Treatment face
Many people seek blepharoplasty to address concerns such as drooping eyelids, puffiness, under-eye bags, visual obstruction or a constantly tired appearance. By reshaping the upper and/or lower eyelids, the procedure can significantly improve both aesthetic appearance and, in some cases, functional vision. This helps enhance confidence, comfort, and overall quality of life.
At Paul Wilson Aesthetics, Mr. Paul Wilson has extensive expertise in facial aesthetics and eyelid surgery. He combines advanced techniques with meticulous attention to detail to deliver natural-looking results tailored to your unique anatomy and aesthetic goals.
About
What is blepharoplasty surgery?
Blepharoplasty, also known as eyelid surgery, is a procedure designed to improve the appearance and function of the upper eyelids, lower eyelids or both. It works by removing or repositioning excess skin, fat and sometimes muscle to create a smoother, more lifted and refreshed eye contour.
During the procedure, your surgeon carefully reshapes the eyelid area to address concerns such as drooping upper lids, puffiness, under-eye bags or skin laxity that may contribute to a tired or aged appearance. In some cases, upper eyelid blepharoplasty can also improve vision by reducing excess skin that hangs over the lash line.
The goal is to achieve a natural, rejuvenated look that enhances facial harmony, restores a more alert appearance and, for some patients, improves visual function.
Types
Types of blepharoplasty surgery
Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both, depending on your concerns and desired results.
Upper Eyelid Blepharoplasty
Upper blepharoplasty is the most common type of eyelid surgery. It focuses on removing excess skin from the upper eyelid, which can create heaviness, hooding or a tired appearance.
In some cases, small pockets of fat that bulge forward can also be removed or repositioned to achieve a smoother, more defined upper eyelid contour. This procedure can enhance the eye shape and, for some patients, improve vision if excess skin obstructs their field of view.
Lower Eyelid Blepharoplasty
Lower blepharoplasty is a more involved procedure that targets under-eye bags, puffiness and sagging. The operation is highly effective at reducing eye bags by removing or repositioning excess fat.
Some skin may also be tightened or trimmed; however, this must be done carefully, as removing too much skin can pull the lower lid downward. While it improves smoothness and contour, wrinkle reduction is less predictable because only a limited amount of skin can be safely removed.
benefits
What are the benefits of blepharoplasty surgery?
Blepharoplasty offers both aesthetic and functional benefits by removing excess skin, tightening underlying tissues and improving the overall contour of the eyelids. Depending on whether the upper, lower or both lids are treated, benefits may include:
- A more refreshed, youthful appearance around the eyes
- Reduction of heaviness or hooding in the upper eyelids
- Smoother, firmer contours under the eyes with fewer visible bags or puffiness
- Improved definition of the natural eyelid crease
- Enhanced symmetry and balance between the upper and lower eyelids
- Potential improvement in vision if excess upper-lid skin was obstructing the field of view
- Increased confidence and comfort in social and professional settings
candidates
Who is a good candidate for blepharoplasty surgery?
Blepharoplasty may be suitable for individuals in good general health who wish to address concerns related to ageing or changes around the eyes. You may be a good candidate if you:
- Have drooping or hooded upper eyelids that make your eyes look tired or impact your field of vision
- Notice puffiness, bags or bulging fat beneath the eyes
- Have excess or loose skin around the eyelids that affects the appearance of your eyes
- Feel that sun damage, wrinkles or skin laxity have aged your eye area
- Find that makeup application has become difficult due to overhanging skin
- Feel self-conscious about looking tired, aged or less alert than you feel
- Are a non-smoker or willing to stop smoking before and after surgery
- Have realistic expectations about the improvements possible based on your natural eyelid anatomy
What to expect
What to expect during blepharoplasty surgery?
Consultation
Your surgeon will begin with a thorough consultation to ensure you feel fully informed, comfortable and confident before deciding to proceed. This appointment includes a detailed discussion about your concerns, such as drooping upper lids, puffiness or bags beneath the eyes, excess skin, changes related to ageing or sun damage and any impact these issues may have on your vision or confidence.
Your eyelid anatomy, skin quality, muscle tone and the presence of excess fat will be assessed to determine whether upper blepharoplasty, lower blepharoplasty or a combination of both is most appropriate. You will have the opportunity to ask questions about the likely results, incision placement, recovery, scarring and whether blepharoplasty can be safely combined with other facial procedures if desired.
