Eyelid Surgery Explained: Droopy Eyelids, Eye Bags, Recovery & Risks

  • Clear, medically reviewed explanation of eyelid surgery and treatment options
  • Understand causes of droopy eyelids, eye bags, and puffiness
  • Learn about recovery time, risks, and suitability before consultation

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Procedure Performed By:

Mr Richard Hanson

MB, MCh, FRCS (plast)

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Irish trained surgeon – member of The Irish Association of Plastic Surgeons (IAPS)

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Graduated from UCD (University College Dublin) in 1997.

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Irish trained surgeon – member of The Irish Association of Plastic Surgeons (IAPS)

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Graduated from UCD (University College Dublin) in 1997.

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Completed both basic and higher surgical plastic training in The Royal College of Surgeons in Ireland

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Extensive training throughout units in Ireland, the UK and Australia. Completed an Aesthetic Fellowship in the UK.

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Mr Richard Hanson is a Specialist Registrar with the Irish Medical Council for Plastic Reconstructive and Aesthetic Surgery.

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Mr Richard Hanson was appointed Consultant Surgeon, Plastic and Reconstructive Surgeon to the Mater Misericordiae University Hospital, Eccles Street, Dublin.

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Completed both basic and higher surgical plastic training in The Royal College of Surgeons in Ireland

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Extensive training throughout units in Ireland, the UK and Australia. Completed an Aesthetic Fellowship in the UK.

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Mr Richard Hanson is a Specialist Registrar with the Irish Medical Council for Plastic Reconstructive and Aesthetic Surgery.

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Mr Richard Hanson was appointed Consultant Surgeon, Plastic and Reconstructive Surgeon to the Mater Misericordiae University Hospital, Eccles Street, Dublin.

RealSelf Patient Reviews of Aftab Siddiqui, FRCS(Plast)

What Is Eyelid Surgery (Blepharoplasty)?

Eyelid surgery, medically referred to as blepharoplasty, is a surgical procedure that removes or repositions excess skin, fat, and sometimes muscle from the upper and/or lower eyelids. It is performed to improve the appearance of the eyes and, in some cases, to restore vision impaired by drooping eyelid skin.

Blepharoplasty can be undertaken for cosmetic reasons, such as reducing a tired or aged appearance, or for functional reasons, where excess eyelid tissue interferes with normal vision or causes discomfort.

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FAQ

What Causes Droopy Eyelids and Eye Bags?

Changes around the eyes are often one of the earliest signs of ageing. The eyelid skin is thin and delicate, making it particularly susceptible to time, gravity, and genetic factors.

Droopy Eyelids and Vision Obstruction

Droopy upper eyelids may develop when the skin loses elasticity or when the muscles responsible for lifting the eyelid weaken. In some cases, excess skin can fold over the lash line and reduce peripheral vision, making everyday activities such as reading or driving more difficult.

Puffy Eyes vs Under-Eye Bags

While often grouped together, puffy eyes and under-eye bags are different conditions. Puffiness is commonly caused by fluid retention and may fluctuate, whereas under-eye bags are usually the result of fat protrusion or lax skin and tend to be permanent without surgical treatment.

Types of Eyelid Surgery

Eyelid surgery is not a one-size-fits-all procedure. The approach used depends on your anatomy, concerns, and whether the goal is cosmetic or functional improvement.

Upper Eyelid Surgery (Upper Blepharoplasty)

Upper blepharoplasty removes excess skin and fat from the upper eyelids. The incision is placed within the natural eyelid crease to minimise visible scarring. This procedure can refresh the appearance of the eyes and may also improve vision if drooping skin is obstructing sight.

Lower Eyelid Surgery (Lower Blepharoplasty)

Lower blepharoplasty focuses on reducing under-eye bags, sagging skin, or hollowing beneath the eyes. The technique used will depend on whether skin removal, fat repositioning, or fat removal is required.

Upper and Lower Eyelid Surgery Combined

Some patients benefit from combined upper and lower eyelid surgery to achieve balanced rejuvenation of the entire eye area in a single procedure.

