Blepharoplasty / Eyelid Surgery.

Removal of excess upper eyelid skin and improvement of lower eyelid "bags" is probably the most useful way to improve the aging face, and certainly the best "bang for the buck."

The surgery is done as an outpatient procedure and upper eyelids can be done under local anesthesia with some mild sedation. Lower eyelids are not easily done under local, therefore it usually requires IV sedation or general anaesthesia. The procedure takes about 45 minutes for the upper eyelids, and about 60 minutes for the lower eyelids.

Before and After

See more samples of before & after photos.

There is about a 50% chance of getting "black eyes" or bruising following the procedure, and there is always some swelling which will mostly resolve in 2-3 weeks, but will take 3-4 months to completely go away. There is some chance of excess tearing during the swelling period.

Most people are able to resume full normal activities fairly quickly, within the constraints of having bruises around the eyes.

The lower eyelid can often be improved without visible scars, with an incision on the inside of the lid. No stitches are required with this approach. Upper eyelid sutures are placed in the lid fold and are thus well hidden. They are removed in three to five days.

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