Eyelid reduction (blepharoplasty) is a surgical procedure to reshape the eyelids by removing excess fat and skin. It can be performed on the upper lids, lower lids, or both, and addresses both functional concerns (such as impaired vision from drooping lids) and aesthetic concerns (such as under-eye bags).

Common side effects include temporary swelling, bruising, dryness, and watering of the eyes. These typically resolve within two weeks. Less commonly, patients may experience temporary blurred or double vision.

Upper blepharoplasty is performed under local anaesthesia. The surgeon makes incisions along the natural creases of the eyelid, removes or repositions excess fat and skin, and closes the incisions with fine sutures. The procedure typically takes 1–2 hours and is performed as a day case.

Risks include dry or irritated eyes, temporary visual disturbance, swelling, bruising, asymmetry, haematoma, ectropion (outward turning of the lower lid), and in rare cases, ptosis (drooping of the upper lid) requiring further surgery.

You should attend a consultation with your surgeon to discuss your goals and medical history. You may be advised to stop smoking, avoid certain medications (such as aspirin and anti-inflammatories), and arrange for someone to accompany you on the day. Full pre-operative instructions will be provided.

The procedure is performed under local anaesthesia, so you will not feel pain during surgery. Some discomfort, tightness and soreness can be expected in the days following, which can be managed with over-the-counter pain relief.

Most patients can return to work within 1 week, though swelling and bruising may persist for 2 weeks. Full recovery, including resolution of minor swelling, takes approximately 2 weeks. Strenuous exercise should be avoided for 6 weeks.

Yes — the aim of blepharoplasty is a refreshed, natural appearance. A skilled surgeon will work within the natural contours of your eye area to achieve a result that looks rejuvenated rather than operated upon.

Incisions are made in the natural creases of the eyelids, so scarring is typically well-concealed. Scars fade significantly over 3–6 months and are generally imperceptible once fully healed.

Some people have a hereditary tendency towards heavy or hooded upper lids, prominent under-eye bags, or ptosis — all of which may be present from a relatively young age regardless of the ageing process. In these cases, blepharoplasty can be considered for both functional and aesthetic reasons.