Eyelid Surgery in Sandton | Dr Deon Weyers
Blepharoplasty removes or adjusts excess eyelid skin and fat so the eyes look more open and rested. Dr Deon Weyers sees Sandton patients at the Fourways practice, a short drive away.
Eyelid surgery, also called blepharoplasty, treats the upper lids, the lower lids or both. Depending on what the eyelids need, Dr Deon Weyers removes excess skin, fat or both through incisions placed in the natural eyelid folds, where the scars are well hidden.
For patients in Sandton, the practice at Life Fourways Hospital is close enough that consultation, surgery and follow-up visits fit into a working week. Every step is with Dr Deon Weyers personally.
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Eyelid Surgery Sandton: Fitting Surgery Around a Busy Diary
Most people considering blepharoplasty in Sandton want to know two things early on: whether surgery is the right tool for their eyelids, and how much time it will really take out of work and social plans.
Upper eyelid surgery addresses heavy, hooded skin that sits on the lash line and makes the eyes look tired. Lower eyelid surgery addresses puffy bags and loose skin beneath the eyes. The two can be done separately or together, and Dr Deon Weyers explains the difference in detail on the main blepharoplasty page. If under-eye bags are the main concern, the dedicated lower blepharoplasty page covers that operation.
- Upper lids
- Lower lids
- Hidden incisions
- Rooms or theatre
- Single surgeon
The practice is in Fourways, in northern Johannesburg, so Sandton patients usually travel only a short distance for each visit. That makes it practical to attend the early review and stitch removal without taking extra days off purely for travel.
Recovery is usually measured in days rather than weeks for desk work, but bruising and swelling need to settle before you feel comfortable in a meeting or at a social event. Planning the date around your diary is one of the most useful things you can do before booking.
A Realistic Diary Plan
Day of surgery: home the same day with a companion. First few days: rest with the head raised, cold compresses and prescribed pain relief. Around day 5 to 7: many patients return to desk work, often with tinted glasses. Stitches are removed at the practice at the early review.
Weeks 2 to 3: most visible bruising has faded and make-up can usually be used again once cleared. Weeks 6 to 8: swelling continues to settle and the final eyelid shape becomes clear. Strenuous exercise waits about two weeks.
Book eyelid surgery at least three weeks before an important event, so bruising has time to fade and you are not relying on make-up to cover it.
Eyelid Surgery vs Non-Surgical Eye Treatments
Blepharoplasty (Surgery)
Removes excess eyelid skin and adjusts or removes fat. It is the option that can physically take away hooding or under-eye bags.
Done in the rooms under conscious sedation or in theatre under general anaesthetic, with a short recovery and long-lasting results.
Non-Surgical Treatments
Neurotoxin injections, fillers and chemical peels can soften lines, support volume around the eyes or improve skin texture. See the practice’s filler treatments.
They do not remove loose skin or fat, so they suit early changes or complement surgery rather than replace it.
| Aspect | Blepharoplasty | Non-surgical options |
|---|---|---|
| Removes excess skin | Yes | No |
| Treats fatty bags | Yes, by removal or adjustment | Can only camouflage |
| Softens fine lines | Partly, as skin is tightened | Yes, depending on the treatment |
| Setting | Rooms under sedation or theatre | In-rooms appointment |
| Downtime | About a week before desk work | Usually little or none |
| How long it lasts | Long-lasting; ageing continues | Months, then repeated |
The Eyelid Surgery Process
Dr Deon Weyers performs every step himself. The plan is agreed in advance so you know what will happen on the day and what to expect afterwards.
Consultation in Fourways
The eyelids, brows and surrounding skin are examined, your goals discussed and any eye conditions noted. Whether you need upper, lower or combined surgery, and whether sedation or a general anaesthetic suits you, is decided here.
Choosing the date
You pick a date that leaves room for bruising to settle before work presentations, travel or events. Medication and supplements that increase bruising are paused as advised.
The procedure
Incisions are placed in the natural upper eyelid crease, or just below the lower lash line or inside the lower lid. Excess skin and fat are removed or adjusted and the incisions are closed with fine stitches.
Going home
Most patients go home the same day. You will need someone to drive you and to help for the first evening.
Review and stitch removal
You return to the practice for an early check and stitch removal, then for follow-up as healing progresses over the next weeks.
Who Eyelid Surgery Suits
Blepharoplasty is most often considered by adults in good general health whose eyelids make them look more tired than they feel.
