What Is Blepharoplasty (Eyelid Surgery)?

If you are unhappy with the appearance of your eyelids, blepharoplasty may be the solution. Here is what it involves.

Blepharoplasty is a surgical procedure that removes excess skin, muscle, and fat from the upper and/or lower eyelids to create a more rested, youthful appearance. It can also improve vision in some cases.

  • What it addresses:
  • Upper eyelids: Droopy, heavy skin that covers the eyelid crease; puffiness from excess fat
  • Lower eyelids: Under-eye bags, puffy fat pockets, excess skin, and fine wrinkles
  • How it is done:
  • Upper blepharoplasty: An incision is made in the natural crease of the upper eyelid. Excess skin and fat are removed, and the incision is closed with fine sutures
  • Lower blepharoplasty: Incisions are made either just below the lash line (external) or inside the lower eyelid (transconjunctival β€” no visible scar). Excess fat is removed or repositioned, and skin is tightened

Types of Blepharoplasty

  • Upper blepharoplasty β€” addresses the upper eyelids only
  • Lower blepharoplasty β€” addresses under-eye bags and puffiness
  • Double blepharoplasty β€” both upper and lower in one surgery
  • Asian blepharoplasty β€” creates a supratarsal crease (double eyelid)

When to See a Surgeon

  • Consider blepharoplasty if:
  • Your upper eyelids feel heavy or tired
  • The skin of your upper eyelids hangs over your lashes
  • You have persistent under-eye bags that make you look tired
  • Your vision is affected by drooping upper eyelid skin

Clinical Guidance

Blepharoplasty (eyelid surgery) removes excess skin and fat from the upper and/or lower eyelids to create a more youthful, rested appearance. It can also improve vision when heavy upper lids obstruct the visual field.