UBL Upper Blepharoplasty Surgery
Procedure Aesthetic 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. If the lid margin sits low (=blepharoptosis), a different surgery is required. The operation in this case aims at lifting the lid rather than removing skin. This is more complex surgery. 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 do not 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 Aesthetic, 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, Aesthetic 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. Serious risks or death are rare
Risk factors Smoking, high blood pressure, bleeding tendency (Stop herbal products or supplements for two weeks before surgery), diabetes, pre-existing eye problems, wearing contact lenses in the first two weeks following surgery
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection. Dry eyes usually settle within 4 months after surgery. Microwaveable wheat bags and eyelid massage (as directed by) me can help.
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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