Eyelid surgery · Erme Clinic
Eyelid Surgery (Blepharoplasty)
Restore a refreshed, youthful appearance by removing excess skin from the eyelids for a smoother, more open eye contour.
Performed by Mr Paul Wilson, Consultant Plastic Surgeon, with expert technique and natural, long-lasting results.
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Why patients choose it
A more rested, alert look around the eyes.
Many people seek blepharoplasty to address drooping eyelids, puffiness, under-eye bags, visual obstruction or a constantly tired appearance.
By reshaping the upper and/or lower eyelids, the procedure can significantly improve both aesthetic appearance and, in some cases, functional vision. This helps enhance confidence, comfort and overall quality of life.
At Erme Clinic, eyelid surgery is performed by Mr Paul Wilson, who has extensive expertise in facial aesthetics and eyelid surgery. He combines advanced techniques with meticulous attention to detail to deliver natural-looking results tailored to your unique anatomy and aesthetic goals.
About the procedure
What is blepharoplasty surgery?
Blepharoplasty, also known as eyelid surgery, is a procedure designed to improve the appearance and function of the upper eyelids, lower eyelids or both. It works by removing or repositioning excess skin, fat and sometimes muscle to create a smoother, more lifted and refreshed eye contour.
During the procedure, your surgeon carefully reshapes the eyelid area to address concerns such as drooping upper lids, puffiness, under-eye bags or skin laxity that may contribute to a tired or aged appearance. In some cases, upper eyelid blepharoplasty can also improve vision by reducing excess skin that hangs over the lash line.
The goal is a natural, rejuvenated look that enhances facial harmony, restores a more alert appearance and, for some patients, improves visual function.
Types of surgery
Upper, lower or both eyelids.
Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both, depending on your concerns and desired results.
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Upper Eyelid Blepharoplasty
Upper blepharoplasty is the most common type of eyelid surgery. It focuses on removing excess skin from the upper eyelid, which can create heaviness, hooding or a tired appearance.
In some cases, small pockets of fat that bulge forward can also be removed or repositioned to achieve a smoother, more defined upper eyelid contour. This procedure can enhance the eye shape and, for some patients, improve vision if excess skin obstructs their field of view.
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Lower Eyelid Blepharoplasty
Lower blepharoplasty is a more involved procedure that targets under-eye bags, puffiness and sagging. The operation is highly effective at reducing eye bags by removing or repositioning excess fat.
Some skin may also be tightened or trimmed; however, this must be done carefully, as removing too much skin can pull the lower lid downward. While it improves smoothness and contour, wrinkle reduction is less predictable because only a limited amount of skin can be safely removed.
The benefits
What are the benefits of blepharoplasty surgery?
Blepharoplasty offers both aesthetic and functional benefits by removing excess skin, tightening underlying tissues and improving the overall contour of the eyelids. Depending on whether the upper, lower or both lids are treated, benefits may include:
- A more refreshed, youthful appearance around the eyes
- Reduction of heaviness or hooding in the upper eyelids
- Smoother, firmer contours under the eyes with fewer visible bags or puffiness
- Improved definition of the natural eyelid crease
- Enhanced symmetry and balance between the upper and lower eyelids
- Potential improvement in vision if excess upper-lid skin was obstructing the field of view
- Increased confidence and comfort in social and professional settings
Candidates
Who is a good candidate for blepharoplasty surgery?
Blepharoplasty may be suitable for individuals in good general health who wish to address concerns related to ageing or changes around the eyes. You may be a good candidate if you:
- Have drooping or hooded upper eyelids that make your eyes look tired or impact your field of vision
- Notice puffiness, bags or bulging fat beneath the eyes
- Have excess or loose skin around the eyelids that affects the appearance of your eyes
- Feel that sun damage, wrinkles or skin laxity have aged your eye area
- Find that makeup application has become difficult due to overhanging skin
- Feel self-conscious about looking tired, aged or less alert than you feel
- Are a non-smoker or willing to stop smoking before and after surgery
- Have realistic expectations about the improvements possible based on your natural eyelid anatomy
What to expect
What to expect during blepharoplasty surgery.
From your first consultation to caring for your scars, every stage is carefully planned around your anatomy and goals.
