Over time the eyelid skin stretches, fat bulges & the muscle weakens, causing hooded upper eyelids. At the same time the brow can drop (brow ptosis), increasing the tired look.
Dr Sabrina Shah-Desai is a renowned international oculoplastic surgeon and is one of London’s leading eye specialists. Her eyelid surgery and brow lifts deliver a natural-looking correction of droopy eyelids and ageing brows.
- ‘No scar’ treatment – cut is hidden in the natural eyelid crease
- Long-lasting results – lasts up to 10 years
- Unrivalled expertise – performed by leading oculoplastic surgeon
Surgical eyelid lift for hooded eyelids (Blepharochalasis)
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. Even without the brow drooping, patients may have loose eyelid skin due to weakening muscles, causing them to look tired.
Upper lid Surgical Blepharoplasty
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 Surgery
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 (pre-trichial brow lift). For a global descent of the brow, it may be necessary to raise the brows and forehead through incisions behind the hairline (endoscopic brow lift) which is performed through small incisions using an endoscope and special instruments. Mrs. Shah-Desai offers eye lid lifts with direct, mid forehead or pretrichial brow lift.
Frequently Asked Questions
How droopy eyelids develop
How The Peri-orbital Area Ages
Eyelid lift upper lid Blepharoplasty recovery time
It takes a week to recover from the initial surgery. During that time you can go about your normal activities while healing, though you will not be able to exercise or put your body through extraneous strain. After two weeks the wounds will have healed significantly and the stiches will have been removed.
Read the whole treatment journey from an actual patient of Dr Shah-Desai here.
Male vs female brow and eyelid lifts
Most men have naturally low brows, which are T-shaped (vs. the high arched brow of a woman), and these can hood the eyes early. Hooded eyelids due to sagging upper lids/brows can affect the upper field of vision, akin to a horse wearing blinkers. It’s important when lifting the brow and eyes in men not to feminise their appearance and to retain their t-shape. Dr Shah-Desai’s deep knowledge of anatomy allows her to achieve this result.
Risks of surgery
The risks of surgery include
Infection: this is very rare, occasionally the stitches may have an infective or inflammatory response, which settles with oral and topical antibiotics.
Scarring (generally hidden in the skin fold or inner part of lid). 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.
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.
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.
“Hollow” appearance: this is rare, but can occur, due to removal of excess fat.
Temporary poor blink, generally blink returns to normal within 12 weeks.
Sagging of the lower lid : this can happen at the due to scarring between the layers of the lid or inadvertent removal of excess skin. This can alter the shape of the lower lid and cause a watery eye. Occasionally this may require corrective surgery with either a skin flap/graft or a midface lift.
Change in outer angle of lid. Often the outer corner of the lower lid needs to be supported when performing a blepharoplasty. This can occasionally heal without maintaining the sharp outer angle of the eyelid, giving a rounded appearance, which is often challenging to rectify.
About Dr Sabrina Shah-Desai MS, FRCS
Dr Sabrina Shah-Desai is an extremely distinguished oculoplastic surgeon and is one of London’s leading eye specialists. She has over two decades of surgical experience and is renowned for her ability to create a natural look.
Eyelid Lift Treatment Reviews
What beauty experts have to say
“For anyone that’s losing sleep about the state of their eyes, Sabrina Shah-Desai (a powerhouse ocular plastic surgeon) is the person to see to put things right. Her treatments are super refined, undetectable and all done with the lightest touch.”Brides Magazine
“I had a very positive experience. She provided me with relevant pictures of what to expect post surgery which was very useful. Her post op information was clear and easy to follow. She came across as a very caring and confident practitioner. The outcome she described before surgery was realistic and she skilfully performed this.”
“I would like to express how happy I am with the results of my upper blepharoplasty. My eyes have healed really well and I am already getting compliments on how perfect they look! I would like to thank Mrs Sabrina Shah-Desai for her time, caring attitude and excellent results.”
“I've been wanting to have upper & lower lid surgery for some years. I have hereditary heavy eyelids, tea troughs & also bags under my eyes. I'm constantly told I'm looking tired! I researched a lot of surgeons & finally came across Sabrina Shah-Desai through a recommendation from an aesthetic nurse.”
“I feel that I've found my 'face doctor' and that is as valuable to me as the happiness I feel when I look in the mirror. Thanks too to Abi who was on hand during my recovery. She has a kind and caring nature and was on call the whole time during my recovery to give me the reassurance that I occasionally needed.”
“By far the best experience I have ever had with a doctor! Mrs Shah Desai is so professional, knowledgable and thorough with her approach and at the same time so kind, warm and friendly. I highly recommend her for any kind of surgery in the eye area.... I had a very fast and smooth recovery and I am so pleased with the results!”
“I've had very heavy set eyes for the last 10 years that's aged me and decided that I now wanted to have treatment to help this problem. At consultation with Sabrina I felt confedent about suggested treatment for me. I had Blepharoplasty which was almost pain free and am so happy with my results.”