Transconjunctival Blepharoplasty

Transconjunctival blepharoplasty is a specialised lower eyelid technique where the incision is made on the inside of the eyelid. This approach allows removal or repositioning of fat without an external scar and is suitable for patients who do not require skin removal.

Eyelid Ptosis Correction

Ptosis refers to drooping of the eyelid caused by weakness of the eyelid-lifting muscle rather than excess skin. Ptosis correction may be performed alone or alongside blepharoplasty when muscle function contributes to eyelid drooping.

Surgery Time

30 minutes – 1 Hour

Anesthesia

Local / General

Hospital Stay

1 Night

Pre-Admission

No smoking / vaping x 6 weeks

Downtime

10 days

Driving

1 Week

Time to Exercise

6 weeks

Follow-Up

1 week post op / 1 month / 3 months / 6 months / 1 year

Eyelid Surgery Results

Our eyelid surgery results demonstrate how upper and lower blepharoplasty can address concerns such as drooping eyelids, under-eye bags, and heavy-looking eyes. The before and after images illustrate natural-looking improvements that enhance eye openness and facial balance, while also supporting comfort and visual function where required. Each outcome reflects an individual treatment plan, designed to achieve subtle, proportionate results rather than an over-corrected appearance.

Upper Blepharoplasty 4 months post op
Upper Blepharoplasty 4 months post op

All photos are unedited and actual patients of The Hanson Clinic. The images are displayed with the consent of the patients. The outcomes shown are only relevant for these patients and do not necessarily reflect the results other patients may experience. Our team will discuss any factors that could influence the results that you may get.

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What Can Eyelid Surgery Treat?

Eyelid surgery effectively improves several concerns related to ageing and genetics of the peri-orbital area, including:

  • Droopy upper lids affecting the natural eyelid contour
  • Excess skin on the upper and lower eyelids that can interfere with vision
  • Puffiness and excess fat creating a tired or aged appearance
  • Bags under the eyes and sagging of the lower eyelids

What are the Benefits of Eyelid Surgery?

Patients who undergo eyelid lift surgery often experience benefits such as:

  • A more refreshed and alert appearance
  • Removal of excess skin that may be affecting vision
  • Reduction of puffiness or under-eye bags
  • Enhanced definition of the upper and lower eyelids
  • A smoother, more youthful eye contour

Who Is Eyelid Surgery Suitable For?

Blepharoplasty Dublin, droopy eyelids, puffiness, improved vision, facial balance

Who Is Eyelid Surgery Suitable For??

You may be suitable for blepharoplasty if:

  • You have severely sagging skin that affects the function or aesthetics of your eyelids
  • You experience obstruction in your peripheral vision due to drooping upper lids
  • You are in good overall health and have realistic expectations about the outcome
  • You want to remove excess skin and restore a more youthful, natural eyelid contour

How Eyelid Surgery Is Performed

Surgical Techniques and Incision Placement

Incisions are carefully planned to follow natural eyelid folds or, in some cases, are placed inside the eyelid. This helps ensure scars are discreet once healed.

Upper Eyelid Incision Placement

Upper eyelid incisions are positioned within the natural crease so they are largely hidden when the eyes are open.

Lower Eyelid Internal vs External Incisions

Lower eyelid incisions may be placed just beneath the lash line or inside the eyelid, depending on the surgical technique required.

Anaesthesia and Procedure Duration

Mr Hanson only performs eyelid surgery under general anaesthesia for patient comfort. The procedure usually takes between 30 minutes and 1 hour per area.

Eyelid Surgery at The Hanson Clinic

We are experts in the field of plastic and reconstructive surgery. We offer our patients the safest, most advanced and effective cosmetic treatments in a comfortable, relaxed and unhurried environment.

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Consultation

During your consultation, Mr Richard Hanson will assess your eye structure and discuss your specific concerns. This personalised approach ensures that your treatment plan is designed to meet your individual goals.

