Plastic Surgery

Eyelid Surgery: Upper and Lower Blepharoplasty Explained

Blepharoplasty removes or repositions selected skin and fat around the eyelids to improve heaviness, puffiness or contour.

Upper and lower eyelid concerns Upper blepharoplasty may treat excess skin that creates heaviness or, in some cases, affects the visual field. Lower blepharoplasty may address fat bags, contour irregularity and selected skin laxity. Dark circles caused by pigmentation or hollowing may need different treatment.

Evaluation and procedure The surgeon evaluates brow position, eyelid support, tear production, eye health and previous surgery. Incisions are usually placed in the upper lid crease or inside/below the lower eyelid. Tissue is removed conservatively or repositioned to avoid a hollow appearance.

Recovery Bruising, swelling, dryness, light sensitivity and temporary blurred vision can occur early. Cold compresses, head elevation and prescribed eye care may be advised. Contact lenses and strenuous activity are restricted temporarily.

Risks Risks include bleeding, infection, dry eye, difficulty closing the eyes, eyelid malposition, asymmetry, visible scarring, visual change and need for revision. Sudden severe eye pain or loss of vision after surgery is an emergency.

An eye examination may be needed when there are symptoms or medical eye conditions.

Frequently Asked Questions

Can upper eyelid surgery improve vision?

It may when excess skin obstructs the visual field.

Does blepharoplasty remove dark circles?

Not always, because pigmentation and hollowness have different causes.

How long does bruising last?

It commonly improves over one to three weeks.

What symptoms are urgent after surgery?

Severe eye pain, rapidly increasing swelling or vision loss require emergency assessment.

This information is for education only and does not replace medical assessment or treatment by a qualified physician.

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