Upper Eyelid Surgery

Suture blepharoplasty is a minimally invasive procedure that achieves a similar attractive double eyelid look as incision upper blepharoplasty but without requiring a long incision. Fine permanent sutures are used to create the crease, making it particularly suitable for individuals with thinner eyelids and those desiring a shorter recovery period.

Incisional blepharoplasty creates a permanent double eyelid crease by making a direct incision on the upper eyelid. This procedure enhances eye aesthetics while addressing excess skin, fat, or muscle. It is ideal for thicker eyelids and offers durable results, often chosen to refine outcomes from prior eyelid surgeries or for more complex cases.

This technique addresses the inner eye fold (often referred to as the ‘Mongolian fold’ in Asian eyelids) by carefully redraping and removing excess skin. It helps narrow the distance between the eyes, enhancing harmony and creating a more suitable foundation for specific double eyelid creases.

Lateral canthoplasty elongates the outer corners of the eyes, creating a vivid and proportionate appearance. Using techniques like the rotation flap or a combination method that adjusts the lower eyelid, it effectively widens and refines the eye shape, addressing drooping and enhancing balance.

A sub-brow lift, or infra-brow lift, removes excess droopy skin beneath the eyebrows, particularly in patients with a natural double crease. It rejuvenates the upper eyelid, concealing the incision under the brow, and is ideal for those with thicker or tattooed brows.

Male upper blepharoplasty requires a nuanced approach distinct from female eyelid surgery. For young patients, the goal is to create a low, hidden crease to prevent eye feminisation while removing excess skin to define the eye area. Middle-aged patients need careful consideration of their aesthetic expectations. The key is maintaining masculine characteristics by avoiding a high crease, excessive fat removal, and preserving a natural eye appearance.

Patients may experience soreness, tightness, and swelling, with maximum swelling typically occurring 48 to 72 hours post-surgery. Cold compresses should be applied during the first 48 hours to minimise swelling. Clean the eyelids gently with gauze and sterile saline three times daily and apply antibiotic ointment to the incision line to prevent infection. Pain relievers should be taken as prescribed to manage discomfort.

To ensure proper recovery, refrain from smoking, alcohol consumption, strenuous exercise, and upper eyelid makeup for at least 2 weeks. Avoid eye or facial massages and any activity that could put pressure on the eyes during this period.

Swelling and bruising typically resolve within 1 to 2 weeks. Sutures are usually removed 5 to 7 days after surgery during a follow-up appointment, depending on the patient’s healing progress. Most patients can resume light activities after 2 weeks, with the final results, including the eyelid’s appearance and function, becoming fully apparent within 2 to 3 months.