Facial surgery · Guide
Before and After - Eyelid Surgery and Phenol Peel Under Sedation
Our patient underwent a combination procedure of lower eyelid lift (lower blepharoplasty) and a phenol peel. The surgery was performed under sedation anaesthesia as a daycase at the Clinic. She wanted to rejuvenate her face and particularly the dark under eye area, and she looks fantastic.
- Medically reviewed by
- Medically reviewed by Mr Vasu Karri, Consultant Plastic Surgeon, FRCS(Plast), GMC 4631035
- Written by
- Mr Vasu Karri
- First published
- Last reviewed
- Next review due
- 27 September 2027
- Reading time
- 1 min
At a glance
- Procedures
- Lower eyelid lift and phenol peel
- Anaesthetic
- Sedation
- Stay
- Day case
Summary
- A patient had a lower eyelid lift (lower blepharoplasty) and a phenol peel together, under sedation as a day case.
- Lower blepharoplasty suits puffiness of the lower eyelid; where the midface has also aged, a midface lift may be added.
- A facelift does not fix pigmentation or uneven skin; a phenol peel is often more effective for that.

Eyelid surgery, also known as blepharoplasty, serves to rejuvenate the upper eyelids, lower eyelids or both by removing excess skin/muscle and fat, as well as reshaping the eye.

A youthful eye typically has smooth, wrinkle-free skin on the upper and lower eyelids and absence of puffiness. However, with increasing age eyelid skin can become lax and wrinkled. This combined with puffiness can give the eyes a tired look. The lax and sagging upper eyelid skin can also fold over the eyelashes causing ‘hooding’ and in severe cases compromise vision.
Lower blepharoplasty is suited for patients who develop puffiness of the lower eyelid. If there is significant ageing of the midface as well, lower blepharoplasty alone may not achieve the rejuvenating effect that is desired. For such patients, a combination of lower blepharoplasty and midface lift is more suitable.
Many patients believe they will need a facelift to combat areas of the face they are unhappy with, but often this is not the case as a facelift will not fix any pigmentation or skin unevenness. Peels, such a high strength phenol peel, are often a much more effective way to target ageing of pigmented skin.
For more information on eyelid lifts or phenol peels, please do get in touch with us via our contact form or by calling 01709 464 200.

About the author
Mr Vasu Karri
BSc(Hons), MBBS, MRCS, MSc, FRCS(Plast)
Mr Vasu Karri is a Consultant Plastic Surgeon in full time private practice at Kinvara Private Hospital, Rotherham. He is on the General Medical Council (GMC) specialist register for plastic surgery, certified by the Royal College of Surgeons of England in plastic surgery.
- GMC 4631035
- FRCS(Plast)
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