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How Is Blepharoplasty (Eyelid Surgery) Performed?
Who blepharoplasty (eyelid surgery) is suitable for, how the operation is performed, the recovery period and points to consider. Information article.
Key points
- Blepharoplasty is an operation in which excess eyelid skin and, where needed, fat tissue are removed.
- It is planned for functional reasons when upper-lid sagging narrows the visual field, and for aesthetic reasons in other cases.
- Dry eye, lid position and brow droop are always assessed before surgery.
- Swelling and bruising are expected during recovery; stitches are usually removed within the first week.
Blepharoplasty, or eyelid surgery, is a surgical procedure designed to remove excess skin, fat, and muscle from the upper and lower eyelids, resulting in a younger, more refreshed, and aesthetically improved eye area. Aging, genetic factors, sun exposure, and loss of skin elasticity can cause sagging eyelids and under-eye bags, which may affect both appearance and, in some cases, vision.
The procedure is typically performed under local anesthesia and may involve the upper eyelids, lower eyelids, or both depending on the patient’s needs. Before surgery, a detailed eyelid and eye examination is performed to determine the most suitable surgical plan.
For upper eyelid surgery, a fine incision is made along the natural eyelid crease, allowing the removal of excess skin, muscle, and fat. For lower eyelid surgery, incisions are made either just below the lash line or inside the eyelid (transconjunctival approach), depending on the case. This helps eliminate under-eye bags and smooth the lower eyelid contour.
The procedure usually takes between 30 and 90 minutes. After surgery, mild swelling, bruising, and sensitivity may occur but typically resolve within a few days. Most patients can return to daily activities shortly after the procedure.
Blepharoplasty is not only a cosmetic procedure. In some patients, excess upper eyelid skin can impair peripheral vision, making the surgery both functional and aesthetic.
During recovery, it is important to protect the eyes, apply cold compresses, use prescribed eye drops, and attend follow-up appointments regularly.
When performed by an experienced specialist with proper patient selection, blepharoplasty provides long-lasting and highly satisfying results, improving both appearance and quality of life.
When should you see a doctor?
Upper-lid skin touching the lashes, the constant need to raise the eyebrows to see, narrowing of the upper visual field and a feeling of heaviness around the eyes are reasons for examination. After surgery, increasing pain, changes in vision or bleeding should be reported to the physician immediately.
Frequently asked questions
Is blepharoplasty permanent?
The removed skin does not come back, but the ageing process continues. How long the result lasts depends on skin structure and lifestyle.
What if there is brow droop as well?
If part of the lid sagging is due to brow droop, eyelid surgery alone may not be sufficient; this is assessed together at the examination.
Will the scars be visible?
Because the incision is placed in the upper-lid crease, the scar usually stays hidden within the fold. Healing varies from person to person.
The information on this page is for general information only and does not replace medical examination, diagnosis or treatment. Please consult a physician for your eye health concerns.
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