Surgical Process –Blephroplasty

There are two main approaches:

Transcutaneous Approach:
An incision is made just below the lower lash line. This allows for the removal or repositioning of fat, as well as the tightening of skin and muscle. While effective, it may involve a more extended healing period and a slightly higher risk of visible scarring.

Transconjunctival Approach (often called “scarless” surgery):
The incision is made on the inside of the lower eyelid, leaving no visible external scar. This method is ideal for younger patients or those with good skin elasticity who primarily need fat removal or repositioning.

Why Local Anaesthetic May Be Preferred

Surgeons like Mr. Vahidi often perform blepharoplasty under local anaesthetic because:

• It reduces risks associated with general anaesthesia
• It enables faster recovery and reduced downtime.
• It’s more cost-effective and avoids hospital admission.
• It can be done painlessly with advanced techniques that minimise bruising and swelling.

General Risks of Blepharoplasty

As with any surgical procedure, blepharoplasty carries some general risks, including:

• Reaction to anaesthesia
• Bleeding or infection
• Blood clots
• Poor wound healing

Upper Eyelid Surgery Risks

Upper eyelid blepharoplasty is generally considered low-risk, but potential complications include:

• Dry eyes: Temporary dryness or irritation is common, especially if blinking is affected post-surgery
• Difficulty closing the eyes: If too much skin is removed, it may impair eyelid function
• Scarring: While scars usually heal well in the eyelid crease, improper suturing or healing can lead to visible or pigmented scars
• Asymmetry: Slight differences in eyelid shape or height may occur.
• Temporary blurred vision: Usually resolves within days, but it can also be longer-lasting

Lower Eyelid Surgery Risks

Lower eyelid blepharoplasty is more complex and carries a higher risk of complications:

• Ectropion: Outward turning of the lower eyelid, which may require revision surgery
• Scarring: This is especially likely if the transcutaneous (external) approach is used.
• Hollowing or sunken appearance: Over-removal of fat can result in an unnatural appearance.
• Skin discolouration: Hyperpigmentation or hypopigmentation may occur around the incision site
• Prolonged swelling or bruising: More common with lower eyelid procedures due to thinner skin and vascularity.

Rare but Serious Complications

• Injury to eye muscles: Can affect eye movement or cause double vision.
• Loss of vision: Extremely rare but possible due to bleeding behind the eye (orbital hematoma)
• Need for revision surgery: To correct asymmetry, scarring, or functional issues.

Minimising Risk

• Choose a qualified oculoplastic or facial plastic surgeon with experience in eyelid anatomy.
• Follow pre- and post-operative instructions carefully.
• Disclose any history of dry eyes, thyroid disease, or eye surgeries during consultation.

Preparing for Your Blephroplasty Consultation with Mr Vahidi

If you’re considering a Blephroplasty, your consultation is the perfect time to explore whether it’s the right fit for your body and goals. Mr Vahidi will guide you through the process and ensure you feel informed, supported, and confident.

Bring your questions. This is your journey—every concern matters. No question is too small, and we’ll revisit anything until you feel completely clear.

Key topics to discuss:

• Am I a good candidate for upper, lower, or both eyelid surgeries?
• What technique will you use for my specific anatomy and goals?
• Will the procedure be done under local anaesthetic (LA) or general anaesthetic (GA)?
  • What are the benefits and risks of each?
  • Why do you prefer LA in your practice?
• Will I have visible scarring? If so, where?
• How long will swelling or bruising last?
• What kind of help will I need during recovery?
• Will the surgery affect my vision or eye function?

Common Complications After Blephroplasty

While Blephroplasty is generally a safe and has high satisfaction rates, like any surgical procedure, it carries some risks. These can vary depending on the surgical technique used 

General Surgical Risks

• Bleeding: Excessive bleeding may occur during or after surgery
• Infection: Though rare, infections can develop at incision sites
• Poor wound healing: Delayed healing or wound reopening (dehiscence) may require medical attention
• Hematoma: A collection of blood under the skin that can cause swelling and pain
• Seroma: Fluid buildup under the skin, often managed with surgical drains

Procedure-Specific Risks

Anesthesia risks: Includes allergic reactions, airway issues, or heart complications