Eyelid Surgery

The commonest eyelid operation is an upper blepharoplasty in which the excess skin of the upper lid is removed. At this operation it is also possible to remove fat if it is bulging into the lid. Upper lids only can be treated under local anaesthetic as a day patient. The patient must be prepared for a little swelling and bruising but this generally settles down quickly in a week or so. A scar is left in the upper lid crease that is usually of excellent quality and not normally noticeable at conversational distance.

Sometimes the eyelid is hooded not only because there is excessive skin in the upper lid but because the eyebrow has drooped down towards the eyelashes. In this case a procedure is required to lift the brow. Various procedures are used but the operation becoming most popular is the limited removal of a crescent of skin at the hairline.

Lower lid surgery or lower blepharoplasty, is a more involved operation that requires a general anaesthetic. An incision is made just below the lashes and the skin and muscle lifted forward to allow the removal of fat that may be bulging through. Surplus skin is removed before the wound is stitched. This operation is very good at removing eye bags but is less predictable at removing wrinkles because the amount of skin that can be removed may be limited as too much will cause the lower lid to be dragged down.

Again some bruising and swelling is to be expected which settles in a week or two. Some discomfort may last a little longer because it is normal for some deep stitches to be left in the outer corner of the eye to tighten the lid.

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