Blepharoplasty Before and After


Do you suffer from tired eyes?  Perhaps you have noticed a build-up of excess skin under your eyes that makes you look older than you feel?  If so, then it might time for you to consider blepharoplasty.  Blepharoplasty, which is sometimes referred to as eye bag or eyelid surgery, is the branch of cosmetic surgery dedicated to achieving a more youthful, alert look around your eyes.

What is Blepharoplasty?

Blepharoplasty is an invasive eyelid surgery procedure used to correct deformities of the eyelid. The eyelid is an essential part of our ocular region that plays a number of important roles. Primarily it acts as a shutter to protect the cornea and other internal structures from foreign elements. It also moderates the light rays entering the eye to facilitate comfortable vision and it enhances the aesthetic appearance of the individual.  That is why issues with the eyelid can significantly impact the sight and comfort of an individual.  Since it is such a sensitive area, with vast repercussions, patients who suffer from eyelid problems need to ensure they consult with an experienced surgeon.  Dr Bashar Bizrah has performed over 1000 successful blepharoplasty surgeries and specializes in delivering hassle-free procedures including scar-free Transconjunctival Blepharoplasty.

The eyeball is located in the orbital portion of the skull and is surrounded by orbital tissues and adipose fat. With time, water retention of the fat due to age, lifestyle factors, hormonal changes or other reasons make the fat protrude out, leading to baggy sacks under the eyes. The bulging out of the fat can also occur due to the thinning of the tissues overlying them. Once prominent bagginess has occurred, it may be necessary to have them removed via surgical intervention in a procedure known as eye bag removal.

Blepharoplasty involves surgically removing the excess fat and restructuring the surrounding area so as to effectively reduce the bagginess under the eyes. During Blepharoplasty, incisions are made by the surgeon to restructure, reposition or realign any muscle, tissue or fat deposit responsible for the eyelid condition/conditions.  The upper lid fat is removed first after which the lower lid problems are addressed by the surgeon. Some of the tissues are moved to other parts of the face before the conclusion of the procedure and the suturing of the incisions.   It is important for patients to fully understand the procedure before opting to undergo blepharoplasty in the UK.

All of the incisions during blepharoplasty are made at strategic positions so as to avoid or minimize any scar formation later on. Any sutures, if formed, are removed within two weeks as soon as the incision wounds are healed. Depending on the portion of the lid affected, either an upper blepharoplasty or lower blepharoplasty will be recommended by the surgeon.

Are You A Suitable Candidate For Eyelid Surgery?

Clinics offering blepharoplasty in the UK follow strict eligibility standards for patients. A suitable candidate for eyelid surgery is the one who has issues with the lid in either one or both of the eyes. The patient should be above 18 years and should be in the good physical condition as systemic conditions can delay the healing of the incision wounds post-surgery. A few ocular conditions, such as glaucoma, could make you ineligible for eye bag removal surgery. Children can be approved for eyelid surgery to avoid lazy eye problems later due to lid lag. The surgery in pediatric cases is performed by eye surgeons who specialize in pediatric cases.

You could also be eligible for eyelid surgery if your lid problems are impacting your peripheral vision, possibly due to upper lid sag. Those candidates whose eyes don’t close completely due to muscle problems, resulting in dryness and improper distribution of the tear film, can also benefit from blepharoplasty surgery. People also look for blepharoplasty in the UK if their baggy lids impact their appearance in a negative way. In such cases, eyelid surgery can help them achieve a younger-looking face. If you are planning to go for blepharoplasty in the UK but are skeptical about your eligibility, talk to Dr. Bizrah today.

Why Choose Dr Bizrah For Blepharoplasty?

Dr. Bashar Bizrah has been performing blepharoplasty on patients for more than two decades. He holds an excellent record of performing over 1000 blepharoplasty procedures for both European and non-European patients. His mastery over the transconjunctival blepharoplasty, an alternate scar-free technique to traditional transcutaneous blepharoplasty, ensures he is consistently in demand from patients looking for the best-qualified surgeon to improve the appearance of their lower eyelids.  Dr. Bizrah also takes the time to make sure all of his patients understand every element of the procedure before progressing and is known for maintaining the highest quality of standards in his clinic that offers the finest blepharoplasty in the UK.

The Blepharoplasty Procedure

The patient is administered intravenous sedation or general anesthesia, as per the treatment plan of the surgeon.

