Blepharoplasty

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Overview

Procedure Overview

If you're dealing with drooping eyelids, bags under the eyes, or even experiencing impaired vision due to excess upper eyelid skin, blepharoplasty surgery could be the solution for you. At the Westbourne Centre in Birmingham, we specialise in upper and lower blepharoplasty, a surgical procedure designed to rejuvenate the eye area and restore a natural, youthful look. Hiroshi, a highly skilled and experienced plastic surgeon. We provide a safe and comfortable environment, utilising either local anaesthetic alone in suitable patients or local anaesthesia (LA) with sedation. The use of sedation allows patients to undergo the procedure with minimal discomfort, and in most cases, return home the same day to recover in the comfort of their own home. Whether it's to correct baggy eyes or to lift drooping eyelids, we provide a natural-looking transformation, always keeping patient safety and satisfaction at the heart of what we do.

What Is Blepharoplasty?

Blepharoplasty, commonly known as eyelid surgery, is a procedure aimed at removing or repositioning excess skin, fat, and muscle from the upper and/or lower eyelids. The surgery can help:

  • Eliminate excess skin that may cause eyelids to droop.
  • Reduce puffiness and bags beneath the eyes.
  • Improve vision where excess skin on the upper eyelids obstructs sight.
  • Refresh and rejuvenate the appearance of tired, aged eyes.

This surgery is suitable for both upper and lower eyelids and can be done on its own or in combination with other procedures for a more comprehensive facial rejuvenation.

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Aesthetic and Functional Benefits of Blepharoplasty

While many patients seek blepharoplasty for cosmetic reasons, it can also offer functional benefits, especially if drooping upper eyelids interfere with vision. The procedure can:

  • Improve vision by removing excess skin that obstructs the upper field of vision.
  • Create a more youthful appearance, smoothing out bags under the eyes and eliminating tired, puffy looks.
  • Boost self-confidence, as patients report feeling more alert and refreshed after surgery.

Blepharoplasty provides both aesthetic enhancement and, in some cases, improved quality of life, making it one of the most popular cosmetic procedures.

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Who Makes a Good Candidate for Eyelid Surgery?

You may be an ideal candidate for blepharoplasty if:

  • You are experiencing sagging upper eyelids that affect your appearance or vision.
  • You have bags or puffiness under the eyes that make you look tired or aged.
  • You are in good health and have realistic expectations about the surgery’s results.
  • You are over the age of 35, although younger patients may seek the procedure due to hereditary factors.

It’s important to consider your skin quality and overall health. Smokers, for example, are encouraged to quit before surgery as it can hinder the healing process. Hiroshi will assess your facial structure and skin elasticity to ensure blepharoplasty is the right solution for you.

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Upper and Lower Blepharoplasty: What’s the Difference?

Upper blepharoplasty

Focusing on correcting drooping or hooded eyelids caused by excess skin, which may also impair vision. The goal is to create a more defined, lifted eyelid, restoring the natural contours of the upper lid.

Lower blepharoplasty

Addresses puffiness and bags beneath the eyes. The surgery involves removing or repositioning excess fat and tightening the skin to eliminate under-eye bags and create a smoother, more youthful appearance.

For patients who require a more tailored approach, advanced techniques like transconjunctival blepharoplasty, where the incision is made inside the lower eyelid can be used to avoid visible scarring.

Advanced Surgical Techniques in Blepharoplasty

To achieve the best results, we use several advanced surgical techniques tailored to each patient’s needs:

Transconjunctival Blepharoplasty

Ideal for younger patients or those without significant skin excess, this technique involves making the incision inside the lower eyelid, meaning there is no visible external scar.

Canthopexy and Canthoplasty

These procedures are often performed alongside lower blepharoplasty to reinforce and tighten the lower eyelid, restoring a smooth, youthful appearance and the eye’s natural shape.

During your consultation, we’ll explain these techniques in detail and discuss which one is best suited for you.

