Eyelid surgery2019-06-12T22:32:19+00:00
Facial Plastic Surgery Techniques

Eyelid Surgery | Eye Bag Removal

Leading eyelid surgery in Edinburgh with Quaba Plastic Surgery

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Droopy eyelids and eye bags can affect how others perceive us and can make us look aged and tired.

Call us in confidence on 0131 346 0020 to discuss the options

Eyelid surgery or blepharoplasty improves the appearance of the eyelids. It rejuvenates the area surrounding your eyes, making you look more rested and alert. Patients seeking eyelid surgery often complain of puffiness and loose or sagging skin causing folds or hooding of their upper eyelids. They may state that their upper eyelids feel heavy. The other common complaint is of eye bags and wrinkles affecting the lower eyelids.

Find out more about our eyelid procedures below…

eyelid surgery scotland
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Upper blepharoplasty

An upper blepharoplasty (eye lift) involves an incision which leaves a scar in the upper eyelid crease. Any protruding fat is removed through the incision, and excess skin and sagging muscle are removed.

Lower blepharoplasty and eye bag removal

Lower blepharoplasty involves an incision just below the lashes in the lower lids. The skin is lifted, and any protruding fat is removed along with excess skin. Sometimes it is possible to make the incision on the inside of the eye to remove protruding fat when there is no skin excess.

Can I combine surgery with other procedures?2019-05-13T23:45:20+00:00

Eyelid surgery is often combined with other procedures such as facelift surgery, brow lift and fat injections to the cheek area.

Is there much swelling or bruising?2019-05-13T23:42:20+00:00

Most patients will experience a variable degree of swelling and bruising which can take between 7-14 days to settle down.

Can I have my eyelid surgery under local anaesthesia?2019-05-13T23:40:43+00:00

Upper and lower blepharoplasty can be performed under local or general anaesthetic. A general anaesthetic is usually required when upper, and lower eyelid surgery is being carried out at the same time.

Why do our eyelids age?2019-05-13T23:33:07+00:00

As we age our skin loses its elasticity and our muscles weaken. For our eyelids, the loss of elasticity of the skin manifests itself as loose skin which can cause folds in the upper lids and deepening creases in the lower lids. The weakness of the muscles around the eye leads to protrusion of fat giving the appearance of eye bags.

Other factors that can age our eyelids include smoking, excessive sun exposure and genetic predisposition. Some patients can develop bags under their eyes (due to fat protrusion) despite not having any skin changes.

Eyelid surgery can be carried out either under local anaesthetic or general anaesthesia. We advise that patients have an overnight stay in the hospital if they are having lower eyelid surgery.

The risks of general anaesthesia include deep vein thrombosis in pulmonary embolism, but these are very rare during this type of surgery. Other risks of general anaesthesia include chest infection.

The specific risks relating to eyelid surgery include:

Bleeding – It is not uncommon to have minor bleeding immediately after surgery which stops with simple pressure.

Bruising – To be expected and varies between patients. Usually resolved by ten days.

Unfavourable scarring – All scars are permanent but usually settle very well with eyelid surgery. It is possible that some scars can be red and thickened and may take up to 6 months to settle down.

Dry eyes– Usually short-lived but can be worse in patients who already have dry eyes before their operation – often an indication not to perform surgery in the first place.

Grittiness and watering – Usually short lived.

Under correction – We never wish to overcorrect as this can cause pulling on the lower eyelid or difficulty closing the eyes – sometimes further surgery may be required to remove residual skin.

Ectropion – Where the lid no longer rests on the globe of the eye (results from removing too much skin or infection) – This causes watering and redness and can be a difficult problem to sort out. It is a rare complication, and all efforts are made to avoid it (being conservative with skin excision and tightening the lower eyelid to support it).

Asymmetry – Minor degrees of eyelid asymmetry is common in the general population. This finding is no different following eyelid surgery.

Blindness – Extremely rare (1 in 30,000 patients) and results from bleeding behind the eye which is not treated promptly.

