Mr A. O. Grobbelaar  MBChB  MMed(Plast)  FCS(SA)(Plast)  FRCS(Plast)

Blepharoplasty - (Eyelid Reduction)

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Introduction

Blepharoplasty - (Eyelid Reduction)

Eyelid reduction or surgery can address excess of skin, bagginess, sun damage (fine wrinkles) and in oriental patients also the absence of the eyelid crease in the upper eyelid or fold of skin in the medial corner. Some patients may develop these problems earlier than expected due to an inherited tendency. Puffiness around the eyes can also be a sign of allergies or water retention. If you have any doubt about the health of your eyes you should have them tested beforehand by an ophthalmologist, which can easily be arranged.

The surgery

Can be performed in conjunction with other aesthetic procedures for example a facelift or brow lift. If the eyebrow is drooping it is also advisable to have that corrected first (see the section on browlift). The procedure can be performed under a general anaesthetic or local anaesthetic and sedation. The upper eyelid reduction can sometimes be performed under local anaesthetic without sedation. The scar in the upper eyelid lies in the natural eyelid crease and just under the lashes in the lower eyelid extending slightly outward into one of the 'laughter lines'. The bagginess in the lower eyelids can sometimes be addressed through an incision on the inside of the eyelid (transconjunctival) without any visible external scar. The scar of eyelid surgery normally heals well and becomes invisible once the redness disappears after a few weeks.  Sometimes resurfacing using a CO2 or Erbium laser or coblation technique on the external eyelid skin can provide a certain amount of tightening of the skin (see section on laser resurfacing). A chemical peel of the lower eyelids can also be useful. The fine lines can be addressed by administering Botulinum toxin (Botox). The surgery can be performed as a day case and recovery take around two weeks.

Complications

There is a small risk that the operations could be complicated by any of the following:

After the surgery

The eyelids will feel sore and gritty for a few days. Natural tears may provide some relief as well as cold witch hazel compresses. You should sleep with a few pillows in the semi-upright position to improve drainage. Sutures are removed at 4-5 days and it should be safe to apply eye make-up after 7-10 days. No heavy exercise should be undertaken for the first two weeks.

If you require further information or want to schedule a consultation please contact Mr. Grobbelaar's secretary details on the Contact page.