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  • Eyelid Reduction Surgery with expert Plastic Surgeons
  • Eyes look younger and more alert
  • Performed under local anaesthetic
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Medically reviewed by Lorcan Sheppard BSc MBBS FRCA, Chief Medical Officer for The Private Clinic of Harley Street, London.
Last Reviewed January 3rd 2024

Eyelid Reduction (Upper Blepharoplasty)

At The Private Clinic, our Cosmetic Surgeons have been successfully carrying out blepharoplasty procedures for decades. The results often take 5 to 10 years off a person’s face.

Upper Blepharoplasty, sometimes known as eyelid lift surgery, is a simple, safe and quick procedure to remove excess skin from around the eyes.

While other types of blepharoplasty can address the under-eye area, an upper blepharoplasty solely affects the upper eyelid. You may consider this procedure for aesthetic reasons or because your eyelids feel heavy and uncomfortable.

Upper eyelid surgery may be used to:

  • Reduce drooping eyelids or hooded eyelids
  • Tighten any creases and folds in the upper eyelids
  • Correct visual impairments caused by saggy upper eyelid skin
  • Achieve a fresher and more youthful appearance

Eyelid Reduction at a glance

Procedure Time
1 hour

Hospital Stay
Day case

Anaesthetic Type
Local anaesthetic, general for lower

Support Garments
None

Washing
1 – 2 weeks

Driving
1 week

Up & Mobile
Immediately

Sexual Activity
4 weeks

Back to Work
1 week

Exercise
1 – 2 weeks

Travel
6 weeks

Sleeping
Elevated on back for 1-2 weeks

Full Recovery Time
4 – 6 weeks

Final Results
2 – 3 months

Types of Eyelid Surgery

We all have different needs and wants, which is why your eyelid surgery will always be tailored to you. Depending on the nature and severity of your excess eyelid skin, you may need either upper, lower, or combined blepharoplasty, and the procedures differ in terms of their process and recovery.

Patient Review

Patient Marina shares her Upper Blepharoplasty results after 3 months.

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Blepharoplasty Before & After Photos

Our Plastic Surgeons will work alongside you to help you achieve your goals. 
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What to Expect

The Private Clinic has been treating patients for over 40 years with thousands of people placing their trust in us each year. We pride ourselves on being able to offer a personalised service. We have a team of friendly nurses and expert surgeons who understand the importance of this decision and will support you throughout your journey with us.

The Consultation

The first stage of your upper blepharoplasty treatment journey will be a consultation with one of our expert surgeons.

At your consultation, your surgeon will go through the upper blepharoplasty procedure in detail and examine the areas that you are concerned about to assess your suitability for surgery.

Your surgeon will then discuss:

  • Your medical history
  • Your expectations from the surgery
  • Risks and Complications of Blepharoplasty Surgery
  • Aftercare

Following your consultation, you will be introduced to your dedicated patient coordinator who will be your point of contact should you wish to proceed with upper blepharoplasty surgery.

Consultation Image 1

Pre-Operative Appointment

In the interests of patient safety, all our patients are assessed against our patient selection criteria. Following your upper blepharoplasty consultation and review of your past medical history, the physician or pre-operative nurse will select which pre-operative tests are required, most of which are routine blood tests.

They will also advise you of any precautions you need to take in the days or weeks leading up to your eyelid surgery procedure and advise on any medication that you should stop taking ahead of your procedure.

Consultation Image 1

Eyelid Surgery

An upper blepharoplasty or eyelid surgery is typically carried out within our in-clinic theatres.

Local anaesthetic will be administered to the eyelid to numb the area so no pain is felt during the procedure. In some cases, a general anesthetic may be used which will be discussed with your surgeon.

An incision is then made in the skin fold that runs across the eyelid. Excess skin and fatty tissue is removed from the area. The surgeon will reshape the eyelid and close the incision with fine sutures.

The procedure can take an hour to perform. Following your procedure, you will be provided with detailed information on how to care for your eye/s following the upper blepharoplasty procedure. Patients will be able to leave once the surgeon is happy with their immediate recovery post-procedure.

Augmentation Blepharoplasty (Fat Transfer)

Historically, a strip of muscle was removed during an upper blepharoplasty procedure. This was to help further define the eyelid crease. This is not a technique that we favour anymore as over time this creates an aged look. One of the tell-tale signs of an elderly eye is hollowing, this is called an ‘A frame deformity’. Therefore, skin is only removed from the eyelid to preserve the volume that is present. Many surgeons request to see old photographs to decide if any hollowing has occurred, and if so, they may also suggest fat transfer. Also known as augmentation blepharoplasty, this technique can help to restore youthful volume, as well as removing redundant extra skin from the area.

