152 Harley Street - Moorfields
BLEPHAROPLASTY IMPROVES THE EYE AREA BY REMOVING EXCESS SKIN, REDUCING LOWER EYELID BAGS, AND LIFTING DROOPING UPPER LIDS.
IT ENHANCES APPEARANCE AND CAN PROVIDE A REFRESHED LOOK, SUPPORTING A POSITIVE SELF-IMAGE.
Blepharoplasty, also known as eyelid surgery, is a procedure designed to improve the appearance of the eyelids. It primarily addresses the contours of the lower and upper eyelids.
Blepharoplasty can be both a cosmetic and a medical procedure. It enhances your appearance, offering a refreshed look. It is highly effective at addressing a ‘tired’ look that patients often want to improve. For some, it’s also medically necessary – for instance, when droopy eyelids significantly reduce their field of vision.
The procedure helps reduce wrinkles, decrease bagginess of lower eyelids, and restore the natural contour of the upper eyelid, which can be obscured as skin ages. It is generally a safe and effective treatment, which, in the right hands, can improve appearance with a low-risk profile.
With years of specialised experience in oculoplastic surgery, The Ezra Clinic is led by highly skilled surgeons who are dedicated to both the artistry and science of blepharoplasty. Each procedure is carefully tailored to the individual, providing a customised blend of aesthetic and functional benefits within a caring, patient-focused environment.
Here you can see an example of how transformative Blepharoplasty can be:
Over time, the elastic fibres within the skin diminish, leading to a loss of resilience and the appearance of sagging skin. This is compounded by changes in the underlying orbicularis oculi muscle, which may lose tone and contribute to the appearance of redundant muscle bulk.
One of the notable effects of ageing around the eyes involves the forward movement of fat, generally contained by the orbital septum. As this septum weakens with age, the fat can move forward, creating visible bulges often seen in the upper eyelids and forming bags under the eyes.
As we age, the midface area may also descend. This descent disrupts the smooth contour between the lower eyelid and the cheek. This separation can age your appearance, alongside the loss of facial volume, which can lead to lines, hollows, and sometimes a gaunt look.
Our treatments are designed to address these changes comprehensively, helping to ensure a refreshed look that feels both natural and refined. With our expert team and commitment to the highest standards of care, you can trust us to enhance your appearance in a supportive manner.
This gentleman came to us with significant lower lid bags, caused by fat herniation along with excess skin and muscle. To address these concerns, we performed an anterior approach lower lid blepharoplasty. The results appear natural, with the scars expertly concealed, leaving him with a refreshed appearance that complements his natural features.
This lady underwent treatment to address under-eye bags and excess skin around the upper eyelid, resulting in a natural, refreshed appearance that complements her youthful complexion. The lower lid blepharoplasty was performed using the transconjunctival approach, with careful fat repositioning to enhance her overall look while preserving her natural beauty.
BeforeAfterThe Ezra Clinic offers specialised eyelid surgery options, including upper and lower eyelid surgery, to address the unique needs of our patients.
Upper eyelid surgery, or upper blepharoplasty, is designed to remove excess skin and fat from the upper eyelids. This procedure is ideal for those who feel their eyes look tired due to sagging skin that creates a hooded appearance. It can improve the field of vision in cases where the drooping skin obscures sight.
As expert blepharoplasty surgeons in the UK, The Ezra Clinic’s specialists ensure the results are natural and harmonious with your facial structure, enhancing your overall appearance.
Lower eyelid surgery, or lower blepharoplasty, focuses on eye bag removal and addressing under-eye bags that give a tired look. This procedure often involves removing or repositioning fat to reduce puffiness and the appearance of dark circles. Under-eye bag surgery helps create a smooth transition between the lower eyelid and the cheek, providing a refined contour to the eye area.
Many of our patients come to us seeking to reduce the ‘tired’ look, which is most commonly addressed through our custom blepharoplasty eyelid surgery. The heaviness of the eyelids and the under-eye bags contribute to an appearance of exhaustion and can mask your natural expression.
