Blepharoplasty or eyelid/eyebag surgery can help restore a far more youthful appearance by tightening droopy or hooded eyelids, restoring the smooth line of the eyelids, and removing or moving fatty pouches beneath the eyes or “bags”. It cannot, however, remove dark circles under the eyes, lift sagging eyebrows (a browlift will do this), or smooth fine wrinkles or crow’s feet from all around the eyes.
It’s usually our eyelids which show the signs of ageing first which is why this can be the initial cosmetic treatment which a man or a woman could possibly choose. Eyelid surgery is normally performed under a local anaesthetic, but some patients are given sedation through an intravenous drip or a general anaesthetic. Most people find that they’re ready to head out in public and be seen in about a week to 10 days.
It’s unlikely that any person thinking about upper or lower eyelid surgery will be able to access this cost-free of charge on the National Health Service (NHS). Private blepharoplasty cost ranges from roughly £1,500 – £2,500 for upper lid surgery only, £2,000 – £3,000 for lower lid surgery only, and £3,000 – £4,500 for upper and lower lid combined.
On your initial appointment with a surgeon, it is best to clearly clarify your expectations of the surgery and how you would wish to appear afterwards. Careful discussions relating to your reasons for wanting eyelid surgery are vital at this stage. Ensure that that you receive as much information and facts as necessary to permit you to make a fully informed choice about whether or not to go ahead with the surgery.
The surgeon should also ask for your medical history to make sure that there are no reasons why you shouldn’t have eyelid surgery. At this point, you would also usually be asked to sign a consent form indicating that you have understood the future rewards and potential risks associated with the process. Photographs of one’s eyes may also be taken by the practitioner, to get a “before and after” comparison later.
The surgeon may wish to write to your G.P. giving specifics of the procedure so that if there are any difficulties associated with it within the short or long-term, the G.P. is aware of the surgery and can help you in the event you need any further therapy after the operation.
Before your surgery, your surgeon might require you to be examined by an ophthalmologist (specialist eye surgeon) to check for glaucoma (a disease affecting your eyesight) and to ensure that you have no problems with tear production.
Anaesthesia
The procedure is usually performed under a local anaesthetic, but some patients are given sedation through an intravenous drip. In exceptional instances, a general anaesthetic may be used.
As in any surgical treatment, using a general anaesthetic carries a small additional danger which your practitioner will talk about with you. No kind of anaesthetic
will be given to you without having your surgeon discussing it with you first.
The operation
The surgery is usually performed in an outpatient surgical centre, which could be either separately run by your surgeon, or may be part of a hospital. Blepharoplasty is usually performed under a local anaesthetic, and eye drops are used to anaesthetise the eyes, then protective contact lenses could be placed over the eyes during the surgery. When the anaesthetic has had effect, a combination of adrenaline and lignocaine (a local anaesthetic) is injected into your eyelids prior to any cuts are made by the surgeon.
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