Also known as blepharoplasty, eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. Any one or combination of the following conditions may indicate that you may be considered a good candidate for eyelid surgery:

  •     Excess skin obscuring the natural fold of the upper eyelids
  •     Loose skin hanging down from the upper eyelids, perhaps impairing vision
  •     A puffy appearance to the upper eyelids, making the eyes look tired
  •     Excess skin and fine, “crepe paper type” wrinkles of the lower eyelids
  •     Bags and dark circles under the eyes
  •     Lower eyelid droopiness


How is eyelid surgery (blepharoplasty) performed?

Eyelid surgery can involve the upper eyelids, lower eyelids, or both eyelids depending upon the goals of the surgery and recommendations of your surgeon:


Upper Eyelids

For upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it usually is inconspicuous.


Lower Eyelids

For lower eyelid surgery, often an incision is hidden just below the lower lashes. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle laxity may be performed.

As in upper eyelid surgery, placement of the incision in natural crease lines allows for the scar to usually heal in an inconspicuous fashion. In some cases, you and your surgeon may decide that the best approach for removing excess fat is through an incision placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin.


What is involved in recovery?

Eyelid surgery is usually performed as an outpatient procedure. If this is the case, be certain to plan for someone to drive you home after surgery and stay with you.

Initial healing throughout the first one to two weeks following your eyelid surgery may include:

  • Swelling
  • Bruisins
  • rritation or dry eyes
  • Irritation at the incision sites

It is important that you practice careful sun protection, including using darkly tinted sunglasses until the healing process is fully complete.