Eyelid Surgery (Blepharoplasty or Eye Lift) for a Youthful Look

Blepharoplasty Dubai | 22 January 2020

Blepharoplasty comes from the Greek words blepheron, meaning eyelid, and plassein, meaning to form. It essentially refers to the reshaping of the eyelids and is used to describe plastic surgery to the eyelids. Upper eyelid blepharoplasty primarily involves removal of excess skin but this can be combined with a range of other procedures including refashioning of the upper eyelid skin crease or reshaping the upper eyelid fat. A thorough consultation with an experienced surgeon is therefore essential to determine which procedures best suit an individual’s eyes and concerns. 

Upper eyelid blepharoplasty does require a cut to be made along the length of the upper eyelid but this is well hidden in the skin crease making it almost invisible to most onlookers. Occasionally it may have to extend outward into a crow’s foot line.

The incisions in upper eyelid blepharoplasty can either be made with a blade or a cutting laser. There are advantages and disadvantages to both techniques and which is used is largely a question of the surgeon’s preference.

Various methods are used to close the wounds during upper eyelid blepharoplasty. Most commonly permanent sutures, such as nylon or prolene, are used to close the skin as these cause the least skin reaction. Sometimes, absorbable sutures, such as vicryl, are used for deeper stitching, and alternative substances, like tissue glue, can be used to close wounds. The choice of sutures does depend on the type of surgery you are having and your surgeon’s preference.   

Upper eyelid blepharoplasty can be performed under local anaesthetic only (with the patient completely awake and an injection into the eyelids); under local anaesthetic with sedation (the patient is awake but is given something to make them feel very relaxed); or sometimes under full general anesthetic with the patient asleep. Local anaesthetic of some sort is preferable to general anaesthetic as the recovery is faster and the patient is able to open and close their eyes, allowing a better assessment of the upper eyelid contour and skin fold. Surgery to both upper eyelids usually takes between 60-90 minutes depending on what is being done. The surgery is usually performed as a daycase operation.

Recovery from the procedure usually takes two weeks. During the first week both eyelids will appear swollen and bruised, and are likely to feel stiff and itchy. By the end of the first week when the sutures have come out, the eyelids feel much more comfortable and the swelling and bruising is greatly reduced. By the end of the second week most patients feel ready to face the world without sunglasses on.

Most patients are very happy with the results of upper eyelid blepharoplasty surgery. In general, the surgery lasts several years and does not need repeating. However, the eyelids and face do continue to age throughout a person’s life, and, depending on an individual’s aging process and their preferences, some people do chose to have additional upper eyelid blepharoplasty surgery later on in their life. This does not usually pose any problems if performed appropriately.

Benefits of upper eyelid blepharoplasty

Upper eyelid blepharoplasty is a very successful procedure with a high level of patient satisfaction. To quote William Shakespeare: “The eyes are the windows to your soul” and the facial feature that we pay most attention to. This is confirmed in modern society by the fact that the most popular cosmetic procedure is a blepharoplasty. Tattler Beauty and Cosmetic Surgery Guide recommended “ if you only have one anti-ageing operation, an eyelid lift is the one to choose”. Upper eyelid blepharoplasty is usually performed to increases the amount of upper eyelid visible (termed the upper eyelid “show”) and to get rid of hooding. This lightens the eyes and makes them appear bigger, which in turn makes the face look more refreshed, more open and more youthful.


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