Unsatisfactory result – A small number of patients may end up with a degree of dissatisfaction at the outcome, and further revisional surgery may be necessary.

Discomfort/ Pain

Pain after surgery is not usually an issue for most patients. You may experience a degree of discomfort in the first few days which will improve each day after that.

Bruising/ swelling

Temporary swelling and bruising around your eyes is typical at first and peaks after 2 or 3 days. Most swelling and bruising should disappear within one week. Some subtle swelling and bruising may persist for up to 2 weeks.

Sticky eyes – It is not uncommon for your eyes to feel a bit sticky and crusty, especially in the mornings when you wake up. This usually settles by 1 week.

Appearance

Bruising and swelling of the eyelids may last 1-2 weeks.

Your eyes may water for several weeks.

Scars take a variable amount of time to settle. In some cases, redness may persist for several months.

Quaba Eyelid Aftercare…

If you have had a eyelid surgery with us or are considering it – please find some detailed instructions and advise on aftercare following blepharoplasty.

Before you leave the hospital2019-05-23T22:24:09+00:00

Medications – You will be provided with painkillers and an antibiotic ointment to apply to your eyes.

Change of dressings – Your dressings do not usually require changing before discharge.

Follow up appointments for dressing clinics – You will be handed a card with details of your first follow up appointment and contact details for the ward should you have any concerns once you get home.

Eyelid instructions2019-05-21T18:17:36+00:00

Have someone drive you home after surgery.

Get plenty of rest.

Start walking as soon as possible; this helps to reduce swelling and lowers the chance of blood clots.

Follow a balanced diet. Decreased activity may promote constipation, so you may wish to add more raw fruit and fibre to your diet. Make sure you increase fluid intake.

Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon.

Avoid smoking for at least two weeks, as smoking delays healing and increases the risk of complications.

Avoid alcohol when taking pain medications. Even if you are not taking pain medications, it is advisable to avoid alcohol for 3 weeks as it can cause fluid retention which may worsen swelling.

When can I go back to work after eyelid surgery?2019-05-21T18:17:05+00:00

Your recovery and your job will dictate when you can return to work. We would advise patients to leave at least a week to 10 days before returning to work although this does vary depending on each individual.

Activities after eyelid surgery2019-05-21T18:18:03+00:00

Showering/ bathing – Generally speaking, you can shower at any time after your surgery.

Sleeping position – Sleep comfortably on two or three pillows. You do not need to sleep propped upright.

Clothing – Wear clothing that is easy to remove and avoid tight tops that require removal over your head as they might catch on your eyes.

Driving – We recommend not driving for at least three days after your surgery as you may be on pain medication. Additionally, your eyelids might be puffy and swollen.

Exercise – Avoid strenuous activities or any activity that increases your blood pressure for around two weeks.

Glasses – You can wear your glasses any time after surgery.

Contact lenses – Generally speaking, you should avoid wearing contact lenses for as long as possible after your surgery. This is to avoid manipulation of the eyelids which may impair healing. Most patients can start wearing their contact lenses after about 3 weeks. Some patients, however, may have a degree of dryness or irritation to their eyes and should wait until this is resolved.

Eyelid wound care2019-05-21T18:18:27+00:00

Antibiotic ointment – You may have been provided with an antibiotic eye ointment (Chloramphenicol) to apply over your lashes and in your eyes. Apply a small amount 2-3 times a day for the first 1-2 days.

Be gentle when washing your face – use a mild detergent or soap.

Do not use makeup or other cosmetics on your external incisions until your wound is fully healed (usually by two weeks).

Cold compresses around your eyes may help reduce bruising and swelling.

Follow up2019-05-21T17:59:27+00:00

4-6 days after your operation – You will attend a specialist nurse clinic to have your stitches, tape removed.

Six months – You will be asked to arrange a follow-up appointment with your surgeon at six months to discuss the outcome of your surgery and any concerns you may have.

