Droopy eyelids and eye bags can have a profound effect on how others perceive us and can make us look aged and tired. Eyelid surgery (blepharoplasty) can improve the appearance of our eyes
At Quaba Plastic Surgery, we have expertise in all aspects of eyelid surgery.
Cosmetic eyelid surgery or blepharoplasty is designed to improve the appearance of the eyelids. It gives a rejuvenated appearance to the area surrounding your eyes, making you look more rested and alert. The operation removes excess skin or fat (or both) from either the lower or upper eyelids or both.
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.
What are the risks?
What are the possible complications of surgery?
Like all forms of cosmetic surgery, eyelid surgery has associated complications. These 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. It is usually resolved by 10 days.
Unfavourable scarring – Uncommon.
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 is where the lid no longer rests on the globe of the eye (results from removing too much skin) – uncommon and may require further surgery to correct.
Asymmetry – Minor degrees of eyelid asymmetry is very common in all 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.
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
All inclusive costs for one year following surgery
Finance is available (subject to application and vetting) through a company working with the Spire Hospital. They offer interest-free loans up to a particular value. They can usually provide a decision online within 15 minutes.
Questions about blepharoplasty
Why do our eyelids age?
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.
Upper blepharoplasty 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 have my surgery under local anaesthesia?
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.
Is there much swelling or bruising?
Most patients will experience a variable degree of swelling and bruising which can take between 7-14 days to settle down. Sutures are usually removed after 5-7 days. Generally speaking, there is a very high satisfaction rate.