Plastic surgeon, Sheffield

Eyelid Surgery (Blepharoplasty)

Mr Morritt regularly undertakes blepharoplasty surgery at the Claremont and Thornbury private hospitals in Sheffield to improve the appearance of the eyelids. Upper eyelid surgery (blepharoplasty) is most frequently requested to remove excess skin from the upper eyelid. Sometimes there is bulging caused by collections of fat around the eye and these can also be reduced in size. Lower eyelid surgery is most frequently requested to improve the appearance of ‘eye bags’.

Upper blepharoplasty – procedure

Upper blepharoplasty is most frequently performed under local anaesthetic. For those who don’t like needles we offer the extra option of a sedation injection. Upper blepharoplasty is sometimes performed under general anaesthetic for those who are particularly squeamish or if patient’s are having eyelid surgery at the same time as another procedure e.g. breast uplift.

The local anaesthetic is injected under the skin of the upper eyelid. Surgery commences once the skin is numb and involves removal of skin.  In some patients a small amount of fat and or eyelid muscle is removed if there is excess fat or muscle. Care is taken to ensure that all bleeding points are sealed (cautery). The skin is then sutured with a fine stitch. Steristrips are used to hold the ends of the stitch in place. Ointment (chloramphenicol) is used on the central part of the incision as it is uncomfortable to have steristrips in this location. Cooling pads are then used to reduce swelling.

Patients are observed in hospital for a few hours after surgery and usually go home the same day once they and the nursing staff are happy. The stitches are removed by the nursing staff 5-6 days after the procedure.

Video showing Mr Morritt’s upper blepharoplasty technique

Before/after upper blepharoplasty surgery – Mr Morritt
Appearance before and after upper blepharoplasty eyelid surgery Sheffield by Mr Andrew Morritt Plastic Surgeon

Eyelid surgery (blepharoplasty) – risks

Bruising – bruising following the surgery is normal and generally resolves within a few weeks of the surgery. Sometimes patient’s will get ‘black eyes’ which can last up to three weeks after surgery. Generally all bruising has completely resolved within 6 weeks of surgery.

Bleeding –  Bleeding following the surgery is uncommon but can cause excessive bruising or swelling. Bleeding requiring a return to theatre for the bleeding to be stopped is very rare.

Infection – this is very rare following eyelid surgery. Mr Morritt generally gives all of his patient’s antibiotic ointment to apply to the wound following surgery to reduce the chance of wound infection.

Wound opening – this is uncommon and if it happens generally will only affect a small area of the wound. The opening usually forms a scab that ultimately heals after a few weeks and does not usually affect the final cosmetic result.

Dry eyes – this is relatively common in the first few weeks after surgery and is caused by swelling. As the swelling improves the eyes become less dry. Permanently dry eyes are rare and may require long term artificial tears.

Watery eyes – watering of the eyes is relatively common following the surgery. It is usually caused by swelling and generally resolves very quickly. It can rarely be permanent.

Skin colour changes – very rare and slightly more frequent in the lower eyelid. Generally resolves with time but may be permanent.

Scars – scarring following blepharoplasty is generally very inconspicuous as the incisions are planned to be well hidden and in some patients will be very difficult to see.  Rarely poor scars can happen (thickened scaring).

Asymmetry – differences between the eyelids in terms of shape and/or position. Slight differences are common and are in fact normal for many patients before surgery. Significant differences are very unusual and can generally be corrected with minor revision surgery.  Eyelids can also heal at direct rates.

Pain – chronic pain/discomfort are very rare following blepharoplasty. Sometimes people have a sensation of ‘pulling’ after surgery but this usually improves with time.

Overcorrection – do to too much skin being removed from the eyelid or excessive scarring and results in it not being possible to close the eye. Can be corrected with w skin graft procedure.

Undercorrection – sometimes not enough skin is removed. This can be remedied by removing more skin.

Double vision – a very rare complication of lower eyelid surgery. Usually temporary but can be permanent.

Loss of vision (blindness) – this a an extremely rare complication reported to affect approximately 1:50,000 patients

Ectropion – this is an uncommon complication of lower blepharoplasty (eye bag removal). The lower eyelid is pulled down exposing the inner pink part. It generally resolves once the swelling has settled but can otherwise be corrected surgically.

Unhappiness with the cosmetic result – Many patients requesting this surgery often demonstrate the desired effect by lifting their eyebrow. Upper blepharoplasty does not improve eyebrow descent or heaviness – this requires a different procedure called a brow lift (or sometimes can be improved with botox). Upper blepharoplasty does it remove wrinkles from the eyebrow area.

Blepharoplasty – Video testimonial from one of Mr Morritt’s patients

Blepharoplasty (eyelid surgery) reviews – Mr Morritt, Sheffield

Review from patient who had upper blepharoplasty with Mr Morritt Plastic Surgeon in Sheffield

Useful blepharoplasty links

Read more – Sheffield Teaching Hospitals blepharoplasty information leaflet

Read more – BAAPS information on blepharoplasty

Read more – NHS information on blepharoplasty