As we age, the skin around our eyes starts to lose its elasticity casuing gradual fine lines and wrinkle. Over time under eye bags will start to develop as the muscles relax and lower eyelids sag down. In addition, our upper eyelids can also start to droop with age.

Comfort aside, this can also give the eyes an older, tired look and a hooded or bulging appearance that can make patients feel self-conscious.

During a short operation (1-3 hours), loose skin and excess fatty tissue around the eye area is removed, tightening the relaxed muscles and giving the skin a firmer, more youthful appearance and a more attractive aesthetic.

Frequently Asked Questions

Blepharoplasty (also known as 'eyelid surgery', eye lift or eyebag removal) is a relatively quick surgical procedure to remove excess skin and muscle from both the upper and lower eyelids along with underlying fatty tissue. It can improve drooping skin and bagginess and help improve vision in older patients who have hooding of their upper eyelids.

Although it can add an upper eyelid crease to the Asian eyelid, it will not erase evidence of one’s racial or ethnic heritage. Blepharoplasty will also not remove “crow’s feet” or other wrinkles, eliminate dark circles under the eyes, or lift sagging eyebrows.

Blepharoplasty surgery is customised to every patient, depending on his or her particular needs. It can be performed alone involving upper, lower or both eyelid regions, or in conjunction with other surgical procedures of the eye, face, brow, or nose. Eyelid surgery cannot stop the process of aging. It can however, diminish the look of loose skin and bagginess in the eyelid region.

If you have hooded eyelids or sagging eyelids, blepharoplasty could be beneficial to you, and our surgeons are some of the best in the UK.

The blepharoplasty procedure (also called eyelid surgery or an eye lift) is good for improving drooping eyelids as it removes excess skin and fatty tissue from above the eye (upper blepharoplasty) removing the hood of skin which can develop as we age. This treatment can also be used to remove excess fatty tissue and skin from underneath the eyes (lower blepharoplasty). This surgery is usually done for cosmetic reasons and is an effective way to improve sight in older people whose sagging upper eyelids get in the way of their vision.

A blepharoplasty is performed making an incision along the natural skin folds of the eyelid, it is possible to cut away skin and fat tissues and leave only fine, discreet scars along the natural skin crease of the eye.

Upper eyelids that have a lot of excess skin can cause functional problems to the eye by causing a loss of peripheral vision, especially in the outer and upper parts of the visual field. Lower eyelid surgery helps diminish those lower eyelid ‘bags’ and excess skin.

Depending on the type of surgery, the incision may be along the lower eyelid lash line or from the inside surface of the lower eyelid to avoid leaving an externally visible scar.

Blepharoplasty or eyelid surgery is one of the safest and simplest procedures you can have. That being said, every surgical procedure involves a certain amount of risk and it is important that you understand the risks involved before proceeding. Although majority of patients do not experience complications, you should discuss this with your surgeon in consultation to make sure you understand all the risks, potential complications, and consequences of blepharoplasty surgery.

Some of the possible (but uncommon) risks of blepharoplasty include:

Infection and bleeding - it is possible, though unusual, to have a bleeding or infection after surgery. Bleeding may occur under the skin or internally around the eyeball. Should you develop post-operative bleeding or infection, it may require emergency treatment such as antibiotics, or surgery. Do not take any aspirin or anti-inflammatory medications for ten days before surgery, as this may contribute to a greater risk of a bleeding problem.

Dry, irritated eyes - disorders involving decreased tear production can occur after blepharoplasty. The occurrence of this is rare and not entirely predictable. Individuals who normally have dry eyes may be advised to use special caution in considering blepharoplasty surgery.

 

Your surgeon will give you all your pre-operative advice at your consultation. This may include having an eye test if you have eye health issues as well as a physical examination and eyelid photography from all angles. 

You will need to stop taking blood thinning medication such as warfarin, aspirin, ibuprofen, naproxen sodium, naproxen, and any other medication or herbal supplement associated with increased bleeding. Your surgeon will advise how long before surgery you need to stop taking these medicines.

You will need to quit smoking several weeks before your surgery as it can reduce your ability to heal after surgery.
Arrange for someone to drive you to and from surgery on the day. 

Blepharoplasty is a minimally invasive procedure and there is little pain associated with the post-operative recovery phase. Any discomfort you may experience following the treatment is generally not severe and can be controlled with pain relief and eye ointments provided by your surgeon.

Some patients have described the post-operative pain associated with blepharoplasty as mostly uncomfortable, but not extreme, similar to that of a sunburn or windburn. Pain tends to resolve rapidly in 24 to 48 hours and is easily controlled with over the counter pain relief. In fact, the vast majority of post-op blepharoplasty patients are more concerned about swelling and bruising than post-operative pain.

For these reasons, the majority of patients easily tolerate this procedure. The procedure is associated with excellent clinical results and high levels of patient satisfaction.

Recovery from eyelid surgery generally takes several weeks but is usually not extensive. There might be some swelling and bruising, but most people don’t experience much pain. We suggest 2 weeks of recovery before returning to normal activities. Stitches will normally be removed within a week.

In the first week of recovery, patients will want to make sure that their eyes receive plenty of rest. The redness and swelling occurring after the blepharoplasty procedure will fade with time. We advise that patients sleep with their head elevated, apply ice compresses, avoid alcohol, and avoid activities that dry the eyes or increase blood flow.

Your surgeon may advise for you to take a week off work depending on your particular case as you may have minor swelling and bruising around the eye area following your surgery. This will subside within around ten days and is completely normal. Your stitches will be removed 3-5 days after surgery and you will be able to wear makeup after 1 week.

During the first month after your eyelid surgery, you will see changes and will be able to enjoy the results of your surgery. Most of the swelling will go down within the first 48 hours. Any bruising is typically gone within 2 - 3 weeks after the procedure. 

Most patients return to full social and work activities within two to four weeks after the procedure. From that point on, continued slow healing occurs for at least one year. Your swelling and scarring will fade slowly over time.

If you feel any discomfort, your doctor will be able to provide pain relief although this is not usually necessary. 

Blepharoplasty surgery can give life changing results and typically does not change the shape of the eyes. The amount of muscle, fat, and skin that is being removed now is much more conservative than it was 10 and 20 years ago. It is important to discuss this with your surgeon, as several things can affect the shape of your eye. If your surgeon knows that you are concerned about your eye shape changing, then they can take extra steps to minimise this occurance.

Prices for a blepharoplasty start from £4000, however every individual is different and an accurate price will be quoted, depending on your individual needs, upon consultation with your surgeon. 

Eyelid Reduction (Blepharoplasty) Results

Click here to view our gallery of before and after and Eyelid Reduction (Blepharoplasty)

What to expect

Free Consultation with a Patient Advisor

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

Once you’ve booked your consultation, the next step will be for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.  

Recovery

After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.