Procedure

The surgery is performed with precision to minimise scarring and enhance natural results. If necessary, the procedure can be combined with additional facial procedures to achieve optimal harmony.

Results

Results become noticeable as swelling subsides, with further refinement occurring over the following months. Patients can expect a more defined and youthful eyelid contour.

Recovery

Following surgery, it is essential to allow time for healing. Patients should expect some swelling and bruising, which will gradually improve. To reduce swelling, cold compresses and head elevation are recommended. Most patients can resume daily activities within 7 to 14 days, although complete recovery may take longer.

Surgery

The surgery is performed with precision to minimise scarring and enhance natural results. If necessary, the procedure can be combined with additional facial procedures to achieve optimal harmony.

Consultation

During your consultation, Mr Richard Hanson will assess your eye structure and discuss your specific concerns. This personalised approach ensures that your treatment plan is designed to meet your individual goals.

Recovery

Following surgery, it is essential to allow time for healing. Patients should expect some swelling and bruising, which will gradually improve. To reduce swelling, cold compresses and head elevation are recommended. Most patients can resume daily activities within 7 to 14 days, although complete recovery may take longer.

Results

Results become noticeable as swelling subsides, with further refinement occurring over the following months. Patients can expect a more defined and youthful eyelid contour.

Not Sure if Eyelid Surgery is Right For You?

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Possible Risks or Side Effects

As with any surgical procedure, blepharoplasty carries potential risks, including:

  • Bruising and swelling that will subside over time
  • Temporary numb eyelids
  • Minor scarring, which fades with healing
  • Rare complications, such as infection or blood clots

How Risks Are Minimised

Careful surgical planning, adherence to aftercare instructions, and attending follow-up appointments all help reduce risk.

Eyelid Surgery Cost Considerations

Factors That Influence Eyelid Surgery Cost

The cost of eyelid surgery depends on the type of procedure, whether one or both eyelids are treated, anaesthesia requirements, and surgical complexity.

Is Eyelid Surgery Covered for Functional Reasons?

In some cases where vision is affected, functional eyelid surgery may be assessed differently than purely cosmetic procedures. This is discussed during consultation.

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Why Choose The Hanson Clinic
for Your Eyelid surgery?

At the Hanson Clinic, eyelid surgery is performed using carefully selected surgical approaches tailored to each patient. From the initial assessment through to aftercare, our focus is on precision, safety, and outcomes that look natural and balanced. Every treatment plan is developed with both aesthetic improvement and eyelid function in mind.

Irish Trained Surgeon

Irish-Trained Surgeon

Mr. Richard Hanson, a member of The Irish Association of Plastic Surgeons (IAPS), brings exceptional skill and extensive local training to every procedure. Trust your care to a surgeon with a reputation for excellence.

Dedicated Care Throughout

Dedicated Care Throughout

From your first consultation to post-operative recovery, our team is with you every step of the way. Expect consistent communication and unwavering support.

Continuity of Care

Continuity of Care

You’ll work with the same dedicated surgeon and team throughout your journey. Build trust and confidence with familiar faces who understand your needs.

Always Here for You

Always Here for You

No question is too small, and no concern is too big. Our team is readily available to address your needs, ensuring peace of mind at every stage.

5 Star Reputation

5-Star Reputation

Our patients consistently praise us for life-changing results and personalised care. Experience why we’re trusted and highly rated by so many.

Compassionate Personalised Experience

Compassionate, Personalised Experience

Every patient’s journey is unique, and we treat it that way. Enjoy a warm, supportive environment tailored to your individual goals.

Irish Trained Surgeon

Irish-Trained Surgeon

Mr. Richard Hanson, a member of The Irish Association of Plastic Surgeons (IAPS), brings exceptional skill and extensive local training to every procedure. Trust your care to a surgeon with a reputation for excellence.

Dedicated Care Throughout

Dedicated Care Throughout

From your first consultation to post-operative recovery, our team is with you every step of the way. Expect consistent communication and unwavering support.

