Blepharoplasty (eyelid surgery) is a plastic surgery procedure for correcting sagging or drooping eyelids. The eyelid, because its skin is much thinner than that in other parts of the face, is often one of the first facial areas to exhibit signs of aging. Eyelids that sag or droop can affect peripheral vision, making daily activities such as driving more difficult. Blepharoplasty may become necessary when various factors, which include aging, sun damage, smoking and obesity, cause the muscles and tissue that support the eyelids to weaken.
Reasons for Eyelid Surgery
Blepharoplasty tightens the eyelid‘s muscles and tissue, and removes excess fat and skin. Blepharoplasty eliminates the drooping of skin into the visual field, greatly improving peripheral vision. It is also performed for strictly cosmetic reasons.
Functional Blepharoplasty
If the eyelids begin sagging into the field of vision, a functional blepharoplasty may be required. The procedure may be covered by medical insurance if it is deemed medically necessary. A determination of how much vision is affected is done by checking the peripheral visual field with an instrument called the Humphrey Visual Field (HVF) Analyzer.
Cosmetic Blepharoplasty
Blepharoplasty can be performed on either the upper or lower eyelid, or on both, for cosmetic purposes. For a lower eyelid that needs fat rather than skin removed, a transconjunctival blepharoplasty is performed. During transconjunctival blepharoplasty, an incision is made inside the lower eyelid, so there are no visible scars, and the fat is removed. This procedure has no effect on vision, but results in a person‘s looking younger and more refreshed.
It is important for a patient to have realistic expectations before undergoing cosmetic blepharoplasty. Although the procedure can enhance appearance and improve self-confidence, it does not radically alter the face.
Candidates for Blepharoplasty
The best candidates for blepharoplasty are those who are in good overall health, do not smoke, do not have any serious eye conditions, and have healthy facial tissue and muscle.
People with eye disease, including glaucoma or retinal detachment, thyroid disorders, diabetes, cardiovascular disease or high blood pressure are not good candidates for blepharoplasty.
The Blepharoplasty Procedure
Blepharoplasty is typically performed as an outpatient procedure requiring local anesthesia and sedation. General anesthesia may be used for anxious patients. Patients can choose to have this procedure on their upper or lower eyelids, or both. The procedure can take anywhere from 45 minutes to 2 hours, depending on whether both the upper and lower eyelids are operated on.
If the upper eyelid is being operated on, an incision is typically made along its natural crease. Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is removed. For the lower eyelid, an incision is usually made just below the lash line so that excess skin can be removed.
After the procedure, the incisions are closed with sutures, tissue glue or surgical tape, and usually loosely covered with gauze so the area can heal.
Recovery After Cosmetic Eyelid Surgery
After blepharoplasty, patients may be advised to apply lubricating drops/ointment and cold compresses to aid in healing and minimize side effects. Most patients return to work within a few days to a week, but should avoid exercise and strenuous activities for at least 2 weeks. Stitches are usually removed after 3 or 4 days. Most swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind.
Risks of Blepharoplasty
Although there may be swelling and bruising around the surgical site, they will subside on their own, and the eyelids will improve in appearance for up to a year. Uncommon side effects include infection, reaction to anesthesia, and double or blurred vision. Eyes may be irritated and dry due to a temporary change in tear distribution. Side effects such as uneven healing and permanent scarring are rare but, if they occur, may require surgical correction. The scars from blepharoplasty are well-concealed, and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.
Why Choose ReDerm MD Medical Spa?
Selecting the right provider for your blepharoplasty is essential for achieving the best outcome. At ReDerm MD Medical Spa, we offer expert care in a welcoming, professional environment.
- Tailored Treatment Plans – Every procedure is customized to fit your specific aesthetic goals.
- Advanced Techniques – We use the latest technology and methods for optimal, natural-looking results.
- Comprehensive Patient Care – From your initial consultation to recovery, we prioritize your comfort and safety.
- Non-Surgical Options Available – We offer complementary treatments to enhance your results.
Frequently Asked Questions
What is blepharoplasty?
Blepharoplasty is a procedure that removes or repositions excess skin, fat, and muscle from the eyelids. This treatment can correct droopy upper eyelids and under-eye puffiness to create a more awake and youthful look.
Who makes a good candidate for this procedure?
If you have sagging skin on your upper eyelids, under-eye bags, or a tired appearance despite feeling well-rested, you may be a good candidate. Individuals in good overall health with realistic expectations tend to see the best results.
How long does the procedure take?
The procedure typically lasts between one and two hours, depending on whether you are treating the upper eyelids, lower eyelids, or both.
What is the recovery process like?
Most patients experience mild swelling and bruising for about one to two weeks. Many return to their usual activities within a week, with full healing progressing over several months. The most noticeable improvements occur in the first few weeks.
Will my results appear natural?
Yes, our approach focuses on subtle, natural-looking improvements that enhance your overall appearance rather than drastically altering your look.
How long do the results last?
Blepharoplasty results can last for many years—often a decade or more. Although aging continues, the improvements remain noticeable and long-lasting.
Will I have noticeable scars?
The incisions are strategically placed in the natural creases of the eyelids, making them virtually invisible once fully healed. Proper post-procedure care can further minimize any visible marks.
Is there pain associated with blepharoplasty?
Most patients report mild discomfort rather than pain. Any tightness or swelling typically resolves within the first week and can be managed with over-the-counter or prescribed medications.
Can blepharoplasty improve vision?
If sagging upper eyelid skin is obstructing your field of vision, removing the excess tissue can help restore clarity and improve peripheral vision.
Are there other treatments that enhance blepharoplasty results?
Yes, many patients choose to combine their procedure with additional treatments for a more comprehensive rejuvenation. These may include:
- Botox or Dysport – Helps smooth crow’s feet and forehead wrinkles.
- Dermal Fillers – Adds volume to sunken under-eye areas.
- Laser Skin Resurfacing – Improves skin texture and reduces fine lines.
- Chemical Peels – Brightens the skin and reduces discoloration.
When can I start wearing makeup again?
It is recommended to wait approximately 10 to 14 days before applying eye makeup to allow for proper healing and to prevent irritation.
How should I prepare for my procedure?
Before your surgery, you will receive detailed pre-op instructions, including avoiding certain medications that thin the blood and quitting smoking to promote better healing.
Schedule Your Consultation
If you are ready to restore a refreshed and youthful look, schedule a consultation at ReDerm MD Medical Spa in San Antonio. Call 210.290.9078 today to learn more about how blepharoplasty can help you feel more confident in your appearance.