The procedure involves taking fat from your thighs, buttocks, lower back or abdomen. The extracted fat is then spun on a centrifuge to separate the best fat cells for the procedure. It will then be injected back into the upper eyelid area.

This is a larger procedure and will need to be carried out within our surgical facilities under local anaesthetic or local anaesthetic with sedation.

Combined Upper and Lower Blepharoplasty

If the patient requires a combined Upper and Lower Blepharoplasty procedure, then a lower blepharoplasty procedure will be performed at the same time as your upper blepharoplasty procedure.

An upper blepharoplasty involves removing excess skin and fat from the lower eye area through an incision made within the lower eyelash line or inside the lower lid.

This slightly more complex technique will often require a general anaesthetic.

Consultation Image 1

After your upper blepharoplasty

Immediately following your upper blepharoplasty procedure you can expect to experience some mild pain or discomfort as the local anaesthetic wears off, you surgeon will advise on the best type of pain medication to take to help keep you comfortable.

Thin paper bandaging strips will be placed along the eyelid crease for around 2 weeks to support the healing of the incision.

Swelling is common following eyelid surgery but usually settles after a week. Bruising only typically occurs in people who knowingly bruise easily. We recommend cool gel packs to help with swelling.

An appointment will be made for 1 week after your surgery to remove your stitches and assess how you are healing.

Most patients can return to work 1 week following their procedure. This will, however, depend on the nature of your work and your healing rate. If you work in a particularly dusty or strenuous environment this may need to be extended or precautions made to ensure your eyelid can heal safely.

Our surgeons always use extreme precision along the natural folds of your eyes to prevent scarring and ensure a recovery that is as quick as possible.

Results from your blepharoplasty procedure can be seen after 2-3 months, your incision may still appear red at this stage and it can take up to a year for them to heal fully so that they are barely visible.

Consultation Image 1

FAQs

Am I suitable for a blepharoplasty?

An experienced surgeon will need to assess you prior to any procedure, but upper blepharoplasty is suitable for most people who are suffering with hooded, drooping or puffy eyelids. A lower blepharoplasty is ideal for patients who have lower eye drooping with signs of excess skin or prominent lower eye bags.

A combined upper and lower blepharoplasty may be recommended if the patient is experiencing both upper and lower eye drooping.

The procedure will not be suitable for those looking to rid of crow’s feet or some fine wrinkles. Your surgeon will be able to advise on other options like wrinkle injections or fillers.

A blepharoplasty is suitable for both male and female patients.

The best way to find out if upper, lower, or combined eyelid surgery is right for you is by scheduling a consultation with one of our expert surgeons today to learn more.

How long does a blepharoplasty procedure take?

Most of our patients are day cases, with simple procedures taking as little as 30 minutes and longer cases taking up to 2 hours. The majority of patients return home after the procedure with no need for a hospital stay.

Where are the blepharoplasty incisions made?

Incisions for an upper blepharoplasty or eyelid surgery are made in the natural crease of the upper eyelid.

Incisions for a lower blepharoplasty or eyebag surgery are made underneath the eyelashes or alternatively inside the eye.

Incisions for blepharoplasty procedures heal well and are rarely noticeable once healed following your procedure.

Is a blepharoplasty painful?

Eyelid/Eyebag surgery is performed under local or general anaesthetic so you will not feel anything during the procedure.

A few hours after the procedure your eyes may feel a little uncomfortable but you will be given painkillers to help with this and any discomfort usually settles after 48 hours.

Will a blepharoplasty improve the wrinkles around my eyes?

Blepharoplasty surgery is not designed to treat wrinkles around the eyes as it’s primary focus. The results of your treatment may include a reduction in the appearance of wrinkles but if this is your main concern, it would be more beneficial to seek an alternative treatment.

Wrinkles around the eyes are best treated with wrinkle relaxing injections or laser rejuvenation treatments such as Regenlite.

Find out more about treating crows feet and eye wrinkles here.

Can a drooping brow be corrected with eyelid surgery?

A blepharoplasty only targets the upper and lower eyelid areas. To improve the appearance of your brow you would need to have a brow lift.