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Consultation
Your surgeon will begin with a thorough consultation to ensure you feel fully informed, comfortable and confident before deciding to proceed. This includes a detailed discussion about your concerns, such as drooping upper lids, puffiness or bags beneath the eyes, excess skin, changes related to ageing or sun damage and any impact these may have on your vision or confidence.
Your eyelid anatomy, skin quality, muscle tone and the presence of excess fat will be assessed to determine whether upper blepharoplasty, lower blepharoplasty or a combination of both is most appropriate. You will have the opportunity to ask questions about the likely results, incision placement, recovery, scarring and whether blepharoplasty can be safely combined with other facial procedures.
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Anaesthesia and procedure time
Upper eyelid surgery is typically performed under local anaesthetic as a day procedure, making it a straightforward option for many patients. Lower eyelid surgery is a more involved operation and is usually performed under general anaesthesia.
The duration of surgery depends on whether one or both eyelids are being treated, but most procedures take one to two hours.
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Incision placement
Incisions are placed carefully to achieve effective results while keeping scars as discreet as possible.
For upper eyelid surgery, a small crescent of excess skin is removed from the natural upper lid crease, allowing the lid to open more fully and appear smoother and more refreshed. For lower eyelid surgery, an incision is made just beneath the eyelashes. Through this incision, the skin and underlying muscle are gently lifted to allow removal or repositioning of bulging fat, as well as tightening of any loose skin. The amount of skin removed is carefully controlled to avoid pulling the lower lid downward.
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Tissue tightening and eyelid reshaping
In upper blepharoplasty, redundant skin (and occasionally excess fat) is removed to restore a clearer, more open eyelid contour. This helps improve hooding and reduces the tired or heavy appearance of the eyes.
In lower blepharoplasty, the procedure focuses on reducing or repositioning fat that causes eye bags. Loose skin is tightened, and the lid is smoothed to create a more rested, youthful appearance. In some cases, muscle tightening may also be performed. Blepharoplasty may be performed alone or combined with other facial procedures, such as a brow lift or facelift, for a more comprehensive rejuvenation.
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Closing the incisions
Once the necessary adjustments have been made, the incisions are closed with fine sutures. Dressings may be applied, although upper eyelid surgery often requires minimal external dressing. Cold compresses are typically recommended in the early postoperative period to reduce swelling.
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Scar management
Your surgeon will provide personalised advice on caring for the incisions once initial healing has occurred. Scars typically sit within the natural eyelid crease or just below the lash line and fade to become barely noticeable over time.
Recovery and results
Recovery and results of blepharoplasty surgery.
Recovery varies from person to person and depends on whether the procedure involves the upper, lower or both eyelids. Most patients can return home the same day or shortly after surgery.
- Swelling and bruising around the eyes are very common in the first few days
- Upper eyelid swelling typically settles within about a week
- Lower eyelid swelling or bruising may take one to two weeks to resolve
- Mild tightness, dryness or sensitivity can be managed with prescribed ointments, lubricating drops or over-the-counter pain relief
If deep stitches are placed at the outer corner of the eye during lower eyelid surgery, some localised discomfort may persist a little longer as the area heals. If chemosis (swelling of the conjunctiva) occurs, steroid eye drops will be prescribed.
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Dressings and eye care
Cold compresses are usually recommended in the first few days to help minimise swelling and bruising. Your surgeon may also prescribe lubricating eye drops or ointments to keep your eyes comfortable, particularly if they feel dry or sensitive when you blink.
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Activity and movement
Most patients can resume light daily activities within a few days, and most people feel comfortable driving again after about a week. Work can often be resumed once bruising has settled and you feel ready, which for many patients is around 7–10 days.
Strenuous activity, heavy lifting, bending forward and exercise should be avoided for at least two weeks, as these can increase swelling or pressure around the eyes. Contact sports or activities with a risk of facial impact should be avoided for several weeks longer, as advised by your surgeon.
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Scars and long-term results
Upper eyelid incisions sit within the natural crease and usually heal to a fine, barely visible line. Lower eyelid incisions, placed just below the lash line, also tend to fade very well over time.
Most bruising and swelling fade within one to two weeks, while final results continue to refine over several months as tissues settle. Improvements in eyelid contour, smoothness and overall eye appearance become more noticeable as swelling resolves.
