What it is

Blepharoplasty is a procedure that eliminates excess skin, fatty tissue, and muscles from the eye area to manifest a younger appearance. Blepharoplasty can also improve eyes that are missing an eyelid crease. Blepharoplasty is sometimes called “double-eyelid surgery.” The results of blepharoplasty are permanent.


People who may have excess tissue in the upper and lower eyelids that obscure the eyes are strong candidates for blepharoplasty, as are people who lack a defined eyelid fold. Insurance may cover the procedure if impairment of vision is significant. Patients who suffer from glaucoma, high blood pressure, dry eyes, diabetes, cardiovascular disease, or hyperthyroidism may not be ideal candidates for blepharoplasty, but individual consultation with the doctor is the best way to determine options.


Blepharoplasty is an outpatient surgery. For blepharoplasty to correct droopy upper eyelids, small incisions are made in the eye crease to remove skin, tissue, and muscle, as necessary; for blepharoplasty to address puffiness around the lower eyelids, incisions are made along the lower lash line or the internal part of the lower eyelid. Incisions are so tiny they usually cannot be seen. Blepharoplasty patients may receive a local anesthetic with or without a sedative or a general anesthetic.


Blepharoplasty is a very safe surgery, though in rare instances infection and bleeding can occur. Also possible, though very uncommon, is complete or partial vision loss.


Blepharoplasty patients can go home immediately following surgery, though a ride home is necessary. A patient’s vision may be impaired for a few days. Blepharoplasty recipients can return to work in one to two weeks following the procedure, when healing will be nearly complete. Eyes may feel sticky, itchy, or watery, but the conditions are treatable with prescription eye drops. Minor swelling or bruising is possible, but can be addressed with elevation and cold compresses. Eyes may be more sensitive to light, making watching television or reading uncomfortable, but this effect will dissipate. Blepharoplasty patients are advised not to consume alcohol or wear contact lenses until the healing process is finished. Wearing makeup is also discouraged until the stitches have been removed or dissolved from the blepharoplasty, which will take about a week.