This website contains imagery that is only suitable for audiences 18+. Any surgical or invasive procedure carries risks.
Blepharoplasty (eyelid surgery) is performed to address excess upper or lower eyelid skin and, in selected cases, fatty tissue that may contribute to eyelid heaviness or under‑eye fullness. In some patients, upper eyelid skin can contribute to visual field obstruction. A consultation is required to confirm suitability, discuss scarring, risks, and alternatives.
Eyelid surgery involves planned incisions to remove or reposition tissue. Upper eyelid scars are usually placed in the natural eyelid crease; lower eyelid approaches vary depending on anatomy. Scarring is permanent, and the visibility of scars varies. Outcomes depend on anatomy, tissue quality, and healing.
The aim of blepharoplasty is to address specific eyelid features identified at assessment. Potential physical changes may include:
– Reduction of upper eyelid skin redundancy (where present).
– Repositioning or removal of lower‑lid fat pads in selected cases.
– Change in eyelid contour and crease definition (individual variation applies).
Outcomes vary with anatomy, skin quality, healing, and surgical technique. Symmetry cannot be guaranteed.
A suitable candidate is generally a healthy adult with eyelid changes that may be addressed surgically, who understands that outcomes and scarring vary and that revision surgery can be required in some cases. Your surgeon will discuss whether an eye specialist assessment is recommended for your circumstances.
You May Be a Good Candidate If
You may be a good candidate if you:
– You have eyelid heaviness or excess skin that does not improve with non‑surgical measures.
– You have upper eyelid skin redundancy and/or lower‑lid changes that you would like assessed.
– You are willing to accept scars and recovery time.
– You have realistic expectations about achievable change.
This procedure/treatment may not be appropriate if you:
– Uncontrolled medical conditions increasing surgical risk.
– Active eye infection or certain untreated eye surface conditions (as determined by assessment).
– Expectation of a scar‑free or guaranteed outcome.
Technique selection is individual and based on your anatomy, goals and safety considerations. Options may include:
– Upper blepharoplasty: incision typically in the eyelid crease to remove/reposition tissue.
– Lower blepharoplasty: approach may be transconjunctival (inside eyelid) or subciliary (beneath lashes), depending on anatomy.
– Adjunct procedures (selected cases): may include skin pinch or other options depending on goals and safety.
Your clinician/surgeon will explain the recommended approach and expected trade‑offs during consultation.
Anesthesia
Often performed under local anaesthesia with sedation or general anaesthesia depending on extent and patient factors. Options are discussed during consultation.
You will receive individual instructions. Common requirements may include:
– Pre‑operative eye/health assessment as advised, including medication review for bleeding risk.
– Medication and supplement review, including anything that can increase bleeding risk (as advised).
– Nicotine cessation for the recommended period before and after treatment/surgery (if applicable).
– Planning time off work, transport, and at-home support (where relevant).
– Fasting instructions prior to anaesthesia (if applicable).
– Pre-operative assessments/tests as advised by your treating team.
Swelling and bruising are common early and generally reduce over 1–2 weeks, but timelines vary. Dryness, tightness, or temporary changes in sensation can occur. Scars continue to mature over months and may remain visible. Risks can include bleeding, infection, scarring, asymmetry, eyelid malposition, dry eye symptoms, vision changes (rare), and the possibility of revision surgery. Your surgeon will provide written aftercare instructions and review you during follow‑up.
Return to Work: often around 1–2 weeks depending on bruising and comfort.
Return to Exercise: usually restricted for ~2–4 weeks; timing varies and is surgeon‑directed.
Assessing outcome: swelling can take weeks to months; scars mature over many months.
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.