Eye Lid Lifts (Upper Lid Blepharoplasty)

Your eyes are often the first thing that people notice about you, and are an important aspect of your overall appearance. Young eyelid skin is smooth, but over time, the eyelid skin stretches, the fat bulges, and the muscles weaken.

The eyebrows may also droop and sag (a condition called brow ptosis) and in some cases may actually go higher than their youthful position, altering the facial appearance dramatically.

Age, hereditary factors, sun exposure and smoking all contribute to this process. Loose or baggy lids detract from your overall appearance and make you look tired or older.

When the brow droops, it crowds more skin down over the upper lids and exaggerates the hooding and crow’s feet at the outer corners of the eyes, making you look sad, tired or angry. When severe enough, the upper eyelid skin may hang over the lashes and obstruct peripheral vision.

Eyelid Lifts (Upper Lid Blepharoplasty)

How can saggy lid skin be treated?


Surgery to improve the appearance of the eyelids is called blepharoplasty. The goal of blepharoplasty is to give the eyes a more youthful look by removing excess skin, bulging fat and lax muscle from the upper lids. If the sagging skin obstructs peripheral vision, blepharoplasty can eliminate the obstruction and expand the visual field.

Excess skin and fat are removed from the upper lid through a cut hidden in the natural eyelid crease. If the upper lid is droopy, the muscle that raises the lid can be tightened. The cut is then closed with fine stitches.

Brow lift

Blepharoplasty will not elevate a drooping brow or remove wrinkles in the crow’s feet area. A procedure to elevate the brows may be more appropriate, instead of, or in addition to upper lid blepharoplasty.

Correction of mild to moderate brow ptosis can be accomplished through incisions directly above the brows (direct brow lift), in the forehead creases (mid- forehead lift) or at the hairline. For a global descent of the brow, it may be necessary to raise the brows and forehead through incisions behind the hairline. The endoscopic brow lift is performed through small incisions hidden behind the hairline, using an endoscope and special instruments. Surgery can range from a simple 60 minute procedure (blepharoplasty / direct brow lift) to a more complicated 90 minute procedure (endoscopic brow lift).

What are the potential risks & complication of surgical correction?

The risks of surgery include

  1. Infection: this is very rare, occasionally the stitches may have an infective or inflammatory response, which settles with oral and topical antibiotics.
  2. Scarring (generally hidden in the skin fold for blepharoplasty, or in the hairline for endoscopic brow lift). Normally stitches are visible for the first week, then, when they are removed, a faint scar is visible. The scar may seem a bit thickened & red for 6 to 12 weeks, becoming almost invisible after that period. Not every scar heals equally well. A thickened or reddened scar can be improved with silicone scar remodeling gel, but the treatment needs to be continues for months to have a good result.
  3. Large bruise or haematoma. This is minimised by avoiding heavy exercise for 2 weeks after surgery, stopping aspirin and other anticoagulants (if safe so to do) 2 weeks pre operatively, and regular use of ice packs. A haematoma may mean you have to go back into theatre to have the blood clot evacuated and then be re-stitched with the risk of a worse scar.
  4. Theoretical risk to vision. Any eyelid surgery carries the risk that an undiagnosed infection or bleed could damage the optic nerve. This is so rare that in comparison a normal car journey is a much greater risk to your vision.
  5. Asymmetry of eyelid shape, height or upper lid fold : this is rare, but can occur. Often asymmetry may be due to lid bruising and settles spontaneously as swelling resolves. Rarely, this may require revision surgery. Occasionally pre existing asymmetry of the face, eyebrow or eyeball position, may be responsible, however this will be discussed with you prior to the operation by your surgeon.
  6. Temporary poor blink, as the muscle that shuts the eyelid has been cut to access the muscle that lifts the eyelid. Generally blink returns to normal within 12 weeks.
  7. Recurrence of brow ptosis: This can occur early post surgery (due to failure of deeper tissue support) or late (after a few years, due to progressive aging changes).  This will need to be corrected by re-operation.
  8. Droopy eyelid or ptosis : This can happen rarely and will need to be corrected by re-operation.

Price Guide

Prices are a guide; your doctor will calculate total costs during consultation.

Blepharoplasty from £2500
For more information please do not hesitate to call Perfect Eyes Ltd on