Eyelid Surgery (Blepharoplasty)

What Is Eyelid Surgery (Blepharoplasty)?

To learn more about eyelid surgery, please explore the informative sections we have provided below. You may also contact our office to schedule an appointment with our experienced Consultant Plastic Surgeon, Mr William Townley.

• Eyelid Surgery Candidates
• Eyelid Surgery Benefits
• Complementary Procedures to Blepharoplasty
• Eyelid Surgery Types
• Blepharoplasty and Brow Lift Surgery
• Eyelid Surgery Procedure
• Eyelid Surgery Recovery
• Eyelid Surgery Scars
• Eyelid Surgery Results
• Longevity of Eyelid Surgery Results
• Choosing an Eyelid Surgeon
• Eyelid Surgery Cost
• Eyelid Surgery Alternatives
• Additional Eyelid Surgery FAQs

Who Is a Candidate for Eyelid Surgery?

Individuals who are good candidates for blepharoplasty are healthy enough for surgery and want to address the following types of concerns:

• Excess inelastic skin along the upper and/or lower eyelids
• Skin drooping into the field of vision, obscuring normal sight
• Heavy, puffy upper lids
• Bags under the eyes
• A false tired or angry appearance
• Loss of youthful upper eyelid contour
• Accentuated junction between the lower eyelids and cheek
• Wrinkles above and/or below the eyes
• Hollowing beneath the eyes

To determine whether eyelid surgery is the right option for you, Mr Townley will perform a comprehensive evaluation of your health and an examination of your eyes. If you are a good candidate for eyelid surgery, Mr Townley can develop a personalised surgical plan based on the improvements you hope to achieve and the findings of his examination. He may suggest additional treatments to reduce wrinkles and restore diminished volume below the eyes, such as facial fat transfer and/or wrinkle relaxing injections. The goal of each eyelid surgery is to provide youthful, natural-looking results that enhance the overall appearance of the face.

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What Are the Benefits of Eyelid Surgery?

Blepharoplasty can offer a multitude of aesthetic and functional benefits when performed by an experienced professional. Traditionally, the goal of blepharoplasty is to reduce signs of ageing—such as puffiness, bags, and drooping skin—to create smoother, more optimally contoured eyelids. In addition, certain strategies regularly incorporated into the procedure may improve visual fields and thus enhance quality of life for patients affected by “hooding” caused by excess upper eyelid skin.

Complementary Procedures to Blepharoplasty

Eyelid surgery is frequently combined with other facial plastic surgery procedures and non-surgical treatments, such as facelift surgery or rhinoplasty, to attain more comprehensive rejuvenation of the face. Mr Townley is celebrated internationally for his knowledge of facial anatomy and record of exceptional surgical results. If you so desire, he can work with you to form a treatment plan that includes multiple aesthetic facial procedures after meeting with you to discuss your cosmetic goals.

Types of Eyelid Surgery

Eyelid surgery can be performed to improve the upper eyelids, lower eyelids, or both:

Upper Eyelid Surgery

Upper blepharoplasty typically focuses on removing excess skin and fat from the upper eyelid region to reduce heavy, drooping, and/or puffy eyelids and restore a smoother, more youthful lid contour. Underlying musculature may also be tightened to support the upper lid and rejuvenate the shape of the eye.

Lower Eyelid Surgery

Lower blepharoplasty is recommended for individuals with under-eye bags, drooping excess skin, and/or hollows beneath the eyes. During lower eyelid surgery excess skin and fat is repositioned to create a smoother, tighter appearance under the eyes. Mr Townley favours modern, less-invasive approaches. In the majority of cases, fat deposits are sculpted and repositioned to fill hollows related to ageing and/or genetics rather than removed. This is performed through an internal eyelid incision (known as transconjunctival fat repositioning, or a “scarless eyelid lift”). Supportive ligaments can also be tightened to restore the lower eyelid to a more youthful position and contour (canthopexy). Fat grafting may also help smooth over the junction between eyelid and cheek to help deliver a fresh and youthful appearance.

Can a Brow Lift Be Combined With Blepharoplasty?

As we age, the position of the brow drops due to the sustained effects of gravity. The forehead muscles and skin become stretched, resulting in a downward shift of the brow position. This often contributes to signs of ageing in the upper eyelid, particularly hooding on the outside of the eyelid (lateral hooding). In situations where the brow position is low or heavy (“brow ptosis”), an eyelid lift (blepharoplasty) on its own may only have a limited effect on rejuvenating the upper eyelid appearance; this is because the low brow position accounts for some hooding and appearance of skin excess in the upper eyelid. Therefore, Mr Townley may recommend a combined brow lift and upper eyelid blepharoplasty to get the best results.

