Eyelid Surgery (Blepharoplasty) 2020-03-22T22:13:46+00:00

Eyelid Surgery (Blepharoplasty)

Upper or/and lower blepharoplasty


  • Excess skin of the upper and lower eyelids
  • Excess or bulging fat around the eyes
  • Tired look and dark circles around the eyes


Blepharoplasty is such a powerful procedure to reduce the signs of ageing.  The eyes have a very predictable pattern of ageing.

The upper lids develop extra skin, bulging fat or decrease fat (hollow appearance).  They may be asymmetrical and it certain cases a droopy eyelid (known as eyelid ptosis) may be present, especially in elderly patients.

Surgery may be done under local anaesthesia.  It may involve removal of excess skin, and fat. However, avoiding of the hollow appearance of the eye is crucial and current trends are to maintain volume of the upper eyelid.

Ageing lower eyelids have an appearance of extra skin folds, bulging fat and the typical appearance of ‘bags’ under the eyes.  A hollow, tired appearance may also be a presenting feature.

In elder patients, decreased laxity of the lower eyelids may be a presenting complaint with loss of the almond-shape appearance of the eyelid.

Surgery of the lower eyelid is more complicated than the upper eyelid.  It involves tightening and re-draping of the eyelid skin as opposed to removing the skin.  Bulging fat is removed and the contour is restored.


Upper eyelid:  30 min
Lower eyelids: 1 hour


  • Brow lift, Botulinum toxin of the crows feet, chemical peels.
  • Ptosis (lazy eye) correction may be done during the same procedure.
  • A canthopexy (tightening) of the lower eyelid.


Recovery is short, and patients can typically return to work after a few days. Bruising around the eyes is normal.

There are no dressings and just an ointment may be applied to the area.

Contact us to arrange a consultation for a full assessment by Dr Liakos.  We are happy to answer any questions or queries you may have.

Contact us for a consultation

Dr Dimitri Liakos is a member of the College of Plastic and Reconstructive Surgeons of South Africa and a member of the Association of Plastic, Reconstructive and Aesthetic Surgeons of South Africa (APRASSA).

He is a member of the World Society of Reconstructive Microsurgeons (WSRM) and the International Society of Aesthetic Plastic Surgeons (ISAPS).