Eyelid surgery, medically known as Blepharoplasty, is a cosmetic and sometimes functional procedure designed to rejuvenate the appearance of the eyes by removing excess skin, fat, or muscle from the eyelids. As we age, our eyelids can begin to sag, creating a tired or aged look. In some cases, drooping eyelids can even impair vision. Blepharoplasty helps restore a more youthful and alert appearance while improving vision in severe cases.
This procedure is one of the most popular facial surgeries because of its ability to deliver subtle yet impactful results. Whether you're looking to eliminate under-eye bags, reduce hooded eyelids, or simply refresh your overall look, blepharoplasty can be a life-changing solution. It’s often performed alongside other facial rejuvenation treatments like facelifts or brow lifts for a more comprehensive result.
If you’ve been considering eyelid surgery, this guide will walk you through everything you need to know—from the different types of blepharoplasty to recovery tips and expected results.
Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both, depending on the patient’s needs. Here’s a breakdown of the two main types:
This procedure focuses on removing excess skin and fat from the upper eyelids that may be causing a hooded appearance. As we age, the skin loses elasticity, leading to drooping that can make us look tired or even obstruct vision. During upper blepharoplasty, the surgeon makes precise incisions along the natural crease of the eyelid to minimize visible scarring. The result is a more open, youthful eye contour.
Lower eyelid surgery targets under-eye bags, puffiness, and wrinkles. Fat deposits or loose skin under the eyes can create a perpetually fatigued look, even with adequate rest. Surgeons may remove or reposition fat, tighten muscles, and trim excess skin to smooth the lower eyelid area. Some techniques, like the transconjunctival approach, involve incisions inside the eyelid to avoid external scars.
In some cases, patients opt for a combination of upper and lower blepharoplasty for complete facial rejuvenation. Your surgeon will recommend the best approach based on your anatomy and aesthetic goals.
Blepharoplasty is an excellent option for individuals who are physically healthy, non-smokers, and have realistic expectations about the results. The ideal candidate typically exhibits one or more of the following concerns:
Age is not always a determining factor—some patients in their 30s may develop genetic under-eye bags, while others in their 60s seek surgery for age-related sagging. A consultation with a board-certified plastic surgeon will help determine if you’re a good candidate. Those with certain medical conditions (e.g., dry eye syndrome, thyroid disorders) may need additional evaluation before proceeding.
Proper preparation is key to a smooth surgery and recovery. Here’s what you can expect before your blepharoplasty:
During your first visit, your surgeon will assess your eyelid anatomy, discuss your goals, and review medical history. They may take photographs for reference and explain the surgical approach. This is the time to ask questions about risks, recovery, and expected outcomes.
In the weeks leading up to surgery, you may be advised to:
Your surgeon may also recommend eye drops or ointments to prepare the area. Following these steps ensures optimal conditions for surgery.
Blepharoplasty is typically an outpatient procedure performed under local or general anesthesia, depending on complexity. Here’s a step-by-step overview:
You’ll receive sedation to ensure comfort. Local anesthesia numbs the eyelids, while general anesthesia may be used for more extensive cases.
For upper eyelids, the surgeon makes discreet cuts along the natural crease. For lower eyelids, incisions may be inside the lid (transconjunctival) or just below the lash line.
Excess skin, muscle, and fat are removed or repositioned. The surgeon sculpts the area for a natural contour.
Fine sutures or skin adhesives close the incisions. These are usually removed within a week.
The entire procedure takes 1–3 hours, depending on the extent of correction needed.
Recovery from blepharoplasty is relatively quick, but proper aftercare is crucial for optimal results. Here’s a general timeline:
Mild swelling, bruising, and tightness are normal. Apply cold compresses to reduce puffiness and keep your head elevated while sleeping.
Sutures (if used) are removed. Most patients can return to light activities but should avoid strenuous exercise.
Bruising fades, and swelling continues to subside. You’ll notice a more refined eyelid contour.
Protect your eyes from sun exposure with sunglasses and use recommended scar treatments if needed. Final results emerge after 3–6 months.
While blepharoplasty is generally safe, potential risks include:
Choosing an experienced, board-certified surgeon significantly reduces complications. Discuss all concerns during your consultation.
Patients often report looking more rested, youthful, and alert after blepharoplasty. Key benefits include:
Results are long-lasting, though natural aging will continue. Many patients enjoy their new look for 10+ years.
Is blepharoplasty painful?
Most patients report minimal pain, manageable with prescribed or over-the-counter pain relievers. Discomfort is typically mild and peaks in the first 48 hours.
How long do results last?
Results are long-term, but eyelids will continue to age. Many patients enjoy their outcomes for a decade or more.
Can blepharoplasty fix dark circles?
It can improve shadows caused by puffiness but may not address pigment-related dark circles. Combination treatments like fillers or lasers may help.
When can I wear makeup again?
Most surgeons recommend waiting 7–10 days to avoid irritation.
If you’re considering blepharoplasty, consult a qualified surgeon to discuss your personalized treatment plan.