You are usually given a general anaesthetic for eyelid surgery. If it's only your upper eyelids, this can be done using a local anaesthetic. Eyelid surgery is carried out as a day procedure.
With your upper eyelid, we make a cut along the fold of the lid and slightly beyond the outer corner of your eye. We then remove skin and muscle from the lid to reduce its droopiness.
With your lower eyelid, we make a cut along the lash margin of the lid and slightly beyond the outer corner of your eye. We raise a flap of skin to expose the underlying fat pads (it's the bulging of these pads that gives the "baggy" look under your eyes). The pads are cut out, replaced, or redistributed. We then remove any excess skin from the skin flap.
Often the operation can be done from inside the eyelid, leaving no external scar.
After the operation
Pain is not usually a problem following this procedure, but bruising and swelling are variable. This can vary from minimal discolouration to virtually closing the lids for a few days. Sometimes the bruising can track onto the white of the eye leaving a bloodstain here for some weeks. Bruising can be minimised by sleeping with the head up on a few pillows, avoiding exercise, avoiding alcohol, Aspirin and similar anti-inflammatory drugs.
You need to minimise physical activity for 3 weeks. After that you should be able to resume normal levels of activity within the limits of comfort. Time off work may depends on the amount of bruising, which usually takes 1 to 2 weeks to settle.
Your specialist will give you full information at your consultation about what to expect.