Eyelid Surgery

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Overview of the upper and lower eyelid surgery

• The upper face often ages much earlier than the lower face.
• Eyelids and brow are patients’ cosmetic concern from age 35.
• If the eyes are the window to the soul, cosmetic surgery and facial rejuvenation should open the blinds.
There are several kinds of saggy upper eyelids;
• Sagginess of the skin of the upper eyelids alone.
• Intermittent eyelid swelling which could be painful can occur as intermittent swelling of the eyelids then appears as permanent baggy upper eyelids.
• It also could be due to the abnormally low position of the upper eyelid margins or eyebrow.
There is a variety of reasons for upper eyelid surgery;
• Cosmetic reasons because sagging upper eyelids give the appearance of being fatigued and aged.
• Female patients often report loss of the eyelids and difficulty in applying cosmetics to their upper eyelid.
• Non-cosmetic reasons for upper eyelid surgery includes partial obstruction of vision with or without headaches due to forehead pressure and straining because they are trying to keep their eyes open and some report that they must manually elevate the upper eyelids to improve their vision, partially when they are fatigued.
• Before upper eyelid surgery or upper eyelid blepharoplasty the surgeon asks a number of questions: about any history of eye, eyelid and facial surgery and trauma, thyroid abnormalities cause a variety of eyelid problems and facial weakness due to nerve damage. High blood pressure needs to be controlled before the upper eyelid operation, along with blood thinning and over the counter drugs needs to be stopped well before the upper eyelid operation.
• The lower eyelid problems also might complicate the upper eyelid post operative recovery period. The doctor makes sure your eyes are producing enough tears because eyelid surgery might complicate or aggravate relatively dry eyes (schirmer’s test). It is also recognised that patients who had recent refractor eye surgery are more prone to suffer from eye irritation after eyelid surgery. Your visual field determination and pre-operative pack contains instructions and guidance will be supplied
• We have only two eyes and serious but rare complications can occur after eyelid surgery, read more on complications of the eyelid surgery and ask your surgeon for more details.


  • Who is the candidate cosmetic upper eyelid surgery (blepharoplasty)?

    Surgical cosmetic correction of the upper eyelids involves removal of the drooping skin. It might also be necessary to remove fat and muscle to obtain the desired cosmetic result. There are also cases when the drooping skin of the upper eyelid can obscure the field of vision and excess fat, muscles and skin are removed at the upper eyelid surgery to restore the field of vision. The upper eyelids are one of the first parts of the face to show signs of aging. It is known sun damage and hereditary factors accelerate to the aging process. Some young people with puffiness of upper eyelid also undergo upper eyelid cosmetic surgery.
  • Who is not a candidate for an eyelid surgery?

    If you are suffering from glaucoma, retinal problems or any other eye disease, you are not a candidate for the cosmetic eyelid surgery and certainly, you should seek advice from an expert before embarking on any action and decide on upper eyelid surgery. In rare cases, feeling of heaviness, excess blinking and limitation of the visual field could be the reason to have an upper eyelid surgery but, generally speaking, the decision to have a cosmetic eyelid surgery is personal and depends on several factors including the way we see our cosmetic problems. Therefore, there is no clear cut indication for cosmetic upper eyelid surgery but if you have loose, overhanging and unsightly upper eyelid skin you can book a no obligation free consultation with our surgeons at Doctors Makeover, our cosmetic surgery clinic to discuss your case. You might also need to address your eyebrow which might be contributing to your drooping upper eyelid.
  • What is the aim of having an upperlid surgery operation?

    The sagging upper eyelids makes a person look tired, sad, angry and older. The corrected eyelids will give an alert and youthful appearance to eyes and the face. Therefore, the aim of upper eyelid surgery is to counter act the aging process and boost your confidence.
    The aim of the upper eyelid surgery is not to alert the position of the eyelid margin but to restore a good looking upper eyelid appearance although the patient must have a realistic expectation.
  • How is an upper eyelid surgery or blepharoplasty done?

