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Blepharoplasty

Blepharoplasty (Eyelid Surgery)

 

A blepharoplasty is an operation to remove excess skin (dermatochalasis) from the eyelids. Occasionally, you may require removal of some fat from the lids as well. The procedure can be done on the lower and the upper eyelids, separately or at the same time. 

Excess skin is common as we age and this can lead to the appearance of hooding of the skin. In addition the ligaments loosen and the fat pads naturally tucked around the eye become more pronounced. In addition some of glands around the eye also enlarge or loosen and need attention as well. Occasionally the problems can sometimes be severe enough to interfere with the field of vision.

 

 Duration – 1 Hours

 Hospital stay – Daycase

 Costs – from £1999

 Return to work – 1 week

 Location – London, Birmingham, Manchester, Beirut, Doha

Frequently Asked Questions

How is a blepharoplasty performed?

The procedure can be performed under local or general anaesthetic depending on patient preference and complexity. It is usually a day case procedure. You will be given some anaesthetic eye drops as well as an injection under the skin of the upper eyelids. This will make the area feel numb and so the surgery should not cause any pain.

The first step is the pre-operative marking standing up.  If you are combining this with a browlift, the browlift is done first. After the administration of anaesthesia, the excess skin is removed and if any fat removal is required then this can also be performed. Sometimes suspension sutures to the skull are needed. The skin is then stitched together and the scar should lie in the natural skin crease of the eyelid.

What happens after the blepharoplasty?

It is normal to expect some bruising and swelling after a blepharoplasty procedure. This will take about a week or so to settle and improve. The stitches will need to be removed after 5 to 7 days following the procedure.

How long does the surgery last?

This will be between one to two hours.

What other treatments can be combined with a blepharoplasty?

Sometimes the procedure can be combined with a browlift, or followed by a fat transfer, skin peel or laser resurfacing. 

Do I have to stop any medications before a blepharoplasty?

If you taking any herbal medications or any blood thinning medications you need to tell Dr Soueid, as he might advise you to stop these medications before the operation.

Can I drive after the operation?

You will not be able to drive afterwards, and its best to arrange for an alternative mode of transport or a family member or friend to take you home. 

I suffer from dry eyes, is that a problem?

You should tell Mr Soueid if you suffer from any eye conditions, including dry eyes, as this might alter the procedure required or you might need some necessary investigations before the procedure. 

Can I wear my make-up or use false eyelashes after the procedure?

The wound will be checked in one week, after that you may apply the make-up or eyelashes as you wish.

Can I wear contact lenses after the procedure?

It is best to avoid wearing contact lenses for at least one week after the procedure.

What are the potential risks or complications from a blepharoplasty?

The most common side effects include bruising and swelling. The surface of the eyeball or conjunctiva may also swell, this is called chemosis.

Bleeding

Bleeding may occur after the procedure and it is common to have a few drops from the wound after the procedure. Sometimes the bleeding can be more and result in a collection underneath the skin, this is a haematoma. This may recover further surgery to remove the blood collection.

Blindness

Extremely rarely, a severe bleed may result in blood around or behind the eye that can cause blindness.

Infection

Infection can result in redness and swelling of the eyelids. This may also result in discharge or even wound breakdown.

Under or over-correction

If too much skin is removed this may result in difficulty closing the eye, this is called ectropion. If too little skin is removed then you may have residual skin excess.

Asymmetry

Most patients will have some degree of asymmetry, which is completely normal. This may also occur after surgery or you may become more aware of asymmetries after the procedure.

Scarring

You will have scarring from the blepharoplasty procedure, which will be permanent. The scar is normally in the natural crease of the upper eyelid or just under the eyelashes on the lower eyelid. Occasionally, scars can become raised and thickened, also referred to as hypertrophic or keloid.

Eye related complications

Some patients will experience dry eyes or aggravation of dry eyes following the procedure. This may require some lubricant eye drops to help. Vision may also be blurred for a few days following a blepharoplasty.