Upper Blepharoplasty (Eyelid Reduction)

Upper Blepharoplasty (Eyelid Reduction)

Upper eyelid surgery can be requested for cosmetic improvement but it can also have important functional benefits.
As they age, many people develop a fold of upper eyelid skin that obscures the skin immediately above the eyelashes. Ultimately it can come to sit right on the lashes and obscure upward vision. The eyelids can feel uncomfortably heavy by the end of the day. Wearing mascara becomes impossible.

Upper Blepharoplasty (Eyelid Reduction)

The procedure takes about an hour. You should bring your dark glasses for afterwards. The swelling doesn’t close your eyes so provided you haven’t had oral sedation you will be able to drive yourself home. When the local anaesthetic wears off you will have some pain. You may need paracetamol or similar.

This procedure involves removing a strip of excess eyelid skin and usually some fat from behind the eyelid. It can be done under local anaesthetic at our clinic. This is probably the best “value for money” facial cosmetic procedure as it makes a big difference for a small and safe operation.

You will again show eyelid skin between the eyelashes and the eyelid fold.

Post-Operative Care


Since the nipple always has to be re-sited higher up, all breast reductions methods result in a scar right around the areola and a scar vertically down from there to the inframammary fold (groove beneath the breast). Usually there is also a curved transverse scar running the length of the inframammary fold. There are “vertical scar” techniques which seek to avoid this transverse scar and this is sometimes appropriate.

Loss of nipple sensation is not uncommon. Numbness of some skin beneath the nipple is usual.
You may not be able to breastfeed should you have a pregnancy after breast reduction.
The nipple has to move up and retain its blood supply. it is possible for this blood supply to be inadequate and to lose part or all of a nipple but this is an exceedingly rare complication.
Symmetry should be very good but may not be perfect.

Coming from
out of town?

Ideally a consultation should be face to face but is certainly possible to arrange a telephone consultation. If you can email the photos first so much the better. If it is clear what procedure is required then the in-person consultation can be the day before or the morning of the surgery.