Please note – Some of our patients will get in touch prior to their 6 months follow up appointment and we are often able to address any concerns you may have over the phone or via email. You are welcome to make an appointment (at no cost to you) prior to your 6 months follow up if you wish to be seen in person to discuss any issues.

Scar management2019-05-23T22:43:28+00:00

Healing is a gradual process, and your scars may remain slightly pink for up to 12 months.

You should start gently massaging your scars from 2-3 weeks after surgery.

Avoid exposing scars to direct sun for 3-4 months.

Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or higher).

When to call2019-05-21T21:54:38+00:00

If you have increased swelling or bruising which is not settling.

If you notice swelling of one/ both of your legs or feel short of breath – this may indicate a clot in one of your veins/ lungs – Deep vein thrombosis/ Pulmonary embolism.

If you have increased redness along the incision (this may be a sign of infection).

If you have severe or increased pain not relieved by medication.

If you have any side effects to medications; such as, rash, nausea, headache, vomiting.

If you have a temperature over 38 degrees Celsius.

If you have any yellowish or greenish discharge from the incisions.

If you have bleeding from the incisions that is difficult to control with light pressure.

If concerned, please call Beechwood House on 0131 316259 between the hours of 8am-8pm or after that on 0131 334 0363.

Eyelid Surgery Before & After Gallery

Upper eyelids (local) from £2500

Upper eyelids (general) from £3000

Lower eyelids (local) from £2500

Lower eyelids (general) from £3100

Upper and lower (general) from £4500

Consultation £150

All inclusive costs for one year following surgery

Essentials

Eyelid Surgery

Type of Anaesthetic

Local or General

Length of Surgery

1-2 Hours

Nights in Hospital

Upper lids – outpatient, lower lids – 1 night

Recovery

1-2 weeks off work, 6 weeks before strenuous exercise

Arrange Consultation

Attention to detail and refinement are our key elements to the provision of successful cosmetic surgery

Your care is led by Consultant Plastic Surgeons and is Hospital-Based.

Call us in confidence on 0131 342 0020 to discuss the options

Arrange a consultation

What our patients have to say…

Feedback is from external review sites such as Google and RealSelf

Rhinoplasty – Faultless

I had rhinoplasty performed by Mr Awf Quaba and the whole process was faultless. He was a lovely man, obviously extremely knowledgeable and experienced, who really listened and made sensible suggestions of what he could achieve. On the day, everything went quickly and smoothly and was home by the evening of surgery. Overall the procedure was painless – I cannot recall feeling any discomfort at all the during recovery period. Nose was blocked and couldn’t taste anything for 3 days but, other than that, no drawbacks at all. Would recommend the procedure with no reservations at all.

Edinburgh 1976, Realself Mar 2019

Facelift surgery – I found a great surgeon!

Having never forayed into the world of cosmetic surgery, I feel I was very fortunate to find Mr Quaba.
Murrayfield Hospital supplied me with a list of surgeons upon my initial query regarding a neck/lower facelift and I looked through each of their profiles and kept coming back to the Quaba practice.
From my first consultation, Mr Quaba put me at ease and gave me very realistic expectations of the outcome if I chose to go for surgery. He explained all the risks involved and confirmed everything we discussed in writing, which gave me the time and the opportunity to fully consider if this was the right choice for me.
I went ahead with the neck and lower facelift a few months later and felt completely safe in Mr Quaba’s hands. He has an excellent gentle manner. I also love the fact that he and his father work together. I would highly recommend his services to anyone.
I am so glad I opted for my surgery and am very happy with the results.

ShirleyMcN, Realself May 2019

Chin fillers – Brilliant experience

Always friendly, informative and helpful. Made you feel comfortable and always provided an honest opinion about what would be the best course of action. Did a wonderful job, very pleased with the results. Would definitely recommend as the results have had a positive effect on my self-confidence levels and the healing time was both fast and pain-free.

