Functional Upper Eyelid Blepharoplasty

Droopy eyelids can occur due to various factors, including ptosis, the weakening of the muscle responsible for lifting the eyelid, excess skin (Dermatochalasis), or fat around the eyelids. Ptosis specifically refers to muscle dysfunction, while excess skin or fat causes sagging. Both conditions can result in the upper eyelid drooping lower than normal, leading to aesthetic concerns such as a tired appearance and, in some cases, vision impairment if the eyelid obstructs the visual field. In severe cases, the droopy eyelid may fully cover the eye, making functional upper blepharoplasty necessary to restore vision.

How is blepharoplasty Performed?

For those with severe droopy eyelids that affect vision and appearance, surgery is often recommended. Functional upper blepharoplasty involves:

• Making an incision along the natural crease of the upper eyelid.
• Removing excess skin and, in some cases, muscle or fat that contributes to vision obstruction.

The procedure is usually performed under local anaesthesia or local anaesthesia with sedation. These options ensure patient comfort without the prolonged recovery time associated with general anaesthesia.

How long does Blepharoplasty surgery take?

Upper blepharoplasty typically takes 1 to 2 hours, depending on the case’s complexity. After a short observation period, patients can usually go home the same day. Having someone drive them home is advised, and rest is essential after the procedure.

What are the Risks of eyelid Surgery?

As with any surgery, blepharoplasty surgery has risks, although they are rare when performed by a specialised oculoplastic surgeon. Common side effects include:

• Temporary swelling
• Bruising
• Dry eyes

Less common risks include:

• Eyelid asymmetry
• Difficulty closing the eyes completely
• Infection

However, most patients recover smoothly and without complications.

Will patients be able to see after the surgery?

After the surgery, patients can see immediately; while slight blurriness is expected due to swelling or protective ointments, this typically resolves within a few days. Once the swelling subsides and the excess skin is removed, patients often experience a noticeable improvement in their vision.

What is the recovery process?

Recovery from functional upper blepharoplasty is typically quick and smooth:

• Mild swelling and bruising may occur in the first few days.
• Using cold compresses and keeping the head elevated helps reduce swelling.
• Most patients return to work within 7-10 days, but strenuous activities should be avoided for about two weeks.
• Stitches are removed after 5-7 days.

It’s also important to avoid rubbing the eyes or applying pressure to the surgical site during healing.

What cosmetic benefits can patients expect beyond vision improvement?

While the primary goal of functional upper blepharoplasty is to improve vision, many patients also experience cosmetic benefits. The procedure can give a more refreshed and youthful appearance by reducing sagging skin around the eyes. Patients often report that they look less tired and more open and vibrant.

Are the results of blepharoplasty Permanent?

The results of functional upper blepharoplasty are long-lasting, but the natural ageing process continues. While the surgery permanently removes excess skin and improves vision, the eyelids may continue to age, which could cause some changes over time. However, most patients enjoy significant improvements in both appearance and vision for many years after the surgery.

What post-surgery support and follow-up care is provided?

Following your surgery, our dedicated medical team will schedule follow-up appointments to monitor healing and ensure that vision has improved. During these appointments, the surgeon will check for potential complications and answer any patients’ questions about recovery. Attending all follow-up visits is essential to ensure optimal results.