Upper Eyelid Blepharoplasty Q&A

Blepharoplasty is a type of surgery that repairs droopy eyelids and may involve removing excess skin (sometimes with muscle and fat). As you age, your upper eyelid skin stretch and the muscles supporting them weaken which results in a tired look and if severe, obstructs your superior visual field.

You might consider a blepharoplasty procedure if droopy or sagging eyelids keep your eyes from opening completely or pull down your eyelids. Removing excess tissue from your upper eyelids can improve your vision, visual field and make you look less tired. Please note that crow's feet are not generally improved by blepharoplasty.

Upper eyelid blepharoplasty is generally a safe procedure, but as with any surgery, there are potential risks. These can include infection, swelling, and bleeding, as well as dry or irritated eyes. Some patients may experience difficulty closing their eyes, temporary or ongoing eyelid problems, noticeable scarring, granuloma (small lump) formation, eyelid webbing, or asymmetry. There is also a risk of wound dehiscence (where the stitches come apart and need to be redone), skin discoloration, or the need for further surgery. It’s important to talk with your doctor about how these risks apply to you. Understanding the benefits and possible complications can help you decide whether blepharoplasty is the right choice for you.

The timing for stopping blood thinning medications before your blepharoplasty varies depending on the specific medication and your medical history. Generally blood thinners should be stopped 3-4 days prior to your surgery. Do not stop any blood thinning medication without first speaking to your surgeon and the doctor who prescribed it. They will give you clear, personalised instructions to balance the risk of bleeding with your overall health and safety.

Upper eyelid blepharoplasty surgery is usually performed as a day procedure under local anaesthetic, sometimes with light sedation. The goal is to remove sufficient skin in the upper eyelid so that it no longer obstructs the superior visual field. Dissolvable stitches are usually placed during the procedure. All patients go home the same day.

Yes, you will need someone to drive you to and from the hospital on the day of your surgery. For safety reasons, you will not be able to drive yourself home. It’s important to arrange for a family member or friend to accompany you and help you get home comfortably.

After upper eyelid blepharoplasty surgery, it is normal for swelling and bruising to worsen over the first 2–3 days before gradually improving. About 90% of healing usually occurs within the first month, with the final result settling over 4–6 months. At home, use cold compresses (ice packs) every 10 minutes each hour on the night after surgery and continue regularly for the next 3–4 days. Walk around your home every two hours for the first 48–72 hours to maintain circulation, then resume gentle outdoor walks after two days. Sleep with your head elevated above your chest for the first week. You may wash your hair (with help) on the second day by tilting your head backwards, and you can restart blood thinners the day after surgery if advised. Mild pain relief such as Panadol (paracetamol) can be used if needed. Avoid strenuous activity (heavy lifting, swimming, jogging, aerobics) for 2 weeks, avoid smoking for 48 hours, and avoid alcohol for 5 days. Stitches are dissolvable and will usually not need to be removed. You may wear dark sunglasses outdoors will help protect your eyelids from sun and wind while healing.