Let’s face it: our poor eyelids go through a lot. Sun exposure, pollution, makeup, rubbing (yes, we’re all guilty of that one), and the everyday environmental toxins that seem to surround us everywhere we look. The reality of life is that little lumps and bumps sometimes show up. As much as they can be frustrating, they’re also quite normal and relatively common – that being said, we know that it’s completely normal to feel a little uneasy when something new pops up.
The good news? Not every bump is cause for alarm. And if you are looking for the best eyelid surgery in Cape Town — both cosmetic and functional — then you’re here for the right reason! It is our passion and priority to help you look and feel like yourself again. Whether it’s a cyst, a wart, or a strange little plaque you just can’t unsee, you’ll be in experienced hands. We even specialise in eyelid lesion removal, eyelid cyst surgery, and eyelid tumour excision.
Here’s a breakdown of the most common benign (non-cancerous, non-spread-y, non-drama) eyelid lesions we see — and what you can expect when treating them:
This one’s a blocked oil gland that got a little too inflamed. It feels like a small lump and is often mistaken for a stye that overstayed its welcome.
Yellowish patches on the inner corners of your lids that look like fat deposits (because… they are). Often linked to high cholesterol, but sometimes they just happen.
Think: tiny, skin-coloured wart-like growths. Not the prettiest — but benign.
These are the kind of lumps that just… appear. They’re fluid-filled, usually harmless, and mostly just annoying.
We agree — it sounds like something out of an ancient Roman medical scroll. But really, it’s just a viral skin condition that shows up as little smooth bumps after close contact with someone who’s already had it.
Whether it’s something you’ve had for a while or something that popped up last week, it’s always worth getting it checked out — not just to feel reassured, but to feel like you again. And yes, you can take care of your eye health and your confidence at the same time. That’s the beauty of today’s oculoplastic techniques — they’re about function and aesthetics, so you never have to choose between seeing clearly and looking like your best self.
A patient with Grave’s disease / thyroid orbitopathy. The disease causes expansion of the orbital fat and muscles resulting in the popping forward of the eyes and a frightened or startled appearance. Orbital decompression allows the eyes to fall back and improve the appearance. This is a patient with moderate to severe orbitopathy pre surgery and 4 weeks post decompression surgery.
Entropion Eyelid Repair corrects an inward-turning eyelid, relieving irritation, redness, tearing, and protecting the cornea from damage. This quick surgical procedure repositions the eyelid, restoring comfort, improving vision, and preventing further complications. Recovery is fast, offering significant relief and improved quality of life for those affected by entropion.
Describing Eyelid Ptosis Repair corrects drooping of the upper eyelid, which can obstruct vision, cause eye strain, and affect appearance. The procedure tightens or repositions the eyelid muscles, restoring proper function and improving vision and symmetry. Recovery is straightforward, offering enhanced vision, comfort, and a rejuvenated appearance for those affected by ptosis.
Ectropion or out-turning lids/lashes may cause a red, uncomfortable and tearing eye – this was successfully addressed surgically and shows a restored contour, sharp canthal angle, globe apposition and resolution of symptoms.
Pre and post bilateral orbital fat decompression for thyroid eye disease
Out-turning lids (ectropion) can be treated by tightening and lifting the outer corner of the eye – this can also improve the appearance of lower lid bags. This photo is one week after surgery and the sutures are still in situ.
Blepharoplasty is often combined with outer lid tightening through the same surgical incision. This photo taken is one week after surgery, and reveals restored lid height of both upper and lower lids. The appearance changes from sad and tired, to refreshed and friendly.
Previous trauma or tumour excisions can leave patients with asymmetry – this can often be addressed for improved cosmesis and function.
Symmetry restored after blepharoplasty and ptosis repairs of both eyes.
Large tumours can be excised without leaving a patient with obvious scars.