Upper Eyelid Surgery

Duration of the surgery
Anaesthesia
Recovery period
Clinic stay
Considering Upper Eyelid Surgery in Ireland?
During your consultation, I will address any questions or concerns you may have.
What is Upper Eyelid surgery?
Upper eyelid surgery, also known as upper blepharoplasty, is a cosmetic procedure designed to improve the appearance and function of the upper eyelids. The surgery addresses issues such as sagging skin, excess fat, and drooping eyelids that can make a person look tired or older and may even interfere with vision
Upper eyelid surgery (blepharoplasty) step by step:
Administration of anesthesia: Local anesthesia with sedation is typically administered, often using a combination of lidocaine and epinephrine. This ensures patient comfort while allowing them to remain conscious during the procedure.
Marking the incision lines: The surgeon carefully marks the incision lines on the upper eyelid, following the natural crease. This step is crucial for achieving symmetry and optimal results.
Incision: Using a scalpel, radiofrequency device, or laser, the surgeon makes an incision along the marked lines. The incision is typically placed in the natural eyelid crease to minimize visible scarring.
Removal of excess skin and fat: Through the incision, the surgeon removes excess skin and may also remove or reposition fat deposits. This step addresses drooping and puffiness in the upper eyelid.
Muscle adjustment: If necessary, the underlying muscles may be tightened or repositioned to improve the overall appearance and function of the eyelid.
Closure of incisions: The incisions are closed using fine sutures, often dissolvable ones. This ensures minimal scarring and eliminates the need for suture removal.
Application of ointment and dressing: Antibiotic ointment is applied to the incision sites, followed by a soothing jelly gauze and soft eye pads for protection during the initial healing phase.
You should consider Upper Eyelid Surgery if you:
- Have excess or drooping skin on your upper eyelids that may impair vision or cause aesthetic concerns.
- Appear tired or older due to sagging eyelids, even when well-rested.
- Have difficulty applying eye makeup due to excess skin on the upper eyelids.
- Experience persistent brow aches from constantly using forehead muscles to raise your eyelids.
- Your peripheral vision is obstructed by overhanging eyelid skin, affecting daily activities like reading or driving.
- Have puffy upper eyelids due to excess fat deposits.
Recovery and post care
Recovery from eyelid surgery is generally gradual:
- Week 1: Rest, manage swelling and bruising with cold compresses
- Weeks 2-3: Return to light activities, suture removal
- Weeks 4-6: Most swelling and bruising subsides
- Months 2-3: Final results become apparent
While some patients feel fully recovered after 4-6 weeks, individual healing times may vary. Eyelid surgery can provide long-lasting results, helping you look more alert and youthful. However, it’s essential to consult with a board-certified plastic surgeon to determine if this procedure is right for you and to ensure the best possible outcome.
Plastic Surgeon Žygimantas Mačys answering to
Frequently asked questions
Here are some essential tips for patients after liposuction:
- Wear compression garments: Use compression garments as directed for at least 3-4 weeks. This helps reduce swelling, supports treated areas, and improves final results.
- Stay hydrated: Drink plenty of water to help flush out fluid buildup and reduce inflammation.
- Rest and light activity: Get ample rest during the first two weeks, but incorporate light walks to promote blood circulation and enhance healing.
- Follow post-operative instructions: Adhere meticulously to your surgeon’s guidelines for optimal healing and to prevent complications.
- Maintain a healthy diet: Focus on nutritious foods rich in vitamins and antioxidants to support the healing process.
- Avoid strenuous exercise: Refrain from vigorous physical activities for up to 6 weeks post-surgery.
- Keep incisions clean and dry: Change bandages frequently and avoid immersion bathing until incisions have closed completely (7-10 days).
- Avoid alcohol and smoking: These can interfere with healing and increase the risk of complications.
- Consider lymphatic drainage massage: This optional treatment may help accelerate healing and reduce swelling.
Upper eyelid surgery addresses sagging skin, excess fat, and drooping in the upper eyelid area
Lower eyelid surgery targets under-eye bags, puffiness, and wrinkles in the lower eyelid region
Upper blepharoplasty can improve vision by removing obstructing skin, while lower blepharoplasty is primarily cosmetic.
Temporary swelling and bruising
Dry or irritated eyes
Difficulty closing eyes completely (usually temporary)
Asymmetry between eyes
Scarring (though typically minimal and hidden in natural creases)
In rare cases, infection or changes in vision
Keep your head elevated while resting to reduce swelling
Apply cold compresses as directed by your surgeon
Avoid strenuous activities and heavy lifting for several weeks
Protect your eyes from sun and wind
Follow your surgeon’s instructions for cleaning the incision sites
Attend all follow-up appointments
Upper eyelid surgery can improve vision by removing excess skin that may have been obstructing the visual field
Many patients report enhanced peripheral vision after the procedure
Results are typically long-lasting, often enduring for many years. However, the natural aging process will continue, which may affect results over time
Incisions are typically made in the natural creases of the eyelid, resulting in minimal visible scarring. Most patients find that any scarring fades significantly over time
Yes, it’s often combined with lower eyelid surgery or other facial rejuvenation procedures. Discuss your goals with your surgeon to determine the best treatment plan for you.
The cost of upper eyelid surgery (upper blepharoplasty) in Ireland depends on factors such as the complexity of the procedure, and whether it’s performed under local or general anesthesia. During your consultation, we’ll evaluate your needs, discuss the best approach, and provide a clear breakdown of the total cost.