Anaesthesia and Procedure Time
Upper eyelid surgery is typically performed under local anaesthetic as a day procedure, making it a straightforward option for many patients. Lower eyelid surgery is a more involved operation and is usually performed under general anaesthesia. The duration of surgery depends on whether one or both eyelids are being treated, but most procedures take one to two hours.
Incision Placement
Incisions for upper and lower blepharoplasty are placed carefully to achieve effective results while keeping scars as discreet as possible.
For upper eyelid surgery, a small crescent of excess skin is removed from the natural upper lid crease or hairline area, allowing the lid to open more fully and appear smoother and more refreshed.
For lower eyelid surgery, an incision is made just beneath the eyelashes. Through this incision, the skin and underlying muscle are gently lifted to allow removal or repositioning of bulging fat, as well as tightening of any loose skin. The amount of skin that can safely be removed is carefully controlled to avoid pulling the lower lid downward.
Tissue Tightening and Eyelid Reshaping
In upper blepharoplasty, redundant skin (and occasionally excess fat) is removed to restore a clearer, more open eyelid contour. This helps improve hooding and reduces the tired or heavy appearance of the eyes.
In lower blepharoplasty, the procedure focuses on reducing or repositioning fat that causes eye bags. Loose skin is tightened, and the lid is smoothed to create a more rested, youthful appearance. In some cases, muscle tightening may also be performed.
Blepharoplasty may be performed alone or combined with other facial procedures, such as a brow lift or facelift, for a more comprehensive rejuvenation.
Closing the Incisions
Once the necessary adjustments have been made, the incisions are closed with fine sutures. Dressings may be applied, although upper eyelid surgery often requires minimal external dressing. Cold compresses are typically recommended in the early postoperative period to reduce swelling.
Scar Management
Your surgeon will provide personalised advice on caring for the incisions once initial healing has occurred. Scars typically sit within the natural eyelid crease or just below the lash line and fade to become barely noticeable over time.
Recovery
Recovery and results of blepharoplasty surgery
Recovery varies from person to person and depends on whether the procedure involves the upper, lower, or both eyelids. While healing times vary, most patients can return home the same day or shortly after surgery.
What to expect
Swelling and bruising around the eyes are very common in the first few days following blepharoplasty. Upper eyelid swelling typically settles within about a week, while lower eyelid swelling or bruising may take one to two weeks to resolve. Mild tightness, dryness or sensitivity in the eyelids is normal and can be managed with prescribed ointments, lubricating drops or over-the-counter pain relief.
If deep stitches are placed at the outer corner of the eye during lower eyelid surgery, some localised discomfort may persist a little longer as the area heals. If chemosis (swelling of the conjunctiva) occurs, steroid eye drops will be prescribed.
Dressings and eye care
Cold compresses are usually recommended in the first few days to help minimise swelling and bruising. Your surgeon may also prescribe lubricating eye drops or ointments to keep your eyes comfortable, particularly if they feel dry or sensitive when you blink.
Activity and movement
Most patients can resume light daily activities within a few days, and most people feel comfortable driving again after about a week. Work can often be resumed once bruising has settled and you feel ready, which for many patients is around 7β10 days.
Strenuous activity, heavy lifting, bending forward and exercise should be avoided for at least two weeks, as these can increase swelling or pressure around the eyes. Contact sports or activities with a risk of facial impact should be avoided for several weeks longer, as advised by your surgeon.
Scars and long-term results
Upper eyelid incisions sit within the natural crease and usually heal to a fine, barely visible line. Lower eyelid incisions, placed just below the lash line, also tend to fade very well over time.
Most bruising and swelling fade within one to two weeks, while final results continue to refine over several months as tissues settle. Improvements in eyelid contour, smoothness and overall eye appearance become more noticeable as swelling resolves.
Follow-up care
You will receive tailored postoperative instructions, including how to clean the incision sites, apply ointments and protect your eyes during healing. Scheduled follow-up appointments allow your surgeon to monitor progress, remove any necessary sutures and ensure the eyelids are healing as expected.
Risks & complications
Risks and potential complications of blepharoplasty surgery
As with any surgical procedure, blepharoplasty carries certain risks. While complications are uncommon, it is important to be aware of potential risks, which may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Dry eyes, irritation or temporary difficulty closing the eyelids
- Changes in eyelid sensation, such as numbness or tingling
- Scarring along the incision lines
- Asymmetry or irregularities in eyelid contour
- Persistent swelling or bruising
- Lower eyelid retraction or ectropion
- Very rarely, issues affecting vision
Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.
