Upper Blepharoplasty

The cost of upper blepharoplasty at The Royal Liver Building is currently *FROM £2,500 *The clinic reserves the right to amend the cost of surgery at any time without prior notice. A consultation is required to confirm suitability and determine the exact cost based on individual requirements.

The brow and upper eyelid are considered a functional and aesthetic unit, as they can influence each other’s appearance. A brow lift, which elevates the eyebrows, may also improve the appearance of the upper eyelid, particularly where there is brow descent contributing to hooding.

Functional Connection:

The muscles that support eyebrow position are related to upper eyelid function, meaning changes in one area can affect the other. For example, a lowered brow position may contribute to the appearance of upper eyelid hooding.

Aesthetic Connection:

Both areas contribute to overall facial expression and appearance. Changes such as brow or eyelid descent may be associated with a tired or heavy appearance.

Surgical Options:

Both brow lift and blepharoplasty procedures may be used to address concerns in the upper face. A brow lift focuses on the position of the eyebrows and forehead area, while blepharoplasty addresses excess skin, fat, or tissue of the upper eyelids.

Combined Procedures:

In some cases, a combined approach may be considered where both brow and eyelid concerns are present, depending on individual assessment and suitability.

In essence, when considering treatment for the upper eye area, the brow and upper eyelid are often assessed together due to their close anatomical relationship.

Upper blepharoplasty may be suitable for individuals with excess or sagging upper eyelid skin, and those concerned about the appearance of eyelid creases or hooding.

Results from upper blepharoplasty may begin to become noticeable within a few weeks.

KEY AFTERCARE INSTRUCTIONS:

◆ Rest & Elevation:
• Keep your head elevated, including when sleeping, for the first week to help reduce swelling.
• Avoid bending over, heavy lifting, and strenuous activity for at least two weeks.

◆ Managing Swelling & Bruising:
• Use cold compresses for around 10 minutes every hour for the first 48 hours, if advised.
• Avoid hot showers, saunas, and steam rooms for two weeks, as heat may worsen swelling.

◆ Wound Care:
• Keep the incision clean and dry. Gently cleanse with sterile water or saline as directed.
• Avoid rubbing or pulling at the eyelids while they heal.
• Apply prescribed antibiotic ointment if instructed to help reduce the risk of infection.

◆ Medication & Pain Relief:
• Paracetamol may be taken if needed (avoid aspirin or ibuprofen, as they can increase bruising).
• Lubricating eye drops may be used if the eyes feel dry.

◆ Activity Restrictions:
• Avoid makeup or false eyelashes for at least two weeks.
• Avoid contact lenses for around two weeks—glasses may be used instead.
• Avoid intense exercise, swimming, or strenuous activities for up to four weeks.

◆ Suture Removal:
• Stitches are usually removed 5–7 days after surgery at your follow-up appointment.

The Upper Blepharoplasty procedure usually lasts about one hour.

A well-performed Upper Blepharoplasty can provide long-lasting results, though natural aging and external factors may gradually affect these results.

• Some patients may experience emotional responses during recovery, particularly while swelling and bruising are present.
• Healing takes time, and final results may take around 3 to 6 months to fully settle.
• It is important to have realistic expectations, as upper blepharoplasty aims to improve the appearance of the eyelid area rather than significantly change facial features.

It is generally advised to wait until the eyes have healed before applying eye makeup to reduce the risk of disrupting stitches or infection. Face makeup may be suitable in some cases. Individual advice can be provided by the clinical team.

Yes, Upper Blepharoplasty can be performed under local anaesthesia as a standalone procedure.

According to the Royal College of Surgeons, potential risks and complications of upper blepharoplasty may include:

Bleeding & Bruising – Common but typically improves over time.
Infection – Uncommon, but may present with increased redness, warmth, swelling, or discharge. Medical advice should be sought if concerns arise.
Scarring – Incisions are placed in the natural eyelid crease and usually improve over time, although scar formation varies between individuals.
Dry or Irritated Eyes – May require lubricating drops for temporary relief.
Difficulty Closing Eyes – Rare, but may occur if excess skin is removed.
Ectropion – A rare complication where the eyelid turns outward and may require further treatment.
Visual Disturbances – Temporary blurred vision or light sensitivity may occur.
Asymmetry – Minor differences in eyelid shape may be present and may improve as swelling settles.
Allergic Reactions – Rare, but possible in response to anaesthetic or surgical materials.

Seek medical advice if you experience:

• Severe pain not relieved by prescribed medication
• Sudden changes in vision
• Persistent or excessive bleeding
• Increasing redness, swelling, or signs of infection

Our Consultant Ophthalmic and Oculoplastic Surgeons specialise in upper and lower blepharoplasty. They have extensive experience in eyelid surgery.

For personalised advice or to arrange a consultation, contact the team at Cosmetic Surgery of The Royal Liver Building.