Eyelid Surgery

As key elements in facial expression, the eyes convey messages of emotion, vitality, and age. The aging process can cause the eyelids to sag and droop, which in combination with bags and puffiness can make you look sad, tired and older than you really are.Read Client Reviews on RealSelf

Anaesthesia & Stay

An eyelid surgery may last approximately 1-2 hours, depending on the extent of the surgery. The procedure will most likely be performed under local anesthesia with sedation. Alternatively, we may choose to administer general anesthesia. The procedure is done as daycare.


While there are several different techniques that a surgeon can use to alter the appearance of the eyes, the standard surgical technique usually involves removing or redistributing fat deposits, as well as removing excess skin and muscle from regions of the upper and lower eyelids. Depending on the specific problems that need correction, we may treat the upper eyelids, lower eyelids, or both sets of eyelids. We will help you determine which treatment is best for you.

Upper Eyelid

The incision is taken in the fold of the upper eyelid following the natural contours of the eyelid making the resulting scars will be as inconspicuous as possible.

Using a variety of surgical instruments, the layer of excess skin from the upper eyelid is excised, exposing the underlying muscle layer. In some cases a small strip of muscle from the upper eyelid, may also be excised.

To gain access to the two fat deposits in the upper eyelid, very small incisions are made in the orbital septum. By pressing on the upper eyelid, the fat deposits are exposed through each of the incisions. A portion of each fat deposit is removed to reduce the puffy appearance in the upper eyelid.

The incisions are closed with non-absorbable or absorbable sutures.Small sterile bandages may be applied to keep the incisions moist and promote proper healing.

Lower Eyelid

The incision is taken in the fold of the lower eyelid following the natural contours of the eyelid making the resulting scar as inconspicuous as possible.

To gain access to the orbital fat, a small incision is made in the muscle layer. The skin and muscle are dissected away from the underlying orbital septum. This allows the surgeon to pull the skin and muscle layers away from the orbital septum and subsequently expose the orbital fat in the lower eyelid.

To sculpt the orbital fat, the orbital septum is opened to expose the three orbital fat deposits of the lower eyelid. Each fat deposit is removed reducing the appearance of bags and puffiness in the lower eyelid.

If you have excess skin in the lower eyelid, a small amount may be removed. The skin incision is closed with sutures.

Thro Lower Eyelid

We use a retractor to carefully pull the lower eyelid away from the eyeball and expose the conjunctiva, which is a thin membrane that lines the inside of the eyelid. A shield may be applied to your eyes in order to protect them during the procedure.

A small incision is made in the conjunctiva by guiding a cautery device along the conjunctiva, exposing the three orbital fat deposits.

To sculpt the orbital fat, each fat deposit is carefully removed thus, reducing the appearance of bags and puffiness in the lower eyelid. After sculpting the fat deposits, the incisions will be allowed to close on their own.

Post Op Recovery

As with any surgical procedure, you will likely experience some discomfort, swelling, and bruising which can be alleviated with cold compresses and pain medication. You will begin to notice an improvement in the bruising around your eyes in 7 – 10 days. While you will have small scars, they are usually well hidden by the contours of the eyelid. The scars may be slightly red at first but will fade over several months to a very faint white line. You should continue to avoid strenuous activity such as heavy lifting or exercise for at least 2 week following the procedure.


Complications are infrequent and usually minor. You can reduce your risks by closely following our instructions both before and after surgery.Hematoma (accumulation of blood under the skin that may require removal), infection or a reaction to the anesthesia; minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids. Some patients may have difficulty closing their eyes when they sleep; in rare cases this condition may be permanent. Another very rare complication is, a pulling down of the lower lids (ectropion); in which case, further surgery may be required.

Your New Look

Eyelid surgery can help freshen and revitalize your face by reducing the appearance of heavy, sagging eyelids, puffiness, and bags under the eyes, resulting in a more alert and youthful look that will last for years. While eyelid surgery addresses these problems,the procedure cannot correct crow’s feet, dark circles under the eyes, or sagging eyebrows.

Eyelid surgery performed with other procedures such as a brow lift, face lift, midface lift may produce better results.