Upper Eyelid and Lower Eyelid

Refresh the entire eye area with a combined Upper Eyelid and Lower Eyelid Surgery Package, medically known as upper and lower blepharoplasty.

This personalised treatment is designed to address excess upper eyelid skin, eyelid puffiness, under-eye bags, and loose lower eyelid skin. Treating both the upper and lower eyelids can create a more balanced, rested, and naturally rejuvenated appearance without changing the patient’s individual facial characteristics.

Procedures Included

Upper Eyelid Surgery

Upper eyelid surgery focuses on excess skin and fatty deposits affecting the upper eyelids. Depending on the patient’s anatomy, the surgeon may remove or reposition fat, adjust underlying tissue, and carefully remove excess skin.

Upper blepharoplasty may help improve:

• Hooded or heavy-looking upper eyelids
• Loose skin covering the natural eyelid crease
• Upper eyelid puffiness
• Tired or aged-looking eyes
• Asymmetry related to excess eyelid skin

The incision is usually positioned within the natural upper eyelid crease to help keep the resulting scar discreet.

Lower Eyelid Surgery

Lower eyelid surgery is designed to improve bags, puffiness, loose skin, and an uneven transition between the lower eyelid and cheek.

Depending on the patient’s needs, the surgeon may remove or reposition lower eyelid fat and treat excess skin. The incision may be placed just beneath the lower eyelashes or inside the lower eyelid using a transconjunctival approach. The appropriate technique is selected after examining the patient’s skin quality, fat distribution, eyelid position, and overall facial anatomy.

Lower blepharoplasty may help improve:

• Under-eye bags
• Persistent lower eyelid puffiness
• Excess or crepey lower eyelid skin
• Fine lines caused by loose skin
• A tired-looking under-eye area
• An uneven lower eyelid-to-cheek contour

Who May Be a Suitable Candidate?

This combined eyelid surgery package may be suitable for adults who:

• Have excess or sagging upper eyelid skin
• Experience puffiness in the upper eyelids
• Have visible under-eye bags or fat pockets
• Have loose lower eyelid skin
• Are in generally good health
• Have realistic expectations about the procedure
• Do not smoke or are prepared to stop smoking before and after surgery
• Can follow postoperative care and travel instructions

Patients with dry eyes, glaucoma, thyroid conditions, diabetes, previous eye surgery, vision concerns, or other eye-related conditions require careful medical assessment before treatment.

Final suitability is determined by the surgeon following a review of the patient’s medical history, medications, previous procedures, eye health, facial anatomy, photographs, and treatment expectations.

Typical Package Inclusions

Package inclusions may vary according to the patient’s medical requirements and the final treatment plan. The package may include:

• Consultation with the surgeon
• Preoperative medical assessment
• Upper eyelid surgery
• Lower eyelid surgery
• Surgeon’s fees
• Operating room and standard facility fees
• Local anaesthesia, sedation, or general anaesthesia as recommended
• Standard preoperative blood tests
• Medications administered during the procedure
• Postoperative dressings and eye care instructions
• Follow-up examinations during the patient’s stay
• Suture removal when required
• Patient coordinator support

Hotel accommodation, airport transfers, translation services, prescription medications after discharge, additional hospital nights, and treatments not listed above should be confirmed directly with the clinic.

Treatment Process

Before surgery, the surgeon evaluates the upper eyelids, lower eyelids, eyebrows, eye shape, skin quality, fat distribution, and lower eyelid support. The patient’s general health, current medications, allergies, smoking history, dry-eye symptoms, and previous eye procedures are also reviewed.

Clinical photographs may be taken to support surgical planning. Some patients may require an additional eye examination or specialist assessment before surgery.

Blepharoplasty is commonly performed as an outpatient procedure. Depending on the patient and surgical plan, it may be completed under local anaesthesia with sedation or under general anaesthesia. The surgeon and anaesthesia team will recommend the safest and most appropriate option.

After the procedure, the patient is monitored in a recovery area. Same-day discharge may be possible, although extended observation or an overnight stay may be advised in selected cases.

Recovery and Aftercare

Temporary swelling, bruising, eyelid tightness, watering, light sensitivity, blurred vision from eye ointment, mild discomfort, and temporary numbness may occur during the early recovery period. These effects generally improve gradually as the eyelids heal.

Patients may be advised to:

• Keep the head elevated while resting
• Use prescribed eye drops or ointment
• Apply cold compresses as instructed
• Avoid rubbing or placing pressure on the eyes
• Wear sunglasses outdoors
• Avoid smoking and alcohol during recovery
• Avoid strenuous exercise and heavy lifting
• Temporarily avoid contact lenses and eye makeup
• Attend all scheduled postoperative appointments

Many patients plan approximately 10 to 14 days before returning to public-facing work or social activities, although bruising and residual swelling may remain visible for longer. Final healing and scar maturation continue over the following weeks and months. Recovery varies according to the procedures performed, the patient’s healing response, and adherence to aftercare instructions.

Patients must not drive until their vision is clear, they are no longer using medications that affect alertness, and their surgeon confirms that driving is safe.

Expected Outcome

The combined procedure aims to create:

• A smoother upper eyelid contour
• Reduced upper eyelid heaviness or puffiness
• Less noticeable under-eye bags
• A smoother lower eyelid area
• A more balanced appearance between the upper and lower eyelids
• Brighter and more rested-looking eyes
• A natural-looking result that remains consistent with the patient’s facial features

Results become more visible as swelling and bruising subside. Eyelid surgery results can be long-lasting, but the natural ageing process, genetics, sun exposure, lifestyle, and skin quality will continue to affect the eye area over time.

No particular aesthetic result, degree of improvement, or duration of results can be guaranteed.

Important Information

Like every surgical procedure, upper and lower eyelid surgery involves potential risks. These may include:

• Bleeding or infection
• Anaesthesia-related complications
• Dry or irritated eyes
• Temporary blurred or double vision
• Difficulty closing the eyes
• Temporary or persistent numbness
• Visible or unfavourable scarring
• Eyelid asymmetry
• Lower eyelid retraction or outward turning
• Changes in eyelid position
• Injury to surrounding structures
• Temporary or, very rarely, permanent vision changes
• Dissatisfaction with the aesthetic result
• The possible need for revision surgery

These risks must be discussed individually with the surgeon before informed consent is provided.

Upper blepharoplasty is different from ptosis repair, which treats weakness or drooping of the upper eyelid itself. Brow lift, ptosis repair, canthopexy, canthoplasty, laser resurfacing, fat transfer, and other additional procedures are not automatically included unless they are specifically stated in the personalised treatment plan.

Patients must provide complete information about their health conditions, eye symptoms, allergies, medications, supplements, smoking habits, and previous operations. Blood-thinning medication must never be stopped without approval from the prescribing physician and the surgical team.

This package description is intended for general informational purposes only. It does not replace an individual examination, medical diagnosis, or personalised recommendation from a qualified surgeon.