Eyelids provide protection from foreign bodies and trauma. They also keep the ocular surface moist and prevent scattering of light from the ocular surface, which might otherwise reduce vision.

If the eyelids are lax or incorrectly oriented, this can compromise comfort and vision.

Cosmetic Eyelid Surgery

The eye area is a common concern for both men and women as we age. The eyelids are mobile structures and the skin is very fine, predisposing to redundancy and hooding in the upper eyelids and “eye bags” or festoons in the lower eyelids. These changes may lead to the appearance of tiredness and may sometimes obscure the field of vision if the upper lid hooding is severe. Blepharoplasty surgery can address these issues and as an ophthalmic surgeon, specialising in eyelids, it is also one of the most commonly performed procedures in my practice. In my experience, no two people are exactly the same so I will tailor my surgery according to your individual needs to produce the best possible cosmetic result.

Ptosis of the upper eyelid

The upper lid margin is sitting in a lower than normal position. If it starts to encroach upon the pupil, it can restrict the top part of the field of vision. Long-term contact lens wear and increasing age are risk factors, although ptosis can be related to certain medical conditions.

Treatment, when indicated is usually involves surgery under local anaesthetic, although for some patients with an underlying medical cause for their ptosis, medical treatment may be effective. 


Outward displacement of the margin of the lower eyelid is most commonly associated with age-related laxity, although some patients develop this problem due weakness of the nerve supplying the facial muscles (Bell’s Palsy) of because of tightness of the skin in the lower eyelid or cheek as a result of scarring or inflammatory skin disease. Patients experience watering, sticky discharge and sometimes the undersurface of the eyelid is visible as a red line.

Corrective treatment usually involves surgery under local anaesthetic.


Inward displacement of the upper or lower eyelids is most commonly associated with age-related laxity. In addition to watering and discharge, patients often experience a gritty sensation, which can be quite painful as a result of scratching of the inverted eyelashes on the sensitive surface of the eye. Corrective treatment involves surgery under local anaesthetic. Botulinum toxin injections can also be used in patients unable to tolerate surgery or as a temporizing measure for comfort and ocular surface protection whilst waiting for surgical correction.

Further Patient Information can be found at www.bopss.co.uk  

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