Blepharoplasty (Eyelid Surgery)

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What is blepharoplasty?

Blepharoplasty, or eyelid surgery, can improve the appearance of the area around your eyes. It’s a procedure that reduces bagginess from your lower eyelids and removes excess skin from your upper eyelids. As skin ages, it gradually loses its elasticity. A lack of elasticity, combined with the relentless pull of gravity, causes excessive skin to collect in your upper and lower eyelids. Blepharoplasty can be performed on your upper eyelids, lower eyelids or both.

Blepharoplasty often means removing excess skin, muscle and underlying fatty tissue. But sometimes providers can reposition tissues rather than removing them. While it’s primarily a cosmetic procedure, blepharoplasty can also improve the field of vision in people whose sagging upper eyelids obstruct their visual field.

Blepharoplasty with fat removal doesn’t eliminate dark circles under your eyes or remove crow’s feet or other facial wrinkles. Other surgical and nonsurgical procedures that reposition fat, fill the hollows under the eyes or lift your cheeks can improve dark circles. Providers can perform blepharoplasty at the same time as other facial surgery procedures, such as laser resurfacing or brow lifts.

Who is a good candidate for blepharoplasty (eyelid surgery)?

The best candidates for blepharoplasty surgery are generally people at least 30 years old who are in good health and have no other eye conditions. Tell your healthcare provider if you have any of the following conditions:

  • Eye disease, like glaucoma, dry eyes or a detached retina.
  • Thyroid disorders, like Graves’ disease, hypothyroidism or hyperthyroidism.
  • Cardiovascular disease, high blood pressure or other circulatory disorders.
  • Diabetes.

Be realistic about the expectations you have for blepharoplasty. Eyelid surgery can enhance your appearance and help build your confidence. But you shouldn’t expect the surgery to drastically change your look. Many people have eyes that aren’t perfectly aligned or that appear to be different sizes. Asymmetrical features occur during the early stages of development. Blepharoplasty won’t alter your facial structure. It’s important to know your face well before you decide to have surgery. Think carefully about your expectations and discuss them with your surgeon.

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