Eyelids are part of the face, and any deformity to this fragile protector of the vital sense organs is very obvious and noticed just too soon. Blepharoplasty attempts are at correcting such obstructive deformities of the eyelids. Blepharoplasty can be done in any of the following cases:

  1. Bags under the eyes – which is actually a common problem
  2. Excess skin on the lower lids
  3. Droopy or baggy upper eyelids
  4. Excess skin on the upper eyelids interfering with the vision
  5. Droopy lower eyelids exposing the iris (white of the eye)

Blepharoplasty is advised if any of the above conditions cause direct impairing of the vision.

How is it done?   

In a blepharoplasty, the surgeon will cut along the lines of your eyelids to trim drooping skin and muscle and remove excess fat. Once the excess tissue is removed, it is then joined with the skin with stitches. Blepharoplasty is an invasive procedure and requires some recovery time.

Cosmetic blepharoplasty

A cosmetic blepharoplasty is where a surgical procedure is not medically imperative and performed to improve facial youthfulness and aesthetics. Most commonly, the aging process contributes to the drooping or sagging of the eyelids. The skin of the eyelids stretch, fat pockets become prominent and start bulging. It is to correct this and to invigorate appearance that cosmetic blepharoplasty is undertaken.

Procedure and techniques

Operating times usually vary but most types of blepharoplasty take at least one to three hours. Any additional related procedures such as chemical peel or canthopexy might take more time. The procedure is usually performed under local anesthesia and some oral sedatives. Local anesthesia ensures less blood loss and greater precision in surgery. There are usually two general techniques: upper blepharoplasty and lower blepharoplasty.


Patients can expect redness and swelling on the areas of incision along with mild aching and burning. There might be excessive tears in the eyes and even blurring of vision temporarily. These can be controlled with cold compresses and recommended prescriptions. The stitches are usually removed after six days of surgery and most of the surgical bruise recovers in two weeks. Scarring is limited and most of it is hidden in the creases of the eyelids.