Eye bag removal

What is a blepharoplasty procedure and why is it performed?

A blepharoplasty procedure can help men and women of all ages to overcome the inevitable signs of skin ageing above, below and around the eyes. The ultimate aim of the surgeon is to remove and smooth the loose, lined skin around the eye area.

A successful blepharoplasty procedure will create a brighter, fresher, more youthful eye area and improve the overall facial appearance without leaving obvious signs that surgery has taken place.

Early signs of ageing and sun damage tend to affect the fragile skin around the eye long before other facial areas become affected. It is consequently quite common for patients to request this procedure in their late thirties or forties, or as a complementary procedure to other facial surgery, such as a facelift or laser resurfacing procedure in later years.

How is a lower or upper blepharoplasty procedure performed?

When performing an upper blepharoplasty procedure, the surgeon will normally excise a narrow crescent shaped portion of skin and underlying tissue from the middle of the upper lid, leaving a microscopic incision, which will follow the natural crease line of the upper lid.

A lower blepharoplasty procedure is typically performed to improve a tired eye appearance (commonly referred to as 'eye-bags'). The procedure involves the surgical removal of fat just below the surface of the skin and loose skin around. This procedure is performed through a microscopic incision, normally just below the lower lash line.
Younger patients may only need fat removing from beneath the lower eye area. Such fatty deposits can be hereditary and can be removed from the inside of the lower lid, thus completely avoiding any external excisions. This advanced procedure is known as a transconjunctival blepharoplasty.

These procedures can be performed singularly or in combination and can be performed under both local and general anaesthetic. The type of anaesthetic will often dictate how long a patient is expected to stay in hospital to recover. A procedure performed under local anaesthetic will commonly be performed as a day case and a procedure performed under general anaesthetic will commonly involve an overnight stay in hospital. Under normal conditions a blepharoplasty procedure can take around an hour to perform.

What kind of men and women request this procedure?

  • Men and women of all ages who are generally unhappy with their aged or lined appearance
  • Men and women who suffer from looking tired or "jaded", even when they are well rested
  • Women who need to avoid eye make-up (which has a tendency to look "caked-on" or to disappear into skin folds as lines and creases develop and deepen)
  • Men and women who feel that their self esteem or confidence are affected by their concerns and feelings about their ageing facial appearance

What are the results like?

This particular procedure can provide excellent and relatively speedy results. However, a blepharoplasty is a very precise procedure and should only be provided by a Consultant Plastic Surgeon who is fully qualified and highly experienced to skilfully perform this type of surgery.

Improved results will take place almost immediately following surgery but will be obscured by the inevitable bruising and swelling that takes place following this type of procedure. After the initial swelling has settled down (usually after the first week) subtle improvements to the contour and newly refined eye area will take place for up to six months following surgery.

How will you feel after blepharoplasty surgery and what is the recovery period like?

Whilst a blepharoplasty is usually considered a reasonably minor procedure the operated area is often quite tender and bruised for a week following surgery and the actual eye area can become sensitive and dry. Analgesic tablets (pain killers) are always provided for any discomfort, and usually an antibiotic/anti-inflammatory cream. Patients are encouraged to stay as mobile and upright as possible during their early recovery stage to help reduce any swelling or bruising. Patients usually describe the way their eyes feel, as "uncomfortable" and "light", rather than painful in the initial recovery stages.

It is usual for patients to take at least a week away from work to recover following this procedure. Patients are especially asked to avoid direct sunbathing on the eye area for at least twelve months following surgery.

Are there any risks involved in blepharoplasty surgery?

All surgery involves an element of risk from developing complications. However, cosmetic surgery is usually undertaken voluntarily and only when a patient is in good health. Therefore, the probability of experiencing complications following this kind of surgery is substantially lower than for those who undergo surgery due to ill health.

The importance of a thorough pre-operative consultation with the actual Consultant Surgeon who will perform your operation cannot be over stressed. You need time to consider all the benefits and risks of blepharoplasty surgery and the opportunity to reflect and consider all the information the Surgeon offers you before you make a decision regarding your potential surgery.

Risks such as bleeding, infection, delayed healing, irregularity and scarring will all be discussed openly at consultation, as well as our scrupulous efforts to manage and minimise these risks to their lowest possible potential.

Due to the additional healing and infection risks experienced by patients who smoke, heavy smokers may be precluded from having eye surgery until they cease or substantially reduce their cigarette intake. The fine incisions made during this procedure are generally well hidden and discreet. However, the appearance of scars (which generally fade progressively after surgery) is a highly individual matter and cannot be guaranteed.

What next?

The importance of a thorough pre-operative consultation with the Consultant Plastic Surgeon who will perform your procedure cannot be over stressed. At One Healthcare, each consultation is tailored to an individual's needs. The process will always involve a thorough evaluation of your present and past medical history and a physical examination of the area of concern.

Your Consultant Plastic Surgeon will take time to listen to your concerns and will take care to ensure that you have a thorough understanding of what can be done to help, the procedure itself, the recovery stages and a clear explanation of the risks involved. You will need time to consider all these factors before making a decision regarding eye-bag removal surgery.
You are positively encouraged to ask any questions that you may have and to look at photographs of others who have had the same type of surgery that you are considering. If you would find it helpful, our advisory team may be able to arrange for you to speak with a previous One Healthcare patient who is willing to discuss their experience with you over the telephone.

How to arrange a consultation with a fully qualified Consultant Surgeon with GMC specialist registration

 Please feel free to call our Customer Service Advisory Team at your local One Healthcare Hospital who will be pleased to answer any queries, or make an appointment for you to meet with a Consultant Surgeon who has specialist skills and experience in breast reduction surgery. Our Customer Advisory Service is personally manned between 9am and 5pm Monday to Friday. We will also be happy to discreetly return your call if you leave a short message, forwarding name and telephone number on our confidential answer phone after office hours.

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