Upper Eyelid Surgery (Upper Blepharoplasty)

Overview
Upper eyelid surgery removes excess skin, muscle, and sometimes fat from the upper eyelids to restore a refreshed and alert appearance. It addresses drooping or hooded eyelids that can cause a tired look or, in advanced cases, impair vision.

Who It’s For

• Sagging or heavy upper eyelid skin

• Hooding that obscures the natural eyelid crease

• Puffiness due to fat protrusion

• Difficulty applying makeup or visual field obstruction

• Desire for rejuvenation while maintaining natural eye shape

Procedure

• Performed under local anaesthesia with sedation or general anaesthesia

• Incision placed in the natural eyelid crease for near-invisible scarring

• Excess skin, a small amount of muscle, and any bulging fat are precisely removed

• The eyelid fold is restored, and fine sutures close the incision

• Operation time approximately 45–60 minutes; typically day surgery

Recovery

• Mild swelling and bruising for 7–10 days

• Cold compresses and head elevation help minimise swelling

• Sutures removed after 5–7 days

• Return to normal activities within a week; avoid strenuous activity for 2–3 weeks

Results and Scarring

• Eyes appear more open, rested, and defined

• Vision may improve if excess skin previously obstructed the field

• Scars hidden within the natural crease and fade over time

• Results typically last 8–12 years; ageing continues naturally but at a refreshed baseline

Risks

• Bruising, infection, or delayed healing

• Temporary dryness, tightness, or mild asymmetry

• Over- or under-correction of skin removal

• Rarely, difficulty closing eyes fully during early healing (temporary)

Long-Term Considerations
Outcomes are durable and natural-looking. Regular eye lubrication, sun protection, and avoidance of smoking support optimal healing. The procedure is often combined with lower eyelid surgery, brow lift, or laser resurfacing for comprehensive periocular rejuvenation.