Blepharoplasty (Eyelid Surgery)

What is a blepharoplasty?

Blepharoplasty, more commonly known as eyelid surgery, is a procedure that corrects both the bulges and wrinkles around the eyes. Ultimately resulting in a rejuvenated appearance, blepharoplasty restores the much-desired young and rested look.

Usually, both the upper and lower eyelids are operated at the same time, however, it is not uncommon to do either or. Upper blepharoplasty is suggested when an excess of skin can cause a fold in the upper eyelid, which can then consequently fall over the eyelashes. Lower blepharoplasty, on the other hand, is suggested when bags in the lower eyelids are visible, consequently creating a permanently tired look.


Usually lasting about an hour for either the upper or lower eyelids, this procedure is performed under local anesthesia. Measurements to estimate the amount of skin to excise in the upper eyelid are done pre-operatively in the sitting position.

In upper lid blepharoplasty, the excess skin is then removed, as is excess fat, which contributed to the heavy appearance of the lid. If desired, at the same time, frown lines can be corrected through the same incision.

In lower lid blepharoplasty, the incision can either be on the inside of the eyelid or on the outer side, just below the eyelash line. Some excess fat is removed and some fat is repositioned to give a more youthful and rested look. A tightening of the lower lid may be performed at the same time if necessary.


After the surgery, surgical tape covers the incisions and the eyes are left free. Some swelling and bruising post-operatively is normal and usually resolves within a week. Stitches are removed between five and seven days post-operatively. In rarer cases, swelling may persist for a month post-operatively. Return to work is usually possible after seven to ten days.

Risks and Complications:

All surgeries expose patients to risks and complications. In cosmetic surgery, all efforts are made to minimize these risks, but they cannot be completely eliminated. A partial list of complications for blepharoplasty includes: dry eye, ectropion (retracted lid), and hematoma. It is important to discuss these risks with your surgeon as part of your decision making process.