Blepharoplasty is an operation to remove excess / surplus skin and any protruding fat from the tissues around the eyes.
As we age the skin loses its elasticity and gravity takes over pulling down the skin (soft tissue) of the eyelids creating a saggy / baggy appearance. Excess skin in the upper eyelids can hang down and interfere with normal eye vision. This can be an inherited tendancy and does run in families.
Upper blepharoplasty can be a very effective procedure to remove the offending skin / tissue opening up the eyes and giving a youthful alert appearance. On occasions the droop of an eyebrow or forehead can create a saggy appearance. Your surgeon will assess you and may recommend a browpexy (brow lift) instead of or as well as a blepharoplasty. The above procedures can be performed under a local anaesthetic. You will need to lay flat and keep very still during the procedure. If you would have a problem with this do please let the cosmetic team know.
Skin to the lower eyelids can also lose its tone producing sagginess / puffiness and wrinkles below the eyes. The puffiness can be caused by bulging fat pads. A blepharoplasty procedure can very much help to reduce these problems. Mr M Riaz (Plastic surgeon) at St. Hugh’s uses a technique which also involves a cheeklift with the lower blepharoplasty. This procedure is performed under a general anaesthetic as it is a very delicate procedure and the surgeon has more control whilst operating and it is more comfortable for the patient.
These procedures are usually a complete success and the team will ensure that the operation is appropriate and safe.
A full medical / surgical history will be taken and each patient will be advised and assessed very carefully whether the procedure is for you.
Following a blepharoplasty operation in theatre, your eyes will be swollen and may be bruised but this settles within a few days. To aid this immediately post operation, coolled gel eye masks will be placed over the operated eyes with wettend gauze for a few hours to lessen these effects. You will be discharged from hospital with prescribed oral / local antibiotics to prevent any infections to the delicate wounds. Also you will leave with prescribed eye drops and analgesia for any discomfort. The wounds to the eyes will be closed with sutures / stitches which will be removed in the hospital’s outpatient department by the nurses or surgeon 6-8 days following surgery. You will be advised with leaflets how to care for the wounds.
Following discharge from the hospital it is advisable that a responsible adult should escort you home and be in attendance for at least 24 hours. It is advisable not to drive between operation and the sutures / stitches being removed.
You will be given on discharge a gel eye mask / pack to take home with you for comfort and soothing the eye area. It is common for your eyes to water and a feeling of grittiness can be present. The prescribed eyedrops are very effective to deal with these issues. It is advisable that you do not do any strenuous exercise or bend the head forward for the first week. Sleeping with the head up for a few days will be beneficial and more comfortable.
The wearing of make up and contact lenses will be discussed and impressed upon on discharge from the hospital. You will be advised not to drive following this procedure for 10-12 days. Please always check with your insurance company.
Appointment arrangements to attend the outpatient department of the hospital for review and removal of sutures / stitches will be given on discharge. The follow up appointment will continue as long as needed up to approximately 1 year. You will be advised that occasionally (less than 4 / 100 patients) will need to have some revision surgery following blepharoplasty to make small adjustments. This is factored into the price and is performed in theatre under local anaesthetic.
Blepharoplasty / browpexy, temple / cheeklift is a procedure to enhance your eyelid area. Your eyes / face will continue to age naturally but should appear younger and fresher for your age.
When considering any of these procedures patients should have realistic expectations about the outcome / results and ensure that they are making an informed decision / choice about such surgery.
As with any cosmetic procedure you will be advised about smoking, weight control and taking a healthy diet before embarking on the surgery.
This information is designed to give useful information. It does not replace the need for consultation with one of our consultants who will advise you accordingly regarding your suitability for the proposed surgery.
You can check that your consultant surgeon is on the specilaist register kept by the General Medical Council (GMC) and all of our cosmetic surgeons are approved and registered with BAAPS.