The effects of aging are seen around the eyes as well as in the face. This results in an excess of skin in the eyelids, which can impede the opening of the eyes and give the eyes a sad appearance. The bulging of fat in the eyelids can also give them a puffy look. A blepharoplasty removes the excess skin and fat of the eyelids using incisions that are hidden within the natural skin creases, and gives the eyes a more open and refreshed look. This procedure is often combined with a facelift.

The surgery

Blepharoplasty can be performed on the upper or the lower eyelids. The procedure is usually performed under a general anaesthetic as a day stay hospital procedure.

In upper blepharoplasty, the incision line is hidden in the crease of the upper eyelid, and may extend out to the side of the eyelid where it is hidden in the wrinkles around the eyes. The excess skin is removed, and any excess fat can then be trimmed. 

1. Excess skin is removed

2. Excess fat is trimmed if necessary

3. The wound is closed leaving the scar hidden in the natural upper eyelid crease.

In the lower eyelid the incision is hidden directly beneath the eyelashes. Excess skin and fat are removed in a similar fashion as to in the upper lid.

1. The incision is made in the lower eyelid beneath the lashes.

2. The amount of skin excess is determined.

3. The excess skin is removed.

4. The wound is closed.

After the surgery

The most common side effect of a blepharoplasty is swelling and bruising, which persists for around 7-10 days. This can be reduced by the use of cool compresses for 48 hours following the surgery, and by sleeping with the head elevated on 2 pillows at night.

The stitches are removed 4 to 7 days later, and makeup may be worn from this time.

A Patient Guide to Understanding Blepharoplasty

• If you would like further information or if you wish to make an appointment to discuss a surgical procedure with Dr Lotz please contact us.