A blepharoplasty can be performed on either the upper or lower eyelids, or both lids can be operated on during the same procedure. When targeting the upper eyelid, an incision will be made along the crease of the eyelid. Any excess fat and skin will then be removed. Upper eyelid surgery can be performed under either general or local anaesthetic.
If the lower eyelid is being targeted, Mr Horlock will either be able to make an incision from behind the lid or directly below the lower lashes. If made behind the lid, a transconjunctival blepharoplasty procedure is used. This is designed to leave no visible scarring. The fat within the lower eyelid is able to be manipulated in various ways to achieve the best results. It can either be removed completely or moved to smooth out hollow areas in the eyes and cheeks. Lower lid surgery is usually carried out under general anaesthetic.
Depending upon whether the lower or upper eyelid is being treated, the procedure takes around one to two hours to complete.