Blepharoplasty
Eyelid surgery to correct excess skin or fat in the upper and lower eyelids.
Understanding the procedure
What is blepharoplasty?
Blepharoplasty is a surgical procedure performed to correct excess skin or fat in the upper and lower eyelids. It can be done for aesthetic or functional reasons — for instance, when drooping skin interferes with vision. It is a relatively simple intervention with long-lasting results.
When is it recommended?
Blepharoplasty is performed when excess skin or fat in the upper and lower eyelids interferes with vision or when there is a desire to improve the cosmetic appearance of the eyelids. Below are the main reasons for undergoing this surgery.
Reduced vision
Recommended when excess skin or fat in the upper eyelids interferes with or reduces the visual field.
Aesthetic concerns
The accumulation of skin, fat, or fluids around the eyelids can create a tired or aged appearance. This surgery can help achieve a fresher, more youthful look.
Low self-esteem
Droopy eyelids can affect self-confidence and quality of life. In these cases, blepharoplasty can improve both appearance and confidence.
Visual fatigue
Severely drooping eyelids may cause strain and fatigue due to the constant effort to keep the eyes open. This surgery can relieve those symptoms.
How does it work?
Typical process
Blepharoplasty is an outpatient surgical procedure performed under local anesthesia with sedation. It usually takes between 1 and 2 hours, depending on the type of blepharoplasty performed.
Evaluation
A preoperative evaluation is performed to determine the patient’s needs and the complexity of the procedure.
Marking
The incision lines are marked following the natural folds of the eyelids to minimize scars or deformities.
Surgery
The surgeon removes or repositions excess skin, fat, or fluid, depending on the specific type of blepharoplasty.
Wound closure
The incision is closed with sutures or special adhesives, which are usually removed after about 10 days.
Recovery
As an outpatient procedure, the patient can return home the same day. It’s important to follow the surgeon’s postoperative instructions for optimal healing.
Benefits and realistic expectations
Benefits
When performed properly, blepharoplasty can provide highly positive outcomes — though it’s important to maintain realistic expectations about its scope and limitations.
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Can improve the visual field
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May relieve fatigue from compensatory effort
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Enhances aesthetic appearance significantly
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Creates a younger and more rested look
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Boosts self-esteem and confidence
Frequently asked questions
Here are some of the most common questions about blepharoplasty.
How long does recovery take?
Initial recovery typically takes 7–10 days, during which swelling and bruising may occur. Most patients can resume normal activities after about 2 weeks, with final results visible between 3 and 6 months.
Does blepharoplasty leave visible scars?
Scars are minimal and usually well hidden. For upper eyelids, the incision is made along the natural fold. For lower eyelids, it may be placed just below the lash line or inside the eyelid (transconjunctival), leaving virtually invisible scars.
How long do the results last?
Results are long-lasting — typically 10–15 years or more. Although natural aging continues, the eyes maintain a rejuvenated appearance compared to before surgery.
Is the procedure painful?
The surgery itself is not painful due to local anesthesia with sedation. Postoperative discomfort is mild and manageable with prescribed pain relief. Most patients describe it as mild discomfort rather than pain.
At what age can blepharoplasty be performed?
There is no specific age requirement, but it’s most commonly performed from age 35–40 onward when signs of eyelid aging begin. It can also be done earlier in hereditary cases.
What are the possible risks or complications?
Though very safe, potential risks include bleeding, infection, temporary dry eyes, blurred vision, minor asymmetry, or in rare cases, difficulty closing the eyes completely. Choosing an experienced surgeon minimizes these risks.
Can blepharoplasty be combined with other procedures?
Yes, it’s often combined with facial procedures such as facelift, brow lift, laser treatments, or dermal fillers for a more complete rejuvenation.
When can I wear makeup after surgery?
Usually after 7–10 days, once the incisions have healed and with the surgeon’s approval. Use hypoallergenic products and apply them gently.
Can blepharoplasty improve vision?
When excess upper eyelid skin obstructs the upper visual field, blepharoplasty can significantly improve vision. In these cases, it’s considered both functional and cosmetic.
Is hospitalization required?
Blepharoplasty is typically performed on an outpatient basis. Patients can return home the same day after a few hours of observation, accompanied by a responsible adult.
Things to keep in mind
Important considerations
Every medical and surgical procedure has potential risks and benefits. Following your doctor’s recommendations is essential for proper recovery.
Maintain strict wound hygiene
Avoid contact with pool, seawater, or other non-sterile water sources
Avoid strenuous physical activity for several weeks
Protect the area from sun and wind during the first few weeks
Follow your surgeon’s specific postoperative instructions
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Credits
This content was developed in collaboration with Dr. Catalina Chica Gómez, who reviewed and validated the medical information for greater accuracy. Dr. Chica Gómez offers blepharoplasty surgery in Medellín, Colombia.
Go to Dr. Catalina Chica Gómez’s blepharoplasty service
Important
The information provided on this website is for educational and informational purposes only and is not intended or should be construed as professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
If you have questions or concerns about your health, consult a health professional.
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