Eyelid surgery, also known as an eyelid tuck or blepharoplasty, is a simple procedure that I commonly recommend to both men and women alike. Relaxed eyes are essential for a beautiful youthful look.

Eyelid Surgery

Eyelid surgery, also known as an eyelid tuck or blepharoplasty, is a simple procedure that Dr Nerina Wilkinson commonly recommends to both men and women alike. Relaxed eyes are essential for a beautiful youthful look. Many of her patients complain about looking tired and angry and are astounded at how an eyelid operation can revive their look and reveal their bright sparkling eyes again.

As we age, the very delicate skin and supporting structures around the eyelids easily stretch. The upper lids sag, creating a hooded look. In the lower lids, this sagging is present as “bags” and creates a tired appearance. In severe cases, this extra skin can even impair your vision.

Eyelid rejuvenation surgery, however, does not only involve the sagging eyelid skin but the rejuvenation of the complete periorbital area. When this area losses volume and the skin becomes inelastic, it’s the first sign of looking tired and patients also lose their youthful appearance. The temples and eyelids become hollow and create a skeletonized look.

In the past, the procedure of choice was a blepharoplasty alone, which involves the removal of eyelid skin. This is still indicated in many patients with loose skin and protruding bags. However, Dr Nerina Wilkinson’s approach is more holistic. The eyes are the window to the soul, so they should always be assessed in conjunction with the surrounding tissues.

The aim is to beautify a face by enhancing volumes around the eyes and fill the loose skin and hollows in the upper and lower eyelids and temporal area. Fillers can be used to enhance facial features. However, fat filling (the injection of your own fat cells removed by liposuction) can create a more harmonious result, achieving a more 3 dimensional volumizing and lifting effect.

The modern blepharoplasty, therefore, understands that a youthful eyelid is a full eyelid and as surgeons, we need to rather replace lost tissue and inflate the loose skin rather than only removing and tightening the skin.

Dr Nerina Wilkinson works with all her patient’s natural beauty and enhances it subtly to create a look that they are happier with. So, if you’ve suffered for years with eyelid ptosis, or are worried that sagging eyelids and eye bags make you look older or more tired than you are, know that there is a solution. Blepharoplasty can result in a more relaxed looking face and combat the signs of ageing.

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Who Would Benefit From Eyelid Surgery?

If you’re between the ages of 35 and 60 and suffer from drooping or sagging eyes that are a sign of maturing, then you’re an ideal candidate for blepharoplasty. If drooping eyelids are hereditary, you can investigate undergoing blepharoplasty at a younger age.

Often younger patients may look tired due to hollows under the eyes and this can be improved by filling the dark hollows.

What To Expect From Your Eyelid Surgery?

Once you’ve undergone the procedure and made a full recovery, you can expect to look more ‘refreshed’. You’ll also notice that your eyes appear wider and more youthful. An added advantage is that the results of this procedure are expected to last for years to come. It is, however, important to note that as you mature further and your skin loses elasticity over time, you may start to show signs of ageing around your eyes once again.

“Life isn’t about finding yourself. Life is about creating yourself.”

Are There Any Risks involved?

As with any surgical procedure, there are certain setbacks that can occur. They are, however, rare. When you undergo a blepharoplasty at the hands of a professionally trained surgeon like Dr Wilkinson, your chances of risk decrease dramatically. It’s very important to choose a good doctor who is compassionate to your needs and very experienced at the same time.

Do take note that when you undergo blepharoplasty, you run the risk of:

Blurry vision
Excessive bleeding
Persistent discolouration
Negative reactions to anaesthesia
Temporary swelling

You may also face a slight asymmetry in healing, or have some scarring. Other rare complications include patients having difficulty closing their eyes or pulling down of the lower lids (ectropion). In this case, additional surgery may be required. In extremely rare cases, blindness has been reported by patients who have undergone eyelid surgery.