For individuals experiencing asymmetry in their eyelids, blepharoplasty offers a refined approach to achieve a balanced, harmonious look. This procedure supports the eyelids’ functionality and symmetry, enhancing overall facial harmony.
Our clinic also treats more complex conditions, such as Thyroid Eye Disease, with blepharoplasty. Our experienced oculoplastic surgeons perform this specialised surgery with precision, helping restore your eyes’ natural appearance and expression. Every procedure at our clinic is performed with an understanding of your individual needs and expectations, aiming for outcomes that resonate with our patients.
If you’re having eyelid surgery under local anaesthesia with sedation or general anaesthesia, it’s essential to know the following:
On the day of the surgery
In the preceding two weeks
Before your surgery, we will review your full medical history to ensure a smooth and personalised experience. This will include discussing any medications you’re taking, any known allergies, your smoking habits, and any previous surgeries.
The upper eyelid blepharoplasty procedure begins with precise markings to ensure the incisions are discreetly placed. Excess skin, muscle, and fat are then carefully removed or repositioned to fill any upper eyelid hollowness, thus restoring a youthful and vibrant appearance to your eyes. The procedure is completed with either special sutures that minimise scarring, being removed within the first week, or hidden dissolvable stitches that naturally absorb into the skin, leaving no need for suture removal.
Lower eyelid surgery is a more intricate procedure aimed at correcting bags under the eyes and restoring smooth contours. This surgical procedure involves an incision just below the lash line, extending slightly beyond the corner of the eye.
Through this incision, excess tissue is removed or repositioned to achieve a more youthful look. For younger patients primarily concerned with fat bulges, our surgeons may opt for a transconjunctival approach, a ‘scarless’ technique performed inside the eyelid, which leaves no visible scarring.
Skin closure in lower eyelid surgery is achieved using removable sutures or a special surgical glue, depending on what best suits your case. The Ezra Clinic’s surgeons will advise you on which closure method is most appropriate for you, ensuring a seamless recovery and optimal aesthetic results.
Post-surgery, you may initially experience slightly blurred vision. This is due to the application of a thick ointment to protect the ocular surface from drying out. You will be asked to apply this ointment four times daily, both inside the eye and on the surgical wounds, to promote healing. We may prescribe artificial tear drops to help alleviate any dryness during recovery.
After your procedure, you will be able to get up and move around by the evening of the surgery or the following morning. It’s normal to experience some swelling and bruising, which varies significantly from patient to patient. Swelling and bruising will diminish within 1-2 weeks for upper eyelid surgery and 2-4 weeks for combined upper and lower eyelid procedures. Rest assured, signs of recovery are temporary, and soon, it will not be noticeable that you have had surgery, leaving you with a refreshed and alert appearance.
Following blepharoplasty, you can expect a significant reduction in drooping eyelids and under-eye bags, revealing a more rested and vibrant appearance. The contours of your eyelids will be smoother and more defined, giving your face a more refreshed and alert expression.
These changes enhance how you look and often how you feel, boosting confidence and restoring a sense of identity. The Ezra Clinic expert surgeons, renowned for their precision and attention to detail, are committed to achieving the finest outcomes that align with your aesthetic goals and natural facial symmetry, ensuring results that are both beautiful and lasting.
Blepharoplasty Plus at The Ezra Clinic extends traditional eyelid lift surgery by incorporating specialized cosmetic techniques to improve the aesthetics of both the upper and lower eyelids. This comprehensive approach not only removes excess skin and fat but also addresses fine lines, wrinkles, and volume loss, providing a balanced and refined result.
The Blepharoplasty Plus procedure at The Ezra Clinic may include the following enhancements:
Used not only for softening crow’s feet and glabellar frown lines around the eyes but also for lifting the brow area. This helps in further reducing the appearance of excess skin and the effects of brow descent, providing a fresher look around the periocular region.
These fillers are expertly applied to smooth out deep lines around the eyes, complementing the results of the eyelid surgery.
