Upper and Lower Eyelid Blepharoplasty Introduction

Blepharoplasty Treatment Areas

Do you see tired, droopy eyes looking back at you from the mirror? The loose skin over your eyes and the puffy pads under your eyes make you look more tired and older than you feel inside. Eyelid surgery or blepharoplasty corrects sagging skin and removes the fatty pouches above and beneath the eyes.

Eyelid surgery is done as an outpatient procedure under twilight sedation. To remove the fat pads from below the eyes, an incision is placed just inside the lower eyelid. The skin of the lower eyelid is then treated with the laser to remove the fine wrinkles or a pinch of excess skin may be removed. To correct the upper eyelid, fine incisions are placed in the natural crease above each eye and a thin crescent of excess skin and muscle is removed. A browlift or forehead lift is often done in conjunction with upper eyelid blepharoplasty.

Upper and Lower Eyelid Blepharoplasty Before and After *

What to Expect

Any medications (prescription, over-the-counter, and herbal) that can lead to excessive post-operative bleeding are stopped two weeks before the surgery, if the prescribing physician is okay with this. The procedure is usually done an outpatient surgery center.

Often times, referral to an ophthalmologist is scheduled before blepharoplasty surgery. This is to evaluate the clients for dry eyes (as blepharoplasty surgery can make this worse). In clients that may have a medical indication for blepharoplasty, that appointment will also evaluate the client for any signs of visual obstruction and to evaluate the lifting mechanism of the upper eyelid (levator function), as this will guide the operation that is chosen when there is a medical indication.

For the lower eyelid, several incision types are used. For those patients that do not need any skin removed, a transconjunctival (inside the lower eyelid, with no external skin incision) incision may be used. This allows fat excision or fat repositioning to be performed. In those clients with excess skin that needs to be removed, a subciliary incision (just below the lower lid eyelashes) is used. Through this approach excess skin and fat can be removed or fat can be repositioned. This scar is usually very well hidden. In clients that have lower eyelid laxity, a canthoplasty (cutting and repositioning the lateral canthus or outside corner of the eyelid) or canthopexy (tightening the lateral canthus) may be performed. The operation usually takes between one to two hours depending on which eyelids are done and how much work needs to be performed.

Lower Blepharoplasty What To Expect
Upper Blepharoplasty What To Expect

For the upper eyelid, one type of incision is used. It is placed in the natural eyelid crease that is well hidden in the post-operative period. During upper eyelid blepharoplasty, a small amount of muscle and/or fat around the eyes may be removed. If the blepharoplasty is being done for a medically necessary reason, the appropriate maneuvers may be added to address the dysfunction of the eyelid.

Upper and Lower Eyelid Blepharoplasty FAQs

What is Blepharoplasty?

Blepharoplasty, or eyelid surgery, is a surgical procedure to remove excess fat, skin and atrophied or loose muscle from the upper and lower eyelids.

How is the procedure performed?

During Blepharoplasty, incisions are made within the natural creases of the eyelids or on the inside of the eyelids. Dr. Tuesday will remove some of the herniated fat and excess skin and then closes the incision with very fine sutures.

Is there much scarring with a Blepharoplasty?

As with any surgical procedure, some scarring is to be expected. However, scarring with Blepharoplasty is minimal and practically nonexistent after several months of healing.

Will a blepharoplasty get rid of my eye wrinkles?

No. A Blepharoplasty is not designed to remove the wrinkles at the outer corners of your eyes (crow’s feet) or to fix sagging brows. There are other procedures available that can be used to remove wrinkles near the eyes, including laser resurfacing and intense pulsed light treatments.

What should I expect post-operatively?

After your surgery, your eyes will be tender, swollen, and sore, and you will probably have some bruising. These should all resolve in a few days. Discomfort can usually be controlled with pain medications prescribed by Dr. Tuesday. You may experience blurry vision for the first few days after your procedure, and your eyes may be watery or very dry. For additional information, read our article about eye lid surgery recovery.

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* Medical Disclaimer

The medical information on this site is provided as an information resource only. It is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual and is not to be used or relied upon for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment. More information


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