Rhinoplasty – 5 star

My only regret is not having the procedure years ago. After paying for a few consultations in other clinics I felt Mr Quaba made me feel most at ease about my Rhinoplasty and explained everything to me. From start to finish all the staff who cared for me were amazing. I felt no pain afterwards and although I had a lot of bruising and swelling this was nearly all gone within 2 weeks. Could not recommend Dr Quaba enough if you are thinking of having a rhinoplasty.

Leanne Toshney, Google May 2019

Facelift surgery -I felt safe and sound throughout

As an older lady, I was given a realistic expectation of the end result. While in hospital I was well looked after and when we had an unexpected hiccup due to me having been on blood thinners I was readmitted with Mr Quaba Senior on hand at 2.00am to provide care and reassurance. Both Mr Quabas have excellent bedside manners and have the ability to make you feel safe an secure. Unbelievably, I experienced little or no pain (but did look a bit like a Russian astronaut with the bandages round my head). Obviously, there were stitches in front and behind my ear and into my hairline. However, my skin has healed exceptionally well and there is absolutely no sign that work has been done apart from my lovely smooth neck and lack of jowls (which were not attractive).
I was treated with respect and care throughout the process.

Thank you so much Mr Quaba

Maggie Durning, Realself Feb 2019

Upper eyelid surgery – 5 star

At the initial consultation, everything was explained in detail to me so i could make an informed decision if i wanted to go ahead with my eyelid lift or not.
I decided to go ahead with the procedure and the care i recieved excellent. i went in as a day patient and the procedure was carried out under local anaesthetic. Mr Quaba explained each step as he did the operation. i was in at out of the theatre after 45 mins. I was treated with respect at all times. One week later stitches were removed there was no pain at all and on my experience, i would highly recommend Mr Omar Quaba.

Jackie Hutchison, Google May 2019

Rhinoplasty – I had a great experience

I had a great experience with this surgeon. I had my rhinoplasty surgery in August 2018. After a long time thinking about having the surgery, I decided to book. I had read a lot of reviews on different surgeons before I decided on Quaba.
I am delighted with the result. Wish I had done it sooner.

Eyelid surgery – Very professional

My upper blepharoplasty was a very professional and good experience with Mr Quaba and his team. I felt very taken care of and looked after at all times. I am also extremely pleased with the results although my facial bruising took a few months to disappear. I would not hesitate to recommend this surgeon and his team.

Rhinoplasty – Care was exceptional

My only regret is not having the procedure years ago. After paying for a few consultations in other clinics I felt Mr Quaba made me feel most at ease about my Rhinoplasty and explained everything to me. From start to finish all the staff who cared for me were amazing. I felt no pain afterwards and although I had a lot of bruising and swelling this was nearly all gone within 2 weeks. Could not recommend Dr Quaba enough if you are thinking of having a rhinoplasty.

Rhinoplasty – Best money I’ve ever spent!

I had septorhinoplasty in Sep 2018 because my nose was awful – squint, bulbous AND projecting. I would never let anyone take my photo and was extremely paranoid and unhappy with it. I’m now 5 months post surgery and I’m SO glad I did it. It was worth every penny. I am so much more confident in my appearance. I don’t run away from cameras anymore and my overall confidence is so much higher! There’s still quite a bit of swelling there but it already looks so much better, so I’m excited to see how it looks in another 6 months or so.

At my first consultation, Mr Quaba was great, I felt like he took my concerns seriously and he took the time to explain what could be done to improve the appearance of my nose.

I think one thing to bear in mind with rhinoplasty is that you see the final results a LONG time after the actual operation. The swelling isn’t obvious after a couple of weeks and most people won’t think you look strange, but it’s definitely there. My nose was enormous for a few days after the cast came off so I would definitely recommend taking 2 weeks off work if you can… unless you don’t mind walking around with a cast on and a massive nose, but I did!

Overall, great results and really pleasant experience with Mr Quaba and all of the staff at Spire hospital. No complaints whatsoever and I’m very happy with my surgery. Very highly recommended if you’re considering rhinoplasty :)

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