Blepharoplasty (Eyelid Surgery) FAQs

General FAQs
  • Q1 :

    What is Blepharoplasty?

  • Blepharoplasty removes the excess fat, skin and atrophied muscle from the upper and/or lower eyelids.  It is a very popular procedure as hooded eyes seem to lack luster and seem old or tired by many patients.

    Many individuals who choose this procedure are very aware that their upper eyelids have seemed to disappear within the herniated fat of the upper eye area.  Fat herniation is quite normal and will happen to everyone with age.  However some individuals have herniated fat in the upper area of their eyes even in their early teens.

    Sometimes a blepharoplasty can improve an individual's vision. This is achieved by removing the excess fat and skin that may block an individual's peripheral field of vision.

    Whatever the individual case, the purpose of a blepharoplasty is for the aesthetic appeal that wider, youthful eyes possess.

  • Q2 :

    Will a Blepharoplasty get rid of my eye wrinkles?

  • A blepharoplasty is not designed to remove the wrinkles. It is designed to remove the excess skin and herniated fat from the lid areas only. Other procedures are available to aid such complaints; Chemical Peels and Laser Resurfacing can help soften wrinkles around the eye significantly.
  • Q3 :

    At what age is Blepharoplasty performed?

  • There is no set age when blepharoplasty is performed, however the usual ages that patients start making consultation appointments for blepharoplasty is from 35 upwards. It is however highly individual and excess skin and fat around the eye area may be desired to be removed younger than 35 years of age.
  • Q4 :

    How is the Blepharoplasty performed?

  •  Blepharoplasty is usually performed using local anesthesia and light sleep sedation or General.

    The incisions are made within the natural creases of the eyelids. The Surgeon removes the herniated fat and excess skin and sutures the incision with very fine hair-like sutures.

    Removal of the entire fat pads underneath the eye should be discouraged. Excessive removal of this fat is disastrous in most patients, as it often results in hollowness or a dark, sunken appearance. Minimal removal has proven quite beneficial in those who may need it - in those who do not, only the excess skin should be removed.

  • Q5 :

    Is there much scarring with a Blepharoplasty?

  •  Some scarring should be expected, although the scarring associated with blepharoplasty is quite minimal and practically non-existent after several months.

    The scars are placed within the normal creases and folds of the upper and lower eyelids so that when the eyes are open the scars are invisible.  With lower blepharoplasty, where the fat is to be removed with no skin excision, the incision can be made either on the inside of the eyelid or under the lash line. Many surgeons prefer the transconjuctival incision with fat removal-only cases.

  • Q6 :

    What are the risks of Blepharoplasty?

  • It is possible to develop asymmetry during healing or excessive scarring if you are prone.

    You may experience difficulty in closing your eyes when sleeping.  In rare instances this condition may be permanent.

    If you have thyroid problems (hypothyroidism or Graves' disease) dry eyes or insufficient tearing, circulatory disorders or high blood pressure, having blepharoplasty may be more risky for you than an otherwise healthy individual.

    Other disorders that may increase your risks are myasthenia gravis, cardiovascular disease, diabetes, a detached retina or glaucoma (and other high pressures of the eye), poor circulation and poor elasticity.

    Sometimes the eye area will not heal correctly and you just may have to have an additional surgery to correct it.

  • Q7 :

    What should I expect post-operatively?

  • There will be swelling and there may also be some bruising but some patients are prone to bruising more than others.

    The eyelids may feel tight and sore as the anesthesia wears off, but medication should control discomfort. Vision may be a blurry for several days due to the swelling and eyes may be watery or may be dry.  There should not be extensive pain.

    The pain as associated with blepharoplasty has been described as mild discomfort, as if the skin was sunburned and the eysballs irritated.

  • Q8 :

    When will I be able to see the results?

  • After the swelling goes down you will be able to see a definite difference.
  • Q9 :

    When will my stitches be taken out?

  • Stitches are normally removed after 3 to 5 days. There may be a stinging sensation form tugging on the sutures while removing them.