Facial Surgery


Why have a Blepharoplasty?

Eyelid surgery can rejuvenate your facial appearance.

The typical patient is someone with bags under the eyes, wrinkles or drooping layers of skin on the eyelids. These combined together create a tired or sad looking appearance that may run in families and are common in both men and women. As the eyes are one of the first features we notice, eye surgery can often brighten up the whole face and give the patient an overall rejuvenated appearance.

What is involved?

During the procedure an incision is made along and under the lower lashes to remove the eyebags causing fat. Excess skin is then trimmed away.

The upper eyelid surgery involves making an “elliptic” incision across the natural crease of the skin again excess fat and tissue is removed. The incision is then closed hiding the scar with in the natural fold of the upper eye when they are open.

Eyelid surgery is performed under general anaesthetic and will require an overnight stay in hospital.

During your medical consultation I will point out that the skin will continue to age. It is important that you understand that the ageing process will not stop after eyelid surgery.

Blepharoplasty Aftercare

After surgery

Immediately afterwards, expect to feel some discomfort. Your eyes will feel sore and swollen and your vision may be blurred due to the ointment applied directly after surgery to keep the eyes moist and protect them from possible infection or dry eyes. Many patients refer a “sand” sensation in the eyes after surgery.

Eyebag Removal requires an over night stay at the hospital so your immediate recovery can be closely monitored by a member of our medical team.

Your recovery

Occasionally bruising may occur, but this does not tend to last for much longer than two weeks or so. Recovery depends greatly on the extent of the procedure but, as the recovery progresses, a more youthful appearance will begin to develop.

Post-op appointments

Post-operative follow-up is of paramount importance. Each patient undergoing Blepharoplasty surgery will be given post operative appointments for wound management and suture removal. Post-operative instructions are vital and we consider it very important that you adhere to them. Failing to follow these guidelines and attend your appointments can adversely affect the outcome of surgery and put patient safety at risk. Following Face Lifting the patient is asked to return on specified appointments fixed by me. Occasionally it may be necessary to return more regularly than those stated.

Blepharoplasty Risks & Conditions


Smoking increases the risk of complications, and slows down the healing process. It has been shown that a smoking patient has considerably more complications than a non-smoking patient.

Smoking reduces the blood supply to the wound and can impede the healing process. Each cigarette further constricts acutely the blood vessels. It is highly recommended to stop smoking completely 4 weeks prior to surgery and 2 weeks after; no nicotine patches or chewing gum are allowed. The risk of infection and complications in general slowly decreases if the patient stops smoking, but still remains higher compared to a non-smoker.


An incision is made in the upper eyelid, following the natural crease to reduce visible scarring. An ellipse of excess skin and fat is then removed. The skin edges are brought together and sutured (stitched).

In the case of the lower eyelid an incision is made closely following the eyelash crease, allowing the removal of the fat deposits that cause the eyebags. Very fine sutures (stitches) are required.

Occasionally the scars on either sides may not heal at the same rate and may have lumpy edges - massage reduces this. In some rare cases the scarring process is to extensive leading to a serious condition called eyelid retraction, what will lead to further corrective surgery.

Retro-bulbar haematoma (bleeding)

A major complication, retro-bulbar haematoma is a collection of blood. The risk is higher during the first 24 hours following any surgical procedure, but it can still occur at a later stage. In case of a major collection of blood it may be necessary for patients to return to theatre for a second operation to remove this collection, although extremely rare. The risk of bleeding slowly fades in 3-4 weeks as the healing continues. We recommend that you refrain from any heavy lifting and strenuous activity during this period. This condition can cause permanent blindness.

Swelling and bruising

Some swelling and bruising will be present after surgery. Usually this subsides in a few weeks, but can last some months post-operatively. An asymmetric result may occur due to swelling. Another rcondition is called chemosis and consists in an excessive production of a jelly like substance in conjunctive of eye. This needs specific treatment but subsides naturally.


All surgery carries the risk of infection. In order to reduce it, patients are given antibiotics intravenously during the operation and eye cream may be prescribed post-op.


Most patients will experience pain following surgery, this certainly depends on the pain threshold of the patient. Painkillers are given after the surgery to control the discomfort, a further supply is dispensed at the time of your discharge. Pain is rare but the eyes may feel stingy or gritty. Patients experience runny / watery eyes post-op due to swelling around the tear duct, this subsides naturally.

Oedema or Edema

Fluid in tissue, naturally subsides.