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  You are at: Procedure info > Cosmetic or eye surgery > Eyelid surgery

Eyelid reduction surgery (blepharoplasty)
















Baggy eyelid surgery


Baggy skin of the upper or lower eyelids is a common result of ageing, although some people are more prone to problems than others. Eyelid surgery can have a dramatic effect to give the eyes a more youthful, bright appearance.

Baggy upper eyelid skin can also droop over the eye, impairing vision. In this instance, eyelid surgery is indicated to improve vision and prevent long-lasting impairment to eyesight.




How is eyelid surgery (blepharoplasty) performed?

Eyelid surgery can be performed under general or local anaesthesia, depending on what needs doing. Some people will need only excess skin to be removed, whereas others may need some underlying fat to also be removed.

Incisions are made in such a way as to leave scars that will be well hidden in the natural eye creases. The excess eyelid skin is then carefully removed. The underlying muscle can then be split to access and remove any excess fat around the eyelid.


Will eyelid surgery help my short-sightedness?

In a word, no. Short or long sightedness is caused by changes in the eyeball itself, and blepharoplasty will have no effect on this. Droopy eyelid skin can, however, block part of the visual field and blepharoplasty can be used to help vision in this instance.


What risks are involved with eyelid surgery?

  • Asymmetry - whilst the surgeon will try to match both eyes, some differences may be noticeable afterwards. This only rarely needs further eyelid procedures.

  • Recurrence - over time, the loose eyelid skin can recur and the procedure may need repeating. This usually takes years, though.

  • Ectropion - this is the term given to eyelids that turn out and cannot close, resulting in dry and itchy eyes. This is often a result of over-correction and can be difficult to correct. Fortunately this is a rare occurrence in experienced hands.

  • Bleeding - a small amount of bleeding is quite common, and the eyes will be bruised for up to two weeks or more. Bleeding behind the eye, however, can cause severe pain and even blindness if not acted upon. This risk is, fortunately, very rare.



Any procedure involving skin incision can also result in unfavourable scarring, wound infection, or bleeding. This list of risks is not exhaustive, and you should discuss possible complications with your specialist. Whilst these risks will seem very worrysome, and indeed can be serious, it should also be borne in mind that many people have no postoperative problems whatsoever.

The information provided is as a guide only and you should discuss matters fully with your specialist before deciding if this is the right procedure for you. Please also read our disclaimer






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