Eyelid Surgery (Blepharoplasty)

The skin around the eyes is delicate and especially vulnerable to the effects of aging. Over time, not only do the eyelids stretch, but the muscles supporting them also weaken, both contributing to the saggy appearance. In addition, excess fat often gathers above and below the eye, causing puffiness, droopy upper lids and bags under the eyes.

What is Eyelid Surgery (Blepharoplasty)?

Blepharoplasty is surgery to improve the appearance of droopy, sagging eyelids and/or remove under-eye bags. It can involve removing excess skin, muscle and fat from the upper eyelids, lower eyelids or both.

An upper blepharoplasty can reduce or eliminate vision problems by removing saggy skin and at the same time, make the eyes appear younger and more alert. A lower blepharoplasty can remove excess skin and fat deposits, as well as tighten the areas around the eyes and improve overall appearance.

Types of Eyelid Surgery

Upper blepharoplasty

  • Performed to remove excess skin and fat around the upper eyelid
  • Can also improve vision and reduce headaches caused by straining to see past sagging skin.

Lower blepharoplasty

  • Performed to remove excess skin, reduce wrinkles and improve the contour of the lower eyelid by removing skin and fat.
  • Can also include tightening the eyelid to further correct droopiness or sagging.
  • Can also include adding fat to improve hollow-eye appearance.

Double upper blepharoplasty

  • Also called Asian or Westernization eyelid surgery, performed to create an upper eyelid crease.

Who is an ideal candidate for Eyelid Surgery?

Those individuals most suitable for eyelid surgery are in good health and have realistic expectations about results. Patients seeking this surgery want to achieve tighter, more youthful eyelid contour by eliminating such features as:

  • Excess lower eyelid skin and/or upper eyelid skin that may be interfering with peripheral vision
  • Droopy lower eyelids that may also be causing the whites of the eyes to show below the iris
  • Under eye bags

What to expect during Eyelid Surgery

Your surgeon injects numbing medication around the eyelids and administers intravenous medication for relaxation and pain numbing. Blepharoplasty usually takes less than two hours, depending on the amount and location of tissue being removed. It is commonly an outpatient procedure with most people going home the same day as the surgery.

  • For the upper lids – The surgeon cuts along the fold of the eyelid to remove excess skin, muscle and fat and then closes the incision.
  • For the lower lids – The surgeon makes a cut just below the lashes in your eye’s natural crease or inside the lower lid. Excess fat is removed or redistributed, sagging skin is removed, the area is tightened and the incision is closed.

What to expect during Eyelid Surgery recovery

After surgery, you will spend some time recovering on-site and being monitored for complications. Most patients leave later in the day to recuperate at home and the overall recovery period is fairly short. Bruising and swelling may be worse the day after surgery, but should disappear quickly.

During the first 48 hours

  • Patients should use cool compresses to reduce bruising and swelling
  • Light activity should resume to help speed healing, such as walking
  • Any bandages can usually be removed, and if stitches aren’t self-absorbing, they will be moved in about a week.

At one to two weeks

Most people return to normal activities 7-10 days following blepharoplasty. Two weeks post-surgery, the majority of bruising and swelling should resolve.

Possible temporary side-effects

  • Moderate pain
  • Sensitivity to light
  • Double vision
  • Watery eyes
  • Puffy, numb eyelids
  • Swelling and bruising

View Post-Op Instructions

How soon after surgery will I see the full results?

Most patients notice they have a more rested and youthful appearance (and more self-confidence), a month or two after surgery. Scars from the surgical incisions may take up to six months or longer to fade.

How long do the results last?

Over time, the skin and supporting muscles will continue to lose firmness. While the eyelids should never return to their pre-blepharoplasty condition, aging will have some effect. Many people are pleased with the results of the surgery throughout their lifetimes, especially the removal of under eye bags. Some patients choose to have additional surgery later in life to better keep up with the results of aging.

Eyelid Surgery Before and After

Upper and Lower Bleph (HERO)

*Individual results may vary

Click to view more Eyelid Surgery before and after photos>>

What other procedures can be combined with Eyelid Surgery?

The surgery can be performed on the upper or lower eyelids, or both, and can also be done in conjunction with other related surgery procedures, such as a facelift or brow lift. Blepharoplasty is usually done on an outpatient basis, causes little pain and has a short recovery time.

What are the risks involved with Eyelid Surgery?

Blepharoplasty is a fairly simple, quite safe procedure. All surgery comes with the risks associated with surgery in general, including reaction to anesthesia and rarely, blood clots and cardiac and pulmonary complications. Eyelid surgery specifically can cause:

  • Infection and bleeding
  • Dryness and irritation
  • Difficulty closing eyes
  • Obvious scarring
  • Injury to eye muscles
  • Skin discoloration
  • Temporary blurred vision
  • Loss of eyesight, quite rarely
  • The need for follow-up surgery

Schedule a consultation

According to statistics from the American Society of Plastic Surgeons, eyelid surgery is one of the top five most popular cosmetic procedures. To help decide if the surgery is right for you, schedule a consultation with us. Together we explore realistic outcomes, benefits and risks of the procedure. Elite Plastic Surgery proudly serves Grand Rapids MI and surrounding areas.