As we age, it is incredibly common to develop excessive sagging or loose skin on the upper eyelids, which is called dermatochalasis. The main symptom is a feeling of heaviness or tightness in the eyelids, which can cause discomfort and affect daily activities like reading or driving. In more severe cases, the excess skin may obstruct the field of vision, leading to functional impairment. There are also cosmetic concerns to be considered.
The primary signs of dermatochalasis include visible folds or pouches of skin on the upper eyelids, which may become more pronounced with age or fatigue. Patients may also have trouble keeping their eyes open, particularly in the morning or after prolonged periods of activity. Additionally, the skin may appear wrinkled or droopy, and fine lines or “crow’s feet” may develop around the eyes.
There is no need to put up with these symptoms or wait for them to worsen. Upper lid blepharoplasty is the surgical solution to dermatochalasis. The procedure involves the removal of excess skin, and sometimes muscle and fat from the upper eyelids to restore a more youthful, functional appearance. Upper lid blepharoplasty can both improve patients’ field of vision and alleviate the sensation of heaviness. The surgery is performed under local anaesthesia and offers the potential for a relatively quick recovery with significant cosmetic and functional benefits.
Ben While
Consultant Ophthalmologist and Oculoplastic Surgeon