What is a blepharoplasty?

Blepharoplasty is a lower or upper eyelid surgery for rejuvenation, repair, or reconstruction.

A blepharoplasty can erase the most noticeable signs of aging on your face, which is the area around your eyes. This procedure yields a significant improvement in your appearance.

Besides the aging process, severely sagging skin around the eyes can reduce side vision (peripheral vision). A blepharoplasty can reduce or eliminate these visual problems.

Blepharoplasty

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What does a blepharoplasty treat?

Blepharoplasties can be performed for various reasons. The most common one we hear is that a patient is unhappy with how tired they look due to puffy, heavy-appearing eyelids and bags under their eyes. These can make the patient look older than they feel. As a facial plastic surgery procedure, it can make your eyes look younger and more alert.

Blepharoplasties can be performed on the upper or lower eyelids to remove excess skin, muscle, and fat and restore the eye’s natural contour to a sharper, more youthful appearance.

Blepharoplasties are very popular. According to the American Society for Aesthetic Plastic Surgery, they are among the top five cosmetic procedures performed on men and women in the United States. They are the second-most-performed procedure, with more procedures than facelifts year after year.

Blepharoplasties are safe and effective when performed by an experienced surgeon (like AGEI’s Dr. Adele) with a deep knowledge of the eye’s structures, nerves, and muscles.

Dr. Adeleh Yarmohammadi will perform a thorough examination to determine if your excess eye tissue will make you a good candidate for a blepharoplasty procedure.

Are there non-cosmetic (medical) reasons to have blepharoplasty?

Absolutely! Sometimes, blepharoplasties can restore peripheral vision obstructed by sagging skin or fat deposits. Moreover, blepharoplasties can also address droopy eyelids that fail to open sufficiently, thereby blocking vision, a condition known as ptosis.

Upper blepharoplasty

This procedure focuses on the area between your eyelashes and eyebrows. It involves eliminating excess skin and fat through an incision in the natural crease of your eye socket, making it barely visible. Depending on your circumstances, your surgeon may close the skin using dissolvable stitches (sutures), removable sutures, or special skin glue.

Lower blepharoplasty

This procedure targets the under-eye area, specifically the space between the lower lash line and the cheek. It is performed to address lower lid droop or trim excess loose skin, muscle, or fat under the eyelids. Lower eyelid surgery is a more complex procedure. The incision can be made under the eyelash line, extending past the outer corner of the eye (into the area where crow’s feet tend to be located) or on the inside surface of the lower eyelid so that no incision is visible on the outside.

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What to expect after eyelid lift surgery?

A thick antibiotic ointment is applied to your eyes to prevent them from drying out during surgery. This will cause your vision to be murky or blurred, but it is nothing to be concerned about and will quickly go away.

You’ll be instructed to use the ointment four times daily inside the eye and on your incisions. Artificial tears will also be prescribed to avoid eye dryness during recovery.

Individuals undergoing upper eyelid blepharoplasty surgery might go home with tiny stitches on their eyelid crease. If dissolvable stitches are not used, our surgeon will remove them in seven to ten days. Depending on the technique, you may not need stitches for a lower lid blepharoplasty.

How is a blepharoplasty performed?

Upper blepharoplasty

When choosing Dr. Adeleh Yarmohammadi, blepharoplasty surgery takes approximately three hours for both eyes. This procedure is typically performed using local anesthesia with intravenous sedation. Patients undergoing both upper and lower blepharoplasties might elect to receive general anesthesia.

Before surgery begins, your surgeon will re-examine you sitting up, using a surgical pen, and mark the sagging area and where incisions will be made.

Moderate swelling and bruising of the delicate skin around the eyes are common. The extent of bruising and swelling will vary from patient to patient and should subside within 2 weeks after upper lid surgery and up to 4 weeks after upper and lower blepharoplasty.

Our doctor will instruct you to gently apply cold compresses for a few minutes, three to four times a day, during your first postoperative week to help reduce swelling. You'll be encouraged to sleep in a "sitting up" position with several pillows under your head to prevent fluid accumulation and swelling.

