Blepharoplasty reshapes the upper- or lower eyelid by the removal and/or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons.

Upper eyelid blepharoplasty is done on patients with an excess of upper eyelid skin.

Lower eyelid blepharoplasty is done to improve puffy lower eyelid "bags" and reduce the wrinkling of skin.

Procedure

Blepharoplasty is performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids or from the inside surface of the lower eyelid. The operation takes 1 to 3 hours to complete. Initial swelling and bruising take 1 to 2 weeks to resolve but at least several months are needed until the final result becomes stable.

Transconjunctival blepharoplasty involves removing lower eyelid fat through an incision on the back of the eyelid, eliminating the need for an external incision. Because there is no external incision, excess skin can not be removed during the surgery, but skin resurfacing with a chemical peel or carbon dioxide laser may be performed simultaneously. This allows for a faster recovery process.

Asian blepharoplasty (double eyelid surgery) About half of the asian population are born without a supratarsal eyelid crease. Surgery can create an upper eyelid with a crease by reshaping the skin around the eye. Methods to create the double eyelid include the full-incisional, partial incision and no incision methods (e.g. the DST method).

It is the most popular form of cosmetic surgery among those of east and southeast Asian background.

A procedure to remove the epicanthal fold (epicanthoplasty) is often performed in conjunction with an Asian blepharoplasty.

Complications

Failure to recognize factors such as:

Cost

A major blepharoplasty surgery costs from US$ 3800 - US$ 4800.
The surgical procedure for a major blepharoplasty takes 2 to 3 hours.

A minor blepharoplasty surgery costs from US$ 2300 - US$ 3200.
The surgical procedure for a minor blepharoplasty takes 1 to 2 hours.

The manner in which blepharoplasty surgery can alter a persons appearance is best appreciated by comparing before and after photos of surgical patients. Photos are available on a number of surgeon websites including: Dr. Frank Mer onk based in Southern California and Dr. Mitesh Kapadia based in Boston, Mass achusetts.


This page has been updated on the 2017-12-18.