We also offer laser treatments and chemical peels that are perfect for tightening the skin and diminishing fine lines and wrinkles. This is particularly beneficial when combined with transconjunctival ‘scarless’ eyelid surgery.
As part of the upper eyelid lift surgery, an eyelash lift can also be performed to enhance the eyes’ aesthetic. This can be achieved surgically through anterior lamellar repositioning or less invasively with a laser technique that tightens the skin at the eyelash base.
For those experiencing midface sagging, this procedure can effectively restore the smooth continuity between the cheek and the lower eyelid, enhancing the overall facial harmony.
Utilising fat from your own body, usually the abdomen or thighs, this procedure involves a minimal liposuction technique. The fat is then purified and enriched with mesenchymal stem cells before being reinjected into the face using state-of-the-art ‘Microfat’ techniques. This method is excellent for restoring facial volume and improving skin quality.
This patient came to us with concerns about appearing overly tired and somewhat ‘sad’ look, primarily due to a combination of brow droop, under-eye bags, and midface descent, which added to the apparent excess skin on her upper eyelids. We proceeded with an upper and lower lid blepharoplasty, complemented by a midface elevation to harmoniously lift and refresh the face. Additionally, a lateral direct brow lift was performed to correct the sagging that an upper lid blepharoplasty alone might not address.
The outcome of these procedures is a beautifully natural enhancement, maintaining our patient’s inherent charm while significantly revitalising her facial features. The eyes now reveal a brighter, more alert look, seamlessly integrated with the elevated midface for an overall vibrant appearance. Three months post-surgery, the patient is thrilled with her transformation, feeling more confident and vibrant.
At The Ezra Clinic, such treatments are among our specialties, designed to deliver noticeable yet natural-looking results that reflect our commitment to excellence in cosmetic care.
This patient came to us with significant hooding and overhang in the outer corners of her upper eyelids. A blepharoplasty alone would not have been sufficient to fully clear the skin, so a brow lift was also performed. She opted for a direct brow lift, which involves an incision just above the eyebrow.
Six weeks post-operation, the results were reviewed, showing almost no visible scarring. The direct brow lift proved to be a very effective procedure, not only elevating the eyebrows but also lifting the crow’s feet area and the upper part of the cheek. This has opened the lateral part of the eye, resulting in a marked aesthetic improvement.
This patient presented with significant sagging skin affecting the upper eyelids. However, a blepharoplasty alone would not have fully addressed the issue, as there was also notable brow descent contributing to the heaviness of the upper eyelid area. While there are various techniques available for brow lifting, the extent of this patient’s brow droop required a direct brow lift to achieve the necessary lift.
A small incision is made just above the brow hairline during this procedure, and it usually heals well. The patient opted for a combined upper lid blepharoplasty and direct brow lift, resulting in an excellent, natural-looking outcome that restored a more youthful and refreshed appearance.
This highlights that blepharoplasty can be performed effectively by lifting, tightening, and repositioning the tissues, while minimising tissue removal. At The Ezra Clinic, our specialists adhere to a philosophy of preserving as much tissue as possible. In one case, a patient had no fat removed; instead, the existing fat was redistributed to fill in hollowed areas and create a more natural contour. Only a small amount of skin and muscle was removed. A minimal amount of filler was injected to enhance the contours further, as the available fat was insufficient to address the hollows completely. This approach of conserving tissue is fundamental in blepharoplasty to achieve a natural-looking result.
This patient approached us with concerns about significant lower lid bags and mid-face descent, along with the early formation of a small festoon at the delicate eyelid/cheek interface. The mid-face lift was expertly modified to gently stretch and smooth these tissues, effectively resolving the festoon and the area of oedema. The treatment resulted in a notable reduction of the under-eye bags and an elegant elevation of the mid-face, beautifully enhancing the overall facial contour.
The resolution of the festoon and the reduction of malar oedema have noticeably refreshed her appearance, providing an excellent result that the patient is delighted with. At The Ezra Clinic, we are committed to achieving impactful outcomes, ensuring each procedure enhances both confidence and natural beauty.