There are different techniques to lift the position of the brow (brow lift surgery), which will be discussed in detail at your consultation. These include minimally invasive techniques (keyhole or endoscopic brow lift) as well as open procedures (direct, temporal, or pretrichial). The best technique for each patient depends on many factors, such as the height of the forehead, the degree of brow droop, and the presence of asymmetry. A brow lift (or “brow reset,” as it is often called), is a common adjunctive procedure in facelift surgery, as well.

What Happens During Eyelid Lift Surgery?

Eyelid surgery is generally performed on an outpatient basis using either local or general anaesthetic. The procedure typically takes one to two hours to complete, and timing may fluctuate based on the specific details of your surgical plan. Eyelid surgery uses inconspicuous incisions made on the inside of the eyelid (transconjunctival) for lower blepharoplasty, or within the natural crease of the upper eyelid for upper blepharoplasty. Through these incisions, Mr Townley is able to access and revise the underlying fat and musculature, as well as remove excess skin. During the procedure, Mr Townley is mindful of creating results that are balanced and symmetrical for a natural-looking outcome. Tiny sutures are used to carefully close the incisions once all surgical adjustments have been made.

What Is Blepharoplasty Recovery Like?

It is common to experience mild discomfort, bruising, and swelling for the first week after blepharoplasty. Pain medication, elevating the head and applying cold compresses can help mitigate discomfort and control swelling during this initial period of healing. Most patients are able to return to work and resume their normal activities after around 7-10 days. Patients are advised to avoid strenuous exercise for up to four weeks or until such activity is approved by Mr Townley. During follow-up appointments, Mr Townley will personally oversee the progress of your healing and provide prompt treatment for any issues that may arise.

Does Eyelid Surgery Cause Scars?

Blepharoplasty does not typically leave excessively visible scars since the placement of the incisions is often in areas that are quite inconspicuous. Noticeable scars are particularly uncommon in the case of upper eyelid surgery, as the incisions are frequently made inside the crease, making them difficult to spot. In a lower eyelid surgery, the incisions are usually created inside the lower eyelid. Ultimately, the lack of visible scarring is one of the most prominent benefits of eyelid surgery.

What Are the Typical Results of Eyelid Surgery?

Most patients can expect the final results of eyelid surgery to become apparent several weeks following the procedure as the areas fully heal. Our patients have consistently reported satisfaction with their eyelid surgery results. Not only are they elated about their wider, more youthful-looking eyes, but their quality of vision sometimes improves, as well. The surgery is much more likely to turn out such excellent outcomes when performed by a reputable surgeon like Mr Townley. For a stronger sense of Mr Townley’s eyelid surgery results, view our blepharoplasty gallery.

How Long Do the Results of Eyelid Surgery Last?

With proper skin care and healthy lifestyle habits, eyelid surgery outcomes may last 10 to 15 years or longer; however, the longevity of your results will depend on the techniques utilised, namely whether an upper or lower blepharoplasty was performed. Whereas lower eyelid surgery may deliver lifelong results for many individuals, the effects of upper blepharoplasty often do not last quite as long, simply due to the fact that skin and tissue in the upper region of the face tends to droop as we age. Mr Townley can determine a more concrete estimate of the longevity of your results after an initial consultation.

How Do I Choose a Blepharoplasty Surgeon?

Undergoing eyelid surgery is a major decision, one that must be considered with great care. The success of the surgery is significantly influenced by the professionalism and qualifications of the surgeon. As such, you are advised to thoroughly research your options to find an experienced surgeon who suits your needs. It is especially wise to choose a Consultant Plastic Surgeon, as those at this level have earned the proper degree, completed specialist training, and acquired sufficient experience to perform plastic surgery.

Mr William Townley, a Consultant Plastic Surgeon, is renowned for his work in London and beyond. His academic journals are highly regarded within the community and he has years of experience performing a variety of procedures, from eyelid surgery to facelifts to breast enhancement and beyond. He consistently impresses his patients and earns their trust with his gentle nature, which is prevalent both inside and outside the operating theatre.

How Much Does Eyelid Surgery Cost?

The cost for upper blepharoplasty is typically ￡4,500 and the cost for lower blepharoplasty is￡7,000. The exact price for your eyelid surgery will depend upon the unique details of your treatment plan as costs can fluctuate based on the techniques used, whether combining upper with lower surgery, the complexity of the procedure, and the degree of improvement desired. For an accurate eyelid surgery estimate, a consultation with Mr Townley is required. After your customised surgical plan is developed, you will receive a quote that includes the total cost for your care. Our team can answer any questions you may have about pricing, payment options and scheduling your procedure. The fee for this initial consultation is typically £200 – £250.

Is Non-Surgical Eyelid Surgery Possible?

