Blepharoplasty

The eyes are the most striking feature of the face, capturing attention and conveying emotions. Over time, the skin around the eyes loses elasticity, causing excess skin to form and partially cover the eyes. Eyelid surgery, or blepharoplasty, is a widely performed procedure that addresses both cosmetic and functional concerns. It restores a youthful appearance, brightens the eyes, and enhances overall facial harmony, making the face appear fresher and more alert.

Aging-related changes
The skin around the eyes is very thin and prone to sagging as elasticity decreases with age. This can lead to drooping upper lids, baggy lower lids, and the formation of wrinkles. While more common in older adults, eyelid sagging can occur at any age. Some individuals may experience this from birth due to congenital conditions affecting the muscles that lift the eyelids.

Functional and aesthetic concerns
Excess eyelid skin can create a tired appearance and may impair vision by narrowing the visual field. It can also lead to discomfort such as eye strain, headaches, or difficulty with tasks like reading, driving, or working at a computer. Eyelid surgery improves both the appearance of the eyes and the field of vision, reducing these functional issues.

Consultation with your surgeon
Discuss your goals and expectations, and provide your doctor with a full medical history, including medications, allergies, vision issues, or chronic health conditions.

Lifestyle considerations
It is important to avoid smoking and other habits that can negatively affect healing for several weeks before and after the procedure.

Upper eyelid surgery can be done alone or in combination with other facial procedures, such as lower eyelid surgery, brow lift, or a full facelift. The surgery is performed under local or general anesthesia, depending on the extent of the procedure.

Upper eyelid blepharoplasty
The procedure involves removing excess skin and, if necessary, underlying fat. Incisions are typically made along the natural crease of the upper eyelid, allowing the surgeon to remove or reposition tissue for a smooth contour.

Lower eyelid blepharoplasty
Lower eyelid surgery focuses on reducing puffiness by removing or repositioning fat. Incisions are usually made inside the eyelid, along the conjunctiva, minimizing visible scarring. For larger amounts of excess skin, small external incisions may also be made.

Combining blepharoplasty with a brow lift
A brow lift is often performed alongside eyelid surgery to elevate drooping eyebrows and enhance the eye area. Incisions are placed along the hairline, and tissue layers are lifted and repositioned to create a natural, refreshed look. Sutures may be absorbable or non-absorbable.

Immediate care
Cold compresses are applied to minimize swelling and bruising, and should continue for a short period postoperatively. Avoid wearing contact lenses for a few weeks if possible. Pain can be managed with prescribed medications.

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Healing and scarring
Healing usually takes 2–3 weeks. Bruising typically resolves within a few weeks, while swelling may persist slightly longer. Temporary difficulty closing the eyes and mild discomfort may occur, which can be relieved with artificial tears. Upper eyelid scars are generally discreet, blending into natural eyelid folds.

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Resuming activities
Avoid vigorous physical activity, sports, and saunas for about a month. Protect your eyes from sun exposure with sunglasses to support optimal healing.

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