The eye area is one of the first regions to show visible signs of aging. Blepharoplasty — eyelid surgery — addresses excess skin, fat pockets, and contour irregularities around the eyes, creating a more refreshed, youthful, and energetic appearance. This article explains when eyelid surgery is appropriate, what each procedure involves, and what to expect during recovery.
When Is Surgery Needed?
Upper eyelid surgery is considered when excess skin creates a heavy, tired appearance, hangs over the eyelashes, narrows the visual field, or makes eye makeup application difficult. Lower eyelid surgery addresses prominent under-eye bags, dark circles, tear trough hollowing, and skin laxity. Importantly, blepharoplasty isn't necessarily age-related — some patients develop these concerns in their 30s due to genetics.
Upper Blepharoplasty
Often performed under local anesthesia in approximately 30-60 minutes for both eyes. The incision follows the natural eyelid crease, making the scar virtually invisible when the eyes are open. Excess skin is removed, and if present, fat herniation is addressed. Sutures are removed in 5-7 days. Most patients resume social activities within 7-10 days.
Lower Blepharoplasty
Two main approaches exist: external (just below the lash line) and transconjunctival (inside the eyelid). The transconjunctival approach leaves no visible external scar and is ideal for patients with fat herniation but minimal skin excess. Fat can be removed or repositioned to create a smoother contour. Results stabilize around 5 months.
Combined Procedures
Upper and lower blepharoplasty can be performed in the same session for comprehensive periorbital rejuvenation. This combined approach requires only one recovery period and provides harmonious improvement to the entire eye area.