Fees
What is the cost of blepharoplasty surgery in the UK?
The cost of blepharoplasty surgery in the UK varies depending on whether the upper eyelids, lower eyelids or both are being treated, as well as the complexity of the procedure. Factors such as the amount of skin or fat to be removed, whether muscle tightening is required, and the need for general or local anaesthesia can also influence pricing. Additional costs may include surgeon fees, hospital or facility charges.
A personalised quote will be provided after your consultation and once your surgeon has determined the most appropriate approach to achieve your aesthetic goals.
Results
Blepharoplasty before and after photos
FAQ
Frequently Asked Questions
At what age can you get a blepharoplasty?
There is no strict age requirement for blepharoplasty. Most patients choose to get the procedure in their 40s, 50s or 60s, when signs of ageing around the eyes become more noticeable. However, younger patients may be suitable if they have hereditary eyelid concerns such as puffiness, heaviness or excess skin.
Can blepharoplasty cause dry eyes?
Temporary dryness or irritation is common after blepharoplasty and usually improves as the eyelids heal. Lubricating drops or ointments are often recommended during the early recovery period. Long-term dry eyes are uncommon, and your surgeon will assess your tear function and eyelid anatomy during consultation to minimise this risk.
How long does a lower blepharoplasty last?
Lower blepharoplasty results typically last 10β15 years and in many cases even longer. While ageing continues naturally, the removal or repositioning of excess fat and skin provides a long-term reduction in under-eye bags and a smoother contour. Maintaining good skincare and sun protection can help extend the longevity of your results.
How long does it take to heal from a blepharoplasty?
Initial recovery usually takes 1β2 weeks, during which most swelling and bruising settle.Many patients feel comfortable returning to work after about a week. The eyelids continue to refine over several months, and final results are typically visible by 3β6 months once all swelling has resolved.
Can I have upper and lower eyelid surgery at the same time as my facelift?
Upper and lower eyelid surgery is often performed with a facelift and a temporal brow lift for more comprehensive rejuvenation. Your surgeon will explain which combination is best suited to your concerns and goals.
Iβve already had eyelid surgery, can I have it again?
Occasionally, secondary blepharoplasty may be required if there is residual excess skin or fat bags or lateral hooding. Your surgeon will advise you on your suitability for this procedure.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics not only for the teamβs surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if eyelid surgery is the right option for you.
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Mommy Makeover | Mastopexy + Full Abdominoplasty
After two pregnancies, this patient was left with skin laxity and a change in shape to both her breasts and tummy β despite returning to a stable, healthy weight. She was happy with her breast volume but troubled by the drooping and excess skin, and by the loose skin and stretch marks across her abdomen.
We planned a combined approach:
πΉ Mastopexy (breast uplift) β excess skin removed and the nipple repositioned higher to lift and reshape the breast, while keeping her own natural volume, exactly as she wanted. This uses an βanchorβ pattern scar.
πΉ Full abdominoplasty (tummy tuck) β removal of the loose skin and stretch marks below the belly button, with repair of the separated tummy muscles (diastasis recti) that so commonly follow pregnancy.
Because sheβs naturally slim and athletic, no liposuction was needed β tightening the muscle separation and removing the skin overhang simply revealed the toned, defined abdomen that was already there. Sheβs especially delighted with her new core definition. πͺ
Every patient and every result is individual. Surgery carries risks, and a full consultation is essential to understand whether a procedure is right for you.
π Surgery by Paul Wilson @ Northwood Hospital, Bristol Consultations via the link in bio.
#MommyMakeover #Abdominoplasty #TummyTuck #Mastopexy #BreastUplift PlasticSurgery CosmeticSurgery BristolSurgeon PaulWilsonAesthetics NorthwoodHospital PostPregnancyBody DiastasisRecti
Breast Augmentation
A natural increase in volume β restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. Itβs a recognised developmental variation, not a flaw β but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape β not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision β a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life β and that outcome means as much to me as the surgical one.
Shared with this patientβs full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery β any decision should follow a personal consultation.
π Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
π Phone: +44 7480 125890
π Website: paulwilsonaesthetics.co.uk
π Hours: MondayβFriday, 9:00 AM β 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Breast Augmentation
A natural increase in volume β restoring shape after hypomastia.