    The eyelid skin is thinner than the rest of the face and the upper eyelid crease is often lower in patients with smaller orbital size. Bulging of skin or fullness over the centre to inner aspect of the upper eyelid is usually due to fat protrusion. The tear producing apparatus is situated in the upper outer aspect of each orbit and might contribute to fullness in the outer portion of the upper eyelid. Reviewing old pictures might help to restore some of the earlier features and to see the changes over the years.
    Under sterile conditions a curved incision is placed in the desired upper eyelid crease which is usually 8-9 mm in males and 9-10mm in females from the upper border of the lashes. With the patient gently closing the eyes, the amount of redundant skin is marked and a relatively crescent-shaped piece of skin is removed from the upper eyelid with or without fat from the upper eyelid; usually less skin is removed from inner than outer aspect of the upper eyelid. Both eyelids can be operated at the same time. The upper eyelid surgery can be combined with
  • What is your aftercare plan for an upper eyelid surgery procedure?

    Patient must contact surgeon immediately if they experience bleeding, any deterioration in vision or increased pain which are warning signs for very serious but rare complication of the eyelid surgery. To prevent bleeding inside eye (orbital haemorrhage) during the first two days of post-eyelid surgery cold packs are applied to the eyelids and during the following three days wet and warm compression might be applied every 5 -10 minutes to clean the eyelid surgical wounds. At night the patient should sleep with head elevated and lean on a pillow or keep the head up on pillows while lying down in bed to reduce swelling for about 48 hours after the upper eyelid surgery. Control of blood pressure  is very important and the patient also will be advised to prevent straining ( Valsalva) or lift heavy objects (anything more than 10 pounds or 5kg in weight) during the first 48 hours or even better for 7 days after the eyelid surgery. the patient should also avoid any medications which might thinner bleed and cause bleeding. Antibiotics and painkillers are given and stitches are removed 5 days after the eyelid surgery when you will be seen by your surgeon. The patient can gently wash the face and lids from second post operative days. Cosmetic products can be applied about a week after the eyelid operation but avoid using contact lenses for at least two weeks after operation. the patient needs to understand that after the eyelid surgery, the healing might take weeks and months and surgeon may combine the upper eyelid surgery with mini facelift or brow lift by manipulation and fixation of the brow through the same cut in upper eyelid.
    At Doctors Makeover, our cosmetic surgery clinic, we routinely supply you with a leaflet and information explaining when and how you can contact your surgeon 24 hours a day.
  • What are the risks associated with an upper eyelid surgery?

    Complications of the eyelid surgery
    Although, the upper eyelid surgery is considered to be a very safe procedure, there are risks which you need to be aware:
    • Inability to fully close the eyelids. After eyelid surgery temporary mid... difficulty in eyelid closure due to eyelid muscle weakness exists but persistent inability to close eyelids is usually due to excessive skin incision.
    • Visible eyelid scar and poor eyelid crease might be due to poor surgical technique.
    • Persistent sagging upper eyelid is usually due to inadequate skin tissues and fat removal from the eyelid. The patient sagging might also need brow lift to correct if upper eyelid after careful examination.
    • Deterioration in vision even complete blindness very serious but very rare complication of the eyelid surgery usually due to uncontrolled bleeding inside the eye orbit which can be minimised and even prevented by adequate planning and preparation of patient such as control of high blood pressure advance of blood thinning substance and meticulous surgical technique.
    • The lower eyelid problems also might complicate the upper eyelid post operative recovery period. The doctor makes sure your eyes are producing enough tears because eyelid surgery might complicate or aggravate relatively dry eyes (schirmer’s test). It is also recognised that patients who had recent refractor eye surgery are more prone to suffer from eye irritation after eyelid surgery. Your visual field determination and pre-operative pack contains instructions and guidance will be supplied.
  • How much does having an upper eyelid surgery procedure cost?

