Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat – usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper eyelids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision.

Click on the image to see more.

When an advanced amount of upper eyelid skin is present, the skin may hang over the eyelashes and cause a loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision. Patients with a less severe amount of excess skin may have a similar procedure performed for cosmetic reasons. Lower eyelid blepharoplasty is almost always done for cosmetic reasons, to improve puffy lower eyelid “bags” and reduce the wrinkling of skin.

Blepharoplasty is performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids, or from the inside surface of the lower eyelid. Initial swelling and bruising take one to two weeks to resolve but at least several months are needed until the final result becomes stable. Depending upon the scope of the procedure, the operation takes one to three hours to complete.


Blepharoplasty, or eyelid surgery, is a surgical procedure to remove excess fat, skin and atrophied or loose muscle from the upper and lower eyelids.
During blepharoplasty, incisions are made within the natural creases of the eyelids or on the inside of the eyelids. The surgeon removes some of the herniated fat and excess skin and then closes the incision with very fine sutures.
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.
Fat and loose skin around the eyes usually appears with age, but some young people are genetically prone to it, so there really is no set age when blepharoplasty is performed.
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.
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 your surgeon. 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.
Stitches are normally removed three to five days after your surgery. The removal process may sting a little, but is usually not too uncomfortable.
You should be able to see a definite difference once the swelling goes down, but this won’t be for several days.
Blepharoplasty, like all surgery, has risks. Minor complications associated with blepharoplasty include temporary double or blurry vision, temporary swelling, and tiny white pimples around your eyes. Your eyes may also heal at different rates, which can mean that they will be temporarily asymmetrical. More serious risks include permanent asymmetry or difficulty closing your eyes and keeping them closed. For additional information, please read our article about eyelid surgery risks.
Asian blepharoplasty is an eyelid surgery that creates a crease in the eyelid. It is popular among many Asians who have what?s referred to as a ?single eyelid? (with no crease) and would prefer a ?double eyelid? (one with a crease). This ethnic plastic surgery is one of the most requested procedures among Asians in the United States and abroad. In addition to covering other articles about blepharoplasty, including eyelid surgery cost, All About Facial Rejuvenation contains numerous resources, including a gallery of eyelid surgery before and after photos, to help patients better understand this popular procedure. Other face plastic surgery procedures addressed include rhinoplasty and face lift surgery. Please visit this site’s other pages to learn more.