identify asymmetries and discuss them openly.
45 – 60 min - Marking and anaesthesia
Markings made with you sitting upright. Local anaesthetic infiltration, with oral sedation if you prefer.
15 – 20 min - Incision
Placed within the natural upper-eyelid crease, or transconjunctivally for the lower lid — no external scar.
10 – 15 min - Tissue correction
Conservative skin excision, fat repositioning rather than removal where possible, orbicularis preservation.
30 – 45 min - Closure & recovery brief
Fine sutures. You leave with ice packs, written aftercare, and a follow-up at 5–7 days for suture removal.
10 – 15 min
This is surgery. The risks are real — bleeding, infection, asymmetry, dry eye, ectropion. I counsel every patient on them in detail, and nothing goes ahead until you have signed informed consent. If you are looking for the Instagram result, please go elsewhere; my goal is a result that still looks like you in ten years.
The first 14 days are managed actively.
Swelling and bruising peak at 48–72 hours and fade over 2 weeks. Fine incisions are virtually invisible once healed. Final result settles over 3–6 months.
Do
- Use cold compresses every hour for the first 48 hours.
- Sleep on your back, head elevated, for 2 weeks.
- Use the prescribed ointment and lubricating drops as directed.
- Message me immediately for worsening pain, sudden swelling, or vision change.
Don't
- Lift heavy objects, bend, or strain for 2 weeks.
- Wear eye makeup, false lashes, or contact lenses until I clear you.
- Fly long-haul for 10 days (pressure changes worsen swelling).
- Expose the area to direct sun for 6 weeks.
Technical specification.
For peer doctors and trainees. If this is unfamiliar language, skip to the FAQ instead.
Surgical parameters
- Setting
- Accredited operating theatre
- Anaesthesia
- Local + oral sedation; GA on specific indications
- Upper blepharoplasty
- Skin excision ± orbicularis strip ± fat repositioning
- Lower blepharoplasty
- Transconjunctival; transcutaneous on specific indications
- Sutures
- 6-0 or 7-0 monofilament; removed at 5 – 7 days
- Longevity
- Upper 8 – 12 years; lower often permanent
- Peri-op monitoring
- Daily first-week contact; follow-up at 1 week, 1 month, 3 months