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Upper Blepharoplasty

Upper Blepharoplasty

What is Upper Eyelids Surgery?

Upper eyelids surgery, also known as upper blepharoplasty, is a cosmetic procedure aimed at improving the appearance of the upper eyelids. This surgery can address different concerns, including removing excess skin that creates a droopy or tired appearance, eliminating fat that can cause puffiness in the eyelids, and creating a more youthful and refreshed look around the eyes.

Droopy eyelids are a common concern caused by natural skin ageing. As collagen and elastin decline, the delicate skin around the eyes becomes thinner and less able to bounce back. Weakened skin is then more likely to stretch, resulting in sagging and a droopy appearance.

An upper blepharoplasty is a surgical procedure that helps to reduce droopy eyelids and restore a more rested look to the face. This is a day case procedure that is performed using a local anaesthetic, and can address both of the eyes.

A cut is made along the natural crease of the upper eyelid to help make scarring less noticeable. From here Miss Breahna will trim away any excess skin before repositioning the skin and applying small stitches to close the incision. This procedure is often more effective than taking a non-surgical approach, and provides a longer-term solution to the appearance of ageing eyes. You may need to arrange for someone to take you home as the eye area will be tender, swollen and bruised, and the eyes will also be sensitive to light.

It may take up to 2 weeks for the side effects to subside, when the results of your procedure will become visible. Removing excess skin from above the eye will take away the tired look that droopy eyelids cause, and may have a positive effect on the overall facial profile. In some cases, upper blepharoplasty has also helped to improve a person’s quality of vision when overstretched skin has started to cover the eye. Upper blepharoplasty can be performed alongside other anti-ageing procedures to help restore a youthful look to the entire face.

At a glance

Procedure Time
1-2 Hours
Procedure Anaesthesia
Local / General Anaesthetic
Procedure Downtime
7-10 days off work

Table of Contents

Who Needs Upper Eyelids Surgery?

Upper eyelids surgery is suitable for individuals who have:

  • Excess skin on the upper eyelids that causes folds, impairing vision or contributing to a tired or aged appearance.
  • Puffiness in the upper eyelids due to fat deposits.
  • A desire to improve the facial appearance for a more youthful or alert look.

Good candidates for this surgery are healthy, non-smokers with realistic expectations about the outcomes of the procedure. If you are considering this procedure, it’s important to consult with Anca to discuss your goals, potential risks, and whether this procedure is the right choice for your specific needs.

Benefits of Upper Eyelids Surgery

Upper eyelids surgery offers many benefits, including:

  • Improved Vision: By removing excess skin that obstructs the field of vision, you can enjoy a clearer, unimpeded view.
  • Aesthetic Enhancement: The removal of excess skin and fat can significantly rejuvenate the eye area, making the eyes appear more open, alert, and youthful.
  • Increased Self-Confidence: Many patients report a boost in self-esteem and satisfaction with their appearance post-surgery.
  • Minimal Scarring: The incisions made during upper blepharoplasty are placed in the natural crease of the eyelid, making any resulting scars well-concealed once healed.
  • Long-Lasting Results: While the ageing process continues, the results of upper eyelids surgery can last for many years, providing a long-term improvement in appearance and vision.

These benefits highlight why upper eyelids surgery is a popular choice for those looking to address concerns related to ageing or the functionality of their eyelids.


Before & After

See the difference Upper Blepharoplasty
has made for our clients

Types of Upper Eyelids Surgery

Traditional Upper Eyelid Blepharoplasty

This is the most common form of eyelid surgery, involving the removal of excess skin, muscle, and sometimes fat from the upper eyelids. The incision is made along the natural crease of the eyelid, allowing for the scar to be well-concealed once healed.

Ptosis Repair

Ptosis is a condition characterised by a drooping upper eyelid that can affect one or both eyes. Surgery to correct ptosis not only involves removing excess skin and fat but also tightening the muscle that lifts the eyelid.

