Blepharoplasty eyelid surgery before and after

Everything you need to know about blepharoplasty eyelid surgery – from cost to before and after images

7th May 2024 | Author: Victoria Woollaston-Webber

Blepharoplasty, or eyelid surgery, is becoming increasingly popular among celebrities and regular people alike. Here’s everything you need to know about the surgery 


Botox was once the aesthetic treatment de jour, but there’s a new procedure which is seemingly growing in popularity – if our TikTok is anything to go by.

Blepharoplasty, often referred to as eyelid surgery, is being used to give people more youthful looking eyes by either removing wrinkles, or helping get rid of hooded or shadowed eyes.

It can be used to shrink the upper eyelids, lower eyelids, or both, and can be done for both cosmetic, or health/functional reasons.

In this guide, we explain more about what blepharoplasty entails, blepharoplasty costs in the UK, what you need to consider and how to find a reputable surgeon.


Blepharoplasty: What is blepharoplasty?

What is blepharoplasty?Shutterstock

Blepharoplasty is a surgical procedure designed to improve the appearance and shape of your eyelids, and in turn, eyes.

Depending on what procedure is needed, it can be used to remove excess skin, muscle, and sometimes fat, all of which can make your eyes droop and make them look tired and aged.

Yet the treatment can also address functional issues, such as impaired vision due to droopy eyelids.

“As you age, your eyelids stretch, and the muscles supporting them weaken,” consultant ophthalmic and oculoplastic surgeon, Dr Elizabeth Hawkes tells mamabella. “As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes.

“Besides making you look older, severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision.”

The process can vary in complexity and length, depending on what’s need, but it can usually be down as an outpatient appointment, meaning you don’t have to stay overnight and recovery involves a brief period of swelling and bruising, with most patients returning to normal activities within a couple of weeks.

Within blepharoplasty, there are two types of procedure available – upper blepharoplasty, and lower blepharoplasty.

Both require local anaesthesia and sedation, continues Dr Hawkes, and the procedure can take anywhere from 30 to 60 minutes, depending on whether you have the procedure on both the upper and lower eyelids. However, she added that “the surgery is relatively quick and downtime is minimal. You’ll be home a couple of hours after surgery.”

FURTHER READING: What causes jowls, how to prevent them and how to get rid of jowls naturally


Upper blepharoplasty surgery

Upper eyelid blepharoplasty surgery is designed to target drooping or hooded upper eyelids, both of which become more common as we get older and which can make us look tired even when we’re not.

As part of upper blepharoplasty surgery, the surgeon will make small incisions hidden within the natural crease of the upper eyelid.

Through these incisince, they carefully remove or reposition excess skin, muscle, and/or fat – effectively getting rid of the reason why your eyelid looks so droopy. This not only improves the cosmetic appearance but can also improve peripheral vision obstructed by the excess tissue.

While the procedure typically takes under two hours, expect some swelling, bruising, and discomfort for several days following surgery. These are manageable with medication and cold compresses. Stitches are usually removed within a week or two.

“Upper eyelid blepharoplasty is the gold standard to address excess upper eyelid skin,” says Dr Hawkes. “It is a very safe, controlled surgery.”


Lower blepharoplasty surgery

Lower eyelid blepharoplasty, as you may have guessed, targets the signs of ageing underneath your eyes.

In particular, it can be used tackle stubborn puffiness or eye bags and give a more youthful appearance to the under-eye area.

Like with upper blepharoplasty, the surgeon will make incisions just below your lashline or discreetly inside the lower eyelid. Through these incisions, they remove or redistribute fat deposits that contribute to the puffy appearance. In some cases, the surgeon may also tighten underlying muscles and tendons for extra support and tightness.

The procedure usually takes around an hour, and also comes with some swelling, bruising, and discomfort for a few days following surgery.


Blepharoplasty before and after

Blepharoplasty before and after UKpinaesthetics/TikTok

There are various photos on the websites of surgeons but if you’re after independent results you can find many eyelid blepharoplasty before and after videos and images on social media.

Upper blepharoplasty before and after

One of the most striking upper blepharoplasty before and after we’ve seen is the below from TikTok user @pinaesthetics.uk (below).

If the embed below doesn’t work, you can watch the full video here.

@pinaesthetics.uk 9 months post surgery upper eyelid Blepharoplasty in Prague. IScare clinic #bleph #blepharoplasty #hoodedeyes #skincare #hoodedeyesmakeup ♬ original sound – Sophie | Aesthetic Nurse RGN


Lower blepharoplasty before and after

And one of the most striking lower blepharoplasty surgery videos is the one below, from @kamiparsamd.

If the embed below doesn’t work, you can watch the full video here.

@kamiparsamd Trifecta Lift = lower blepharoplasty + fat transfer + skin tightening (co2 laser for her)Beverly Hills, CA Use the link in our bio fir pricing & appointments #eyes #eyebags #puffyeyes #darkcircles #eyemakep #wedding ♬ Storytelling – Adriel


Blepharoplasty cost UK

The cost of blepharoplasty in the UK (and in other countries) varies based on what you’re having done and who is doing it. Factors include how experienced the surgeon is, the type of blepharoplasty, and how much skin or fat needs to be removed or repositioned.

You may also pay extra depending on the type of anaesthesia used – local with sedation or general – and if the hospital or surgical centre charges any fees.

As a guide price, however, the blepharoplasty cost in the UK ranges from £2,000 to £6,000 for both eyes.


Why is blepharoplasty so popular at the moment?

Social media feeds have been full of people contemplating blepharoplasty, or showing off how the procedure has worked, and Dr Hawkes says she has seen at least a 50% increase in patients coming to see her for blepharoplasty treatment in recent months.

She believe this is because “people are more open about having surgery now and are more prepared to discuss it. Patients are also realising that the eyes are very delicate and they do not want to be trying out lots of different non-surgical treatments.”

She added that experts are seeing a bit of “filler fatigue” and are moving towards blepharoplasty and brow lifts to counteract the signs of ageing.


Non-surgical blepharoplasty

Non-surgical blepharoplasty thermageThermage

There’s no true, “non-surgical blepharoplasty”, certainly not one that can replace or replicate the results of surgery. However, there are alternatives that can helps address key concerns such as puffiniess, or drooping eyelids.

  • Botox: This injectable relaxes muscles that contribute to frown lines and can sometimes indirectly lift the appearance of the upper eyelid. It doesn’t address excess skin or under-eye puffiness and it should also be noted that sometimes, relaxing the muscles above your eyes can make dropping worse. This is because the muscles holding your eyelids up are no longer working as hard.
  • Laser Skin Resurfacing: Fractional CO2 or Erbium lasers can tighten and smooth the skin around the eyes, potentially helping to get rid of, or minimise the appearance of fine lines and wrinkles.
  • Radiofrequency Treatments: Technologies like Thermage use radiofrequency (RF) energy to stimulate collagen production and tighten the skin. This might offer some subtle lifting and tightening around the eyes.
  • Plasma Skin Tightening: This treatment uses a handheld device to create tiny dots on the skin, causing a tightening effect.

These non-surgical alternatives to blepharoplasty onlt offer temporary results which can last anywhere between six months and two years, depending on the treatment.

Whether you’re opting for eyelid surgery, or you’re thinking about one of these non-surgical blepharoplasty options, you must do your homework and consulting a dermatologist or qualified practitioner.

They’ll be able to tell whether you even need the surgery in the first place, and they are crucial for determining which option best suits you and your concerns.  are suitable for your concerns and understand the limitations compared to surgery.


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