During your initial consultation, Dr Nerina Wilkinson will examine your eyelids for a loss of deep soft tissue and excess skin. At the same time, she assesses the overall tightness of the muscles, too. It’s vitally important for you to be frank when discussing your expectations when it comes to eyelid surgery. From there she will take time to describe the different options available and the risks, benefits, and limitations of each.

You will need to decide whether to do all four eyelids or if you’d like to do the upper and lower lids separately. It is also important to decide if you would benefit from fat grafting the periorbital area surrounding the eyelids to regain a youthful fullness of the eye area. Dr Wilkinson will advise you in making this decision. Be sure to bring along a record of any recent eye exams and any information from your ophthalmologist. Photographs from your past will assist her greatly in deciding on the best way to rejuvenate your eye area.

This one-to-two hour procedure is performed as a day surgery at Renaissance Surgical Clinic and you’ll be placed under conscious sedation for the duration. The procedure is completed in three steps:

1. Incisions – Small well-hidden incisions are made in the crease of the eyelid, following the natural lines in the skin. These may extend into the crow’s feet or laugh lines. Alternatively, If you have a pocket of fat under your eyelids but don’t need to have any skin removed, a different procedure might make more sense for you. This is known as a ‘transconjunctival blepharoplasty’. During this procedure, the incision is made inside your lower eyelid, leaving no visible scar. This is usually performed on younger patients whose skin has more elasticity.

2. Tailoring – On the upper eyelid, fatty deposits and excess skin around the eyes are removed in preparation for muscle tightening. To prevent an operated and skeletonized look, Dr Wilkinson is conservative and only removes the fat pockets that are visible. A full eyelid is a youthful eyelid. When working on the lower lid, an incision is made below the lash line, through which excess fat and skin are removed. She believes that every patient requires support and volume in the lower eyelid to prevent pulling down the margin of the lower eyelid due to gravity. For more permanent results, fat grafts are my procedure of choice, however, if you are concerned about the effect of a fuller lower lid, then you could opt for the injection of a filler before deciding on fat grafting.

3. Finishing touches – Sutures are used to close the incisions, very thin surgical tapes are applied to the scars, and your eyes are lubricated with ointment. Most patients return home on the same day, however, if you are considering a 4 lid blepharoplasty, it is best to spend one night in the overnight facility where our well-trained nursing staff apply ice and special light therapy to accelerate the healing and reduce the swelling.

Our nursing staff will instruct you to keep your head elevated for several days and to use cold compresses to reduce swelling and bruising. Bruising varies from person to person, it reaches its peak during the first week and generally lasts anywhere from two weeks to a month. You’ll be shown how to clean your eyes, which may have a slight discharge for a week or so. We recommend eyedrops since your eyelids may feel dry at first and your eyes may burn or itch. For the first few weeks, you may also experience excessive tearing, sensitivity to light, and temporary changes in your eyesight, such as blurring or double vision.

The stitches will be removed after between five or seven days after surgery. Once they’re out, the swelling and discolouration around your eyes will gradually subside, and you’ll start to look and feel much better.

Dr Nerina Wilkinson has over 20 years of experience in the field of plastic surgery, and fully understand her patients, their needs and their emotions leading up to surgical / aesthetic procedures, which allows her to provide world class advice and care. Additionally, her staff are exceedingly well trained and experienced and equipped to provide you with incredible pre and post-operative care.

Put yourself in excellent hands and contact our clinic today to book your consultation for blepharoplasty.




DR Nerina Wilkinson has pioneered one of the most natural sought after “scarless facelifting” techniques.
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The Cosmetic Surgery Team

She specialises in Eye Rejuvenation & Restoration

In treating the delicate periorbital area, she is passionate about combination of advanced technologies, energy devices, skin treatments and surgery: resulting in the most natural rejuvenation and regeneration.

She puts the ambition into beauty

About Dr Nerina Wilkinson FCS (Plast SA)

Dr Wilkinson is considered the “go to” expert for patients seeking a highly personalized bespoke facial rejuvenation treatment plan. She takes her clients on an ultimate curated journey to beauty and confidence.

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