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Ivan Foo

Consultant Plastic Surgeon

MBBS (London), FRCS (Eng), FRCS (Ed), FRCS(Plast).

Information on Hospitals, Bookings and Private Consultations in a relaxing atmosphere with a highly reputable medical and surgical consultant.

This section contains details of procedures available within Mr Foo's practice.



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eye lid &

eye bag removal surgery

What are the aims and benefits of having Blepharoplasty surgery?

The aim of performing a Blepharoplasty is to achieve a fresher and more youthful look around the eyes. An experienced surgeon can skillfully improve many of the signs of ageing above, below and around the eyes by surgically removing excess fatty deposits and loose skin.

However, wrinkles and creases such as 'smile lines' and 'crows feet' cannot be removed by Blepharoplasty surgery, although these can be treated successfully with botulinum toxin injections as a finishing effect to a Blepharoplasty procedure.

In some patients the hooding and heaviness of their upper eyelid is not related to loose skin and fat on their upper lid but to the age related drooping of the their eyebrow. If this is the case, then the brow can be rejuvenated with an Endoscopic Browlift, which will be discussed fully at consultation.

Different patients have different views about what they dislike about the changes of ageing around the eye, some are bothered about their upper lids and others more concerned about their lower eye area. Often a combination of factors on both the upper eyelid and lower eye area can contribute to an ageing appearance and many prospective patients benefit from upper and lower Blepharoplasty surgery performed at the same time.

Why is upper Blepharoplasty (eye lid surgery) performed?

Upper Blepharoplasty (eye lid surgery) is performed to remove excessive fatty deposits and folds of loose skin resting on the upper eyelid margin. In some cases these folds can protrude beyond the lashes, producing a heavy hooded and jaded appearance. The gradual laxity of skin as it ages on the upper eye lid is often noticed by women at a much younger age than men, as women typically notice that they have more difficulty in smoothly applying eye makeup as their skin becomes more lax and creased.

How is an upper Blepharoplasty procedure performed?

Upper Blepharoplasty is performed by surgically removing loose eyelid skin, together with a strip of underlying muscle from the natural crease of the upper eyelid. In some patients excess fat may also be removed at the same time through the same incision. The incision used to perform this procedure is not particularly noticeable, as it is very fine and mostly hidden within a natural contour and crease of the upper eyelid. The incision continues outwards beyond the lid crease by approximately 1cm or less. This also heals well and easily covered by make-up.

As this procedure is relatively short to perform (around 30 minutes), it can be performed under general or local anaesthetic, giving prospective patients a choice of either being fully asleep throughout their procedure with the operated area numbed with local anaesthetic.

This procedure is usually performed as a day case.

Why is lower Blepharoplasty (eye bag surgery) performed?

Lower Blepharoplasty is performed to remove excess fat and/or loose skin from the lower eye area. The development of unsightly eye bags as we age is caused by a gradual weakening of the Septum (Septum Orbitale), which in youth, holds fat back in the eye socket. As the ageing process progressing a weakening of the Septum allows excess fat to bulge forward causing the appearance of 'eye bags'.

How is a lower Blepharoplasty performed?

Lower Blepharoplasty is performed through a fine incision just below and slightly to the outside of the lower eyelash area. Through this incision the skin is lifted away and some excess fat from beneath is removed. If the septum that holds the fat around the eye has started to deteriorate then this will also be repaired at the same time. The lower lid is then carefully re-draped back in place and any excess skin is surgically trimmed to make an improved fit. The incision will be delicately sewn back in place with fine sutures and a neat tape style dressing will be applied over the sutured area.

It can be performed under general or local anaesthetic, giving prospective patients a choice of either being fully asleep throughout their procedure with the operated area numbed with local anaesthetic, although for lower Blepharoplasty, a general anaesthetic is usually chosen.

This procedure can be provided as a day case or as an overnight stay, depending on the type of anaesthetic used and an individual's needs and circumstances.

Important advice to follow before surgery

Are there any risks or complications associated with Belpharoplasty to consider?

This list is not exclusive and will be discussed in more detail at your consultation. Although every care is taken to minimise complications, they can occur.

Minor complications:

Major complications:

Guide to recovery after a Blepharoplasty:

                              Activity                               Timescale

                   Return to work                            10-14 days  

                         Driving                                    7 days  

                        Aerobics                                  6 weeks  

                        Swimming                                 6 weeks  

                         Makeup                                   1 week  

                          Flights                                   4 weeks  

This procedure can also be carried out in conjunction with the following procedures:

Special note to all patients considering Blepharoplasty

This is a general description of a Blepharoplasty and its typical recovery.

However, recovery times and risks will vary between individuals and Mr Foo will discuss this in more detail with you at consultation.