Procedure Cosmetic concerns about the upper eyelid include excess skin, hooding and fat protrusions. Hooded eyelids can obstruct the vision.
It can sometimes be beneficial to lift the eyebrows instead or in addition to the lids. An upper blepharoplasty (=eyelid surgery / eyelid or lid lift) can remove redundant skin, muscle and fat.
Upper eyelid surgery is performed under a local anaesthetic. Combined upper and lower eyelid surgery is done under a general anaesthetic.
The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months.
Scars Upper eyelid crease with short sidewards extension
Operation time 1 hour
Anaesthesia Local
Hospital Stay Day Surgery
Benefits Cosmetic, Psychological, Functional
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Skin cones, Wound separation, Slough, Necrosis, Pain, Irritation, Nerve injury (Numbness, weakness), Bruising, Swelling, Hollowness, Cysts, Overcorrection, Undercorrection, Asymmetry, Recurrent redundancy, Cosmetic imperfections, Eye injury / irritation / dryness, Cornea abrasion, Double / blurred vision, Sympathetic ophthalmia, Blindness, Contour irregularities, Need for further surgery (+/– skin grafts), Lagophthalmos (Inability to close eyes), Brow ptosis (=droopiness), Allergic reaction
N.B. Most complications are unlikely and serious risks are rare
Risk factors Smoking, high blood pressure, bleeding tendency, diabetes, pre-existing eye problems
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection
Discomfort 1 week
Bruising 2 – 3 weeks
Recovery Driving and light activities 1 week, Physical work & sports 4 weeks
Acceptable appearance 2 – 4 weeks for most patients (This is subjective)
Final result 6 – 18 months
Alternatives No Surgery, Make–up, Fillers, Fat transfer, Laser, Botulinum toxin

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