Eyelid Surgery

This summary covers blepharoplasty: what it is, who it’s for, risks, procedure, and results. Headings and essential points only.

What Is Eyelid Surgery?

• Surgical procedure to improve the appearance of the upper and/or lower eyelids.
• Treats loose or sagging skin, fat deposits, bags under the eyes, lower eyelid wrinkles, and drooping lower lids.
• Can also correct functional concerns like impaired vision due to excess skin.

What Eyelid Surgery Can Treat

• Loose sagging skin creating folds on the upper eyelid.
• Puffiness from fatty deposits in eyelids.
• Bags under the eyes.
• Lower eyelids drooping, revealing white area below the iris.
• Fine wrinkles and excess skin of lower eyelid.

Candidates

• Good physical health with no conditions that impair healing.
• Realistic expectations about what eyelid surgery can achieve.
• Non-smokers or willing to stop; skin condition suitable.

Cost

• Cost depends on whether upper, lower, or both eyelids are treated, plus complexity.
• Additional expenses include anesthesia, facility fees, and post-operative care.

Consultation

• Discuss aesthetic goals and any functional issues (e.g. vision obstruction).
• Review medical history, medications, previous eye surgeries.
• Assess eyelid anatomy, skin laxity, fat deposits, and general facial features.

Questions to Ask

• Which eyelids will be treated (upper, lower, or both)?
• What surgical technique will be used?
• What is the expected recovery time and aftercare?
• What are the specific risks (vision, scarring, dryness)?
• What results are realistic in my situation?

Risks and Safety

• Bleeding, infection, poor wound healing.
• Temporary or permanent changes in skin sensation.
• Excessive dryness or irritation of eyes.
• Visible scarring depending on incision location.
• Asymmetry or uneven result.
• Possible need for revision if complications or undesired outcome.

Preparation

• Medical evaluation, lab tests if required.
• Avoid medications or supplements that increase bleeding risk.
• Stop smoking in advance.
• Arrange someone to help during early recovery.

Procedure Steps

Anesthesia

• Local anesthesia, sometimes with sedation; in other cases general anesthesia as needed.

Incision & Technique

• Incisions usually made in natural creases of upper eyelids or just below the lash line for lower lids.
• Excess skin removed; fat may be repositioned or removed; underlying support tightened if needed.

Closure

• Sutures or adhesives used to close incisions; sometimes removable, sometimes dissolvable.
• Incision placement aimed to minimize visible scarring.

Recovery

• Swelling and bruising expected after surgery; may last several days.
• Cold compresses, proper head elevation help reduce swelling.
• Avoid strenuous activity, bending or lifting in early post-op period.
• Follow-up appointments to remove sutures (if required) and monitor healing.

Results

• More youthful, rested appearance around the eyes.
• Reduced bags, folds, and excess skin contributing to heaviness.
• Improvement in vision if upper eyelid skin was obstructing sight.
• Scars usually fade over time, largely hidden in natural eyelid creases.

Choosing a Plastic Surgeon

• Board-certified plastic surgeon with experience in eyelid surgery.
• Use of accredited surgical facility and proper aftercare support.
• Review before & after photos of similar cases; ensure clear communication of expectations.