I lost 10 stone through sheer
determination and wasn’t going to let
excess skin get in the way
Home » Procedures » Face & Eyelid Surgery » Eyelid Surgery
Eyelid surgery or blepharoplasty is the removal of excess skin and fat from around the eyelids. As we age, the skin around the eyes loses its elasticity and gravity pulls down on the skin and soft tissues of your eyelids, causing the skin around the eye to sag and develop wrinkles. The fat that usually sits around the eyeball, begins to push forwards, giving rise to swellings or eyebags. These bags are most commonly found in the upper lids just above the area where the upper lid meets the nose. In the lower lids, there are often three bulges that can meld together forming large bags along the whole length of the lower lids, making it appear puffy.
Blepharoplasty can sometimes be performed under a local anaesthetic injections or with you asleep under general anaesthetic. For upper eyelids a cut in the natural skin crease of your eyelid will be made and any excess skin and fat will be removed.
If sagging, wrinkled eyelids or puffy bags under your eyes are making you look older than you feel, blepharoplasty may be the ideal solution for you to look and feel your best. Graham Offer will carry out a detailed assessment and offer expert guidance before deciding if eyelid surgery/blepharoplasty is suitable for you. Careful counselling and examination must be undertaken prior to surgery as some patients may need lid-tightening procedures or brow support techniques in addition to make the surgery successful. Graham’s experience and personal touch throughout will help you make the best-informed decision about eyelid surgery to create a brighter and younger-looking face, and in some cases improve your vision.
Please see the factfile for more information.
This patient has much more confident following her surgery and is very happy with the results.


Upper and Lower Lid Blepharoplasties.
Upper and Lower lid Blepharoplasty


The eyebrows (Brow) in this patient were quite mobile and low/ptotic. When this happens, if too much skin is removed from the upper lids then the brows are pulled down rather than sitting in the normal place. So to prevent this, the brow needs to be fixed so it does not drop. Graham used a device called an Endotine to do this. The procedure is a form of browlift or browpexy and involves placement of an absorbable hook just above the brow under the skin. This is placed via the incision in the upper lid when the skin is excised. So no further scars. Graham, removed the skin lesion on the lid at the same time.
Quite severe amounts of loose skin. Removal makes a huge difference to her appearance and the way she feels.


This lady has a lot of loose skin on her upper lids (Dermatochalasis). This is the main problem, rather than lots of excess fat. Graham made some markings in white to show this. After surgery, she is able to wear her eye shadow and has natural looking upper lids.
This lady has loose skin and also prominent fat pad bulges/bags in the lower lids. Her main issue is with the lower lid bags. After upper and lower lid blepharoplasties, the bags have gone and there is better contour from the lids to the cheeks. Graham performed a procedure called a Septal reset to achieve this.


Upper and lower lid Blepharoplasties. The most obvious improvement is with the size of the visible upper lid. This has the effect of “opening up” the eye. She looks less tired.
Upper lid Blepharoplasty. This is a less complicated procedure than lower lid blepharoplasty. It can be performed under local anaesthetic as a day case. After surgery, this lady has found it now possible to use eye makeup without it smudging.


Upper and Lower lid Blepharoplasties combined with internal browpexy since the brow was mobile and Graham did not want it to drop. The whole lid is revealed.
Upper and Lower lid Blepharoplasties with a cheek fat pad lift to improve the appearance of the lid cheek junction. The lids appear larger.


Upper and Lower lid Blepharoplasties. Mainly loose skin removal and placement of the scars into skin creases.
Upper and Lower lid Blepharoplasties. Graham has also elevated the fat pads within the cheeks to both support the lower eyelids and to help rejuvenate the cheeks.

I lost 10 stone through sheer
determination and wasn’t going to let
excess skin get in the way
Every time I look in the mirror, I am reminded it was one of the best decisions. It made such a difference to my face and the fact that the procedure could be performed by local anaesthetic was an added bonus
Just to say that I was very pleased with the pre and post operative treatment and support from you and your team, and I am delighted with the results. This has made such a difference to how I feel about myself
Mr Offer went through my procedure many times so I fully understood what was going to happen. My Offer shaped my nose to how I wanted and I am so happy with the end result. Thank you Mr Offer for making me feel better within myself and giving me more confidence
I would like to say how grateful I am for all you have done for me and what a wonderful person you are. From the very first meeting we had, I knew you were the right person for the job to put things back into place and to give me back my confidence I longed for. The way you handled every stage was perfect to give me the courage to go through with it
Words cannot describe what you have done for me and my self-confidence. You are a truly special person who is so genuine and caring and I will never forget
Thank you are two very inadequate little words to express my gratitude and admiration for your skill, your ultimate professionalism and your warmth and empathy for your patients. I am very lucky to have been in such safe hands!
I feel like I have been given a new lease of life. The care and understanding and workmanship you have showed was above any expectations I had. The results are more than I could have hoped and dreamed of
Thank you so very, very much for what you have done for me. You have been professional, respectful and charming, I can’t put into words how the operation has changed my life. I now feel that I have regained my self-respect, self-worth and feel attractive again