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What Is Blepharoplasty (Eyelid Surgery)?

The eyes are often the first facial area to show signs of aging. As we age, our eyelid skin stretches, muscles weaken and fat begins to accumulate causing “bags” around the eyes. This aging tends to make the eyes look tired and swollen. Eyelid surgery, or blepharoplasty, can correct both the upper and lower eyelids to enhance the eye area, making the eyes dramatically younger and vibrant.

What Causes Aging Around The Eyes?

Over time, our face succumbs to the combination of gravity’s constant pull along with significant weakening facial muscles. The skin around the eyes begins to droop at the corners resulting in an unnatural “sagging” appearance. Additionally, fat around the eyes begins to bulge as the orbital septum, a thin wall of muscle tissue around the eyes, becomes weak. Blepharoplasty involves the surgical removal of this excess fat and skin to make the eyes look renewed.

Are There Different Types Of Eye Surgeries? 

Depending upon the needs and desired results of each individual patient, eyelid surgery can consist of upper blepharoplasty, lower blepharoplasty, or a combination of both:


Upper Belpharoplasty

Patients with sagging skin, loose muscle, or excess fat tissue along their upper eyelids will benefit from an upper blepharoplasty procedure. This form of eyelid surgery targets the upper lids and is ideal to correct fatty or excess skin that can fall over the eye which aesthetically causes a disruption in the natural contour of the upper eyelid and in severe cases visual impairment.


Lower Belpharoplasty

Individuals with drooping skin or excess tissue along their lower eyelids can benefit from a lower blepharoplasty procedure. Lower blepharoplasty can address a variety of lower lid issues including eye bags (extra fatty deposits), puffiness, dark under eye circles, wrinkling, and extreme droopiness that reveals an increased amount of the whites of the eyes.


Upper & Lower Belpharoplasty

Both upper and lower blepharoplasty can be performed in unison during a single procedure in order to correct upper lid and lower lid issues. This combination procedure, often referred to as a “quad bleph”, provides the most dramatic results.

Who Is A Candidate For Eyelid Surgery?

It is often aging individuals wishing to rejuvenate their appearance who have experienced changes to the eyelids caused by sun damage, gravity, and other natural elements of aging who request the procedure. They may also find that blinking has become uncomfortable due to the extra or misplaced tissues. Extra upper eyelid skin can also obstruct a person’s vision, in which case blepharoplasty may be a medical necessity.


It is common for blepharoplasty patients of all ages to explain that their eyes emote a sad or tired look, which does not express their true emotions. While eyelid lift surgery is more commonly performed on patients in the middle to later years of their life, genetics in younger individuals may create similar issues. Bulky tissues around the eyes can contribute to premature aging concerns.


Candidates for the surgery must be healthy enough to undergo the procedure as it does require anesthesia and in most cases light sedation. Prospective blepharoplasty patients should be informed of the extent of changes the procedure can create, possible risks, and the aftercare process. Because blepharoplasty will directly impact tissues of the eye area, certain skin or eye diseases may preclude someone from this form of cosmetic treatment.

Recovery After Eyelid Surgery:

Results of the eyelid surgery appear gradually as swelling and bruising subsides to reveal a smoother, better-defined eyelid and surrounding region. Most people feel ready to go out in public (and back to work) in a week to ten days after an eyelid surgery. By then, depending on your rate of healing, you’ll likely be able to wear makeup to hide any bruising that remains. Vigorous activity including exercise can be resumed around three weeks after surgery.

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