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Blepharoplasty, also known as eyelid surgery, is a surgical procedure designed to improve the appearance of the eyelids by removing excess skin, fat, and muscle.

The procedure can be performed on either the upper or lower eyelids or both, depending on the patient's needs and goals. Blepharoplasty can help to reduce the appearance of sagging or drooping eyelids, puffiness, and under-eye bags, giving the eyes a more youthful and refreshed appearance.

In addition to its cosmetic benefits, blepharoplasty can also improve peripheral vision by removing excess tissue that may be obstructing the field of seeing.

Ideal candidates for eyelid surgery should be healthy people with realistic expectations for the outcome of the procedure. People who may benefit from blepharoplasty include those who have:


  • Excess skin and wrinkles on the upper and/or lower eyelids,
  • Puffy or baggy lower eyelids,
  • Under-eye dark circles caused by protruding fat pads,
  • Difficulty opening the eyes fully due to droopy eyelids.


It's important for candidates to have good overall health, not smoke, and have realistic expectations for the outcome of the procedure. The candidates need to have a thorough consultation with a surgeon to determine if blepharoplasty is the best course of action for them.


Preparation for Blepharoplasty


Preparation for blepharoplasty typically involves the following:


  • Consultation: During this visit, the surgeon reviews the patient's medical records, examines the eyelids, and talks about the patient's goals and expectations for the procedure.
  • Medical Evaluation: The surgeon may also order some medical tests to ensure that the patient is healthy enough to undergo surgery.
  • Medication Adjustments: The doctor might ask the patient to temporarily stop taking certain medications, such as blood thinners, to reduce the risk of bleeding during and after surgery.
  • Lifestyle Changes: It is recommended to avoid smoking, excessive alcohol consumption, and taking any herbal supplements that may increase the risk of bleeding or interact with anesthesia.
  • Arranging for Assistance: Candidates should arrange for someone to drive them home after surgery, as well as help them with daily activities during the recovery period.
  • Post-op Care: The surgeon provides detailed instructions on post-operative care, including wound maintenance, medication management, and restrictions on physical activity.


Following these steps can help ensure a smooth and successful blepharoplasty procedure and recovery period. These are a must for the best results.


How is Blepharoplasty Performed?


Blepharoplasty is usually performed under local anesthesia with sedation or general anesthesia, depending on the scope of the surgery and both the surgeon's and the patient's preferences.

The surgical approach used for blepharoplasty depends on the area of the eyelid that needs treatment. The two main approaches are:


  • Upper Blepharoplasty: This approach involves making cuts in the natural crease of the upper eyelid to remove excess skin and fat. The incision is then closed with sutures, and the scar is hidden in the natural crease of the eyelid.
  • Lower Blepharoplasty: This way includes making a cut just below the lower eyelash line or inside the lower eyelid to remove excess skin, fat, and muscle. The incision is then closed with stitches or surgical tape, and any excess skin is removed.


In some cases, a combination of both upper and lower blepharoplasty may be performed to achieve a more comprehensive rejuvenation of the eye area. After the procedure is complete, the surgeon may apply ointment and a dressing to the treated area to protect it and reduce swelling. Most patients are able to go home on the later day of the surgery.


Aftercare for Eyelid Surgery


After an eyelid surgery, some discomfort, swelling, and bruising might be seen in the treated area. The surgeon prescribes some drugs and advises the patient to apply ice packs to the area to reduce swelling.

Patients should avoid heavy physical activity and bending over for several days after the surgery to prevent excess pressure on the related area. They should also avoid rubbing their eyes and wear dark glasses to protect their eyes from sunlight and wind.

It's normal to experience some blurry vision or light sensitivity immediately after the operation but this should pass within a few days. Most people are able to return to work and normal activities within 7-10 days.

The doctor provides detailed aftercare instructions, which may include specific instructions for wound care and medication use. It's important to follow these instructions carefully to have proper healing and avoid complications.

Frequently Asked Questions