Upper Lid Blepharoplasty

What is an upper lid blepharoplasty?

An upper lid blepharoplasty is an operation to remove the excess skin and / or fat (also known as hooding) from the upper eyelids. Hooding of the upper eyelids is more common as we get older.

Why would I need an upper lid blepharoplasty?

An upper lid blepharoplasty can be undertaken for either functional or cosmetic reasons. If the excess skin on your eyelids is beginning to block part of your peripheral vision, removing that skin can make a considerable difference to your quality of vision and your visual field. If you’re considering the surgery for cosmetic reasons, it can be very effective in recreating a youthful look for the eyelids.

How does the surgery work?

The surgery can be carried out under local or general anaesthetic, or with sedation. We start by making a careful assessment of the amount of excess skin on your eyelids. Once this has been marked up, we make an incision in the skin crease of the upper eyelid and another slightly above this. At this stage, we can then remove any fat that might need to be reduced. The incision is then closed with a line of sutures. The sutures are removed after one week. The upper lids will remain swollen for a few weeks and the final result is not visible until at least two months after surgery. Please see our post-operative advice for more details.

What are the risks of blepharoplasty surgery?

As with any form of surgery, there are potential risks involved in blepharoplasty – although serious complications are very rare. The risks include:

  • infection: this is very rare around the eyelids
  • bruising and swelling: this is very common after eyelid surgery but usually settles after a week
  • scarring: the scar from blepharoplasty forms along the natural skin crease of the eyelid and heals very well
  • under- or over-correction: although we measure the amount of skin removed very carefully, sometimes further surgery is needed
  • reduced vision: any operation performed on the eyelids could in theory cause damage to your eyesight. Fortunately this is extremely rare.
For more information on blepharoplasty surgery please visit the BOPSS website.

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