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Follow-up care
You will receive tailored postoperative instructions, including how to clean the incision sites, apply ointments and protect your eyes during healing. Scheduled follow-up appointments allow your surgeon to monitor progress, remove any necessary sutures and ensure the eyelids are healing as expected.
Results
Before & after gallery.
Real eyelid surgery results from patients of Mr Paul Wilson. Individual results vary.
BeforeAfter
Risks and complications
Risks and potential complications.
As with any surgical procedure, blepharoplasty carries certain risks. While complications are uncommon, it is important to be aware of potential risks, which may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Dry eyes, irritation or temporary difficulty closing the eyelids
- Changes in eyelid sensation, such as numbness or tingling
- Scarring along the incision lines
- Asymmetry or irregularities in eyelid contour
- Persistent swelling or bruising
- Lower eyelid retraction or ectropion
- Very rarely, issues affecting vision
Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.
Fees
What is the cost of blepharoplasty surgery?
The cost varies depending on whether the upper eyelids, lower eyelids or both are being treated, as well as the complexity of the procedure.
Factors that can influence pricing include:
- Whether the upper, lower or both eyelids are treated
- The amount of skin or fat to be removed
- Whether muscle tightening is required
- The need for general or local anaesthesia
- Surgeon fees and hospital or facility charges
Eyelid Surgery (Blepharoplasty)
A personalised quote will be provided after your consultation, once your surgeon has determined the most appropriate approach to achieve your aesthetic goals.
Your surgeon
Meet Mr Paul Wilson.
Mr Paul Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience and over 16 years as a Consultant Plastic Surgeon. He specialises in facial, breast and body aesthetic surgery, with a particular interest in rhinoplasty, facial rejuvenation and complex revision surgery.
In both his NHS and private practice, Mr Wilson is known for his patient-focused approach, careful surgical planning, and commitment to achieving balanced, natural-looking results tailored to each individual.
- Consultant Plastic Surgeon
- More than 35 years of surgical experience
- Over 16 years as a Consultant
- Performs eyelid surgery for Erme Clinic patients
FAQ
Frequently asked questions.
At what age can you get a blepharoplasty?
There is no strict age requirement for blepharoplasty. Most patients choose to get the procedure in their 40s, 50s or 60s, when signs of ageing around the eyes become more noticeable. However, younger patients may be suitable if they have hereditary eyelid concerns such as puffiness, heaviness or excess skin.
Can blepharoplasty cause dry eyes?
Temporary dryness or irritation is common after blepharoplasty and usually improves as the eyelids heal. Lubricating drops or ointments are often recommended during the early recovery period. Long-term dry eyes are uncommon, and your surgeon will assess your tear function and eyelid anatomy during consultation to minimise this risk.
How long does a lower blepharoplasty last?
Lower blepharoplasty results typically last 10–15 years and in many cases even longer. While ageing continues naturally, the removal or repositioning of excess fat and skin provides a long-term reduction in under-eye bags and a smoother contour. Maintaining good skincare and sun protection can help extend the longevity of your results.
How long does it take to heal from a blepharoplasty?
Initial recovery usually takes 1–2 weeks, during which most swelling and bruising settle. Many patients feel comfortable returning to work after about a week. The eyelids continue to refine over several months, and final results are typically visible by 3–6 months once all swelling has resolved.
Can I have upper and lower eyelid surgery at the same time as my facelift?
Upper and lower eyelid surgery is often performed with a facelift and a temporal brow lift for more comprehensive rejuvenation. Your surgeon will explain which combination is best suited to your concerns and goals.
I’ve already had eyelid surgery, can I have it again?
Occasionally, secondary blepharoplasty may be required if there is residual excess skin or fat bags or lateral hooding. Your surgeon will advise you on your suitability for this procedure.
Book your consultation
Ready to refresh your eyes?
Every eyelid surgery journey begins with a consultation with Mr Paul Wilson to discuss your concerns, outline your goals and determine whether blepharoplasty is the right option for you. Call or email to arrange your consultation.
Enquiries
Speak to the team to arrange your eyelid surgery consultation.
Call 07414 163133Call 0117 332 1585info@paulwilsonaesthetics.co.uk