Frequently Asked Questions

1. Is blepharoplasty surgery done with the patient awake (local anaesthesia) or asleep (general anaesthesia)?

The upper eyelids are usually operated on with the patient's eyelids anesthetised using local anaesthesia. Many patients prefer sedation or general anaesthsia, particularly for the lower eyelids.

2. Do I have to stay in hospital overnight after the operation?

This is according to the patients individual needs. It is easier to moniter post-operative course if the patient stays overnight after the surgery.

3. Do I have to stop my aspirin or warfarin before the operation date?

Yes, please do stop these. The aspirin should be stopped up to two weeks before your operation date. Warfarin is stopped two days before the operation date, in order to check the globe and socket, and the INR checked on the day of surgery. Aspirin is stipped two weeks before the operation to reduce per-operative swelling.

Please check that your physician agrees it is safe to stop warfarin.

4. What happens before surgery?

5. What happens after surgery?

For more information, please visit the page "After eyelid surgery..."

6. Will I need eyelid or eyebrow droop (ptosis) surgery?

This will be assessed and discussed with each individual patient, as sometimes if the eyebrows are very droopy causing the skin to overhang the eyelashes, a brow lift operation is indicated instead of or as well as a blepharoplasty.

7. Are there any risks of blepharoplasty surgery?

You will be given a consent form to sign and the surgeon will discuss possible complications with you. Some complications are very rare and some more common. If you don't understand what the surgeon is saying, you should say so and ask any questions or about any worries you have about your proposed surgery. Once you are satisfied that you understand the aims of the surgery, what will happen and the possible risks of surgery, then you should sign the consent form.

8. What are the complications of blepharoplasty?

Serious complications are rare but may occur even in the hands of well experienced and trained oculplastic surgeons. Every effort is made to reduce the risk of complication, and oculoplastic surgeons are trained to manage these.

For further information about cosmetic eyelid plastic surgery, please contact an oculoplastic surgeon in you area.