Laser Upper Eyelid Surgery

In some cases, a laser is used instead of a scalpel to make incisions, which can offer the benefits of reduced bleeding and swelling. However, the choice between laser and traditional surgery depends on the surgeon’s expertise and the specific needs of the patient.

Upper Eyelids Surgery Explained

Upper eyelids surgery is performed as an outpatient procedure under local anaesthesia with sedation or general anaesthesia, depending on the complexity of the surgery and your comfort. The procedure usually takes about one to three hours. Here’s a general overview of the steps involved:

  1. Anaesthesia: The first step is administering anaesthesia to ensure your comfort during the procedure.
  2. Making the Incision: Anca makes an incision along the natural crease of the upper eyelid. Through this incision, excess skin, muscle, and possibly fat are removed or repositioned as needed.
  3. Adjustments: Depending on the individual case, Anca may perform additional adjustments, such as tightening the eyelid muscles to correct ptosis.
  4. Closing the Incisions: The incisions are then closed with sutures, which may be removed after a week or so, or absorbable sutures that do not require removal.
  5. Recovery: After the surgery, you are taken to a recovery area where you are monitored as the anaesthesia wears off. You can go home the same day, accompanied by a friend or family member.

Upper eyelids surgery can be customised to meet the specific needs and goals of each patient. The procedure varies depending on the extent of correction required, your anatomy and desired outcomes. The primary types of upper eyelid surgery are  Traditional Upper Eyelid Blepharoplasty, Ptosis Repair, and Laser Upper Eyelid Surgery. Each type of surgery has its indications, benefits, and potential risks, which should be thoroughly discussed with Anca during the consultation process.

Recovery and Aftercare

The recovery period is an important phase where you must follow Anca’s instructions carefully to ensure optimal healing and outcomes. Here’s what to expect during the recovery process:

  • Immediate Post-Op: You may experience swelling, bruising, irritation, or dry eyes, which can be managed with medication, cold compresses, and ointment. Vision might be blurry temporarily due to the ointment applied to the eyes.
  • First Week: During the first week, you will need to rest and avoid any strenuous activities. The head should be kept elevated to reduce swelling. Sutures are typically removed or dissolve during this period.
  • Following Weeks: Swelling and bruising will gradually diminish over the next few weeks. Most patients feel comfortable returning to work and social activities within 10 to 14 days, although this can vary.
  • Long-term Care: It’s important to protect the eyes from the sun and avoid rubbing them. Full healing and the final results of the surgery may take several months to become apparent.

You should attend all follow-up appointments with Anca to monitor your recovery and address any concerns.


Patient satisfaction is the top priority for Anca. You can find how patients feel about her work below.

Pricing & Funding for Upper Eyelid Surgery in the UK

The cost of upper eyelid surgery in the UK can vary widely depending on the surgeon’s experience, the complexity of the procedure, and the location of the surgery. On average, prices can range from £2,000 to £4,000. It’s important to note that these costs cover the surgeon’s fee, anaesthesia, the facility fee, and follow-up appointments.

Most cosmetic surgeries, including upper eyelid surgery, are not covered by the National Health Service (NHS) or private health insurance as they are considered elective procedures. However, if the surgery is deemed medically necessary to improve vision or for other health reasons, there may be an opportunity for funding or partial coverage under specific circumstances.

Prospective patients should thoroughly research and consult with multiple surgeons to understand the full scope of the costs involved. Additionally, it’s crucial to consider the qualifications and experience of the surgeon and the quality of care provided when making a decision, rather than basing the choice solely on price.

Further Reading



Frequently asked questions

At Chester Cosmetic Surgery, Miss Breahna will establish your suitability for this procedure at a comprehensive consultation.

She often recommends this procedure when the skin on the upper eyelid has become stretched and is sagging lower than is considered the norm affecting your peripheral vision. 

Upper blepharoplasty is performed using a local anaesthetic at Chester Cosmetic surgery. The injections are made with tiny needles, causing minimal discomfort and are generally well tolerated. Oral pain relief will be prescribed while the eyes are healing.