This distinguished patient came to us concerned about significant lower lid bags, a common issue exacerbated by cheek descent and volume loss in the tear trough and lateral cheek areas. In addressing her concerns, the focus was not just on removing the bags but on seamlessly integrating the lower lids with the rest of her face for a harmonious appearance.
We opted for a specialised “Tissue Preservation Blepharoplasty” combined with a midface lift. In this innovative approach, we repurposed the tissue from the bags to fill the hollows, adhering to our philosophy that all tissue is precious. Rather than removing tissue, we expertly reorganised, remodelled, and lifted it to enhance facial contours.
The midface lift was expertly adjusted to lift and enhance the fullness of the lateral cheek, restoring the face’s natural proportions with a natural approach. This case exemplifies the transformative potential of our ‘Blepharoplasty+’ procedures in achieving optimal results.
Photographs taken on the morning of the surgery and four months postoperatively show a noticeable improvement. The patient is absolutely delighted with her refreshed and vibrant appearance, reflecting the high standards of care and expertise at The Ezra Clinic.
This lady presented with lower lid bags and noticeable midface volume loss. Her case was technically complex due to a negative vector eye configuration, which increased the risk of lower lid retraction following blepharoplasty. To address these concerns safely and effectively, she underwent both upper and lower lid blepharoplasty, combined with a midface lift to provide essential support to the lower lids.
Additionally, fat transfer was performed to smooth and enhance the contour between the eyelid and cheek, delivering a beautifully natural result. The patient was delighted with her refreshed appearance, which enhanced her natural vibrancy without altering her distinctive features.
This patient, in her early 30s, came to us concerned about a tired appearance around her eyes, caused by a combination of under-eye bags, significant hollowing, and cheek descent. She opted for lower lid blepharoplasty with midface elevation to address these issues, and also requested a more extensive fat transfer to enhance the lateral projection of her cheeks and reduce the prominence of her nasolabial fold—the deep groove running from the corner of the nose to the mouth.
The before and after images clearly illustrate how fat transfer can beautifully complement traditional blepharoplasty, delivering a dramatic improvement in her overall appearance. The result is a more youthful and refreshed look, achieved while maintaining her natural facial harmony.
This patient had concerns about overhanging upper lid skin and lower lid bags. Examination revealed excess skin in both areas, along with orbital fat herniation. Midface descent had also caused a separation between the eyelid and cheek. The goal was a natural, refreshed look without drastic changes.
Lower eyelid blepharoplasty addressed the under-eye bags, while upper blepharoplasty eliminated the upper lid hooding. A midface lift restored the cheek, creating a smoother transition between the eyelid and cheek. Fat transfer re-volumised the cheeks, enhancing the natural contour and improving skin quality.
The patient was delighted with the results—a refreshed, natural appearance that removed the tired look while preserving her natural features, as seen in the before and after images.
This patient underwent a lower lid internal approach blepharoplasty, a procedure that involves making incisions from the inside of the eyelids, thus leaving no visible scars. Initially, she presented with a tired and gaunt appearance, which has been resolved through this innovative technique.
The primary goal of the surgery was to address the under-eye bags by releasing the ligaments that constrain the fat compartments, allowing for the strategic repositioning and redistribution of the fat. This approach falls under ’tissue preservation’ blepharoplasty, which avoids excision and focuses instead on the redistribution, remodelling, and tightening of existing tissues.
Additionally, some cheek elevation was performed to further enhance the refreshing effects. The photographs taken two months post-surgery showcase a noticeable transformation, with a visibly refreshed appearance that aligns seamlessly with her natural features.
This young woman, troubled by severe lower lid bags and noticeable skin discolouration, felt her appearance constantly looked exhausted. She underwent a scarless transconjunctival blepharoplasty, which delivered outstanding results. The lower lid contours were beautifully restored, and the discolouration significantly improved.
These images clearly demonstrate the effectiveness of the posterior approach, showing how dark and discoloured lower eyelids can be transformed through blepharoplasty, achieving a more refreshed and natural look.