- Hooded upper lids – Skin folding onto the lash line or making eye make-up difficult
- Under-eye bags – Puffiness that persists regardless of sleep
- Loose lower-lid skin – Creasing and laxity beneath the eyes
- Stable eye health – Dry eye and other conditions discussed and managed first
- Realistic expectations – A refreshed look, not a change in eye shape or identity
Whether the brows, rather than the eyelids, are the main cause of heaviness is part of the assessment. In some patients a brow lift is the better fit, or the two are combined.
Planning Your Eyelid Surgery
A little preparation makes the recovery smoother and keeps your diary under control.
- Check your calendar.Leave about a week before desk work and around three weeks before major social events.
- Mention your eyes.Tell Dr Deon Weyers about dry eyes, contact lens use, previous eye surgery or vision problems.
- Arrange help at home.Someone should drive you home and stay with you the first night.
- Ask about combining procedures.Eyelid surgery is sometimes combined with a brow lift or a facelift, which changes the recovery plan.
What Eyelid Surgery Costs in Sandton
The practice publishes a range of R45,000 to R60,000 for upper and lower eyelid surgery for Sandton patients (see eyelid surgery prices in Sandton). Your exact fee depends on whether one or both lids are treated, the setting and the anaesthetic, and is confirmed in a written quote after consultation.
The quote sets out what is included, such as the surgical fee and facility costs, and what is billed separately, such as prescription medication or additional procedures.
Eyelid surgery for appearance is generally self-funded. Where drooping skin measurably affects vision, a medical aid may consider a motivation; this is never guaranteed and depends on the scheme.
Common Misunderstandings
A few assumptions come up often in Sandton consultations.
Risks and Possible Complications
Recognised Risks of Eyelid Surgery
General: bleeding or a blood collection near the eye, infection, slow healing and reactions to sedation or anaesthesia.
Eye comfort: dryness, irritation, watering and temporary blurred vision while swelling settles.
Eyelid position: difficulty closing the eyes fully for a time, asymmetry, or the lower lid pulling downwards.
Scarring: usually well hidden, but a scar can occasionally be visible, raised or tight.
Revision: a small number of patients need a further procedure to refine the result.
What Reduces Risk
- Pause blood-thinning products – such as aspirin and some supplements, as advised before surgery.
- Keep your head raised – and use cold compresses in the first days to limit swelling.
- Protect your eyes – with sunglasses and lubricating drops as directed.
- Keep your reviews – so stitch removal and healing checks happen on time.
Contact the practice urgently if you notice increasing pain or swelling around one eye, a change in vision, bleeding that does not stop with gentle pressure, or signs of infection such as fever and spreading redness.
Medical disclaimer. This page is general information and does not replace a face-to-face consultation. Surgical decisions require an in-person assessment, a full consent discussion and the individual medical advice of your surgeon and anaesthetist.
Eyelid Surgery Sandton: Frequently Asked Questions
Is there a practice in Sandton?
No. Dr Deon Weyers has one practice, at Life Fourways Hospital, a short drive from Sandton. All consultations, surgery and follow-up visits happen there.
How soon can I go back to the office?
Most patients return to desk work after about five to seven days. Bruising may still be visible, so some people prefer to wait a little longer before meetings.
Can I have eyelid surgery under sedation instead of a general anaesthetic?
Yes, in suitable cases eyelid surgery can be done in the rooms under conscious sedation. Whether this suits you is decided at consultation.
Will Botox or fillers do the same job?
No. Non-surgical treatments can soften lines and support volume, but they cannot remove loose eyelid skin or fatty bags.
Can eyelid surgery be done with a facelift or brow lift?
Yes, it is sometimes combined with other facial procedures. Combining changes the anaesthetic, theatre time and recovery, which Dr Deon Weyers explains when planning.
When can I wear make-up and contact lenses?
Eye make-up usually waits about two weeks and contact lenses about ten days, or until you are cleared at your review.
What does blepharoplasty cost for Sandton patients?
The practice publishes a range of R45,000 to R60,000 for upper and lower eyelid surgery. A written quote follows your consultation.
How long do the results last?
The removed skin and fat do not return, so results are long-lasting, but the eyelids continue to age naturally over time.
Speak to Dr Deon Weyers About Eyelid Surgery
Dr Deon Weyers is a board-certified plastic and reconstructive surgeon, registered with the Health Professions Council of South Africa and a member of APRASSA. Every consultation, procedure and follow-up is with him personally. He sees Sandton patients at the practice in Fourways.
Call 011 875 1694
Office hours: Monday to Thursday 08:00 – 17:00, Friday 08:00 – 14:00 · send a message
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