Eyelid Surgery or Blepharoplasty Surgery removes excess skin from the upper lid that is causing hooding of the lid and giving your eyes a tired or aged appearance.
Your eyes are the first thing people see when they meet you. Therefore, if they do appear tired or older with excessive, sagging skin, it can really affect your self-esteem. Eyelid surgery can help to reduce the signs of ageing around the eyes, as well as eliminate dark circles to make you look a lot less tired.
Consultant Plastic Surgeon Anthony MacQuillan performs Blepharoplasty surgery for his patients to help rejuvenate their eye appearance.
2 hours
Local or general
Up to 1 night
4 to 6 weeks
After 6 weeks your eyes will appear rejuvenated, but there may be some mild swelling present for a few months.
What are Benefits of Eyelid Surgery?
In the hands of an experienced surgeon, Eyelid surgery can help to:
- Achieve a younger, fresher look.
- Make you appear more awake.
- Eliminate dark circles under the eyes.
- Enhance peripheral vision.
- Boost self-esteem.
Eyelid surgery is known to be an easier alternative to an Upper Facelift or Brow Lift. If the eyes are the only area of your face showing early signs of ageing, Blepharoplasty can be used to fix the issue, without the more invasive surgery that a Facelift entails.
Types of Eyelid Surgery
Upper Eyelid Surgery
Upper eyelid surgery, also known as upper blepharoplasty, is a cosmetic surgical procedure aimed at rejuvenating the appearance of the upper eyelids.
It addresses sagging, drooping, or excess skin in the upper eyelid area, which can result in a tired or aged appearance and, in some cases, obstruct vision. During the procedure, the surgeon makes incisions in the natural creases of the upper eyelids, removes excess skin, fat, and sometimes muscle, and then closes the incisions with sutures.
The results of Upper Eyelid surgery are visible once swelling subsides and typically include a more refreshed, youthful appearance with improved eyelid contour and reduced hooding.
Overall, Upper Eyelid surgery can enhance both aesthetic appearance and, in some cases, vision function, providing patients with a renewed sense of confidence and well-being.
Lower Eyelid Surgery
Lower Eyelid surgery, also known as Lower Blepharoplasty, is a cosmetic procedure aimed at rejuvenating the appearance of the lower eyelids.
It addresses concerns such as under-eye bags, puffiness, wrinkles, and excess skin, which can contribute to a tired or aged look. During the procedure, the surgeon may make incisions either on the inside of the lower eyelid (transconjunctival approach) or beneath the eyelashes (subciliary approach). Excess fat, skin, and sometimes muscle are removed or repositioned to create a smoother, more youthful contour.
The results of Lower Eyelid surgery include a refreshed, rejuvenated appearance with reduced under-eye bags and improved contouring.
Overall, Lower Eyelid surgery can enhance the aesthetic appearance of the eyes, leading to increased self-confidence and satisfaction.
Upper & Lower Eyelid Surgery
Combined Upper and Lower Eyelid surgery, also known as Blepharoplasty, is a comprehensive cosmetic procedure aimed at rejuvenating the appearance of both the upper and lower eyelids simultaneously. This procedure addresses a range of concerns, including sagging skin, puffiness, wrinkles, and excess fat deposits around the eyes, which can contribute to a tired or aged look.
During the surgery, the surgeon makes incisions in strategic locations to access the upper and lower eyelids. Excess skin, fat, and sometimes muscle are carefully removed or repositioned to create a smoother, more youthful contour and improve overall symmetry. The incisions are then meticulously closed with sutures.
The results of combined Upper and Lower Eyelid surgery include a refreshed, rejuvenated appearance with reduced under-eye bags, improved eyelid contour, and diminished wrinkles. While results are long-lasting, natural ageing processes and lifestyle factors can affect the longevity of results.
Overall, combined Upper and Lower Eyelid surgery offers comprehensive rejuvenation of the entire eye area, leading to increased self-confidence, improved facial harmony, and overall satisfaction with one’s appearance.
How is the Eyelid Surgery procedure performed?
