Oculase Articles

Blepharoplasty: frequently asked questions  

Mr Daniele Lorenzano - 6 Feb 2024

Blepharoplasty involves surgery on the upper and/or lower eyelids. It can improve your vision and/or change your eyes’ appearance. We discuss all your questions and bust some myths in this article.

What is blepharoplasty/what does blepharoplasty mean?

Blepharoplasty is a surgical procedure to reshape your upper and/or lower eyelids. Your skin loses elasticity, and your muscles weaken when you age, causing excess skin around your eyes to form.

The procedure involves removing excess skin and reducing or repositioning the fat and/or muscle around the eyelids.

The procedure is performed for cosmetic or functional reasons, such as improving the appearance of sagging or puffy eyelids and addressing vision problems caused by excess skin or fat.

The types of blepharoplasty include:

Upper eyelid blepharoplasty – Excess skin and a small amount of muscle are removed to improve ‘tired-looking’ eyes or vision.

Lower eyelid blepharoplasty – Fat is removed or repositioned during the procedure, in addition to removing excess skin and muscle. This helps improve eyelid bulge and sagging around the eye.

Combined upper and lower eyelid blepharoplasty – Both procedures are often done together to give a more defined eyelid contour and youthful appearance.

Learn more about the steps involved in the operation on our treatment page.

Who makes a suitable candidate for blepharoplasty?

We will assess your suitability for the procedure in your initial consultation. We’ll consider your medical history and any factors that may pose a surgical risk, such as whether you have diabetes, thyroid eye disease, or issues with dry eyes.

You should be in good overall health for the best recovery. If you are a smoker, we recommend you stop smoking a few weeks before you have the procedure due to its effects on the recovery process.

What is the difference between blepharoplasty and ptosis surgery?

Blepharoplasty is considered a cosmetic and functional procedure, while ptosis surgery is primarily functional to help improve your vision.

Ptosis surgery tightens or shortens the eyelid muscle so the eyelid can lift and open again, unlike before the procedure. Blepharoplasty removes excess skin to help enhance the appearance of the eyes.

Often, ptosis surgery is combined with blepharoplasty to give you a refreshed and youthful look while improving your vision.

Are you awake or under during the surgery?

During the surgery, you will either be under local or general anaesthetic. Typically, blepharoplasty is done under local anaesthetic if just the upper eyelid is being operated on.

General anaesthetic may be recommended if you have severe anxiety about the procedure or are having just lower eyelid or combined upper and lower eyelid surgery.

In the expert hands of our specialists, we will ensure this process is as painless as possible so you have the best experience during your procedure.

Is the surgery safe?

Blepharoplasty is usually a safe and successful procedure with outstanding results. We have a high satisfaction rate with the cosmetic appearance after blepharoplasty.

However, as with all surgeries, it does have some risks. Our specialists can walk you through what to expect from the procedure in your initial consultation.

When is the best time to have blepharoplasty?

If you are aged 18 and over, you are a potential candidate for blepharoplasty. However, the procedure is recommended for those aged 30 and above.

Is blepharoplasty painful?

Blepharoplasty is one of the least painful cosmetic procedures. The surgery is performed under anaesthetic. You may experience some initial discomfort while recovering from the treatment, but it should usually lessen within 2 to 3 days.

For some people, the experience of discomfort may last longer, lessening 7 to 10 days after the procedure.

Can the procedure affect your vision?

For most people, the procedure does not affect your vision. However, there is a minimal risk of your vision getting worse. We will explain how likely any risks or complications are for you during your consultation.

Following your recovery instructions after the surgery is essential to minimise the risks. Read more on our treatment page to learn about the potential risks of blepharoplasty surgery.

How many times can I have the surgery performed?

Blepharoplasty can be performed more than once if necessary. However, multiple procedures are not recommended due to the risk involved in any surgery.

If you feel further treatments are needed, please discuss this with us so we can discuss your options together.

How long do the results last?

Many people have reported that they’re satisfied with the results of their blepharoplasty surgery and have seen it boost their self-confidence.

For some people, the results of blepharoplasty can last a lifetime. For others, droopy eyelids can reappear after several years. Results may not last due to the natural ageing process, not typically due to a procedure complication.

Usually, the results of upper eyelid surgery can last between 5 years and a lifetime. Lower eyelid surgery rarely needs to be done more than once. If the procedure was for aesthetic reasons, in some cases, additional surgical refinements may be necessary to achieve an ideal result.

Can I travel after having the procedure?

After having surgery, we recommend avoiding any strenuous activity for a week. You will not be able to drive for a few days. Most people can resume their usual routine after 2 weeks; however, full recovery may take a few months.

If you are unsure about travelling after your procedure or have any other queries regarding your recovery, book a consultation with us so we can discuss your concerns.

How much does blepharoplasty cost?

The cost of blepharoplasty surgery depends on the number of eyelids you have done and any additional procedures you may need to give you the best outcome.

Prices start at £5000 for both eye and upper lid surgery. Contact us to book an appointment to discuss your surgery further.

Who will perform my surgery?

Blepharoplasty is best performed by an eye specialist specialising in plastic surgery on the eyelids (oculoplastic surgeon).

Our team includes experts in ophthalmic oculoplastic surgery to give you the best results. Book an appointment today to start your treatment with us.

Book Consultation

About the author

Mr Daniele Lorenzano, Consultant Ophthalmic Surgeon

Mr Daniele Lorenzano is a Consultant Ophthalmic Surgeon with the University Hospital Southampton NHS Foundation Trust. There he is the Research Lead for the Oculoplastics and Orbital Service at their Eye Unit.

He completed training at the prestigious Ophthalmology Residency Programme at the University of Rome, Tor Vergata. He subsequently went on to develop his sub-specialist interest in orbital, lacrimal, eyelid reconstructive, and aesthetic surgery with advanced training at Moorfields Eye Hospital and Bristol Eye Hospital in the UK.

Mr Lorenzano treats both adults and children. He treats lacrimal and orbital diseases, including cancers and thyroid eye disease. He specialises in all aspects of surgical & non-surgical cosmetic and reconstructive eyelid surgery, including Botox neurotoxin treatment.

0330 128 1616

Our clinic sites are regulated by
The Care Quality Commission (CQC)

Book consultation

Affiliations and Memberships

Our consultants are proud to be associated with the following organisations

Facebook Twitter Youtube Quote Linkedin instagram left-arrow up-arrow right-arrow down-arrow