You’ll receive prescriptions for ointments and/or eye drops to prevent infections while recovering. Avoid strenuous exercise for at least 1 week; light walking is encouraged. Wear dark-tinted glasses to protect your eyes as you heal, and avoid makeup, especially around the eyes, until your doctor permits it.

Try to set up your home with everything you need. During the first couple of days after surgery, you will be most comfortable keeping your eyes closed.

Are there any risks or complications from an eyelid lift?

While all surgery involves some risk, serious complications from eyelid blepharoplasty are unlikely. Temporary bruising and puffiness are expected due to the delicate nature of eyelid tissue, which resolves within a couple of weeks. Watery or dry eyes and blurred vision can also be expected during the first few weeks of recovery.

Your surgeon will review all possible risks and complications of your surgical procedure in detail during your pre-operative consultation. You will also receive this information in writing to review it as part of the consent process.

Will my eyelift surgery results be permanent?

It’s essential to remember that getting an eyelift won’t stop the aging process. Over time, as your body ages, it’s possible that your eyelid skin can start to sag or appear wrinkled. It is challenging to predict the longevity of your eye lift results because individual outcomes depend on factors such as the condition of your eyelids before surgery, the quality of your skin, your age at the time of surgery, and the extent to which you care for your skin over time.

Most of our patients remain happy with the results of their blepharoplasty 10 to 15 years after their surgery. It’s essential to discuss the procedure thoroughly with your surgeon and set realistic expectations, clearly understanding what the procedure can and cannot achieve.

Read real patient stories about blepharoplasty.

Why Choose AGEI for blepharoplasty near you?

Your eyes are one of the most delicate structures in your body. When you’re looking for a surgeon to correct the appearance or function of your eyelids and the structures surrounding your eyes, you want to seek an oculoplastics surgeon.

Our oculoplastics surgeons are board-certified ophthalmologists specializing in eye aesthetics for Los Angeles, Santa Monica, and Beverly Hills patients.

With extensive training in microsurgical eye surgery and highly specialized training in plastic and reconstructive eye surgery. The health and safety of your eyes are the number one priority in all surgical planning performed by an oculoplastics surgeon.

Are you a good Blepharoplasty candidate?

Get a Complimentary Blepharoplasty Surgery Photo Assessment from Dr. Adele!

Sources

Written by Dr. Adeleh Yarmohammadi

Dr. Adeleh “Dr. Adele” Yarmohammadi is a board-certified ophthalmologist at the Assil Gaur Eye Institute, specializing in oculoplastics, cataract, glaucoma, and eyelid surgery. She is known for her gentle approach, advanced surgical skills, and dedication to helping patients see and feel their best. With expertise that blends science and artistry, Dr. Adele provides personalized care in both vision correction and facial aesthetics.
Dr. Adeleh “Dr. Adele” Yarmohammadi is a board-certified ophthalmologist at the Assil Gaur Eye Institute, specializing in oculoplastics, cataract, glaucoma, and eyelid surgery. She is known for her gentle approach, advanced surgical skills, and dedication to helping patients see and feel their best. With expertise that blends science and artistry, Dr. Adele provides personalized care in both vision correction and facial aesthetics.

Medically Reviewed by The AGEI Educational Team

The Assil Gaur Eye Institute Education Team is dedicated to providing accurate, accessible, and patient-centered eye health information to support not only our patients, but the broader community as well. Working closely with our physicians and specialists, the team helps develop educational content designed to empower patients to better understand their vision, eye conditions, treatment options, and advances in ophthalmology. Our goal is to make complex medical topics easier to understand while upholding the highest standards of clinical accuracy, trust, and patient care.
Dr. Adeleh “Dr. Adele” Yarmohammadi is a board-certified ophthalmologist at the Assil Gaur Eye Institute, specializing in oculoplastics, cataract, glaucoma, and eyelid surgery. She is known for her gentle approach, advanced surgical skills, and dedication to helping patients see and feel their best. With expertise that blends science and artistry, Dr. Adele provides personalized care in both vision correction and facial aesthetics.