The actual procedure will depend upon whether you are undergoing surgery on the upper, lower or both eyelids. The surgeon will typically make incisions in the crease of the upper lid and just below the lashes in the lower lid. It’s also possible to make an incision through lower lid conjunctiva, avoiding an external incision. Through these cuts, any excess fat and skin can be removed, and sagging muscles can be tightened.
You will come into hospital on the day of your Blepharoplasty and be admitted to your room. You will be seen by Anthony and he will run over the surgical plan with you one final time. You will be reviewed by the consultant anaesthetist who will be putting you to sleep (if this is applicable to you) and given the opportunity to ask any questions you may have regarding the anaesthetic. When you are ready, you will be taken down to theatre for your operation.
Upper Eyelid Surgery
Upper Blepharoplasty can be performed under local anaesthetic (often patients request a small amount of sedation in combination with local anaesthetic) or general anaesthetic.
The excess skin on the upper lid is marked out and removed. Often, there is herniation (protrusion) of the fat that cushions the eye, out of the socket, into the upper lid (making the lid look puffy).
This is addressed by either re-tightening the soft tissues holding the fat in place or removing some of the fat. The wound is closed where the natural eyelid crease should be, giving the lid back its youthful appearance. Fine dissolving sutures are used and you will be given eye drops to take regularly for two weeks following the surgery.
If the mechanism responsible for holding the upper lids open is slack and is causing the lids to droop (ptosis) this can also be repaired in conjunction with an Upper Blepharoplasty. Overall the aim is to rejuvenate the appearance of the upper lid.
Eye Bag Surgery
Eyelid Surgery is often combined with modifying the appearance of any fat that is protruding through from behind the eye (this is done by either tightening the layer separating the fat surrounding the eye within the orbit from the lid or by removing the protruding fat).
Recovery and Aftercare after Eyelid Surgery
Whether it’s upper, lower, or a combination of both, recovery and aftercare are crucial for achieving optimal results and minimising complications. Here are some general guidelines for recovery and aftercare:
Immediate Postoperative Period
- After Eyelid surgery, it’s common to experience some swelling, bruising, and discomfort around the eyes. Your surgeon may prescribe pain medication or recommend over-the-counter pain relievers to manage any discomfort.
- You may also experience temporary blurred vision, sensitivity to light, and tearing, which should improve within a few days.
Protecting the Eyes
- It’s essential to protect your eyes from irritation, infection, and injury during the initial recovery period. Avoid rubbing or touching your eyes, and refrain from wearing contact lenses until your surgeon advises it’s safe to do so.
- Your surgeon may recommend wearing dark sunglasses to protect your eyes from sunlight and reduce sensitivity to light.
Using Cold Compresses
- Applying cold compresses or ice packs to the eyes can help reduce swelling and bruising.
Be sure to follow your surgeon’s instructions regarding the frequency and duration of cold compress therapy.
Sleeping Position
- Sleeping with your head elevated on several pillows can help minimise swelling and promote drainage of fluid from the surgical area.
- Avoid sleeping on your side or stomach to prevent putting pressure on your eyes.
Medication and Eye Drops
- Take any prescribed medications, such as antibiotics or anti-inflammatory drugs, as directed by your surgeon to prevent infection and reduce inflammation.
- If your surgeon recommends eye drops or ointments to keep the eyes moist and prevent dryness, use them as instructed.
Follow-Up Appointments
- Attend all scheduled follow-up appointments with your surgeon to monitor your progress and ensure proper healing.
- Your surgeon will examine your eyes, remove any sutures if necessary, and address any concerns or complications that may arise.
Resuming Activities
- Avoid strenuous activities, heavy lifting, and vigorous exercise for at least the first week after Eyelid surgery to minimise the risk of complications and promote proper healing.
- Your surgeon will provide guidance on when it’s safe to resume normal activities, work, and exercise based on your individual recovery progress.
Diet and Hydration
- Stay hydrated and maintain a healthy diet rich in nutrients to support the healing process.
- Avoid foods and beverages that can increase inflammation or cause dehydration.
Sun Protection
- Protect your eyes from sun exposure by wearing sunglasses with UV protection whenever you’re outdoors. Sun exposure can increase swelling and prolong the healing process.
Be Patient
- Remember that healing takes time, and it’s normal to experience some discomfort, swelling, and bruising during the recovery period.
