Eyelid Surgery/Blepharoplasty

Surgical Procedures

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Blepharoplasty (eyelid surgery) is performed to improve the shape and contour of the upper or lower eyelids.  Most patients decide to undergo blepharoplasty surgery due to excessive skin on the upper eyelid or excessive fat and skin on the lower eyelid.  For upper lid blepharoplasty, excessive skin is removed and the scar is placed along the natural skin creases.  Small amounts of fat may be removed or added depending on the patient’s anatomy.  Lower lid fat is repositioned and may be removed depending on the patient’s anatomy.  The scar on the lower eyelid is placed along the eyelash line and is typically not visible.

Patients that are not candidates for this type of surgery include patients who smoke, patients who currently have a dry-eye syndrome, patients who have an undiagnosed eye disorder, patients with a bleeding disorder, and patients with hyperthyroidism (Graves disease).

Surgery is typically performed under local anesthesia with concurrent sedation.  Surgery time for the upper eyelids is one hour, and one and a half hours for lower eyelids.  The patients are discharged home the same day of surgery and are typically seen in the office five to seven days after surgery.  Patients may return to work within seven to fourteen days after surgery.

Patients are asked to refrain from heavy lifting or exercise for four weeks.  Bruising and swelling occurs in both the upper and lower eyelids for a period of up to two weeks.  Dry eyes can occur for a period of two to four weeks.  (Download postoperative brochure for blepharoplasty).

Please download the post-operative instructions.

Visibility of scar:  1%
Dry eyes:  1-3%
Hematoma:  1%
Blindness:  Less than 1%
Asymmetry:  1-3%
Infection:  Less than 1%
Deep venous thrombosis:  Less than 1%
Pulmonary embolus:  Less than 1%