Eyelid Surgery (Blepharoplasty)

They say the eyes are the windows to the soul, but they can also be a big part of determining whether a face looks fresh or youthful. If eyelids become droopy, or eye bags become puffy, they can give the impression of a tired or old face.

Upper blepharoplasty and lower blepharoplasty, also known as eyelid surgery or eye bag surgery, respectively, can help to open up the eyes by removing excess skin and fat and smoothing the eye area. Sometimes under eye skin tightening with a peel may be an alternative to surgery.

Mr Adams will discuss the best options with you during your consultation.

Eyelid surgery - Blepharoplasty

Before and After Gallery

60yr pre op with significant dermatochalasis. 60yr 6 week post op upper blepharoplasty(1)

A 60 year old lady with significant dermatochalasis. Side view. Before and after.

60yr pre op with significant dermatochalasis 60yr 6 week post op upper blepharoplasty
A 60 year old lady with significant dermatochalasis. Front view. Before and after.
Eyelid Surgery

What You Need to Know

What Happens When I Leave Hospital?

The eyelid wound is approximated with interrupted stitches and supported by tape on the skin. Cooling pads are applied to the eyes in recovery to reduce swelling. You are advised to use these for a further 48 hours at home. Do not touch the wound as this might increase the risk of infection. The stitches are removed at one week at the hospital. No further dressings are required at this point onwards. Bathing is possible at one week. Make up can be applied from 10-14 days.
There will be bruising and swelling and the eyes will feel tight. The bruising and swelling settles quickly over 2-3 weeks, although the final results will not be noticed for up to 3 months, as the scars mature.
Occasionally, complete eyelid closure may not be fully possible. This can be associated with dryness of the eyes, manifested by grittiness, tearing and an uncomfortable sensation when exposed to cold air. These symptoms settle spontaneously over several weeks. Rarely, artificial tears may be required to alleviate the symptoms.
Eyelid surgery is not normally associated with significant pain, but analgesics will be given as required.
Patients may wear glasses immediately, though they should avoid touching the scars. Contact lenses should not be worn for at least 2 weeks
Avoid driving while the stitches are in place or if there is significant bruising. Gentle sports can be resumed at 3-4 weeks but avoid vigorous activities for 6-8 weeks.
Patients are given a one-week appointment for stitch removal. Further appointments with Mr Adams will be made at 6 weeks and 6 months by email.
Eyelid surgery is fortunately associated with few complications. Bleeding can occasionally occur thought the dressing and light pressure is all that is requires with head elevation. Gaping wounds spontaneously resolve in most instances. Any untoward, worsening pain or eyesight disturbances within the first few hours should be mentioned and medical attention should be sought immediately.


Read the full Blepharoplasty fact sheet for more information on the types of surgery, pre-operative advice and what to expect following the procedure.

Reviews and Testimonials

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The first step of your cosmetic surgery journey should be a consultation with your plastic surgeon. It is your chance to get accurate information and professional reassurance, both of which can be hard to find online.
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“Recommendation after recommendation has put Adams firmly on the Cotswolds map (he has clinics in Berkshire and Oxfordshire). It’s partly down to his nature (he’s a wonderful conversationalist and has charisma in spades), but also his manner, which is thoughtful and careful. His forte? Womanly tummies, with curves in the right places. New mummies in particular love the way he recontours the waistline and creates the illusion of a lightly toned abdomen.”

“Titus Adams makes light work of postpartum tummies, slimming the silhouette and nipping in waists by pulling the underlying muscles tight, like a corset. ‘Though it’s best to leave some fat behind,’ he says. ‘It allows fluid to drain from the body, rather than building up in the tissues’. The fat he does take, however, is useful if there’s need to plump a deflated cleavage. And, because he’s chatty and approachable, smoothing over even the most awkward of questions (like ‘how do you wear your undergarments?’ – crucial, as it ensures the best positioning of scars), you feel at ease. You trust him.”

“Adams listens carefully & closely. And his results are truly top notch whether he is tidying things up after some impressive weight loss or putting you back together after the last baby. The key phrase is ‘preservation of tissues’, to retain a natural appearance.”