Blepharoplasty is the only major cosmetic procedure that was designed to reduce excess skin and fat around the eyes; in other words, a non-surgical treatment for significant signs of ageing above and below the eyelids has yet to be developed. That said, mild to moderate age-related concerns around the eyes (e.g. fine lines and wrinkles) can often be combated (at least temporarily) with cosmetic injectables, which can restore volume to facial features and enhance your appearance.

Additional Frequently Asked Questions About Eyelid Surgery

Is eyelid surgery painful?

During your blepharoplasty, we will administer either local or general anaesthesia, which should mitigate major discomfort during the surgery. You are likely to experience swelling, bruising, and/or a certain degree of soreness in the week following the procedure. These effects can often be controlled by using cold compresses, taking pain medications, and sleeping with your head in an elevated position.

What is the best age for eyelid surgery?

Eligibility for eyelid surgery does not depend on age so much as genetics, skin condition, and the extent of work to be done. Many patients pursue blepharoplasty when signs of ageing become more pronounced. Younger individuals (in their thirties) may sometimes also benefit from the procedure, especially when they have a natural excess of puffiness/fat protruding from the lower eyelid (unrelated to ageing) or particular upper eyelid heaviness. In any case, it is crucial to consult with a qualified surgeon like Mr Townley to determine the ideal timing for your treatment.

Can I get natural-looking results with eyelid surgery?

Eyelid surgery is designed to bring out the natural beauty of your eyes. It is your surgeon’s responsibility to ensure the results look authentic and natural, and Mr Townley takes great care to utilise precise techniques that can make this goal a reality. Generally, our Consultant Plastic Surgeon strives to help patients look more relaxed, and even quite a bit younger, after blepharoplasty, without anyone realising they have had work done.

Will eyelid surgery remove all of my eye wrinkles?

Eyelid surgery is designed to remove signs of ageing around the eyes, including certain types of wrinkles that form around the lower or upper eyelids. The surgery can often smooth away many signs of wrinkles; however, the surgery cannot permanently reverse the effects of ageing, and wrinkles are liable to form in the years following the procedure.

Can blepharoplasty correct hollows and dark circles under my eyes?

Lower eyelid surgery can be particularly effective for hollows and puffiness under the eyes; however, patients primarily affected by dark circles may benefit from an alternative treatment. View our gallery to see before-and-after results experienced by some of our patients.

Do I qualify for upper or lower blepharoplasty?

The choice between upper and lower blepharoplasty will depend on the nature of your aesthetic goals, as well as the particular location of your concerns. For instance, upper eyelid surgery is typically best suited for those who want to reduce drooping or puffy eyelids, whereas patients who wish to combat excess skin or bags beneath the eyes may better qualify for lower blepharoplasty. In most cases, Mr Townley is able to combine elements of both strategies.

Will eyelid surgery change my eye shape?

The focus of blepharoplasty is not to change the shape of the eye, but to enhance it by altering the effects of ageing that surround it. The procedure can restore the eyelid area to its natural, unblemished state while retaining its unique, beautiful shape.

How long does bruising last after eyelid surgery?

Bruising is a very common reaction to the intricate incisions made during the blepharoplasty procedure. In general, expect to experience bruising for approximately a week after your surgery is completed. Applying a cold compress often eases the bruising, swelling, and tenderness associated with healing after eyelid surgery. Avoiding certain supplements, such as turmeric or fish oil, for two weeks before surgery may reduce the risk of prolonged bruising, whereas others, such as arnica and bromelain, may reduce bleeding and bruising. Detailed advice on how best to prepare for surgery will be given in the lead-up to your procedure.

When can I wear makeup after eyelid surgery?

In general, Mr Townley advises patients to wait about two weeks after eyelid surgery before wearing eye makeup. Doing so should allow sufficient time for initial healing and reduce the risk of infection or irritation. If you have any questions about your recovery, never hesitate to reach out to our office.

Can eyelid surgery fix a lazy eyelid?

If you suffer from a lazy eyelid (also known as “eyelid ptosis”), Mr Townley will assess the degree of levator weakness (the primary cause of eyelid ptosis) and may refer you on to an ophthalmologist for specialist treatment. He will gladly discuss all of your cosmetic and functional concerns, including the presence of a lazy eyelid, during an initial consultation.

Can eyelid surgery improve my vision?

While eyelid surgery is often performed solely as a cosmetic procedure, it is also capable of addressing certain visual issues caused by excess skin hanging over the eyes. Specifically, several of Mr Townley’s patients have reported that blepharoplasty has improved their visual field. This is especially common in upper blepharoplasty, which involves removal of excess skin and tightening of musculature above the eyes.

Are you considering eyelid surgery to achieve a more youthful appearance? Contact our office to learn more.

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