Incision lines are designed and marked to ensure negligible scarring post operativel.

The upper eyelid is corrected through incisions on the eyelid creases. Likewise, the lower lid is corrected with an incision below the lower lash line.

Alternately, transconjunctival incisions are created on the conjunctival surface for removal or redistribution of excess fat.

The incisions are closed with sutures or incision glue. Mostly, the sutures are dissolvable. If not, they are removed within 2 weeks of the surgery.

Dr Bizrah follows the basic steps mentioned above. His aim is always to make the overall eyelid surgery process as hassle-free as possible for his patients.  He is able to answer all of your questions so that you feel as comfortable as possible during every step of your blepharoplasty in the UK.

How To Prepare For Eye Bag Surgery

Once you select the right clinic for blepharoplasty in the UK, the first step is to get a physician’s clearance for the eye bag removal surgery. Systemic conditions tend to interfere with the body’s healing rate and absorption of medications used both before and after eyelid surgery. It is important to get a physical evaluation conducted as early as possible to rule out the chances of any problems. In the case of pre-existing systemic conditions, a physician’s clearance is even more important to ensure a smooth hiccup-free eye bag removal surgery and recovery.

It will also be necessary to conduct certain ocular tests, like a complete ocular checkup, a lacrimal passage clearance, and overall visual acuity evaluation. Sometimes, eye bags can interfere with your visual acuity. A visual acuity evaluation and retina evaluation can rule out any pre-existing vision problems owing to retinal or amblyopia-induced issues. Anterior segment evaluation will enable the eye specialist to check for active or healed corneal lesions, if any, or any allergic or viral conditions associated with the conjunctiva. Seemingly trivial issues, if left untreated, these minor problems can increase in intensity due to the eye bag removal surgery or lead to infections after surgery. Taking care of them at an early stage is vital for the success of the upcoming eyelid surgery.

Additionally, two to three weeks prior to the eyelid surgery, you are required to give up smoking and stop using certain medications. Smoking impacts the tissue healing capacity that, in turn, affects the overall outcome of the eye bag removal surgery. Blood-thinning medications used by people with a tendency for blood clot formation increase the risk of excessive bleeding during the surgery and should be discontinued two weeks before and after the eyelid surgery. Additionally, anti-inflammatory medications, herbal supplements, or Aspirin will need to be avoided. On the night before the blepharoplasty surgery, the patient must stop eating and drinking after midnight to enable the general anesthesia to set in comfortably.

Aftercare & Recovery

After your eye bag removal surgery, your ocular portion will have been patched by the surgeon and covered with a shield. The patch will be removed in the 6-12 hours post-surgery. In cases where the surgery involves a conjunctival membrane, the patch is removed the next day. The aim of the patching is to ensure the healing of any minor conjunctival injuries through antibiotics and pressure patching. You will be shifted to the ward or private room and your vitals monitored till the anesthetic effects wear off. After that, you can leave but will be required to follow up the next day and then regularly for the next two weeks.

Post-operative care is crucial at this point as it contributes to quick healing of the incision wounds which will impact the overall recovery time. Even with an exceptionally good surgeon, post-operative care and subsequent results depend on your care and maintenance of the region. Immediately after a blepharoplasty operation, there will be lid edema and ocular congestion depending on the position of the incisions made. You will be groggy because of the effects of anesthetics and painkillers and need to have an attendant for the next 24 hours. You will also need to sleep with your head in an elevated position for the next few days. Here are some additional factors to take into consideration:


You will have a moderate amount of lid edema and facial swelling in the region surrounding the orbital portion post eye bag removal surgery. This will gradually subside over the next few weeks. Immediately after eyelid surgery, ice packs will be applied that will control the swelling to a considerable extent. But you will also be advised to apply ice packs gently in the ocular region to control the swelling. The rate of swelling depends on the skin texture and size of the eye socket and thus varies from person to person. In people with narrow sockets, the swelling will feel considerably higher while in those with larger sockets, it will be less evident.


Bleeding is most likely on the first day of the surgery, after which it is mostly limited to a raw feeling and soreness. Eyelid surgery does not involve a lot of bleeding. Application of pressure further prevents whatever little chances of bleeding. It is important during this time not to lift heavy weights or exercise till you heal completely.

