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Treatment

Blepharoplasty
(Eyelid Surgery)

Blepharoplasty is a safe and effective eyelid procedure to improve vision, eye comfort, and appearance by removing excess skin or fat.
On this page:
What happens first
treatment options
Aftercare

What happens first?

Before undergoing blepharoplasty at Regency Eye Hospital in Manchester, you will attend a comprehensive consultation with an experienced oculoplastic consultant surgeon. Your consultant will discuss your symptoms, review your medical history, examine your eyelids and eyes, and explain the procedure, risks, and expected outcomes. You will have time to consider your options before proceeding.
Your consultant will discuss your symptoms, how your eyelids affect your vision or comfort, and what you hope to achieve from treatment. This helps ensure expectations are realistic and appropriate.
Your eyelids and eyes will be carefully examined, including eyelid position, skin laxity, muscle strength, and overall eye health. This ensures blepharoplasty is safe and suitable for you.
Clinical photographs may be taken to support assessment, surgical planning, and to monitor outcomes. These are kept securely as part of your medical record.
Yes. Your medical history, medications, and any existing health conditions will be reviewed to reduce risks and support safe treatment.
In some cases, non-surgical options or observation may be discussed. Your consultant will explain all appropriate options before recommending surgery.
No. You will be given time to consider your options and ask questions. Surgery will only proceed once you feel fully informed and comfortable.
If surgery is not appropriate, your consultant will explain why and discuss alternative management or monitoring where relevant.
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Treatment options

Blepharoplasty can be tailored depending on whether the upper eyelids, lower eyelids, or both are affected.

Upper eyelid blepharoplasty removes excess skin and fat that may interfere with vision or cause heaviness.
Lower eyelid blepharoplasty addresses under-eye bags and loose skin.

Combined procedures may be recommended for balanced results.

How the Procedure Is Performed:

Blepharoplasty (eyelid surgery) treatment at a glance.

Anaesthetic:

Local anaesthetic with sedation

Procedure Time:

Upper lids: 60–90 minutes

Lower lids: 2-3 hours

Return to home:

Same day

Scarring:

Minimal, hidden in natural creases

Upper Eyelid Blepharoplasty

Upper lid blepharoplasty is usually carried out under local anaesthetic with sedation as a day case procedure.

Before surgery, your eyelids are carefully marked to guide precise skin removal. Small incisions are made along the natural upper eyelid creases, allowing excess skin and, where necessary, fat to be removed or repositioned. This approach helps ensure scars are discreet and fade over time.

The incisions are closed using fine stitches designed to support neat healing. The procedure typically takes 60 to 90 minutes, depending on individual requirements.

Lower Eyelid Blepharoplasty

Lower lid blepharoplasty is also performed under local anaesthetic with sedation as a day case.

There are two main approaches, and your surgeon will recommend the most suitable option for you:

Transcutaneous Approach

(external incision)

  • A small incision is made just beneath the lower lash line
  • Allows removal or repositioning of fat
  • Enables tightening of loose skin or muscle if required

Transconjunctival Approach

(scarless technique)

  • The incision is made inside the lower eyelid
  • No visible external scar
  • Particularly suitable for patients with under-eye bags but good skin tone
Both techniques aim to restore a smoother, more rested appearance while maintaining natural eyelid shape and function.

Choosing the Right Approach

Your surgeon will recommend the most appropriate technique based on:
  • Eyelid structure and skin quality
  • Presence of excess skin or under-eye bags
  • Overall eye health and medical history
  • Your individual goals and expectations
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Aftercare

Some swelling and bruising is expected after surgery. Most patients return to normal activities within 10 – 14 days, but this may be longer for patients following lower eyelid blepharoplasty. You will be given clear aftercare instructions and post-operative follow-up appointments.

8 tips for safe and speedy recovery after Blepharoplasty treatment

After your procedure, your eyelids may feel tight, swollen, or bruised. This is normal. You will be advised to rest, keep your head elevated, and apply cold compresses to help reduce swelling during the first 24–48 hours.
You should not drive on the day of surgery. Your vision may be temporarily blurred, and your reaction time may be reduced. Most patients can resume driving once their vision feels clear and comfortable, usually after several days.
Common side effects include swelling, bruising, dryness, or mild discomfort around the eyes. These usually improve within 1–2 weeks. If you experience increasing pain, redness, or changes in vision, contact your clinic for advice.
Light activities such as walking are encouraged soon after surgery. Avoid strenuous exercise, heavy lifting, bending, or swimming for at least one week, as these can increase swelling or slow healing.
Your specialist will advise how to gently clean your eyelids. Keeping the area clean helps prevent infection. Avoid rubbing your eyes and do not apply makeup until you are told it is safe to do so.
Use any prescribed eye drops, ointments, or pain relief exactly as instructed. Following medical advice closely supports healing and reduces the risk of complications.
You will receive clear aftercare guidance before leaving the clinic, including information on stitches, follow-up appointments, and when you can return to work and normal activities.
Recovery can vary from person to person. Your specialist will provide personalised aftercare advice based on your treatment and medical history, and will be available to answer any concerns during your recovery.

Expert blepharoplasty care to improve vision, comfort, and confidence.

Get in touch today to book a consultation and find out if treatment is right for you.
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