With the operation blepharoplasty excess skin can be removed from the eyelids together with any protruding fat to produce a more alert appearance and reduce problems with morning swelling .

Upper and lower eyelids may be operated on together or separately. This operation may be performed at the same time as other facial rejuvenative procedures such as facelifts.

Drooping of the eyelids is an effect of the ageing process. Sometimes so much skin accumulates in the upper lids that it hangs over the eyelashes to obstruct vision. The operation will not remove all wrinkles around the eyes, especially laughter lines.

The Blepharoplasty procedure takes place in the modern Spire Little Aston Hospital near Birmingham

The Operation:
Both upper and eyelids can be operated upon under local or general anaesthetic.

Incisions are made in the natural lines of the eyelids, in the creases of the upper lids and just below the lashes in the lower lids. These incisions are extended into the crows feet at the corners of the eyes.

Through this incision excess skin and fat is excised and sagging muscle is removed. Sutures are removed 3 to 5 days following the operation.

Postoperative Course:
Eye ointment is usually prescribed for use after operation. The eyes may be cleaned with warm water after 48 hours.

It is prudent to avoid vigorous exercise for 1 week after surgery and not to bend down for the first 3 days following surgery.

Sitting up at night as much as possible reduces swelling that may persist for up to three weeks following the operation.

The eyes appear watery partly because of swelling under the conjunctiva and because the tear ducts are swollen and do not drain as readily.

Potential Problems:
Bruising is common and may last for 2 -3 weeks. Occasionally a pool of blood may collect under the skin after the operation has finished.

This usually settles spontaneously over the next 2 or 3 weeks but it may need to be drained if it is large.

Drooping of lower eyelid may occur temporarily due to swelling and settles usually on its own or with the help of tape.

Blindness is an extremely rare complication.

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