Immediately after the procedure the eyes will feel sore, and swelling and bruising will develop. Ice packs applied intermittently and sleeping propped up will help to reduce swelling. You may find it helps to wear sunglasses while the eyes feel sensitive. 

It may take several weeks for swelling and bruising to totally disappear, which is when you will start to see the full effects of the procedure.

There will be a permanent scar but this will be hidden within the eye’s natural crease.

Scarring may look particularly red for up to 6 months when it will fade and blend in better with the surrounding skin.

As with any surgery, there are risks, including infection, bleeding, scarring, asymmetry, and changes in vision. Discussing these risks with Anca during the consultation can help you make informed decisions.

Incisions are made along the natural crease of the eyelid, making scars well-concealed once they heal.

Non-surgical treatments like neuromodulator injections or fillers can offer temporary improvements but cannot remove excess skin or significantly alter the eyelid’s appearance like surgery can.

If surgery is recommended for functional reasons and not performed, vision impairment and symptoms may persist or worsen. For cosmetic concerns, not having the surgery simply means continuing with the current appearance of the eyelids.

Pain is typically minimal and manageable with medication. Most patients report more discomfort from swelling and bruising than pain.

The results are long-lasting, but the ageing process continues. Lifestyle choices and genetics play a role in how long the benefits last.

Preparation includes following Anca’s instructions, which may involve stopping certain medications, arranging for someone to drive you home, and preparing a recovery area in your home.

Initial swelling and bruising will obscure the results at first. Most patients see significant improvements within a few weeks, with final results apparent after several months.

About Anca Breahna – Consultant Plastic Surgeon at Cheshire Cosmetic Surgery

Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery.

Anca performs a wide range of Hand Surgery & Skin Surgery and Aesthetic Breast, Body and Face Surgery,

Anca Breahna - Female Plastic Surgeon in Chester UK

As one of the very few female Plastic Surgeons in the region, she is able to offer that unique female perspective, with empathy, attention to detail and personalised care. It is Anca’s true dedication and commitment to her field, that sets her aside from her peers. Her extensive surgical training means that you are in safe hands. She is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.

Anca Breahna’s surgical training has mainly been undertaken within the United Kingdom. She began a rigorous training programme in Plastic and Reconstructive Surgery in 1999, after achieving her medical degree from the University of Bucharest. Miss Breahna attained her PhD degree at the same university in 2007 for her medical research. She then relocated to the UK and has worked Internationally to further extend her qualifications and training.

The team at Cheshire Cosmetic Surgery looks forward to meeting you and will treat you with respect, consideration, and empathy.

Your Next Steps

Do your Research

  • Please read our website pages and blogs to learn more about your intended procedure.
  • All Surgery has risks and potential complications. Please read more about the risks of your surgery.

Get a Medical Referral before your consultation at Cheshire Cosmetic Surgery

  • A Referral from your Doctor is not essential, however it is recommended to have one

Making The Most Of Your Consultation

  • Please arrive slightly early for your in-person consultation with Anca – Car parking is usually available on-site
  • You are welcome to bring a friend or relative to help consider the information and discuss your options
  • Please be aware you may need to undress for a physical exam so wear simple clothes
  • Ensure you also take a lot of notes during the consultation and thoroughly read all the documents provided

Want more information before scheduling your consultation?

  • Please call to find out more about availability, pricing and medical payment plans
  • Request more information about the procedure – call us or email us

How to Book your Consultation with Anca Breahna – Plastic Surgeon

  • You can book your consultation with Anca by paying the £150 cosmetic consultation fee when you make your appointment. This fee covers further consultations about the same concern.

Contact Anca’s Team

Call Claire or Joedy on 03332 244111 to arrange your consultation or email us for more information.

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    03332 244111


    Chester Wellness Centre,
    Wrexham Road,
    CH4 9DE

    Practice Manager: Claire Bate – Phone 0800 080 6026

    Patient Coordinator: Joedy Williams – Phone 03332 244111

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