Hypomastia is the medical term for naturally underdeveloped breast tissue. It`s a recognised developmental variation, not a flaw β but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape β not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile silicone micro-textured implant, placed subfascially through an inframammary incision β a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life β and that outcome means as much to me as the surgical one.
Shared with this patient`s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery β any decision should follow a personal consultation.
π Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
π Phone: +44 7480 125890
π Website: paulwilsonaesthetics.co.uk
π Hours: MondayβFriday, 9:00 AM β 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
Dorsal Preservation Rhinoplasty: Whatβs the Hype?
Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath β keeping your natural dorsum fully intact. π
Why people love it π
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More natural front view (no widening!)
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Preserves your dorsal aesthetic lines
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Fewer grafts needed
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Quicker recovery & less bruising π€
β
Smoother long-term results
The fine print π
β οΈ Hump recurrence is the #1 risk
β οΈ Best for straight noses with small/medium humps
β οΈ Technically harder β surgeon experience is everything
β οΈ Rare risks: saddle nose, radix step-off, asymmetry
The hype is real β if youβre a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. π€
#rhinoplasty #dorsalpreservation #nosejob #facialplasticsurgery rhinoplastyjourney noseaesthetics
π¦From tension to transformation! This patient came to Mr Paul Wilson at Northwood Hospital with a classic tension nose β high radix, dorsal hump, an over-projected tip and a hanging columella. βοΈ The result? A natural dorsum, lowered radix, elevated tip and a normalised columella-labial angle.
Why choose Mr Paul Wilson at Northwood Hospital, Bristol? π
β
Accredited BAAPS Plastic Surgeon
β
Dual-qualified
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Preservation rhinoplasty specialist β less disruption, more natural outcomes
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Brand new, state-of-the-art CQC registered hospital
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Perfectly located in Bristol β easy reach from London & the South-West
Nature, meet refinement. π₯β¨
#Rhinoplasty #NoseJob #paulwilsonaesthetics #NorthwoodHospital #BAAPS #preservationrhinoplasty #aestheticsurgery #BeforeAndAfter #BeforeAndAfterRhinoplasty #FacialHarmony
Your nose is the focal point of your face β and even the subtlest refinement can bring everything into harmony. At Paul Wilson Aesthetics, our rhinoplasty procedures are tailored to your unique anatomy, enhancing your natural beauty rather than erasing it.
Performed under general anaesthetic at Northwood Hospital, each procedure typically takes 2β4 hours, with most patients returning to everyday life within 2β3 weeks. Final results continue to refine beautifully over the following months.
Whether you`re looking to refine a bump, reshape the tip, or improve overall facial proportion, Mr Paul Wilson brings a meticulous, artistic eye to every consultation and procedure.
BOOK A CONSULTATION β
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Precision in motion. π¦΄β¨
Meet Paul Wilson β one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.
Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture β the kind of knowledge that comes from a background in dentistry β allows for implant placement thatβs tailored, precise, and harmonious with each patientβs natural facial structure.
From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. π
β
Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.
#FacialImplants #JawlineSurgery #ChinImplant #PlasticSurgery #FacialAesthetics MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
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VASER 3D Liposuction @northwood_hospital goes beyond fat removal β itβs full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
βοΈ 3D high-definition contouring
βοΈ Sculpting that follows your natural lines
βοΈ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
π Northwood Hospital
π© DM us or book your consultation via the link in bio
#vaser #HighDefinitionLipo #BodyContouring #PaulWilsonAesthetics #NorthwoodHospital
It was a great honour to present my experience on #hairlinelowering at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues. #northwoodhospital #plasticsurgery #hair #brow
βPatient Testimonyβ #deepplanefacelift #cheekimplants #necklift #blepharoplasty #northwoodhospital
Gynaecomastia | Before & After
This procedure addresses excess fullness in the male chest caused by gland, fat, or a combination of both.
The aim is not simply to remove tissue, but to improve the overall chest shape for a balanced and natural appearance. As with any operation, success depends on choosing the right technique for the individual`s anatomy and careful surgical planning from the outset.
The initial result is just one stage of the process. Swelling gradually subsides, and the chest continues to refine as healing progresses.
Please take a moment to view the outcome.
Patient images shown with consent.
π₯ Paul Wilson Aesthetics
π Northwood Hospital, Bristol, UK
π 0117 332 1585 | 07480 125 890
π§ info@paulwilsonaesthetics.co.uk
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