Eyelid Surgery (Blepharoplasty)
What Is Blepharoplasty?
This section explains how the procedure works and what it can achieve.
Over time, skin loses elasticity and gravity causes the upper lids to sag while fat may collect under the eyes. These changes can make you look tired and, in some cases, limit your sight.
Upper blepharoplasty targets loose skin that folds over the lash line. Lower blepharoplasty addresses puffiness or bags beneath the eyes. Some patients benefit from treating both areas in one session.
During surgery, the surgeon may remove extra tissue or simply move it to restore smooth contours. The goal is a refreshed but natural appearance that fits your facial features.
Candidacy for Blepharoplasty
Understanding who benefits most from eyelid surgery helps you decide if it is right for you.
The following concerns often lead people to consider blepharoplasty:
- Sagging upper lids that interfere with vision or create a tired look
- Puffy eyelids or under-eye bags that do not improve with rest
- Difficulty keeping eyes open because of excess skin
- Irritation from skin rubbing on the eye surface
- Desire for a more balanced, refreshed appearance
Your overall health plays a key role in surgical safety and healing:
- Well-controlled medical conditions are important for safe surgery
- Uncontrolled diabetes, serious heart disease, or bleeding disorders may delay the procedure
- Smoking slows healing, so quitting before and after surgery is advised
- All medications, allergies, and eye problems should be reviewed with the surgeon
Preparing for Surgery
A clear preparation plan supports a smooth experience and recovery.
You may need a physical exam or lab tests to confirm you are healthy enough for surgery.
Anti-inflammatory drugs, aspirin, blood thinners, certain vitamins, and herbal supplements might be paused to reduce bleeding risk.
Stopping smoking several weeks before surgery improves wound healing and lowers complication rates.
Arrange for someone to drive you home and stay with you the first night so you can rest safely.
The Blepharoplasty Procedure
Knowing what happens in the operating room can ease anxiety and set clear expectations.
An incision is made in the natural eyelid crease, allowing removal of extra skin and fat. The scar hides in the crease once healed and may widen your visual field if tissue was blocking sight.
An incision just below the lash line or inside the lid lets the surgeon remove or reposition fat and trim loose skin. The inner approach leaves no external scar.
Upper eyelid surgery usually takes about forty-five minutes to one hour. Treating both upper and lower lids can take up to two hours.
Recovery and Aftercare
Proper care after surgery supports healing and a good outcome.
Plan to limit strenuous activity for several days. Keeping your head elevated helps reduce swelling.
Applying cold packs as directed lessens bruising and discomfort.
Antibiotic ointments or prescribed eye drops help prevent infection and ease dryness.
Attending scheduled check-ups lets your surgeon monitor healing and answer questions.
Risks and Expected Results
Every surgery carries some risk, yet most patients enjoy significant benefits.
Complications are uncommon but can include:
- Bleeding
- Infection
- Temporary dry eyes
- Scarring or skin discoloration
- Irregular eyelid contour or difficulty closing the eye
- Rare vision changes
Upper eyelid surgery often lasts five to seven years, while improvements to the lower lids can be long-lasting. Natural aging continues, so minor future adjustments may be needed.
Some people pair blepharoplasty with treatments such as laser resurfacing or a brow lift for broader facial rejuvenation. Your surgeon will recommend options that fit your goals.
Frequently Asked Questions
These answers address common concerns many patients share.
Removing or tightening drooping upper lid tissue clears the upper visual field, making daily activities like reading and driving easier.
Most swelling and bruising fade within ten to fourteen days. Light activities can resume in about one week, while vigorous exercise often waits two to three weeks.
Upper lid results generally last several years, and lower lid results can be permanent. Aging continues, but you should always look younger than if you had not had surgery.
Follow instructions for cleaning the area, using prescribed ointments, applying cold compresses, and attending follow-up visits. Proper care lowers the chance of complications.
Partner With Our Eye Care Team
Eyelid surgery can sharpen your vision and refresh your appearance. Our experienced surgeons provide personalized plans and attentive follow-up so you feel supported at every step. When you are ready to explore your options, we are here to guide you toward clearer sight and renewed confidence.
Dr. Garranna was very professional, straight forward and honest throughout the whole process. It has been 3 months since my surgery and I am maintaining 20/15 vision. I highly recommend Dr. Garrana to anyone who might be interested in LASIK surgery.
Chandan S.
Doc Hosler is the best! Dr. Kahn also on the list. Lucky to have them locally.
Patti DeSena
Excellent attentive service provided expeditiously! True professionals to deal with give you the feeling of total confidence in their ability to help you!
michael scalzo
Dr. Khan has taken care of me for many years.. He has been truly wonderful and give exceptional care.. I truly appreciate the care he and his office has always given and highly recommend him.
Warren Curtin
Dr. Arnett deserves 10 stars. He is the best.
AJ