We also offer Ultherapy brow lifts if you are looking for a non-surgical option. Find out more.

Can a blepharoplasty be combined with another procedure?

Blepharoplasty procedures are commonly performed alongside facelifts, brow lifts and also facial fat transfer.

Dermal fillers can also be used post-procedure to help retain the results of the procedure by improving the tear trough area.

What is the downtime following a blepharoplasty?

You will experience some swelling and bruising for up to two weeks but many return to social activities within one week post-procedure.

Any stitches that require removal will be removed 4-5 days post-procedure.

You may need pain relief in the first week to help with any discomfort while the eyelids heal, though your surgeon will discuss this fully with you.

It can take up to a few months for your eyelids to settle completely, but our medical team will offer you all the necessary advice and support for your healing process.

When will I be able to return to work after blepharoplasty surgery?

Depending on your case and procedure your surgeon may advise between 7-14 days off work, particularly for more complicated surgeries. You will need someone to take you home and we recommend that someone stays with you for the first 24 hours post-surgery.

Can I drive after a blepharoplasty?

You will not be able to drive immediately after a blepharoplasty. This is due to the after-effects of the anaesthetic that may still be in your system. Your vision may also be temporarily impaired immediately after surgery.

We would recommend that you avoid driving for a week or at least until you are off pain medication and feel comfortable doing so. We would advise against driving for long distances in the initial stages of healing too. If in doubt – do check with your surgeon.

When can I exercise after a blepharoplasty?

Light to moderate exercise may be resumed at 1-2 weeks but it may take at least 3-4 weeks before you can get back to higher impact activities. Swimming / diving should be avoided for 6 weeks after surgery, or as per your surgeon’s recommendations.

Can I wear glasses or contact lenses after a blepharoplasty?

You will be able to wear glasses as normal after eyelid or eyebag surgery. We advise waiting 2-3 weeks before wearing contact lenses again so we recommend that you have alternative glasses to wear if required.

When can I wear make-up after blepharoplasty surgery?

We recommend waiting at least 10 days, but ideally 2 weeks before applying any type of eye make-up including eyeshadow, fake lashes, mascara and eyeliner.

This is to ensure that the eye area is kept as clean as possible during the initial recovery process.

Will there be any scarring after a blepharoplasty?

Our experienced surgeons will only make incisions along the natural folds and creases of your upper eyelids. For a lower blepharoplasty procedure, incisions are made in the natural folds of the lower eye, beneath the eyelashes. These expert techniques make the risk of visible and undesirable scarring minimal.

What is an Asian Blepharoplasty?

An Asian blepharoplasty is a modified procedure that creates or redefines an upper eyelid crease. It is also known as double eyelid surgery.

There are several variations for an Asian blepharoplasty procedure and we recommend seeing a surgeon who specialises in this particular type of procedure and understands the Asian eyelid anatomy to ensure that you achieve the best results.

What are the risks of eyelid/eyebag surgery?

A blepharoplasty procedure is a relatively safe procedure but it does carry risks just like any surgical procedure would do.

Risks and complications that are associated with blepharoplasty in particular are; bleeding, dry eyes, infection, slight asymmetry in healing or scarring, swelling at the corners of the eyelids, temporary blurred vision, and whiteheads.

Your surgeon will discuss these all in full at your consultation.

What does a free blepharoplasty consultation mean?

We can offer patients a free blepharoplasty phone or video consultation with one of our experienced patient coordinators to discuss eyelid or eyebag surgery.

Our patient coordinators can provide you with information about the procedure and the best blepharoplasty surgeon to suit your needs.

To secure your timed phone or video appointment we will ask you to pay a £25 refundable deposit. This is refunded once the consultation takes place. You can change your appointment time up to 48 hours before.

Contact us to book a free phone or video consultation.

What is a blepharoplasty?

A blepharoplasty is the medical term for eyelid or eyebag surgery to improve the appearance of drooping eyelids or large eyebags that also may be affecting the sight of the patient.

The procedure involves reshaping the upper or lower eye area by removing or repositioning excess tissue, as well as reinforcing surrounding soft tissues.

There are 3 types of blepharoplasty procedures;

  • Upper Blepharoplasty which targets the eyelid and upper portion of the eye but not including the brows.
  • Lower Blepharoplasty which targets the lower portion of the eye and removes/reduces eyebags.
  • Combined blepharoplasty which is when an upper and lower blepharoplasty are performed at the same time.
Can a blepharoplasty treat eye bags?

