Oculoplastic Surgery

Upper Blepharoplasty (Eyelid Surgery)

Expert upper eyelid surgery in Belfast, tailored to lift heavy, hooded eyelids and refresh your natural look.

What Is Upper Blepharoplasty?

Overview

Upper blepharoplasty — commonly known as upper eyelid surgery — is a surgical procedure to remove excess skin and, where appropriate, underlying fat and muscle from the upper eyelids.

As we age, the skin around the eyes loses elasticity and begins to droop, creating a hooded, heavy appearance that can make us look permanently tired or older than we feel.

At Cathedral Eye Clinic in Belfast, Mr Sri Kamalarajah performs upper blepharoplasty with a dual focus: restoring a natural, refreshed appearance while ensuring the health and function of your eyes are never compromised.

As a fully trained ophthalmologist and specialist oculoplastic surgeon, Mr Kamalarajah brings a level of anatomical expertise to eyelid surgery that sets him apart from general cosmetic practitioners.

Cosmetic and Functional Benefits

Upper blepharoplasty is both a cosmetic and, in more significant cases, a functional procedure. Drooping upper eyelid skin can begin to obstruct the upper visual field, affecting everyday activities such as driving, reading, and working at a screen. In these cases, surgery is not simply about appearance – it is about restoring clear, unobstructed vision.

Patients most commonly seek upper blepharoplasty for:

Hooded, tired eyes

Heavy, hooded upper eyelids that create a tired or aged appearance

Obstructed vision

Drooping skin that partially obscures peripheral or upper vision

Make-up difficulty

Difficulty applying eye make-up due to excess overhanging skin

Eyelid asymmetry

Asymmetry between the upper eyelids

Loss of confidence

A loss of confidence related to the appearance of their eyes

Suitability

Am I a Good Candidate for Upper Blepharoplasty?

Upper blepharoplasty is suitable for men and women of all ages, though it is most commonly performed on patients over 40. You may be a suitable candidate if you have excess skin causing hooding or heaviness to your upper lids, are in good general health with no untreated eye conditions, and have realistic expectations about what surgery can achieve.

During your consultation, Mr Kamalarajah will carry out a thorough eye examination alongside a detailed assessment of your eyelid anatomy. If there are any concerns about your tear film, eyelid function, or eye pressure, these will be discussed before any surgical plan is agreed.

What Does the Procedure Involve?

Local anaesthetic45–60 minutes Day case

Upper blepharoplasty is performed as a day-case procedure under local anaesthetic, meaning you remain awake but completely comfortable throughout, and can return home the same day. The procedure typically takes 45 minutes to one hour.

Incisions are made along the natural crease of the upper eyelid, ensuring that any resulting scar sits within the existing skin fold and becomes virtually invisible once fully healed. Carefully measured amounts of excess skin — and fat where appropriate — are removed before the incisions are closed with fine sutures.

The precision with which the amount of tissue removed is calculated is critical: too little and the result may be underwhelming; too much and eyelid closure can be compromised. Mr Kamalarajah’s training as an ophthalmologist means this balance is managed with both aesthetic and clinical precision.

Recovery After Upper Blepharoplasty

Most patients are comfortable returning to desk-based work within 7 to 10 days. The fine suture line within the eyelid crease fades progressively over the following months and is typically imperceptible once fully healed.

Bruising & swelling

Mild to moderate bruising and swelling for 7 to 14 days

Cold compresses

Cold compresses applied in the first 48 hours to reduce swelling

Head elevated

Head kept elevated when resting to minimise fluid retention

Rest from exertion

Avoidance of strenuous activity and heavy lifting for two weeks

No contact lenses

Contact lenses avoided for one to two weeks post-surgery

Sunglasses outdoors

Sunglasses recommended outdoors during the healing period

Why Cathedral Eye Clinic

Why Choose Cathedral Eye Clinic for Upper Blepharoplasty in Belfast?

Upper eyelid surgery demands both surgical precision and aesthetic judgement. The eyelids are among the most delicate and functionally important structures in the body — the result of any surgery here must look natural while preserving the full health and movement of the eye.

Mr Sri Kamalarajah is a consultant ophthalmologist and oculoplastic surgeon with extensive experience in upper eyelid surgery. His practice is grounded in evidence-based outcomes, and as an active clinical researcher he ensures that patients at Cathedral Eye Clinic benefit from the most current techniques available.

To find out whether upper blepharoplasty is right for you, book a consultation with Mr Sri Kamalarajah at Cathedral Eye Clinic, Belfast.

Meet your Surgeon

Mr Sri Kamalarajah

Consultant Ophthalmic Surgeon & Glaucoma Specialist

Mr Sri Kamalarajah is a Consultant Ophthalmic Surgeon with a specialist interest in oculoplastic, lacrimal and orbital surgery.

With over 20 years of experience in the field, he brings a wealth of expertise to every procedure he performs at Cathedral Eye Clinic.

