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Eyelid surgery

Eye-lid surgery, also known as blepharoplasty, removes loose folds of skin, fat or muscle from the upper and lower eyelids in order to regain a more youthful appearance. Loose, excess skin occurs because the skin around the eyes begins to lose its elasticity and the muscles to slacken with age.


What does the operation involve?

The operation can take between 1 to 2 hours depending on the exact procedure and can be carried out under local or general anaesthetic. Incisions are made along the natural creases of the eyelids to the corner of the eyes. Through this incision excess fat and skin are removed and the cuts are closed up with fine stitches. Once healed, the scars run along the natural lines of the eye helping to conceal them.

What to expect post surgery?

Specialist post–op care:
  • Hypermellose artificial tear eye drops to be used throughout the day every 4 hours or whenever necessary for 2 weeks.
  • Chloramphenicol eye ointment to be put into the eye at night for 2 weeks.
  • Ice compress to the eyes for 2 days.
  • TED stockings to be worn for 2 weeks.
  • Sleep with head slightly elevated and avoid bending the head down.
  • Moisturising of the scars after the second week and for at least 3 months.
  • Makeup can be applied after the second week.
  • Avoid direct sunlight for first 3 months.

Please click here for more general post-operation care.

What are the risks?

Common side effects:
  • Soreness, swelling and bruising around the eye.
  • Dry, itchy or watery eyes can last for a few weeks.
  • Vision may be blurred but clears soon after the operation and sensitivity to light can remain for several weeks.
Uncommon but potential complications:

As with any operation problems may arise with an unexpected reaction to the anaesthetic, excessive bleeding, blood clots or infection. Complications can occur during or after the procedure.

Further risks specifically related to nose reshaping surgery include:
  • Haematoma: if bleeding occurs under the skin, further surgery may be required.
  • Swelling may pull the lower lid away from the eye and can sometimes require further surgery.
  • Damage to the surface of the eyeball or surrounding muscles.
  • Tightness around the eyelids can prevent them from closing, usually improves with time.
  • Bleeding behind the eye can cause partial or complete blindness. This is very rare but severe pain in the eye should not be ignored.
  • Vision may be blurred but clears soon after the operation and sensitivity to light can remain for several weeks.