Eye bags or sagging around the eyes can be corrected with lower blepharoplasty surgery. The procedure removes excess skin underneath the eye resulting in a fresher look. Find out more.

What happens during a blepharoplasty procedure?

During an upper blepharoplasty, an incision is made within the natural eyelid crease. Excess skin and fatty pockets are then removed before the incision is closed.

A lower blepharoplasty procedure involves an incision usually below the lash line or inside of the bottom eyelid. Excess fatty tissue is then removed from the eyebag area and the incision is closed.

 

Procedure Length

Incisions

Anaesthesia Used

Downtime

Upper Blepharoplasty (Upper Eyelid)

A short procedure which can take only 30 minutes

Incisions are made in the eyelid crease

Local anaesthetic

Minimal downtime and you can return home shortly after

Lower Blepharoplasty* (Lower Eyebag)

Slightly more complex, the procedure can take between 1-2 hours

Incisions will be disguised under the eyelashes or inside the eye

General anaesthetic

Slightly more downtime than upper blepharoplasty, the exact amount will depend on the individual patient.

Downtime will vary depending on the patient but up to 2 weeks off work may be preferred.

Approximately 2 hours

As above for each eyelid

General anaesthetic

Downtime will vary depending on patient but up to 2 weeks off work may be preferred.

How much does a Blepharoplasty cost?

The average price for blepharoplasty surgery for an upper eyelid procedure starts at £4,400 (under local anaesthetic) and the cost for a lower eyelid procedure starts at £5,300 (under general anaesthetic).

If you require a full blepharoplasty (both upper and lower eyelids), prices start from £6,920.

We don’t follow a one-price-fits-all policy and prices are quoted on a case by case basis. You will be given an accurate quote for your requirements following your consultation.

Consultations with our plastic surgeons are £100 at our clinics in London Harley Street, Birmingham, Leeds, Manchester and Northampton.

We also offer consultations with our highly experienced Patient Coordinators which require a £25 refundable deposit to secure your place. These are available in BirminghamLeedsManchester and Northampton..

Patient coordinators can offer you all the information you require before meeting a surgeon.

Please note all consultations available at our Harley Street clinic are with a surgeon.

Finance Options

We work with our partnered finance provider ‘Chrysalis Finance’ to offer 0% finance* to our patients. Get in touch to find out more.

When will I see the results after a blepharoplasty?

Results are instant however everyone heals at a different rate. Most visual swelling should go down after a month and the majority see results within 2-3 months of their procedure.

Things to Consider

Our advice on what to consider when deciding to have an eyelid reduction procedure:

1. When choosing a clinic, you should always do your research, and only go to an established, reputable clinic.

The Private Clinic has been in the cosmetic surgery industry for over 40 years. We are here to answer all of your questions and give you peace of mind.

2. When choosing a surgeon, make sure you know who you’ll be seeing. Their expertise, qualifications and patient satisfaction rate are important factors to take into consideration.

At The Private Clinic, we only source the most experienced and specialised surgeons. Find out more about our plastic surgeons here.

3. Price should never be the deciding factor when choosing where to have your treatment. Safety should be your number one priority and feeling confident that they will look after you – not only before, but also after your procedure

4. When it sounds too good to be true, it often is. Always find out what your clinic’s reputation is.

Our excellent reputation for patient safety and satisfaction, honest advice and outstanding care means your journey with The Private Clinic will be an exciting experience to a newfound shape.

Blepharoplasty Patient Stories

Outstanding care, patient satisfaction and results mean everything to The Private Clinic Team

“The Private Clinic took really good care of me and I have been very pleased with the results, I would certainly recommend them”

Why Choose The Private Clinic

  • The Private Clinic are a multi-award-winning Cosmetic Surgery provider with over 40 years’ experience.
  • We have world-class top specialist surgeons.
  • We have clinics and consultation rooms across the UK.
  • We see over 15,000 new patients every year performing over 10,000 procedures.
  • We have one of the highest patients’ satisfaction rates; Trustpilot 5 star rating.
  • 98% of patients would recommend us to their friends and family.
  • Dedicated care with your expert facial surgeon and nursing team including a 24-hour help line.
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Meet our Surgeons

We have a dedicated Plastic Surgeon and medical team who will be with you throughout your journey.

At The Private Clinic, eyelid surgery is performed by some of the UK’s top consultant plastic surgeons who have decades of experience.