Upper eyelid surgery, or upper blepharoplasty, is a common cosmetic procedure that raises many questions for those considering it. Here are the top five questions and answers:

1. What is Upper Eyelid Surgery, and What Does It Involve?

Answer: Upper eyelid surgery, or upper blepharoplasty, is a surgical procedure designed to remove excess skin, muscle, and sometimes fat from the upper eyelids. The goal is to improve the appearance of the eyes by reducing sagging and drooping, which can make a person look tired or older. During the procedure, the surgeon makes an incision along the natural crease of the upper eyelid, removes the excess tissue, and then closes the incision with fine sutures. The surgery typically takes about 1-2 hours and is usually performed under local anaesthesia with sedation or general anaesthesia.

2. Am I a Good Candidate for Upper Eyelid Surgery?

Answer: Good candidates for upper eyelid surgery are typically individuals who:

• Have sagging or drooping upper eyelids that interfere with their vision or affect their appearance.

• Are in good overall health without serious eye conditions.

• Have realistic expectations about the results of the surgery.

• Do not smoke or can quit smoking several weeks before and after the surgery to promote better healing. A consultation with a board-certified plastic surgeon can help determine if you are a suitable candidate for the procedure.

3. What is the Recovery Process Like?

Answer: Recovery from upper eyelid surgery usually involves:

• Mild to moderate swelling and bruising around the eyes, which typically subsides within 1-2 weeks.

• Some discomfort, which can be managed with prescribed pain medications.

• Keeping the head elevated and using cold compresses to reduce swelling.

• Avoiding strenuous activities, heavy lifting, and bending over for at least two weeks.

• Attending follow-up appointments with the surgeon to monitor healing. Most people can return to work and normal activities within 7-10 days, although full recovery and final results may take several weeks to a few months.

4. Are There Any Risks or Complications?

Answer: As with any surgical procedure, upper eyelid surgery carries some risks and potential complications, including:

• Infection

• Bleeding

• Scarring

• Dry eyes or irritation

• Difficulty closing the eyes

• Asymmetry or uneven results

• Temporary or permanent changes in vision (very rare) Choosing an experienced, board-certified plastic surgeon can help minimise these risks. It's important to discuss potential risks and complications with your surgeon during the consultation.

5. How Long Do the Results of Upper Eyelid Surgery Last?

Answer: The results of upper eyelid surgery are long-lasting, but they are not entirely permanent. While the surgery can significantly improve the appearance of the eyes and reduce signs of ageing, it does not stop the natural ageing process. Most patients enjoy the benefits of the surgery for many years, with some experiencing lasting results for up to 10 years or more. Factors such as genetics, lifestyle, and skin care can affect the longevity of the results. Some individuals may opt for additional procedures in the future to maintain their desired appearance.

These answers should help provide a better understanding of what to expect from upper eyelid surgery and assist in making an informed decision. Always consult with a qualified surgeon to address any specific concerns and get personalised advice.