American Society of Plastic Surgeons
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Eyelid Surgery

Blepharoplasty

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. This surgery can be performed on the upper lids, the lower lids, or both.

Eyelid surgery procedure steps

An eyelid surgery procedure includes the following steps:

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region.

The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal or repositioning of fat deposits, tightening of muscles, and removal of excess skin.

Eyelid surgery upper eyelid incision

Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.

A transconjunctival incision, created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed.

Eyelid surgery lower eyelid incision

Step 3 – Closing the incisions

Eyelid incisions typically are closed with:

  • Removable sutures
  • Skin adhesives
  • Surgical tape

Your surgeon may suggest use of a laser or chemical peel to reduce discoloration of the lower eyelids.

Step 4 – See the results

The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance. Get more information about eyelid surgery results.



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