(Upper and lower eyelid improvement)


Tees Plastic Surgery is one of the regions leading plastic surgery clinics providing surgery to improve your upper and lower eyelids (blepharoplasty).

All our cosmetic procedures are performed by Consultant Plastic Surgeon Chris Dunkin who has more than 15 years experience delivering high quality, high value, clinical solutions to both men and women of all ages.

All your care is provided by Mr Dunkin and his expert team at the Nuffield Health Tees Hospital Stockton-on-Tees and BMI Woodlands Hospital Darlington - the regions leading private hospitals. At Tees Plastic Surgery you can be assured you will receive the best quality of care and a level of service that is second to none.

>> Book a consultation with our Consultant Plastic Surgeon.

What is blepharioplasty?

Blepharoplasty is a procedure that gives your eyes a brighter, more open look by removing excess skin from your eyelids. Excess fat is either repositioned or reduced. Occasionally we add fat (fat transfer or lipomodelling) if you have deep bags or hollow eyes.

Am I a good candidate for blepharioplasty?

Most people ask for upper blepharoplasty when they have excess loose skin in the upper lids, particularly if this hangs over their lashes and obscures their vision. If the problem is loose skin, eye bags, bulging fat and wrinkles in the lower eyelid then they need lower blepharoplasty.

What are the benefits of blepharioplasty?

Blepharoplasty gives your eyes a brighter, more open look and can improve your vision.

What does blepharioplasty involve?

We usually do upper blepharoplasty with you awake (local anaesthetic), remove the excess skin and address the septum and upper fat pads, single-suture closure and you can go home as soon as we have finished. Most people settle down in a few days. We often do lower blepharoplasty at the same time (four-lid blepharoplasty). This involves making a cut in the crease just below your eyelashes, addressing the septum (akin to the ‘corset’ of the lower eyelid), repositioning the lower lid fat, removing a small amount of skin and closing with a single stitch. Most patients chose to be asleep for lower or four-lid blepharoplasty.

Some patients have heavy eyebrows that make overhanging upper eyelid skin worse. If this is the case then you may benefit from browlift to get the best result. Your cheek can be lifted at the same time as lower blepharoplasty to give a fresher, more youthful result to the cheek and lower lid (midface lift). Some men need fat transfer (lipomodelling) to improve deep and dark bags or hollow eyes.

What happens before my blepharoplasty?

Your first appointment will be with our Consultant Plastic Surgeon Chris Dunkin.

This initial assessment includes a full medical history and a full examination. We will then talk about what we can do to help, what is involved and what you can expect in terms of outcome, recovery and aftercare. Following your first consultation, we will write to you with further information and then see you again to get you ready for your procedure. During your second appointment we will discuss the procedure you would like and go through this in detail, including any potential problems.

What happens after my blepharoplasty?

You can go home straight after local anaesthetic. After general anaesthetic you can go home or stay overnight. We use showerproof tape dressings so you can shower and wash your hair as normal. We see you back a week later for review and to remove sutures. Swelling and bruising usually settle in the first week and most patients go back to work after this time.  

Can you get rid of the bags under my eyes?

Bags under the eyes (nasojugal grooves and malar bags) can be improved with lower blepharoplasty but are difficult to correct completely. Fat transfer (lipofilling) is a technique we combine with blepharoplasty to improve this area.

What are the downsides to blepharioplasty

Most patients settle quickly after upper blepharoplasty and problem are rare. Lower blepharoplasty is a more involved procedure and takes longer for you to settle down. Dry eyes, irritation or watering are not uncommon particularly if you suffer with these already. There is a small risk of bleeding, wound infection, slow healing, poor scars, undercorrection, overcorrection, incomplete eye closure, ptosis (droop), loss of lashes and dry eyes. Finally, any procedure around the eyes can result in blindness. This is extremely rare (about 1:25000 risk) and is heralded by severe pain and problems with your vision. We will talk to you about these in detail when we see you in clinic.

Are there any alternatives to blepharioplasty

Many people who ask about blepharoplasty really need a brow lift. Botulinum toxin (Botox) is good for treating creases around the eyes and forehead. LASER resurfacing is used for fine creases on the lower eyelids. Lipofilling (fat transfer) is used to fill out creases and grooves in the lower eyelid area.

Paying for treatment

Tees Plastic Surgery offers Consultant-delivered state-of-the-art cosmetic surgery procedures at the Nuffield Health Tees Hospital Stockton-on-Tees or BMI Woodlands Hospital Darlington. Paying for your treatment could not be simpler and both Nuffield Health and BMI hospitals offer loans to fund surgical treatment.

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What do I do now?

Our clinic is based at the Nuffield Health Tees Hospital Stockton-on-Tees and BMI Woodlands Hospital Darlington.

Please contact us on 0844 272 5951 for a consultation
or click on the link below to email us.

>> click here to email us to book a consultation.