For both men and women, the slight excessive skin that develops in the upper or lower lid is the first feature of ageing. Blepharoplasty surgery aims to offer a more youthful look to the eyes by removing some excess skin and addressing underlying pockets of fat that contribute to eye-bags.
This is an extremely technical procedure, and it takes very special expertise to accurately identify, first, what is the nature of the eyelid features and then, second, what must be done carefully and artistically to correct it.
The anatomy of the eyelids is understandably complex. There are an extraordinary number of small anatomic features all packed into a little space.
Skin, muscle, the fat pockets below the muscle, the eye itself, and the bony eye socket are very intimately associated with each other must be very carefully analysed in order to provide a plan for surgery.
Specific techniques are used to address specific eyelid issues, and I will take time to explain these to you.
Blepharoplasty: This is the medical term for removing one or more of these: excess skin, excess fat, or excess muscle. The incision can be below the eyelashes or inside the eyelid.
Fat Grafting or Fat Repositioning: This is done if you have a deep “tear trough” or groove in the lower eyelid. I can add fat to this area or move some of your natural fat around the area.
Eyelid Peels: These are done at the same time to remove wrinkles.
Canthoplasty: This is to move the tendon at the outer corner. See the separate section on this procedure.
During our pre-operative consultations, we will talk through the procedure with you in great depth. I always take a honest and pragmatic approach and we will address any concerns that you may have and speak openly about recognised risks. At the end of this process and before committing to surgery you will feel comfortable and well informed.
Eyelid surgery is performed under general anaesthesia or local anaesthesia. If you are having a general then you won’t be able to eat or drink for about six hours before the operation.
Detailed instructions will be provided by the hospital on when to arrive at the hospital. Before surgery you will meet myself and your anaesthetist (with general anaesthetics). We will reaffirm with you the surgical plan and your anaesthetist will discuss with you your post operative pain relief.
The procedure usually takes around 1-2 hours and depending on the time of the operation and overnight stay.
In terms of follow up, the following guidelines are generalised and I will often vary these to match your individual needs.
In general; All of the stitches are small and removed in four to seven days. You can return to work in as little as one to two days and to some physical exercise within the first week.
“My eyes now look and feel much much fresher. The bags have gone”