Slide the image below and see how a blepharoplasty can change your appearance !
What is a Blepharoplasty?
Blepharoplasty is a surgery that involves repairing and removing excess eyelid skin, muscle and even fat around the eyes. As one grows older, the eyelid skin stretches and as a result the muscles supporting them weaken and begin to sag. Often times, people with excessive drooping or sagging eyelid skin on the upper eyelids appear older than they are.
Similarly, in the lower eyelid, a blepharoplasty can be done to improve its appearance. In a lower blepharoplasty, skin and/or fat may be removed in order to reduce the appearance of lower eyelid wrinkles, excess skin and fat bulges that appear as eyelid bags. In some cases, the fat is reshaped or 'sculpted' to give a natural appearance.
How is a Blepharoplasty performed?
Upper blepharoplasty surgery uses a hidden incision in the eyelid fold to allow for removal of the extra skin and fat. A thin stitch is then used to bring the skin together to allow for a creation of an eyelid crease. This fold remains hidden and the scar is not usually visible. Similarly on the lower eyelid, a blepharoplasty surgery can be done either through an incision directly below the eyelashes or an incision on the inside of the eyelid, called a transconjunctival approach. The transconjunctival approach, the surgery can be performed without visible incisions, scars or marks on the skin. This is an ideal technique for patients who need fat removal or reshaping.
How long does a blepharoplasty surgery take?
Typically a blepharoplasty takes anywhere between 1 to 2 hours to perform - depending on the number of eyelids to be treated. The surgery is performed under local anesthesia and is usually painless.
A 35 year old female with eyelid bags / puffy eyelids - underwent transconjunctival blepharoplasty with no visible scar. At 1 month following surgery, the puffy eyelids with dark circles have gone away giving a youthful appearance. Watch the video below:
Here, a sub-ciliary incision was made (just below the eyelashes) and the eyelid bags (fat) was removed restoring a youthful appearance and without an obvious scar on the face
You can move the slider in the above image to see the difference a lower eyelid blepharoplasty to remove the tired looking eyelid bags can have on your face.
And yes, a blepharoplasty is not just for women !
How long does a blepharoplasty last?
Blepharoplasty results vary from person to person and the longevity of the surgery also depends on many factors. Typically though, results of an upper blepharoplasty usually last atleast 7-8 years before the signs of ageing start becoming visible again. In the case of a lower lid blepharoplasty, the results tend to last longer and can be seen to last up to 12 years and even longer in some cases.
A blepharoplasty can be done even in people with Asian eyelids - the surgery done here was done as per the requirements of the patient: to make the upper lid crease visible.
COMBINED BLEPHAROPLASTY AND DERMAL FILLERS - CUSTOMIZED PLANS FOR EACH EYE.
Here, this 48 year old lady underwent a transconjunctival blepharoplasty to excise the fat under the eye. This was done through a scarless incision.
The first picture on the top is her photograph before the blepharoplasty. (TOP PHOTOGRAPH)
The middle photograph is taken one month after the blepharoplasty where the eyelid swelling and fat prolapse is not visible. (MIDDLE PHOTOGRAPH)
At this juncture, 1 ml of dermal filler (Belotero Balance) was injected under the eyes to smoothen out and blend the eyelid-cheek junction and create a smooth, youthful, rejuvenated look (BOTTOM PHOTOGRAPH)
Each eyelid is unique and therefore the plan to restore it to its youthful, cheerful condition must be customised. If you have any queries regarding blepharoplasty, please contact Dr. Akshay G Nair, oculoplastic surgeon at or schedule an appointment for a consultation.