Eyelid Surgery (Blepharoplasty) in Dubai
The eye area is the first to show fatigue and age. Skin thins, lids may feel heavy, and under-eye bags or grooves can cast permanent shadows—even when you feel energised. Blepharoplasty refreshes the upper and/or lower eyelids by removing excess skin, preserving or repositioning fat, and restoring smooth, bright contours. My philosophy: light touch, anatomical precision, natural expression.
What blepharoplasty can address
- Upper lids: excess skin (dermatochalasis), medial fat pseudo-herniation, hooding that narrows the visual field.
- Lower lids: fat pads (bags), deep tear-trough groove, laxity or fine lines (skin pinch when appropriate).
- Asymmetry between lids; selected functional issues (e.g., visual field obstruction).
Blepharoplasty can be a stand-alone procedure or combined with brow lift, fat transfer, or facelift/neck lift where harmony benefits.
Why choose Dr Marc-Kevin Le Roux
- Maxillofacial precision of the periorbital anatomy (skin–fat–orbicularis–septum–levator–canthal tendons).
- Natural aesthetic: fat preservation/repositioning to avoid hollowing; no “over-pulled” look.
- Tailored technique: upper, lower (transconjunctival or subciliary), canthopexy/canthoplasty as indicated. Extensive international exposure (Seoul/Taipei) informs technique and planning.
- Operating-theatre only: performed in a clinical OR under local with sedation or general anaesthesia for safety and comfort.
Dr Marc-Kevin's planning framework: Periorbital Balance Mapping
Every case is mapped across four checkpoints:
Skin quality • Fat position/volume • Lid support (canthus/orbicularis) • Brow & midface influence.
This avoids over-resection, prevents hollowing, and keeps expressions natural.
Blepharoplasty
Upper Eyelid
- Goal: lighten the lid, re-define the crease, and restore pretarsal show—without changing your character.
- Incision: hidden in the natural upper lid crease.
- Technique: conservative skin (and, if indicated, medial fat) removal; meticulous hemostasis; ptosis evaluation (levator) where relevant.
- When brow ptosis exists, I discuss whether a temporal/brow lift should accompany or precede upper blepharoplasty.
Lower Eyelid
- Transconjunctival approach (scarless on the skin side): preferred for bags in good-quality skin; enables fat preservation or redistribution into the tear trough for a smooth lid–cheek junction.
- Subciliary approach (just under the lashes): selected when skin excess or muscle laxity requires a skin-muscle flap and skin pinch; often paired with canthopexy/canthoplasty to support lid position and reduce ectropion risk.
- Festoon/malar oedema and pronounced midface descent are different entities; they may need adjunctive treatments (midface support, energy-based devices, lymphatic-focused care) rather than lower-lid fat removal alone.
Asian eyelids
I routinely plan Asian upper eyelid procedures for patients who wish to create or refine a natural supratarsal crease while respecting ethnic anatomy (pretarsal platform show, epicanthal fold, preaponeurotic fat). Typical crease design is conservative and personalised; epicanthoplasty can be considered if it serves the patient’s aesthetic and functional goals.
FAQs
Anaesthesia & setting
Local, locale with light sedation or general anaesthesia, decided by case complexity and comfort.
Recovery timeline (typical)
- Day 0–2: head elevation, cold compresses, lubricating drops; mild tightness/sting possible.
- Days 3–7: bruising and swelling peak then recede; external sutures (if any) usually removed ~day 5–7.
- Week 1: back to desk work with concealer for some patients.
- Weeks 2–4: residual swelling settles; light exercise resumes as advised; avoid lenses ~1 week.
- Months 2–3: scars fade; contours refine to final result.
Results & longevity
Expect brighter, rested eyes with natural blink and crease dynamics. Results typically last many years; ageing continues but with a reset clock. Good skincare, sun protection and well-judged adjuncts (e.g., toxin for crow’s feet, gentle resurfacing) help maintain results.
Risks & safety (summary)
All surgery carries risks: bleeding, infection, chemosis, dry-eye exacerbation, temporary numbness, asymmetry, visible scarring, transient lagophthalmos; lower-lid surgery carries ectropion risk if support is inadequate (mitigated with canthal support and conservative skin handling). Retrobulbar haematoma is rare but emergent—protocols are in place. We review your specific risk profile during consultation.
Is surgery always required?
Not always. For selected patients, tear-trough filler, botulinum toxin (crow’s feet), skin boosters, or gentle resurfacing can postpone or complement surgery. In consultation, we match the least-invasive option that will genuinely meet your goal.
Upper vs. lower blepharoplasty—can they be done together?
Yes, if it meaningfully improves harmony and recovery planning suits your schedule.
Will I look different?
You should look rested, not “operated”. Fat-preserving techniques and crease design maintain your identity.
Will I have visible scars?
Upper scars sit within the natural crease; lower-lid transconjunctival has no external scar. Subciliary scars if needed usually heal as a fine line under the lashes.
I wear contact lenses—when can I resume?
Usually after one week, once surface comfort is back and your exam is normal.
Can blepharoplasty improve my vision?
If overhanging upper-lid skin narrows your superior visual field, upper blepharoplasty can help. Formal testing may be needed to document this.
Book a consultation
Let’s map your eyelid anatomy and goals, then decide between upper and/or lower blepharoplasty—with techniques tailored to your tissues. If you prefer, we can start conservatively and stage care.