- Be patient with your body and follow your surgeon’s recommendations for a smoother recovery.
By following these guidelines and closely adhering to your surgeon’s instructions, you can promote a smoother recovery and achieve optimal results from Eyelid surgery. If you have any questions or concerns during the recovery process, don’t hesitate to contact your surgeon for guidance and support.
Videos
How Much Is Eyelid Surgery in the UK?
The total cost of Eyelid surgery (Blepharoplasty) in the UK depends on the type of procedure being performed. For example, Upper Eyelids can range from £1,500 to £5,000, while Lower Eyelid surgery (Blepharoplasty) might cost between £4,500 and £6,000. You can have both Upper and Lower Eyelid Surgery performed at the same time.
These prices are influenced by the surgeon’s training & experience, the complexity of the operation, the type of anaesthesia, the facility used and the post-op and follow-up care you receive. It’s also important to ensure that all these necessary items are listed on the quote you receive.
FAQs
Where are the Eyelid Surgery Scars?
Patients are often concerned about scarring they may be left with, particularly in such a visible area, but due to the natural folds and contours of the eye, a skilled plastic surgeon can ensure the incisions are well hidden.
Also, the thinner, delicate skin on the eyelid typically heals very well.
What are the risks and potential complications of Eyelid Surgery?
Eyelid surgery carries potential risks and complications, as with any surgical procedure. It’s essential to discuss these risks with your surgeon and weigh them against the potential benefits of the surgery.
Here is a list of some common risks and complications associated with Eyelid surgery:
Bleeding: Excessive bleeding during or after surgery can occur, leading to hematoma formation and potential complications.
Infection: Infections can occur at the incision sites, leading to inflammation, pain, and delayed healing. Antibiotics may be necessary to treat infections.
Poor Wound Healing: Some individuals may experience delayed wound healing, resulting in prolonged recovery time and increased risk of scarring.
Scarring: While efforts are made to minimise scarring, some degree of scarring is inevitable with eyelid surgery. Scars may be more prominent in some individuals and can be keloid or hypertrophic in nature.
Asymmetry: Despite the surgeon’s best efforts, asymmetry between the two eyes may occur, leading to an uneven appearance. Additional surgery may be required to correct asymmetry.
Dry Eyes: Temporary or permanent dry eye syndrome may occur following surgery, leading to discomfort, irritation, and blurred vision. Artificial tears or other eye drops may be necessary to alleviate symptoms.
Ectropion: Ectropion is a condition where the lower eyelid turns outward, exposing the inner surface of the eyelid. This can cause irritation, tearing, and exposure keratitis (corneal inflammation).
Entropion: Entropion is a condition where the lower eyelid turns inward, causing the eyelashes to rub against the cornea. This can lead to discomfort, tearing, and corneal abrasions.
Ptosis: Ptosis is drooping of the upper eyelid, which can occur as a result of muscle weakness or damage during surgery. Ptosis may affect vision and require additional surgery to correct.
Changes in Eyelid Position: Changes in eyelid position, such as retraction (pulling away from the eye) or lagophthalmos (incomplete eyelid closure), may occur after surgery and affect eyelid function and appearance.
Numbness or Altered Sensation: Temporary or permanent numbness, tingling, or altered sensation around the eyes may occur due to nerve damage during surgery.
Unsatisfactory Results: Despite the surgeon’s efforts, some individuals may be dissatisfied with the aesthetic outcome of surgery. Additional surgery or revision procedures may be necessary to achieve the desired results.
Anesthesia Risks: Risks associated with anesthesia, including allergic reactions, respiratory complications, and cardiovascular events, can occur during or after surgery.
It’s important to discuss these risks and complications with your surgeon and follow all pre- and post-operative instructions carefully to minimize the likelihood of complications and promote a smooth recovery.
Reviews
Patient satisfaction is the top priority for Anthony. You can find how patients feel about his work below.
Eyelid Surgery
Had my surgery done at St Josephs, Mr MacQuillan explained everything to me at my first consultation, he discussed exactly what I was expecting to achieve and talked me through it at a relaxed pace, I didn’t feel like I had to make my decision there and then as there was no pressure what so ever. I understood everything and decided to go ahead. I recovered really quickly and was delighted with the results.
