Eyelid (Blepharoplasty)

As key elements in facial expression, the eyes convey messages of emotion, vitality, and age. Over time, the eyes undergo changes that often make people feel as if they appear sad or tired. The aging process can cause the eyelids to sag and droop, which in combination with bags and puffiness can make you look tired and older than you really are. Eyelid surgery can help freshen and revitalize your face by reducing the appearance of heavy and sagging eyelids, puffiness and bags under the eyes.

What causes Eyelid to change?

Before you understand how Eyelid (Blepharoplasty) works, it is important to understand the underlying structure of the eyelids. Like the rest of the face, eyelids are composed of layers of skin, muscle, and fat. With time, age and environmental factors like sun damage, cause the skin’s support network in the dermis to break down. As a result, the skin loses its structure and elasticity and becomes lax.

Eyelids tend to droop and sag from muscle layers weakening and the skin’s loss of elasticity compunded by the effects of gravity. Fat deposits normally give eyelids a full appearance. However, fat also is depleted over time and drops in response to weakened muscles, thus resuling in puffiness and bags around the eyes. While eyelid surgery addresses these problems, the procedure cannot correct crow’s feet, dark circles under the eyes, or sagging eyebrows. In these instances, eyelid surgery performed with other procedures may produce better results.

How does Eyelid (Blepharoplasty) work?

While there are several different techniques that a physician 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.

Bags and puffiness in the lower eyelid most often result from protruding orbital fat deposits. Normally, the orbital septum holds the fat deposits in place. However, over time the orbital septum loses some of its structural integrity and weakens, which allows the fat deposits to slide forward, creating bags and puffiness. The transconjunctival approach works by removing and sculpting excess orbital fat through an incision in the conjunctiva.

If you have minimal skin laxity, or looseness, some physicians may remove the excess skin in conjunction with this approach. However, other physicians may instead perform a transcutaneous eyelid surgery to address all of the problem areas in the lower eyelid.




An eyelid surgery procedure may last approximately one to two hours, depending on the extent of treatment. Prior to the start of your procedure, the treatment area will be cleansed and anesthesia will be administered. The procedure will most likely be performed under local anesthesia with sedation, in which the eyelids and surrounding areas are numb and you are in a relaxed state.


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 seven to ten days. Although you will feel well enough to return to work in approximately a week, you should continue to avoid strenuous activity such as heavy lifting or exercise for at least two weeks following the procedure.


You will start to notice the results from your procedure within a few weeks as the bruising and swelling continue to fade. In addition to being less invasive, and a faster recovery time, one of the benefits of the transconjunctival approach is that there is no visible external scar.

While the results of an eyelid surgery are long-lasting, it is important to realize that your face will continue to age. However, eyelid surgery can successfully restore a youthful, revitalized appearance to your eyes for years to come.

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