     We are offering affordable competitive prices, most  probably among the lowest in the United Kingdom because  we are a relatively small clinic with low running costs and  expenditures. Therefore, we have been able to pass a  considerable discount to our customers. If you are able to  find a lower price anywhere in the UK offered by any  doctor, please let us know and we will be more than happy  to match it.
     Our pricing is transparent with no hidden extras and includes  garments, antibiotics and painkiller medications, when it is  applicable.
     Eyelid surgery  needs to be planned and considered in each individual person according to the position of the eyebrows and other facial features. Our charges could be as low as £1200 for the the upper eyelid and £2400 for both upper and lower eyelids. Occasionally, we might combined the eyelid surgery with brow lift or facial autologous fat transfer  or other cosmetic treatments, with much more discount. Once we see you at your initial no obligation free consultation with your surgeon we will be able to give a price.
  • What type of anaesthesia do you use for an upper eyelid surgery?

    Upper eyelid surgery is usually carried out under local anaesthesia, with or  without sedative medications. This means that you will be fully awake and  conscious of the situation during your procedure and only the eyelid(s) to  be treated will be numbed by local anaesthetic injection/infiltration. Our  plastic surgeon can also carry out your eyelid surgery under general  anaesthesia. Once we you see your surgeon at your initial no obligation  free consultation the surgeon will be able to give more information.
  • How long does an upper eyelid surgery operation last?

    The upper eyelid surgery could be as short as short as half an hour or  longer depends on the case if muscle and fat needs to be removed or  be combined with other procedures such as browlift.
  • How long after an upper eyelid surgery procedure could I resume my daily routine activities

    You can resume your driving when your eye vision is back to normal and most people return to work within 7-10 days.
    How long does the eyelid surgery take?
    About an hour to three hours depending on the nature of the eyelid problems to be rectified and the surgical technique which has been used for that particular operation.
  • Does the upper eyelid surgery procedure hurt?

    Pain and discomfort are unpleasant subjective feelings which may experienced by individuals after eyelid surgery. Discomfort and pain are generally minimal with routine cosmetic eyelid surgery/blepharoplasty unless it has been complicated by sided-effects such as corneal abrasion. Discomfort  is  mainly during the day after the operation and will be managed with painkillers but could be associated with swellings around the eye and less often with blurred or double vision. Sticky and watery eyes settles within a week, but sensitivity to light might persist for several weeks. Painkillers and medications which might thinner blood and lead to bleeding and serious side effects should be avoided.
  • How is the lower eyelid surgery or blepharoplasty is differs from the  upper eyelid surgery?

    During the aging process the skin, muscles and fat lose their tone and sag. The lower eyelid surgery aim is to restore the lower eyelid to a more youthful appearance.
    The lower eyelid surgery can be carried out from inside the eye and from outside or external approach to the lower eyelid by making a relatively horizontal cut over the lower eyelid.
    Operating the lower eyelid from the inside the eye (transconjunctival) has a number of advantages over the approach from the outside because:
    • Leaves no visible scar at all.
    • Usually does not cross the supporting wall of the lower eyelid (the septum), therefore, leads to less lower eyelid retraction.
    • The disadvantage of operating the lower eyelid from inside is that this operation does nothing to address the aging eyelid skin but the wrinkles around the eyelids can be treated by laser, chemical peels and other techniques which also can address the loose aging skin.
    • External approach (open lower eyelid approach) allows the surgeon to redrape and rewrap the lower eyelid before removing the excess skin.
    • Different procedures works better in the hands of some surgeons. The technique should be safe, effective, produces longevity and happy patients with good results.
    • There are many ways of surgical approaches to the lower eyelid surgery. There is no one surgical technique which suit every lower eyelid. Therefore, our surgeon at Doctors Makeover, our cosmetic surgery clinic will go over your eye problems and your cosmetic needs and will discuss different options and help you to select the option most suitable for your eye. which