Overview

The aim of blepharoplasty, or reconstructive eyelid surgery, is to provide a more youthful, fresh (but natural) appearance to the upper and lower eyelids of male and female patients, to assist in removing the drooping, sagging tired eye look, to remove redundant upper eyelid skin and fat obscurring vision, and to tighten any laxity of the lower lid. Laser and Transconjunctival Blepharoplasty are other types of lower eye lid surgery. They have many benefits over a wide area, such as treating a retraction of the eyelid.

For upper eyelid surgery an ellipse of skin and/or muscle and/or underlying fat is excised on average  by external incisional means and the skin is stitched back together. For lower eyelids the skin is lifted from the lower lid by the surgeon and the fat removed. The skin, following lifting, is then redraped and the appropriate amount of excess skin removed. Any laxity within the lower lid is corrected by a tightening procedure. 

Frequently Asked Questions

  • What type of anaesthetic is used?

    Mr Banwell recommends lower eyelid surgeries are best performed under a general anaesthetic undertaken by a specialist anaesthetist. Patients may choose between a local or general anaesthetic for upper eyelid surgery.

  • What happens after the surgery?

    Post-operatively it is expected that you will have significant bruising and swelling, but it wont be permanent.  We encourage the use of cold packs to minimise this. It may take a couple of weeks to resolve. Our practice nurse will contact you daily after the operation for review, to ensure that you have no problems during your convalescence. Stitches will be removed after five days.

  • What are the risks?

    There are both general and specific risks and Mr Banwell will talk to you in detail regarding these possible complications and pass on tips. General risks include bruising and swelling, bleeding, wound infection, problems with general anaesthetics, abnormal scarring and keloid scarring. Specific risks include ectropion (eyelid pulled out), thickening of the scar beyond the outer corner of the eye, lagophthalmos (inability to fully close the upper eyelid), ptosis, scleral show, ‘wide-eye’ appearance, scarring of the cornea, blindness (extremely rare) diplopia (double vision-very rare), dry eye problems and eyelash hair loss, conjunctivits, grittiness and epiphora (watering).

  • What costs are involved?
    • Surgical fees 
    • Hospital fees 
    • Specialist anaesthetist fee (only if having a general anaesthetic)

Please contact Mr Banwell's office on 01342 330302 or email help@paulebanwell.com for further information.

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Skin Care

At a Glance

SURGERY TIME
1 - 2 hours

HOSPITAL STAY
Daycase/inpatient 1 night

ANAESTHETIC ASSESSMENT
Possible

PRE ADMISSION TESTS
No

SLEEPING POSITION
Sleeping on back recommended for 4 weeks. Sleep high on pillows for 2 weeks

REASONABLY MOBILE
Immediately

WASHING
Shower after 1 day. Bath after 2 weeks.

DRIVING
1 weeks

EXERCISE INCLUDING GYM
8 weeks

SEXUAL ACTIVITY
Restricted activity after 4 weeks

FULL RECOVERY
2 weeks

TIME OFF WORK
None

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help@paulebanwell.com