Eyelid Surgery
Upper Blepharoplasty (Upper Eyelid Surgery)
Removes excess upper eyelid skin and contour, using a precise incision concealed within the natural upper eyelid crease.
Upper blepharoplasty refines the upper eyelids by removing excess skin and, where appropriate, adjusting underlying tissue. The procedure is designed to improve heaviness of the upper lids while preserving a natural eyelid shape and overall facial expression.
Surgical focus
My approach is considered, curated and grounded in a deep understanding of facial anatomy. Upper blepharoplasty is not simply about removing skin; it is about restoring eyelid definition while preserving natural contour, brow position and facial expression.
Understanding Upper Blepharoplasty Surgery
Upper blepharoplasty focuses on the upper eyelid and the fold above the eye. The procedure can address excess skin, heaviness and reduced eyelid definition while maintaining balance with the brow, forehead and surrounding facial features.
What is Upper Blepharoplasty?
Upper blepharoplasty is a surgical procedure that removes excess skin from the upper eyelids. In some cases, a small amount of underlying fat or muscle may also be adjusted to refine the upper eyelid contour.
The incision is usually placed within the natural upper eyelid crease, allowing the scar to sit discreetly when healed. The aim is to improve eyelid definition without creating a hollow or over-operated appearance.
Where Upper Blepharoplasty Fits Among Options:
Upper blepharoplasty alone
Best when heaviness is mainly skin redundancy with stable brow position.
Brow descent (brow ptosis)
If true brow descent drives the hooding, a brow lift (endoscopic, temporal, gliding, or direct) may be recommended with or instead of blepharoplasty.
Internal brow support
In mild lateral descent, a limited internal browpexy can be added through the same upper-lid incision.
Ptosis (levator) repair
If the lid margin sits low (true blepharoptosis), a levator advancement may be combined to improve margin position and symmetry.
Skin quality
Fine lines/crepe changes respond to laser or chemical peel – often staged.
Who Is the Ideal Candidate?
- Redundant upper-lid skin obscuring the lid platform/lashes.
- Lateral hooding not solely due to brow descent.
- Good ocular surface health (manageable dry-eye) and realistic goals.
- Stable medical history and non-smoker (or willing to cease as advised).
When another approach may be better
- Predominant brow ptosis – consider brow lift (± limited upper-lid skin).
- Significant dry-eye/ocular surface disease – optimise first.
- Complex eyelid disorders (e.g., thyroid eye disease, significant lagophthalmos) – tailored multidisciplinary plan.
Recovery and Aftercare
Wound care
Keep incision clean/dry; thin film of ointment as directed.
Activity
Walk daily; avoid strenuous exercise for ~1–2 weeks; no heavy lifting/bending initially.
Eye care
Lubrication for temporary dryness/foreign-body sensation; avoid rubbing.
Scar care
Begin silicone therapy once closed; strict sun protection.
Follow-up
Early review, suture removal, then 4–6 weeks; earlier if concerns.
What Are the Risks of Lip lift Surgery?
- Bruising/haematoma, infection (uncommon).
- Dry eye or irritation, temporary blurred vision; chemosis (conjunctival swelling).
- Asymmetry, contour irregularity, over- or under-resection (hollowing/skin redundancy).
- Lagophthalmos (incomplete closure) while swollen; usually settles with lubrication.
- Scarring, milia along the incision line.
- Very rare serious complications (e.g., retrobulbar bleeding) – urgent management protocols are in place.
- Anaesthetic risks (if sedation used).
COMBINE YOUR UPPER BLEPHAROPLASTY
Subtle Refinement & Rejuvenation
Brow lift
Endoscopic / temporal / gliding / direct when lateral hooding is primarily brow-driven.
Ptosis repair
Levator advancement for low margin position.
Periocular volume
Micro/nanofat for upper sulcus hollowing (selected cases).
Skin resurfacing
Laser or chemical peel for texture – commonly staged 6–12 weeks post-op.
Adjuncts
Targeted neuromodulators to brow depressors; tear-film optimisation with your ophthalmologist if dry-eye history is significant.)
WHAT TO EXPECT
From Consultation to Recovery
Why Choose Dr Karagiannis
for your Upper Blepharoplasty?
1. Expertise & Experience
Multiple facial aesthetic fellowships across Europe and Australia with focused periocular experience.
2. Anatomy-First Planning
Anatomy-first, conservative tissue handling to preserve crease definition and avoid hollowing
3. Combined Approach
Integrated planning with brow lift, ptosis repair, and skin treatments, sequenced to streamline recovery.
4. Continuity of Care
Clear, guideline-compliant counselling and continuity of care in accredited facilities.
Upper Blepharoplasty FAQs