This young woman was concerned about significant under-eye bags that gave her a tired appearance. Additionally, she was troubled by reddish discolouration around the bags, a common issue. As no skin removal or tightening was necessary, a scarless internal transconjunctival blepharoplasty was performed, yielding highly effective results. The treatment successfully restored a refreshed and natural look, addressing both the bags and discolouration.
This patient presented with ptosis, excess upper lid skin, and a low brow position, all contributing to a tired appearance. Additionally, the lower lid tear trough added to the overall look of fatigue. Achieving maximum improvement required ptosis correction to lift the lid margin, blepharoplasty to remove the excess skin, and brow elevation to open up the eyelid area. This combination successfully created a more open and refreshed eye configuration. Tear trough fillers further enhanced the result by addressing the hollows in the lower lids, providing a smoother and refreshed appearance.
If you’re dissatisfied with the results of your previous blepharoplasty, revision blepharoplasty, is a specialised procedure intended for patients who seek further refinement or correction following a previous eyelid surgery.
Revision blepharoplasty is more complex than the first procedure and can be carried out in several ways, depending on the complexity of the problem. This tailored approach is designed to address any concerns that may have arisen from the initial surgery, such as asymmetry, under-correction, over-correction, or other aesthetic and functional issues.
Revision blepharoplasty is often sought by patients who are dissatisfied with the outcomes of previous eyelid surgeries, particularly when not performed by specialist oculoplastic surgeons. Given the delicate nature of the eyelid area, a range of complications can emerge, from minor scarring to more severe issues like eyelid malposition, impacting both the look and functionality of the eyes. A large proportion of our surgeries are revision procedures, and we employ a wide range of techniques to undo damage caused.
Common reasons for opting for revision include:
Sometimes, healing can lead to visible scars or bumps near the incision sites. Our tailored scar revision procedures effectively address and minimize these concerns.
If the initial surgery did not adequately address the original cosmetic concerns, resulting in puffiness or impaired vision, further refinement might be necessary.
Excessive removal of skin or fat can lead to severe aesthetic and functional issues, such as lower eyelid retraction or an unnatural contour of the eyelids. This can manifest as increased scleral show or a hollow appearance under the eyes.
In cases where the eyelids appear sunken or hollow from excess fat removal, our clinic can restore a more youthful volume through targeted fillers or fat transfer techniques.
At The Ezra Clinic, our reputation for excellence in revision blepharoplasty stems from years of specialised expertise in correcting complex eyelid issues. Our team’s skill and experience in oculoplastic surgery ensure that each revision procedure is carefully tailored to restore both aesthetic harmony and functional integrity. We are dedicated to delivering natural-looking results, helping patients regain their confidence with care and precision.
The complexity of each revision surgery varies. Straightforward corrections may involve excess skin removal, while more complex cases can require reconstructive techniques to support both form and function of the eyelids. In cases of substantial tissue removal, we may use specialized materials like hard palate graft or mucograft to support the eyelid’s structure. For issues primarily from excess skin removal, The Ezra Clinic provides alternatives such as multiplane midface lifting to enhance the eyelid area without using skin grafts.
The pre-operative and post-operative care for revision blepharoplasty at The Ezra Clinic generally mirrors that of standard blepharoplasty. Each surgical approach is customised to address the unique challenges and corrections needed from previous surgeries, influencing the preparation and recovery steps. During your consultation, our consultants will outline the tailored pre-operative and post-operative guidelines that align with the specific needs of your revision surgery, ensuring optimal outcomes and a smooth recovery tailored to your circumstances.
Revision Lower Lid Blepharoplasty and Midface Lift
This patient had previously undergone surgery elsewhere to address lower lid bags, but the results were unsatisfactory, and the bags remained. Revision lower lid blepharoplasty was performed to successfully remove the remaining bags. In addition, a midface lift was carried out to restore the cheek to its natural position, creating a smoother contour and eliminating the hollow areas for a more balanced and refreshed appearance.
