Blepharoplasty is a surgical correction of the upper and/or lower eyelids aimed at addressing age-related changes, anatomical characteristics, and functional concerns within the periorbital region. The procedure may be performed on the upper eyelids, lower eyelids, or both simultaneously, depending on the patient’s individual indications and aesthetic goals.
Because every face has its own anatomy and unique aging pattern, the surgical plan is developed entirely on an individual basis, taking into account facial proportions, orbital anatomy, and the desired aesthetic outcome.
Indications for Blepharoplasty
A consultation with a plastic surgeon may be recommended if:
- drooping upper eyelids create a heavy or tired appearance;
- excess upper eyelid skin partially obstructs the visual field;
- under-eye bags and puffiness persist despite adequate rest;
- crow’s feet and excess skin develop beneath the eyes;
- there is a pronounced tear trough deformity or hollowing under the eyes;
- A-frame orbital deformity or descent of the lateral canthus is present;
- dark circles and under-eye shadows are caused by the anatomical position of fat pads;
- the eyes create an overall “tired” or “stern” appearance that does not reflect the patient’s inner state.
Types of Blepharoplasty
Upper Blepharoplasty
Upper eyelid surgery removes excess overhanging skin, repositions or reduces protruding fat pads, and restores a more open appearance to the eyes. The incision is carefully concealed within the natural eyelid crease and gradually becomes virtually invisible over time.
Lower Blepharoplasty
Lower eyelid surgery addresses under-eye bags, puffiness, excess skin, and softens the appearance of the tear trough. When indicated, it may also improve the malar region. In selected cases — particularly in younger patients or when no skin excess is present — the procedure may be performed using a transconjunctival approach, without any external incision, through the inner surface of the eyelid only.
Following a standard lower blepharoplasty, the scar is positioned just beneath the lash line and is typically barely noticeable.
Combined Blepharoplasty
Upper and lower blepharoplasty are frequently performed simultaneously and may be combined with complementary procedures such as periorbital fat grafting, temporal lifting, or brow lift surgery to achieve a comprehensive and harmonious rejuvenation result.
How the Procedure Is Performed
Blepharoplasty may be performed under local anesthesia or general anesthesia depending on the extent of surgery, the patient’s overall health, and personal preference. The procedure typically lasts from 30 minutes to 2 hours depending on complexity and the number of treated areas.
The surgery does not affect visual acuity and does not involve the eyeball itself — one of the most common concerns among patients. Within several hours after surgery, most patients are able to continue recovery at home.
Recovery and Results
First 7–14 Days
Swelling and bruising in the surgical area are expected and gradually subside. Cold compresses, elevated head positioning during sleep, and temporary restriction of physical activity are recommended to facilitate recovery.
2–4 Weeks
Most patients return to their normal social routine. Surgical scars continue to soften and become progressively less noticeable.
3–6 Months
Final scar maturation occurs and residual swelling fully resolves.
Long-term results typically last between 7 and 15 years, depending on skin quality, lifestyle, and the individual aging process.
Why Patients Choose Blepharoplasty at Al's hair clinic?
Blepharoplasty remains one of the most commonly performed procedures among both women and men. The reason is simple: no cosmetic treatment can replace surgical correction when there is true excess skin or significant protrusion of orbital fat pads. Injectable procedures may delay the need for surgery, but they cannot eliminate it entirely.
At the same time, the results of blepharoplasty appear natural. The eyes look fresher and more open, while facial features remain recognizable. Patients do not appear “operated on” — they simply look more rested and younger.
If you feel that your eyes make you appear older or more tired than you truly feel, schedule an initial consultation with a plastic surgeon. Together, we will assess your anatomical features, determine the optimal surgical approach, and develop a personalized treatment plan to restore brightness and vitality to your gaze.