Introduction to Eyelid Surgery
Eye bag removal or blepharoplasty is a procedure designed to remove excess skin and fat from the eyelid.
This can freshen the look of your eyes. Excess skin in the upper eyelids and bags in the lower eyelid may be amenable to correction with Blepharoplasty. Eyelid surgery can give the vast majority of patients a very satisfying new look.
This procedure is carried out at Health Care Commission accredited hospitals by our fully accredited FRCS (Plast) Surgeons in Liverpool, Ormskirk and Southport.
Am I suitable?
Patients with excess skin and or swelling of eyelids due to excess fat may benefit from this procedure.
Not all upper eyelids have excess skin and fat and the appearance of tired, heavy eyes may be due to brow descent (the brow being too low). In these cases a Brow lift (endoscopic brow lift or temporal brow lift) is indicated to improve the appearance. In some cases a combination of eyelid surgery and a brow lift may produce the best result. Not all lower eyelids have "bags" (excess skin and fat). In some cases of sunken eyes, fat transfer (Coleman Technique) may give the best results.
Before your surgery
You will be asked to
- Stop smoking
- Get a recent full eye test and bring the results with you to the consultation
- If you use any eye medication, bring it with you to the consultation
The surgery can be done under local anaesthesia or under general anaesthesia. You may be sent home the same day or kept overnight in hospital.
Eyelid surgery involves making incisions in the crease of the upper eyelid and along the border (under the eye lashes) of the lower eyelid. Excess skin and fat is removed carefully to improve the contour of the eyelid. Tightening of the lower eyelid may be needed in some cases.
After your surgery
There will be some swelling and bruising after the operation. You may be asked to sleep with your head raised on a few pillows. You may also be asked to apply cold compresses to your eyes. In most cases the swelling subsides in a week to 10 days. The stitches are removed after 7 to 10 days and the scar gradually changes from red to faded white scars over a period of 6 months.
You are advised to take a week off work in most cases. You should not drive a car or operate machinery for 2 weeks after this surgery.
Risks and Complications
Risks include haematoma (collection of blood), infection, lumpy, red or wide or asymmetrical scars, dog ears, inversion or eversion of lower eyelid, excessive watering or dryness of eyes. There is a very small risk of injury to the eyeball itself. Eyelid surgery does not lift the brow and may not produce an "open" eye effect when a brow droop is present.
Very few if any eyes are absolutely symmetrical and symmetrical results following surgery cannot be guaranteed. The shape of the eyes may change after eyelid surgery (especially lower eyelid surgery).
Careful consultation and consideration of information provided at the time of consultation at Sthetix Clinics will help you make an informed decision. Unrealistic expectations lead to unhappy patients and surgeons.
Your wellbeing is our first priority. To monitor your progress we will arrange appointments at appropriate intervals for follow-up examinations with your surgeon. All your aftercare is fully included in the cost of surgery.
When you are discharged, care instructions will be given to you and you will have 24 hour access to trained staff that will be there to advise you should you have any questions or concerns.
2 weeks after surgery, one of our trained staff will see you and check your wounds. Any sutures may be removed at this time. The surgeon who performed your surgery will see you after 6 weeks for a follow-up and as often as required until you are fully recovered. This life time follow-up is a standard and will be provided at no extra cost.
In the unlikely event of a problem, arrangements will be made for you to be seen by trained staff, and if required, by the surgeon who performed the procedure. As all our surgeons live and work locally, it is always possible to see your surgeon at relatively short notice, if required. Our surgeons don’t leave the country, or indeed the local area after performing the surgery. On the rare occasion that the surgeon leaves the local area for other commitments, there will always be another trained plastic surgeon from our team available to provide care.
In the unlikely event of a complication which is directly related to your surgery, we will provide or arrange further surgery and/or treatment at no extra cost.