Blepharoplasty in Manchester and Cheshire

The cost of the procedure will vary slightly according to where it is performed and the areas treated. The prices start from £5000. To find out more information, book a consultation with Mr. Nassab.

The most common side effects include bruising and swelling. The surface of the eyeball or conjunctiva may also swell; this is called chemosis.

Bleeding

Bleeding may occur after the procedure, and it is common to have a few drops from the wound after the procedure. Sometimes, the bleeding can be more and result in a collection underneath the skin called a hematoma. This may allow further surgery to remove the blood collection.

Blindness

Extremely rarely, a severe bleed may result in blood around or behind the eye that can cause blindness.

Infection

Infection can result in redness and swelling of the eyelids. This may also result in discharge or even wound breakdown.

Under or over-correction

If too much skin is removed, this may result in difficulty closing the eye, called ectropion. If too little skin is removed, then you may have residual skin excess.

Asymmetry

Most patients will have some degree of asymmetry, which is completely normal. This may also occur after surgery, or you may become more aware of asymmetries after the procedure.

Scarring

You will have scarring from the blepharoplasty procedure, which will be permanent. The scar is normally in the natural crease of the upper eyelid or just under the eyelashes on the lower eyelid. Occasionally, scars can become raised and thickened, also referred to as hypertrophic or keloid.

Eye related complications

Some patients will experience dry eyes or aggravation of dry eyes following the procedure. This may require some lubricant eye drops to help. Vision may also be blurred for a few days following a blepharoplasty.

Upper blepharoplasty removes excess skin (and sometimes a small amount of fat) from the upper eyelids to address hooding, heaviness, or drooping that can give a tired or aged appearance. In severe cases, excessive upper lid skin can impair the field of vision. Lower blepharoplasty addresses the lower eyelid area, typically to reduce under-eye bags caused by fat bulging forwards. It may involve repositioning or removing fat through a lash-line incision or a hidden transconjunctival (inside the eyelid) approach. Some patients benefit from both upper and lower blepharoplasty performed at the same time, and Mr. Nassab will advise on the most appropriate combination at your consultation.

Good candidates for blepharoplasty are individuals who are concerned about excess or hooded upper eyelid skin, under-eye bags, or a generally tired or aged appearance around the eyes. You should be in good general health, a non-smoker or willing to stop smoking, and have realistic expectations about the results. Upper blepharoplasty is particularly suitable for patients whose upper lid skin is heavy enough to interfere with vision or makeup application. Mr. Nassab will assess your eyelid anatomy, skin quality, and overall facial structure during a detailed consultation to confirm suitability and recommend the most appropriate approach.

Yes. Upper blepharoplasty is routinely performed under local anaesthetic as a day case procedure. Anaesthetic eye drops are applied first, followed by a small injection beneath the upper eyelid skin to numb the area completely. The procedure itself is painless, and most patients find it very comfortable. This approach avoids the risks associated with a general anaesthetic and typically allows for a faster recovery. Lower blepharoplasty may require general anaesthetic depending on the technique used and whether it is being combined with upper lid surgery or other procedures. Mr. Nassab will recommend the most appropriate anaesthetic at your consultation.

Most patients experience bruising and swelling around the eyes for approximately one to two weeks following blepharoplasty. The stitches are removed at 5–7 days post-operatively. Swelling of the conjunctiva (chemosis) may also occur and usually resolves within a few weeks. Most patients feel comfortable returning to a desk-based job after approximately two weeks. Strenuous exercise and activities that raise blood pressure to the head should be avoided for 4–6 weeks. Cold compresses and sleeping with the head elevated in the first few days help reduce swelling. Mr. Nassab and the team provide detailed written aftercare instructions and schedule follow-up appointments to monitor your recovery.

For upper blepharoplasty, the incision is placed within the natural skin crease of the upper eyelid. This means the scar is hidden when the eye is open and virtually invisible when the eye is closed. For lower blepharoplasty, the incision can be placed just beneath the lower lash line (lash-line approach) or hidden entirely on the inside of the eyelid (transconjunctival approach), which leaves no external scar at all. All scars continue to mature, soften, and fade over 12–18 months. Most patients find their blepharoplasty scars are entirely inconspicuous after the first few months of healing.

Yes — in patients where the excess upper eyelid skin is severe enough to hang down over the pupil, upper blepharoplasty can meaningfully improve the peripheral visual field. This is known as dermatochalasis and can significantly affect daily activities such as driving, reading, and applying makeup. Where there is a genuine visual impairment caused by excess upper lid skin, blepharoplasty may be considered a functional procedure. Mr. Nassab will assess the degree of visual impairment at your consultation and can advise on whether this applies in your case.

Yes. Blepharoplasty is commonly combined with other facial rejuvenation procedures to achieve a more comprehensive refresh. Popular combinations include a facelift or deep plane facelift for overall facial rejuvenation, FaceTite for skin tightening without major surgery, or a lip lift to address the perioral area at the same time. Combining procedures means one anaesthetic and one recovery period, which many patients find more efficient. Mr. Nassab will advise on whether combining procedures is appropriate and safe for you at your consultation.

Blepharoplasty provides long-lasting results because the excess skin and fat that are removed do not grow back. However, the ageing process continues, and some patients may develop new skin laxity over time. Most patients enjoy the benefits of their blepharoplasty for 10–15 years or longer before any repeat procedure might be considered. The longevity of results is influenced by factors such as genetics, sun exposure, smoking, and overall skin health. Mr. Nassab will provide realistic expectations for your individual situation at your consultation.