This patient experienced significant lower lid retraction following poorly planned and overly aggressive lower lid blepharoplasty. This resulted in noticeable scleral show, poor eyelid closure, and chronic discomfort, as well as an unwanted change in appearance. He underwent lower lid septo-retractor recession with cadaveric alloderm implants and lateral canthoplasty. The procedure successfully restored his natural appearance, and he is delighted with the outcome.
Recovery from blepharoplasty varies among individuals, but most patients begin to see their new, refreshed appearance emerge as the initial swelling and bruising subside—usually within one week after upper blepharoplasty or within two to four weeks after lower lid surgery. It is common for the final, subtle refinements in swelling to resolve over several months.
Post-blepharoplasty, keeping the eye area clean and being gentle to avoid disturbing the healing tissues is essential. You may gently cleanse the area around your eyes with a soft, damp cloth, avoiding direct contact with the incisions. We advise against rubbing or applying pressure to the operated area. You may resume your usual facial washing routine but should use mild, unscented products and pat the area dry rather than rubbing it.
Bandages are not usually required after blepharoplasty. However, in some cases, minimal dressings might be applied to support the healing area immediately following the procedure. Any dressings used are usually removed within a few days post-surgery during your follow-up visit at The Ezra Clinic.
To enhance your recovery after blepharoplasty, adhere to a few key practices:
Staying hydrated, maintaining a healthy diet rich in vitamins C and E, and avoiding smoking can significantly aid your healing process.
The results of blepharoplasty are long-lasting and natural. The surgery is designed to improve the look of the eyelids, and most patients do not feel the need to undergo a second procedure. Of course, the natural ageing process continues, and the results vary between patients. Still, we find that most people are happy with the results of blepharoplasty which should last between 10 and 15 years.
Upper eyelid surgery is performed under local anaesthesia, which can be administered with or without sedation, depending on your comfort level. For lower eyelid surgery, we generally recommend local anaesthesia with sedation to ensure maximum comfort, especially given the delicate nature of the work around this more sensitive area. Alternatively, general anaesthesia is available for those who prefer it, ensuring you are completely asleep throughout the procedure.
When both upper and lower eyelid surgeries are being performed simultaneously, local anaesthesia with deep sedation is preferred to maximise patient comfort and minimise recovery time. However, we are fully prepared to conduct the surgery under general anaesthesia if you feel more at ease with that option.
The time you may need off from work after blepharoplasty can vary depending on the nature of your job and the specifics of your surgery. Most patients find they are ready to return to office-based roles within a week to ten days. If your occupation involves physical exertion or exposure to dust and other irritants, taking a longer period off may be advisable. We recommend discussing your work requirements during your consultation at The Ezra Clinic so we can tailor our advice to suit your individual needs.
There is no definitive age for undergoing blepharoplasty, as the timing largely depends on individual needs and circumstances. Usually, patients consider eyelid surgery when they notice persistent signs of ageing, such as drooping eyelids or under-eye bags that make them appear tired, often from as early as their 30s or 40s. However, it is important that the patient is in good health and has realistic expectations about the outcomes of the surgery.
Like any surgical procedure, blepharoplasty carries certain risks and potential complications. At The Ezra Clinic, we ensure that you are well informed about all aspects of the procedure, including possible risks such as infection, reactions to anaesthesia, bleeding, and more rare concerns like temporary or, very rarely, permanent changes in vision. Other complications can include asymmetry in healing or scarring, as well as temporary double vision. Our expert surgeons use precise techniques to minimize these risks and provide comprehensive post-operative care to support a smooth recovery.
Blepharoplasty surgery involves making incisions in the creases of the upper eyelids and possibly along the lash lines of the lower lids, which means scars are an inevitable part of the surgery. However, these incisions are strategically placed to ensure the scars are well-concealed within the natural folds of the eyelid region. Over time, with proper care, these scars typically fade significantly and become barely noticeable. At The Ezra Clinic, our surgeons use advanced techniques that enhance the healing process and improve the aesthetic outcome, reducing the visibility of scars.
