How is eyelid surgery done?
The upper lid incision sits in the lid crease; the lower lid is approached just below the lashes or from the inner surface. Surgery is mostly under local anaesthesia and takes 1–2 hours.
Upper lid
The incision follows the lid crease. The area to be removed is first measured and marked; removing too much can make it hard to close the eye. Lax muscle and connective tissue are repaired, and excess skin and fat are removed.
Lower lid
- Skin approach: the incision is made just below the lashes.
- Conjunctival approach: in some cases the inner surface of the lid is used, leaving no skin incision.
After excess fat, skin and muscle are removed, the wound is closed with fine stitches so the scar is discreet, and a light dressing is applied.
Time and anaesthesia
The procedure takes about 1–2 hours under local or general anaesthesia. A hospital stay is usually not needed.
More detail: Upper eyelid surgery · Lower eyelid surgery
Frequently asked questions
Does the patient feel pain during eyelid surgery?
Once anaesthetised, no pain is felt during the procedure. Under local anaesthesia the surgeon talks with you throughout, and ice afterwards keeps you comfortable.
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References
This page is for general information only and does not replace a medical consultation. Anatomy and treatment plans differ from patient to patient.