Having always suffered with slightly ‘hooded’ or droopy eyelids, I bit the bullet in September and had an Upper Blepharoplasty procedure; basically, the excess eyelid skin (roughly 13mm) was removed.
Mr MacQuillan put me at ease immediately, with his friendly, approachable manner. I didn’t feel at all rushed during the consultation, and he was happy to answer countless questions. He was very open and direct in discussing the procedure and potential outcome. I chose to have it done under local anaesthetic, and was literally home having tea and watching TV a few hours later!
It’s absolutely one of the best decisions I’ve made. I no longer feel tired all the time due to heavy eyelids, my peripheral vision has improved and I find driving at night much easier. An added bonus is that I look much brighter, I no longer have to keep raising my eyebrows to open my eyes, which conversely seems to have improved the frequency of migraine.
Additionally, family and friends have said it really opens my eyes/face and makes me look younger – something I’m definitely not complaining about!
Upper Blepharoplasty 59 Year Old Female – United Kingdom
From the initial consultation through to the after care Mr MacQuillan remained consistently professional, approachable and extremely confident that he could make a huge difference to my eyelids and he has certainly achieved that beyond my expectations! I have no hesitation whatsoever in recommending Mr MacQuillan to anyone thinking of having this procedure done.
I had my eyelids done just before covid lockdown and I am extremely happy with the results. My eyelids were very heavy which affected my sight as they drooped into my line of vision and made me look permanently tired. The care I had before and after was second to none and I would recommend Anthony MacQuillan in a heartbeat to any of my friends or family. The results have far and above exceeded my expectations.
Blepharoplasty – Bristol, GB
After researching cosmetic surgery providers in my area, I made an appointment with Anthony MacQuillan at the Spire Hospital in Bristol.
Anthony thoroughly discussed the options available to me to enable me to carefully consider my choices and be in a position to make an informed decision with no pressure.
A very professional service from start to finish with continued aftercare, undertaken by a caring, approachable and experienced surgeon.
I am delighted with the results and would have no hesitation in recommending Anthony MacQuillan to anyone considering a cosmetic procedure.
New Eyelids I’ve Always Dreamed of ! Bristol, GB
I was very embarrassed about my wrinkled and baggy upper eyelids to the extent I didn’t like being close up to people as I thought they would notice straight away.
I am so pleased that I chose Mr MacQuillan from the list of surgeons I was given.
He is one of the kindest, most professional people I have ever met. I was very nervous and immediately put at ease. The procedures were explained to me in great detail, together with any possible complications that could occur. Mr MacQuillan was so patient and understanding with all my indecisions and just let me make up my own mind in my own time and reassured me that that was indeed the correct decision for me. I had three appointments before my op, all of which were followed up immediately by letters from Mr MacQuillan detailing in full everything we had discussed so I had written confirmation of all my queries which was so useful as I’d forgotten most of it by the time I got home!
I was so well looked after during my overnight stay in hospital and constantly put at ease by all the staff who also rated Mr MacQuillan very highly indeed. He visited me just before the op to reassure me again and twice afterwards to make sure I was OK and even showed me a photo he took for me on his phone.
I am thrilled with the results and cannot thank Mr MacQuillan enough for all he has done for me. Margaret and Heather have also been so kind and patient with me.
I wouldn’t hesitate to recommend Mr MacQuillan to anyone considering surgery.
I am also impressed with the follow up care to ensure I am fully satisfied with the results and will be looked after for 5 years!
Why Choose Anthony MacQuillan for Your Eyelid Procedure
Anthony’s dedication to artistry, precision, and individualised care ensures that your Eyelid procedure will be tailored to meet your unique needs and aesthetic goals. Our clinic combines the latest surgical techniques with a compassionate approach to patient care, ensuring a supportive and reassuring experience from consultation through recovery.
Whether you’re seeking subtle enhancements or a more significant transformation, we are here to guide you towards achieving a refreshed, natural-looking beauty that aligns with your personal vision.
To learn more about how our Eyelid procedures can help you achieve the look you desire, or to schedule a consultation with Anthony, please contact us today.