Continuity of Care

Continuity of Care

You’ll work with the same dedicated surgeon and team throughout your journey. Build trust and confidence with familiar faces who understand your needs.

Always Here for You

Always Here for You

No question is too small, and no concern is too big. Our team is readily available to address your needs, ensuring peace of mind at every stage.

5 Star Reputation

5-Star Reputation

Our patients consistently praise us for life-changing results and personalised care. Experience why we’re trusted and highly rated by so many.

Compassionate Personalised Experience

Compassionate, Personalised Experience

Every patient’s journey is unique, and we treat it that way. Enjoy a warm, supportive environment tailored to your individual goals.

Meet
Mr Richard
Hanson

neet mr richard hanson

Plastic Aesthetic and Reconstructive Surgeon

Mr. Richard Hanson is a Consultant Plastic and Reconstructive Surgeon with over 20 years of experience, dedicated to understanding and addressing the unique concerns of each patient. After graduating from University College Dublin and completing extensive training at The Royal College of Surgeons in Ireland, he further refined his skills through fellowships in Ireland, the UK, and Australia.

As a Specialist Registrar with the Irish Medical Council, Mr. Hanson focuses on Plastic, Reconstructive, and Aesthetic Surgery, always prioritising the individual needs and well-being of his patients.

He takes a thoughtful, personalised approach to each procedure, ensuring that results are not only aesthetically pleasing but also contribute to relieving discomfort and restoring confidence.

As a member of respected bodies like the Irish Association of Plastic Surgeons (IAPS), Mr. Hanson’s patients appreciate his calm, attentive manner and his commitment to providing solutions that genuinely improve their quality of life.

How to schedule a consultation

To book an appointment with Mr Hanson, please call us on 0873735089
or 01-526-2235, email us at richard.hanson@imeddoc.net, or complete an online form via our website.

FAQ

Are there any temporary side effects after eyelid surgery?

Following surgery, some temporary side effects are expected as the body heals. Common issues include numb eyelids, swelling, bruising and mild discomfort. These typically improve within the first two weeks.

The periorbital area, also known as the periocular area, is the skin and tissues surrounding the eyes, including the eyelids, brow area, and the area around the corners of the eyes. Periorbital rejuvenation refers to treatments aimed at improving the appearance of the skin and around the eyes, addressing issues like wrinkles and sagging.

Eyelid surgery recovery varies for each patient, but most people notice significant improvements within two weeks. Swelling and bruising gradually subside and full results develop over several months. Following the aftercare advice helps to support a smoother recovery.

Eyelid surgery is designed to address excess skin and puffiness around the eyes, but it does not directly correct sagging eyebrows. If brow position is a concern, additional treatments such as a brow lift may be recommended to achieve the best results.

Some patients may require prescribed eye drops to relieve dryness or irritation after surgery. These drops help keep the eyes lubricated and aid the healing process, particularly in the initial days following the procedure.

Eye lift surgery focuses solely on the eyelids, improving drooping, puffiness and excess skin around the eyes. A traditional facelift, however, targets the midface and lower face, addressing sagging skin and deeper tissues for a more comprehensive rejuvenation.

Incisions follow natural eyelid creases or, for transconjunctival cases, are inside the lid — scars typically fade and become discreet.

Discomfort is usually mild and managed with prescribed pain relief; many patients compare it to moderate post-surgical soreness.

Ptosis correction may be recommended alongside blepharoplasty if eyelid muscle weakness contributes to droop. This is assessed during your consultation.

Yes — removing excess upper eyelid skin can improve peripheral vision that was previously obstructed.

Cosmetic blepharoplasty focuses on appearance, while functional blepharoplasty addresses concerns like impaired vision or eyelid heaviness that impact day-to-day activities.

This article is not intended to be used for diagnosis or treatment. It is aimed at presenting a perspective only and is not a substitute for a prescription. Anyone experiencing a medical condition should consult their doctor.

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    Suite 2, Sports Surgery Clinic
    Santry, Dublin 9
    D09 PPX9

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