What is Blepharoplasty?

Blepharoplasty refers to surgery on the upper and/or lower eyelids to achieve a more youthful appearance around the eyes (periorbital rejuvenation). This is done by removing excess skin and repositioning tissue. As a person ages, the outside of the eyebrow drops down to give a ‘hooded’ appearance and excess skin appears in the upper eyelids. The ‘frontalis’ muscle above the eyes compensates to keep the tissue up which causes wrinkles on the forehead. As the cheek droops down, a tear trough is produced at the junction between the lower eyelid and cheek. This gives an excessively tired and aged appearance. Occasionally it causes the skin to fold to cause a rippled effect. Fat can also bulge to give localised abnormalities in either or both upper and lower eyelids.

What are the non-surgical and surgical options available?

BOTOX and fillers can be used to camouflage the underlying problems, but more commonly, surgery is the definitive solution. It is essential to assess the eyebrow for its contribution to the problem, because this is often the area that needs to be addressed first. Upper eyelid blepharoplasty that removes excess skin and underlying muscle is a reliable operation. Lower eyelid blepharoplasty is more complex and the benefits are dependent on many factors including eye socket shape and size, the degree of fat bulging and the amount of excess skin.

How long do the results last for?

The results of eyelid surgery usually last for life.

What are the risks?

Excellent symmetry is always the goal, but nature can be very difficult to recreate. If too much skin is taken away, a person’s eyelids will not meet when they blink or sleep and they will have problematic dry gritty eyes. If too much fat is removed, they will end up with unnatural hollowed out eye sockets. It is Chris’ aim that the planning is meticulously executed in order to prevent these. Swelling and bruising is a predictable consequence of surgery in the face and this often takes many weeks to subside. Infection and bleeding are rare, but occasionally require further surgical management.

What are the success rates?

Once the swelling resolves, the results will be instantly noticeable and this usually produces a significantly improved appearance.

How much does the surgery cost?

The indicative prices below include the surgical fee, any anaesthetic used and the associated fees from the consultant administering this, in addition to the hospital fee and all tests and follow up. An accurate breakdown and a detailed quote will be given following the initial consultation.

From £4,000 for upper eyelid blepharoplasty under general anaesthetic

From £7,000 for lower eyelid blepharoplasty under general anaesthetic

What general advice is there?

Eyelid swelling can be present for many months after the surgery. Sleeping upright for the first few nights helps reduce the severity of onset swelling and speeds up recovery.