We tend to look at a person’s eyes when we talk to them. Unfortunately, this area often gives away signs of ageing and gravity, such as droopy, sagging skin or bags under the eyes. Excess fatty deposits, wrinkles and hanging eyelids can make us look much older and more tired.
The eyelid surgery blepharoplasty is a procedure in which excess skin in the lids is removed and the lid contour reconstructed to rejuvenate the appearance of the eyes. This procedure reduces sagginess and droopiness around the eyelids. This procedure is sometimes combined with a procedure (blepharoptosis repair to lift the lid margin if this has dropped).
Candidates for Eyelid Surgery
If you suffer from any of the following issues, you may be a suitable candidate for eyelid surgery:
- Droopy eyelids or visible eye bags that make you look older than you are;
- Fatty facial deposits that cause puffy eyelids and make you look tired;
- Excess saggy skin and fine wrinkles below the eyes that make it difficult to apply make-up;
- Difficulty seeing clearly due to sagging upper eyelids;
- A general ageing appearance around the eyes area.
If any of these issues apply to you, you may be offered eyelid appearance rejuvenation using Blepharoplasty procedures. Skin resurfacing is also often considered in combination with the eyelid surgery if you have wrinkles, uneven skin, or skin that has been severely damaged by the sun.
People of ALL ages can suffer from these issues, as genetics, lifestyle, and sun damage significantly affects our appearance. We see lots of people in their twenties, thirties and forties opt for eyelid surgery, as it rejuvenates the facial area and has a noticeably improves appearance.
This procedure is one of the most commonly requested types of surgery to reduce the signs of premature ageing, correct drooping eyelids and eliminate “eye bags.”
- Your eyes will regain a more youthful appearance;
- Make-up will look better and be more easily applied;
- Your vision will be improved if drooping eyelids have been affecting it;
- Both genders can benefit greatly from this procedure.
Upper eyelid surgery
Upper eyelid surgery removes excess skin that has significantly stretched and is now creating multiple wrinkles or a “hooding” effect on the eyelash line. Muscle repair can be carried out at the same time if there is any droopiness beneath the lid. This is done through the same incision so there will be no further scarring to the skin.
Many patients find that they have difficulties applying make-up, such as eye shadow or eyeliner, due to sagging or excess skin. Blepharoplasty removes this problem by creating a firm surface area which acts as a canvas.
Ptosis (excess upper eyelid skin) can also cause a reduction in eyesight if the eyelid itself is physically blocking the patient’s vision. Excess fatty tissue can make the upper eye look heavy, so eyelid surgery can improve the appearance by removing or reshaping a small fatty area around the eyelid.
Lower eyelid surgery
Dr Gillett will remove the appearance of bags and puffiness under the eye by redistributing fatty deposits within the lower eyelid. He will use his experience in facial anatomy to look at the location of stretched skin and fatty deposits to determine the best approach for the procedure.
Lower Blepharoplasty gives patients a more youthful look by removing excess skin and fat from the lower lid area beneath the eyes. This eye surgery can also help to correct drooping that pulls the lower lid down and exposes the white area of the eye below the iris, as well as help eliminate dark eye bags under the eye.
Upper and lower eyelid surgery can be carried out in combination. This will make patients look younger by restoring a healthy elasticity to the skin around the eye area.
Dr Gillett will assess your eye area and face shape to determine your suitability for lower or upper eyelid surgery (or a combination of the two). He will explain the procedure and how it is carried out by our specialist surgeons, who will help you to manage any pain you may feel following the surgery.
A referral from a GP or specialist is useful but not essential in any way. You can call or email us to book your initial consultation.
Please consider doing the following at your appointment:
- Bring a friend or relative to assist you with making informed decisions;
- Bring photos of your preferred nose shape and size for Dr Gillett to take into consideration;
- Take notes and ensure that you read any provided documents thoroughly.
After Blepharoplasty surgery
After the surgery, you will wake up with cold packs on your eyes to help the swelling, if these bother you they may be removed. Your vision at first will be blurry because of ointment in your eyes. To help with swelling we recommend you sleep with your head elevated. Raise the head of your bed or sleep on two pillows.
Cleaning the area
It is necessary to keep suture lines clean. We refer to this as an eye toilet. Please use a salt solution from the chemist. With clean hands and cotton make up pads dip into salt solution lightly squeeze and wipe pad across suture line once, then discard pad. Repeat process 3 – 4 times. With a cotton bud apply a thin smear of prescribed eye ointment to the suture line. Use a new cotton bud for each suture line.
Pain management post-op
Your anaesthetist will provide you with instructions regarding pain medication and a prescription if necessary.
First Post Operative Appointment
We will see you in the rooms 4 – 7 days after your operation. At this stage, we will check your progress, remove and trim the sutures and answer any concerns you may have.
Second Post Operative Appointment
Your next post operative visit will then be scheduled, for removal/trimming sutures. Expect to have some bruising and swelling – the amount you have is individual. This will settle over the following few weeks.
When can I resume normal activities after Blepharoplasty surgery?
Most patients can return to work after 7 – 10 days. Bruising can be disguised. If you wish to discuss camouflage make up please bring this up at your next post operative visit with the nurse.
Report any post-operative concerns
- Fever (with a temperature of more than 38 C) or chills.
- Heavy oozing or bleeding from a wound.
- Increased swelling around a wound site.
- Increased pain.
- Difficulty breathing.
- Difficulty in passing urine.
- Spreading redness around the wound.
- A foul odour from a wound