Eyelid Surgery in Cape Town: Your Step-by-Step Guide with Before & After

Author : Your Eyelids | Published On : 11 Nov 2025

Introduction

If you’re exploring (Blepharoplasty) eyelid surgery in Cape Town, this guide is for you. We’ll walk you through the entire process—what the procedure involves, step by step, what you’ll experience before and after, typical costs in Cape Town, and show you real-before & after possibilities. Whether you’re considering improved aesthetics, better vision, or simply looking refreshed—this blog covers it all.

What is Eyelid Surgery?

Eyelid surgery (blepharoplasty) is a surgical procedure designed to remove or reposition excess skin, fat or muscle around the upper and/or lower eyelids.
This can be purely cosmetic (to look less tired or aged) or functional (for instance, if drooping eyelid skin is interfering with vision).
In Cape Town, many qualified surgeons and clinics offer blepharoplasty with high standards of care.

Step-by-Step: What to Expect

1. Consultation & Planning

  • You’ll meet the surgeon who will assess your eyelid area: upper lids, lower lids, any fat bags, muscle laxity, skin quality, whether your vision is affected.

  • Discuss your goals: Do you want to look more rested, reduce bags, improve vision, or a combination?

  • The surgeon explains the type of blepharoplasty needed: upper alone, lower alone, or both. Also discuss anaesthesia (local with sedation, or general) and facility (day-clinic vs hospital).

  • Get a detailed quote and understand exactly what’s included (surgeon fee, anaesthesia, facility, after-care). In Cape Town, upper+lower lids often range around R 45,000-R 60,000.

2. Pre-Surgery Preparation

  • You may need some medical tests (blood work, eye exam if needed).

  • Stop smoking for a period, avoid certain medications/ supplements as advised.

  • Arrange for post-care: transportation from clinic/hospital, someone to help for the first day or two, rest period scheduled.

3. The Procedure

  • The surgeon makes incisions: for upper lids, typically in the natural crease of the eyelid; for lower lids, either just below the lash line or via an internal incision (transconjunctival) to minimise visible scarring.

  • Excess skin is removed or repositioned, fat may be removed or re-draped, muscle may be tightened. 

  • The procedure duration is typically 1–3 hours depending on complexity.

  • After surgery, the patient is monitored and then discharged (often same day for day-clinic procedures) or stays overnight if required.

4. Recovery & Aftercare

  • Immediately post-surgery: expect swelling, bruising, some discomfort, dryness or irritation of eyes. Use cold compresses and follow your surgeon’s after-care instructions. 

  • First week: stitches may be removed after ~3-5 days, you may need to avoid makeup/contact lenses for a period.

  • Over the next few weeks: swelling continues to reduce, you’ll see more defined eyelids and a refreshed look. Full final results may take a few months to show.

  • Long-term: You still age naturally, so maintaining results means ongoing good skin care, sun protection, and a healthy lifestyle.

5. Before & After: What You Can Expect

  • Before: heavier upper lids, droopy skin, under-eye bags, tired appearance, sometimes visual obstruction.

  • After: more open eye-area, smoother upper or lower lids, refreshed, alert look, less bagginess. (Insert clinic’s before & after gallery here).

  • Results in Cape Town practices are generally long lasting, but results vary individually. 

Costs in Cape Town

  • For upper & lower blepharoplasty: typical range R 45,000-R 60,000 in Cape Town.

  • Cost includes surgeon’s fee, anaesthesia, facility/hospital charges, possibly follow-up care. Always check what is and isn’t included.

  • Costs can vary depending on surgeon experience, facility type, number of lids treated, complexity (if combining other procedures).

  • If you are travelling from outside Cape Town, add travel, accommodation, and extra after-care costs.

Is Eyelid Surgery Right for You?

Good candidates generally:

  • Are in good general health (no uncontrolled chronic illnesses).

  • Have realistic expectations (understand what surgery can and cannot achieve).

  • Have the condition of excess eyelid skin/fat bags/droopy lids that bother them.

  • Are non-smokers or willing to stop for the recommended period.

When it may not be advisable:

  • If you have serious eye conditions (dry eyes, glaucoma) or medical conditions that increase surgical risk.

  • If you have unrealistic expectations (expect a “normal youth look” or zero aging signs).

  • If you cannot commit to recovery and follow-up care.

Risks & What to Ask Your Surgeon

Eyelid surgery is generally safe when performed by a qualified surgeon, but all surgery has risks. Some to ask about:

  • Bleeding, infection, dry or irritated eyes.

  • Difficulty in fully closing your eyelids temporarily.

  • Visible scarring (though well-hidden if done properly).

  • Asymmetry or need for revision surgery.

At your consultation ask:

  • How many of these procedures have you done?

  • What are your complication rates?

  • Can I see before & after photos of similar patients (age, skin type)?

  • What is included in the quoted cost?

  • What is the expected recovery timeline?

  • If I travel into Cape Town for surgery, what happens if I have a complication after I leave?

Why Choose a Cape Town Clinic?

  • Many clinics specialise in eyelid and cosmetic surgery Cape Town  and provide high-quality care. Eg: clinics in Cape Town offering blepharoplasty.

  • For local patients, easier follow-up and convenience.

  • For international or out-of-town patients, Cape Town presents a destination where you can combine surgery and recovery in a comfortable environment (subject to proper planning for after-care).

  • It’s important to choose a clinic that is well-reviewed, board-certified, and experienced in eyelid surgery rather than just general cosmetic surgery.

Conclusion

Eyelid surgery in Cape Town can offer significant aesthetic and functional benefits—refreshing your appearance and opening up the eye area. With proper consultation, realistic expectations, and selecting a qualified surgeon/clinic in Cape Town, you can feel confident in your choice. Remember, the key is informed decision-making: know the steps, costs, risks, and recovery so you are fully prepared.

If you’re ready to explore further, book a consultation: ask the right questions, review before & after galleries, and pick a provider who prioritises your individual goals and safety.