Eyelid Lift Surgery - Dr. Charles Bain

Eyelid Lift Surgery:

Blepharoplasty is a popular choice for those seeking to refresh their eyes

Blepharoplasty—commonly referred to as an eyelid lift surgery—is a highly sought-after procedure for individuals who are unhappy with the appearance of their eyes.

Many patients pursue this treatment due to concerns about drooping or sagging upper eyelids, under-eye bags, puffy or hooded eyes, and asymmetry that disrupts facial harmony. In some cases, excess skin may even interfere with vision, adding a functional aspect to the decision to undergo surgery.

How Is Blepharoplasty Performed?

Blepharoplasty typically involves removing excess skin, fat, and sometimes muscle from the upper or lower eyelids to create a smoother and more youthful appearance.

Upper Eyelid Surgery

For an upper eyelid surgery (upper blepharoplasty), the surgeon makes a discreet incision along the natural crease of the eyelid. Through this incision, excess skin and fat are carefully removed or repositioned to eliminate droopiness and lift the eyelid.

Lower Eyelid Surgery

For a lower eyelid surgery (lower blepharoplasty), the incision can be made just below the lash line or inside the lower eyelid (transconjunctival approach), depending on the patient’s needs. This technique reduces under-eye bags and smooths out puffiness without visible external scars.

Result

Using advanced methods, skilled surgeons ensure that the final result blends seamlessly with your natural features, achieving a refreshed and balanced look.

Results and Benefits: A Long-Lasting Solution

Patients often notice an immediate improvement in the shape and contour of their eyes, creating a more alert, rested, and youthful appearance. The results of blepharoplasty are long-lasting, and patients no longer need to rely on temporary measures like makeup tricks, eyelid tapes, or cosmetic fillers to camouflage the issue.

Most patients find that after this procedure, they feel more confident without the need for constant concealing strategies. The newly rejuvenated eyes highlight their natural beauty, without the tired or heavy appearance that once overshadowed their expression.

Frequently asked questions

1. What is blepharoplasty and what does it treat?

Blepharoplasty is a surgical procedure that removes or repositions excess skin, fat, or muscle from the upper or lower eyelids. It improves both appearance and function by addressing drooping lids, under-eye bags, or hooded skin that may hinder vision.

2. Am I a good candidate for eyelid surgery?

You may qualify if you have sagging upper eyelids that obscure vision, puffiness or wrinkles on lower lids, or tired-looking eyes. Ideal candidates are in good health, non-smokers, and clear about their goals. A dedicated consultation will determine suitability.

3. What’s the difference between upper and lower blepharoplasty?

Upper blepharoplasty targets excess skin and fat on the upper eyelids, often improving vision. Lower blepharoplasty addresses under-eye bags or sagging skin. Both may be combined for balanced eye rejuvenation.

4. How long does a blepharoplasty procedure take?

Surgery typically takes 45 to 90 minutes depending on whether upper, lower, or both eyelids are treated. It’s commonly performed under local anesthesia with sedation or general anesthesia for added comfort.

5. Too long to recover? What to expect post-surgery?

Most see swelling and bruising that diminish over one to two weeks. Light activity can resume in about 7–10 days, with full recovery—including resolution of any lingering puffiness—achieved in a few weeks.

6. Will blepharoplasty leave a visible scar?

Scarring is minimal and discreet. Upper eyelid incisions are hidden in the natural eyelid crease; for lower lids, incisions are usually made inside the lid or just below the lash line.
Most scars become nearly invisible over time.

7. How long do results usually last?

Results from eyelid surgery are long-lasting—often visible for many years. However, natural aging continues, and some patients may notice changes again after a decade or so. Touch-up procedures may be an option later.

8. Is blepharoplasty considered safe?

When performed by a qualified, board‐certified surgeon, blepharoplasty is very safe. Risks include temporary dry eyes, minor asymmetry, or slow healing—but serious complications are rare and well managed with proper preparation and care.

9. Can eyelid surgery be combined with other treatments?

Yes. It’s often paired with brow lifts, skin resurfacing, or filler treatments to enhance overall facial harmony. Combining procedures helps achieve a refreshed result with coordinated healing.

10. Does eyelid surgery affect vision or allow insurance coverage?

If excess upper eyelid skin impairs peripheral vision, the procedure may be deemed medically necessary and covered by insurance. Cosmetic-only cases are usually out-of-pocket, but medical assessment can clarify options.

11. How should I prepare for eyelid surgery?

Preparation typically involves blood tests and a medical check-up, stopping smoking weeks beforehand, and avoiding certain supplements like vitamin E or garlic. On surgery day, dress in comfortable clothing and arrange someone to drive you home. These steps help reduce complications and support smoother healing.

12. Can blepharoplasty help if drooping eyelids interfere with vision?

Yes—upper eyelid surgery can restore visual field in cases where sagging skin obscures peripheral sight. In such cases, the procedure is sometimes considered medically necessary rather than purely cosmetic. Results are often immediate and transformative.

13. Is the procedure painful and what anesthesia is used?

Blepharoplasty is typically performed under local anesthesia with sedation or light general anesthesia. Patients report little to no pain during surgery, and post-operative discomfort is minimal and well-managed with medication.

14. What are possible complications and how common are they?

Risks include minor bruising, swelling, temporary dry or watery eyes, and rarely asymmetry or infection. Selecting a properly trained surgeon and following aftercare minimizes most complications. Permanent issues are uncommon.

15. When will I see final results after blepharoplasty?

Most swelling and bruising resolve within two weeks, but full refinement occurs over 6 to 12 weeks as tissues settle. Final appearance—natural and refreshed—is often visible around the three-month mark.