Eyelid Surgery & Blepharoplasty

Excess skin and weakness of the upper and lower eyelid muscle can result in an aged look. Blepharoplasty involves the surgical removal of excess skin and muscle from the eyelids offering a more youthful appearance. This is often combined with a regular top-up of Botox around the eyelid and the forehead to maintain one’s youthful appearance. The procedure is painless as it is carried out under local anaesthetic as a day case procedure.

Ptosis (droopy eyelid) occurs due to weakness the upper eyelid muscles of the eye. This can result in a constant tired look and can often affect vision. Ptosis surgery involves the restoration of the eyelid’s edge, returning it to its normal, healthy state above the pupil. This is often combined with upper eyelid blepharoplasty to achieve the desired aesthetic results. Both these procedures are relatively painless and are carried out under local anaesthetic as a day case procedure.

Misalignment of the eyelid position can lead to an ectropion (eyelid turning outwards) and entropion (eyelid turning inwards). These conditions can lead to watery eyes, discomfort, mucus discharge from the eye and in extreme cases severe infections of the eye itself which can result in loss of vision. Both these conditions can be corrected surgically under local anaesthetic as a day case procedure.

Epiphora is often due to narrowing or blockage of the tear ducts (drainage pipes) of the eyes. This is often treated surgically by correcting the position of the eye-lids and enlarging the opening of the tear ducts in the eyelid. The blockage can also be corrected by performing a bypass surgery to return the flow of tears to their normal and natural state. In this surgery, called Dacryocystorhinostomy (DCR), plastic tubes are inserted to create a new tear drainage pipe and to allow for optimal healing. The tube normally stays in place for two to three months. Mr. Ayoub performs endo-DCR which leaves no scar on your face.

Eyelid cysts and tumours, whether benign or malignant, can be cosmetically unappealing and sometimes sight-threatening. Simple cysts can be removed under local anaesthetic. Larger cysts and tumours can be sent for biopsy to help diagnosis and further treatment.

Check our blog post on chalazions.

Eyelid surgery risks include:

• Bruising
• Scarring
• Asymmetry
• Wound dehiscence
• Overcorrection/undercorrection
• Visual impairment (very rare)

Some of these risks can vary depending on the type of surgery and your personal circumstances.

Eyelid surgeries are generally pain free. Most surgeries are done under local anaesthetic. However there is the option of having sedation or general anesthesia if required/preferred.

Most eyelid surgeries are undertaken as a day-case procedure. You will be free to go home soon after surgery.