What to Expect During Your Consultation

During your consultation, Hiroshi will conduct a comprehensive evaluation to assess the best approach for your upper or lower blepharoplasty. Here’s what happens:

  1. Patient Assessment: Your eye area will be thoroughly examined to assess skin laxity, fat deposits, and muscle tone. This helps determine whether upper blepharoplasty, lower blepharoplasty, or both are required.
  2. Tailored Treatment Plan: A personalised surgical plan will be developed based on your individual needs. Factors like your age, facial structure, and overall health will be taken into account.
  3. Discussing Your Expectations: Hiroshi will discuss your goals for the surgery, explaining the results you can realistically expect and addressing any concerns.

This personalised approach ensures you’re well informed and comfortable before moving forward.

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Recovery Timeline and Post-Surgery Care

Recovery after blepharoplasty typically follows this timeline:

  • 1-3 Days Post-Surgery: You may experience swelling, bruising, and mild discomfort. Cold compresses and prescribed medications will help manage these symptoms.
  • 1 Week: Most patients see a reduction in swelling and bruising. Stitches are typically removed around this time.
  • 2 Weeks: You should be able to return to light activities and work. Any residual bruising can often be concealed with makeup.
  • 4-6 Weeks: Most swelling subsides, and your results will become more apparent. You can return to all normal activities, including exercise.

Post-Surgery Care Tips:

  • Keep your head elevated while resting to reduce swelling.
  • Avoid strenuous activities for at least two weeks to ensure proper healing.
  • Use prescribed ointments and follow all aftercare instructions provided by your surgeon.

We’ll schedule follow-up appointments to monitor your progress and ensure the best results.

Combining Blepharoplasty with Other Procedures

For those looking for more comprehensive facial rejuvenation, blepharoplasty can be combined with other procedures:

  • Brow Lift: Often combined with upper blepharoplasty to lift and smooth the forehead, reducing frown lines and wrinkles.
  • Facelift: A full facelift can be done alongside blepharoplasty to address sagging skin in the lower face and neck, creating a more youthful appearance overall.

If you’re considering additional procedures, we’ll work with you to develop a comprehensive plan to achieve your aesthetic goals.

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Why Choose Hiroshi Nishikawa for Blepharoplasty in Birmingham?

Choosing the right surgeon is one of the most important decisions you’ll make when considering eyelid surgery. Hiroshi, is one of the leading experts in blepharoplasty in Birmingham, with extensive experience in upper and lower eyelid surgery. He combines his precise surgical skills with a deep understanding of facial aesthetics to deliver natural, long-lasting results.

At the Westbourne Centre, we offer a personalised, professional approach to every patient. We understand that eyelid surgery is a personal decision, and we’re here to guide you through the process, ensuring that you feel confident and informed every step of the way.

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FAQ's

Your most common questions answered

Have a question about our procedures? Call us to find out more +44 (0)121 456 8149 or check out the following frequently asked questions from customers.

Will a blepharoplasty improve my peripheral vision?

If there is excess skin in the upper lid, an upper lid blepharoplasty can improve upper field vision. This should be discussed during consultation.

Can I have my eyelids done at the same time as a facelift?

Yes, there are many procedures that can safely performed at the same time. Eyelids and facelift are two.

Can I see before and after pictures of patients considering the same procedure?

Most certainly! During consultation I am happy to share before and after photos with you of people who have had the same procedure(s) you are considering. By doing this during the consultation, and in person, I have the opportunity to relate the example specifically to your situation, highlighting outcomes and helping with expectations.

How can I avoid complications from eyelid surgery?

Complications from cosmetic eyelid surgery are relatively infrequent. However, problems with symmetry, unwanted changes in shape, the quality of scars and overcorrection of the original problem such as the looseness of skin or bagginess of the eyelids due to the amount of skin or fat removed can occur. Watery eyes, asymmetry and blurred vision can sometimes be temporary as they can be caused by changes in muscle tone following surgery. Disturbance of function such as ptosis (upper eyelid damage) and eye injury are very rare. Complications can be reduced by the proper selection of patients and of course careful technique. This can only be achieved with the proper training, judgment and experience. So my recommendation is to always do you research when choosing a surgeon, ask for recommendations, and actively participate in your consultation.