Your Patient Journey at Cathedral Eye Clinic

1

Detailed Consultation

Your journey begins with a detailed one-to-one consultation with Mr Sri Kamalarajah. During your appointment, you will have the opportunity to discuss your concerns, expectations, and suitability for surgery in full. Mr Kamalarajah will explain the procedure, the results you can expect, and what recovery involves. As every patient is different, your treatment plan will be tailored specifically to you.

2

Day of Surgery

Upper blepharoplasty at Cathedral Eye Clinic is performed as a day-case procedure — you will arrive, have your surgery, and return home on the same day. The area around your eyes will be carefully anaesthetised so that you remain entirely comfortable throughout. Mr Kamalarajah and his team will look after you from the moment you arrive, and you will receive clear written instructions before you leave.

3

Aftercare & Follow-Up

Mr Kamalarajah and the Cathedral Eye Clinic team will provide detailed aftercare guidance following your surgery. You will be seen for a post-operative review to assess your healing, and our team is available to answer any questions that arise during your recovery. Most patients experience some bruising and swelling for one to two weeks, and see their final, natural result within six to eight weeks of surgery.

My experience was excellent the staff are so polite and friendly everyone makes you feel relaxed and comfortable. The place is spotless. I would highly recommend Cathredral Eye Clinic.

Verified Patient · Doctify

Investment in your Vision

Cost & Payment Options

At Cathedral Eye Clinic, we believe clear and honest pricing is essential when planning your care.

0% finance available

Consultation

Initial Consultation

£225

Includes a comprehensive assessment with one of our specialist consultants.

Treatment

Upper Blepharoplasty

from £3,250 (Unilateral),
£4,500 (Bilateral)

Making Treatment Accessible

To make treatment more accessible, we offer interest-free finance options , allowing you to spread the cost over manageable monthly instalments.

Contact our team to discuss personalised pricing and finance options tailored to your needs.

Frequently Asked Questions

What is the difference between upper blepharoplasty and a brow lift?
Upper blepharoplasty removes excess skin from the eyelid itself, while a brow lift raises the position of the eyebrow. In some patients, what appears to be drooping eyelid skin is in fact caused by a descending brow pushing skin downward onto the lid. During your consultation, Mr Kamalarajah will assess whether the eyelid, the brow, or both are contributing to your concern, and advise accordingly.
Will my scars be visible after upper eyelid surgery?
Incisions are placed precisely within the natural crease of the upper eyelid, meaning the fine scar line is concealed when your eyes are open and sits naturally in the skin fold when closed. With time, scars typically fade to become virtually imperceptible — most patients are very pleasantly surprised by how little trace of surgery remains.
Is upper blepharoplasty performed under general or local anaesthetic?
At Cathedral Eye Clinic, upper blepharoplasty is performed under local anaesthetic. This means you remain awake but your eyelids are completely numb and you will feel no discomfort during the procedure. Local anaesthetic is safer than general anaesthetic for most patients and allows for a quicker recovery.
How long do the results of upper blepharoplasty last?
The results of upper blepharoplasty are long-lasting. While surgery cannot halt the ageing process entirely, the improvement achieved is permanent — skin that has been removed does not return. Most patients enjoy the benefits of their surgery for ten years or more before any further treatment might be considered.
Can upper blepharoplasty help if my eyelids are affecting my vision?
Yes. When drooping upper eyelid skin obstructs the upper visual field, blepharoplasty has both a cosmetic and a functional benefit. Mr Kamalarajah will assess the degree of visual field obstruction during your consultation and, where appropriate, can document this to support a referral or funding request.
What is the minimum age for upper blepharoplasty?
There is no fixed minimum age. Upper blepharoplasty is most commonly performed in patients over 40, but can be appropriate at a younger age where there is a significant cosmetic or functional concern. Each patient is assessed individually. We do not treat patients under the age of 21.
What problems can occur after the operation?
Bruising and swelling of the eyelids is common. The surface of the eyeball may also swell (chemosis). These changes will settle after a few weeks.

Dry, gritty eyes for a few weeks can be helped with lubricant eye drops and ointment. The vision may be slightly blurred for a few days.

A post-operative infection may develop in the lids - they would become tender, red and swollen and the wound may break down. If this happens then you should contact the hospital since antibiotic tablets may be needed to help correct this and allow the lids to heal. It might be necessary to restitch the wound once the infection has settled.

Bleeding after the operation is usually slight and stops within a short time. If bleeding continues you should contact the hospital in case further treatment is required. Extremely rarely, severe bleeding around or behind an eye can cause permanent loss of vision.

Very rarely, too much skin is removed and if this causes problems with lid closure and dry eyes, skin will need to be replaced.

Sometimes some loose skin persists, often at the outer end of the eyelid, and further surgery may be required if it is still causing a visual problem.

Unsightly scarring, persistent eyelid swelling, or other unusual skin changes are extremely rare complications.

Ready to Begin Your Journey?