Diet and General Care

Usually, after your anesthetic effects have worn off, you are given a light fluid diet. The grogginess stays for a few days and gradually wears off after which you can resume a light diet. Avoid heavy foods and alcohol consumption during this time. Drink sufficient water during post eye bag removal surgery to enable better healing of the internal tissues. Additionally, you can follow a fruit-based diet to solve the problem of constipation induced by decreased activity. You can take a bath on the second day of your eyelid surgery but need to be careful not to take a shower immediately post-surgery, as this can dampen the stitches and loosen, or worse, infect them.

Scarring and Discoloration

Initially, the sutures will be of a dark red hue. In time they will turn white before becoming less noticeable. Because of being hidden in the creases of the lids or inside the eye, they will not affect your cosmetic appearance or be overly noticeable in any manner. After two weeks, you can return to work but will need to wear protective wear when outside and try to stay indoors as much as possible for the next few months. Additionally, it is advised to avoid swimming and the sauna as well till you have completely recovered. You can gradually increase the intensity of your work a month after the eye bag removal surgery. It will take 3-5 months for the scarring and discoloration to completely fade. The changes will be subtle and noticeable only to you and your surgeon.

What Are The Types Of Blepharoplasty?

  • Eyelid Lift

An eyelid lift or general blepharoplasty involves the surgical modification of either upper or lower or both the lids. It is used to treat loose or sagging skin that creates an uneven contour of the lid and interferes with vision. It is also used to treat fatty deposits, excess skin and wrinkles, and bagginess of the lids. Sometimes an eyelid lift is performed to enhance the cosmetic aspects of the individual and provide younger-looking eyes by removing the age-related skin sag.

Other times, it is done to remove the excess skin over or under the eyes that interferes with direct or peripheral vision. The term eyelid lift is a misnomer because it modifies the lids instead of actually lifting them. It can be considered an umbrella term encompassing a variety of surgeries like upper blepharoplasty, lower blepharoplasty, and double lift procedure. Eyelift surgery can be performed either on its own or in combination with other procedures like a forehead lift or facelift.

  • Upper Blepharoplasty

Upper blepharoplasty involves surgical modifications on the upper eyelids for functional or cosmetic purposes. Functional upper blepharoplasty removes the excess lid tissue in line with the field of vision. Cosmetic upper blepharoplasty takes care of the overhanging loose skin that affects your appearance. Upper blepharoplasty is also considered in cases of ptosis or lid lag that makes one eye look smaller than the other. A pediatric upper blepharoplasty is also an option considered for children at an early age to prevent the risk of amblyopia as a result of the lid lag.

In upper blepharoplasty, the creases of the upper eyelid are identified and marked. The surgeon makes an incision on these creases. This is followed by making skin excisions to remove the excess skin deposits. In cases of Ptosis, which is a result of muscle incoordination, the underlying muscle responsible for the condition is tightened for ptosis correction. Post completion of the eyelid surgery, the surgeon sutures back the incisions and patch close the eye.


  • Lower Blepharoplasty (no scar)

Lower blepharoplasty is performed on the lower lids and is aimed at controlling the aging process of the lower eyelids. It may be performed through transconjunctival or transcutaneous methods. In the transconjunctival method, incisions are made behind the eyelid to remove the excess fat through it. In the transcutaneous method, incisions are made on the other skin before the eyelashes. Dr. Bizrah mainly performs the transconjunctival approach. It has a number of benefits such as no external scarring, faster recovery, minimum swelling and causes less trauma to the tissue around the eyes.  Nowadays, tissue preserving methods are preferred in lower blepharoplasty techniques to restore the volume loss associated with aging.

The Benefits Of Blepharoplasty (Eye Bag Surgery)

A blepharoplasty procedure will help you achieve a more fresh, younger, and happier look with no incisions and no complications while helping you to maintain your natural look. Eye bag removal involves the removal of cumbersome eye bags that used to give you an older, tired look. It gives you a younger-looking, refreshed appearance through the removal of puffy bags. During the eye bag removal, the dark circles present under the eyes are also removed, furthering the rejuvenation process. Additionally, the problem of skin irritation as a result of the excess folds rubbing together is significantly reduced or removed. The whole process is done in such a manner so that the results obtained have a natural appearance. When performed as a double lid procedure, it reduces the fine lines at the corners of the eye and under the lids. It also reduces forehead discomfort caused by the weight of sagging muscles in the lid area. The visual field distortion issue caused by the skin is addressed as well. Overall the fat removal and sculpting of the lids enhance the sharpness of the facial contours and provide an alert appearance.

Frequently Asked Questions

What is the average cost of blepharoplasty in London?

A number of factors influence the cost of blepharoplasty in London. Whether the surgery is to be performed in one eye or both primarily determines the cost. Blepharoplasty in both eyes will cost more than in only one. The type of blepharoplasty performed, whether performed on their own or accompanied by other procedures like brow lifting, fat repositioning, or any other add ons, comes next. The experience and skill of the surgeon and other costs like that of medications, anesthetics, and inpatient charges add up to the total cost of the surgery. If you are looking for an approximate cost for blepharoplasty in the UK, get in touch with London Surgical Suites today!.

Is eye bag removal surgery permanent?

Eye bag removal surgery is an intensive procedure performed under general anesthesia. The surgery takes 2-3 hours depending on whether it is performed on a single or both eyes. Post-surgery, there is inflammation and congestion of the ocular region, but once achieved, the results are mostly permanent. The longevity of the results does depend to an extent on the skin type of the person, aging process, and lifestyle of the person. Taking proper care can further prolong the already long-lasting effects and give the eye a healthier look.

Is blepharoplasty a major surgery?

Blepharoplasty or eyelid surgery can be considered a major surgery because of the number of surgical modifications performed in the ocular region.  Blepharoplasty requires the patient to obtain a health clearance to be declared fit for the procedure. The eyelid surgery is performed under general anesthesia and is conducted over a time period of 2-3 hours. There are a number of pre and post-operative precautions that the patient needs to follow for the success of the surgery. All of these factors deem it a major surgery.

How long does it take to recover from blepharoplasty surgery?

It takes around two weeks to recover from blepharoplasty surgery. Recovery time varies from person to person. Factors like the healing capacity of the patient, complications and additional surgical procedures performed to determine the recovery rate. Additionally, the care taken by the patient as advised by the surgeon determines the healing rate to a great extent. Even after complete healing of the incisions, it is important to take post-surgical precautions for safety purposes and for maintaining the results.

Can blepharoplasty treat eye bags?

Blepharoplasty is an effective option for eye bags or swelling under the eyes that haven’t been responding to medication or therapy. If there is extra fat resulting in the bagginess and unaesthetic appearance, blepharoplasty can remove it through incisions made in the creases of the upper lid, or those made inside the lids, so that there are no visible scars post-surgery. Apart from the extra fat, it can solve the issue of ptosis resulting in droopiness of lids and excess skin on either of the lids. It can even solve the issue of entropion or droopy lower lids which is a source of immense discomfort to the patient.

What happens during a blepharoplasty procedure?

Blepharoplasty can be either upper blepharoplasty or lower depending on the lid being surgically modified. During a blepharoplasty procedure, after your anaesthetic effects have set in, the eye surgeon will make precise markings on the ocular regions regarding the areas of skin and fat removal. After this, they will remove the required amount of fat, skin and muscle on the basis of the preoperative treatment plan, underlying facial structure and position with placement, and overall condition of the eyebrow part. If required, the brow region is also tightened or modified along with the lids as an additional procedure during blepharoplasty.

What are the types of blepharoplasty?

There are a number of blepharoplasty procedures based on the lid conditions of the patient. Of them, the three most important types are Cosmetic Blepharoplasty, Functional Blepharoplasty, and Upper Lid Blepharoplasty. Cosmetic blepharoplasty or eye bag removal surgery is done solely for aesthetic reasons to solve the problem of baggy eyes. Functional blepharoplasty or ptosis surgery is performed to solve the upper lid sagging problem interfering with the vision of the patient. Upper blepharoplasty is performed on the upper lid to remove excess skin and make the eyes look less heavy or hooded.

How do you get rid of bags under your eyes?

Initially, lifestyle modifications and home remedies are tried to get rid of bags under the eyes. When these don't work you need to discuss with your ophthalmologist regarding the chances of allergic conditions or contact dermatitis and take medications accordingly. If the medications fail to offer the required results, surgical options are considered. Depending on the reason for baggy eyes, your surgeon will remove the excess fat responsible, along with the extra skin and muscle, for a younger look and a rejuvenated appearance.