William Portuese MD

Is Eyelid Surgery Right For You ?

Is Eyelid Surgery Right For You ?

As an ophthalmologist and board certified oculoplastic surgeon, I understand the complexities of eyelid surgery, also known as blepharoplasty. This procedure can be a great option for people who are looking to reduce sagging skin around the eyes or remove puffiness or bags under the eyes. In this article, I’ll provide information about who is a good candidate for eyelid surgery and what it involves.

Eyelid surgery is an outpatient procedure that can help improve one’s appearance and provide a more youthful look. It can make people appear more rested, alert, and vibrant by removing excess fat or skin from the upper and lower eyelids. It can help them look less tired and more refreshed—the perfect way to turn back time!

Before you decide if eyelid surgery is right for you, there are some important factors to consider in order to ensure that you make an informed decision. In this article, I’ll provide insight into the risks involved with this procedure as well as tips on how to get the best results possible. Read on to learn more!


Eyelid surgery, also known as blepharoplasty, is an oculoplastic procedure designed to improve the appearance of the upper and/or lower eyelids. It involves the removal of excess skin and fat that can cause sagging lids or puffiness around the eye area. The goal of eyelid surgery is to restore a more youthful and refreshed look to the eyes.

The best candidates for eyelid surgery are generally healthy individuals who are seeking to improve their appearance by reducing signs of aging or enhancing their natural beauty. An ideal candidate should also be able to follow post-operative instructions closely in order to ensure a successful outcome from the procedure. In addition, patients should have realistic expectations about what can be achieved through this type of surgery.

Before undergoing any surgical procedure, it is important that you have a thorough consultation with a board certified oculoplastic surgeon. This will allow you to discuss your goals and expectations so that you can make an informed decision about whether eyelid surgery is right for you.

Reasons To Consider Eyelid Surgery

Now that you understand what eyelid surgery is, it’s important to consider whether or not it is right for you. There are several reasons why a person might want to consider eyelid surgery, including: cosmetic enhancement, improved vision, and medical necessity.

Cosmetic Enhancement: If you feel self-conscious about the look of your eyes, eyelid surgery can help enhance the appearance of your eyes. The procedure can reduce puffiness and wrinkles around the eyes and give them a more youthful appearance. Additionally, eyelid surgery can make your eyes appear larger, brighter and more alert.

Improved Vision: As we get older our skin begins to lose its elasticity which can cause the upper lids to droop over the eye’s pupil. This condition is called ptosis and it can impair vision by blocking part of the field of view with sagging skin above the eye. Eyelid surgery will remove excess skin from the upper lids allowing for improved vision.

Medical Necessity: In some cases, people may be advised to have eyelid surgery if they suffer from chronic irritation or inflammation in their eyes due to excessive skin on their eyelids. This condition is known as blepharitis and often requires surgical intervention in order to improve overall eye health.

Eyelid surgery can be a beneficial option for those looking to improve their physical appearance or enhance their vision. It’s important to discuss all of your options with an ophthalmologist or board certified oculoplastic surgeon before making any decisions regarding treatment plans.

Pre-Surgery Preparation

Before undergoing eyelid surgery, it’s important to be prepared. It’s best to discuss the details with your ophthalmologist/board certified oculoplastic surgeon beforehand. In order to ensure a safe and successful outcome, you should follow all the doctor’s instructions.

First, you’ll need to get a full physical exam and blood work done. This is essential in order to assess any underlying medical conditions that may affect the safety of the procedure. Additionally, your doctor will evaluate your overall health and provide any necessary medications prior to surgery.

It’s also important to stop taking certain medications prior to the procedure. This includes aspirin, anti-inflammatory drugs, and other medications as instructed by your doctor. Furthermore, avoid smoking for at least 2 weeks before and after surgery. Doing so can help reduce risks such as infection or delayed healing time.

Finally, make sure you have someone who can drive you home after the procedure and stay with you for at least 24 hours afterwards for assistance. Make sure they understand the importance of following post-operative instructions from your doctor in order to ensure a successful recovery from eyelid surgery.

Types Of Eyelid Surgery

Now that you know what to expect from pre-surgery preparation, it is important to understand the types of eyelid surgery that are available. Eyelid surgery, also known as blepharoplasty, can be performed on both the upper and lower eyelids. In either case, the goal is to improve the aesthetic appearance of the eyes by removing excess skin and/or fat.

Upper eyelid surgery is designed to correct sagging or drooping of the upper lids which can result in a tired or aged looking appearance. During this procedure, excess skin and fat will be removed while tightening and lifting remaining tissue into a more youthful position. Lower eyelid surgery is designed to reduce puffiness and dark circles under the eyes as well as correct any wrinkles or creases in the lower lids. This procedure may also involve removal of excess fat or skin in order to achieve optimal results.

It is important to note that in some cases both upper and lower lid surgeries may need to be performed together for best outcome. Depending on your unique needs and goals, your ophthalmologist/board certified oculoplastic surgeon will be able to determine which type of eyelid surgery is right for you.

In addition, your doctor will discuss any potential risks during your consultation so that you can make an informed decision about whether eyelid surgery is right for you.

Risks And Side Effects

Eyelid surgery carries risks and potential side effects, just like any other surgical procedure. It is important to discuss these risks with your ophthalmologist or board certified oculoplastic surgeon before making a decision about whether eyelid surgery is right for you.

The most common risk of eyelid surgery is infection. Your doctor will provide you with specific instructions to reduce the risk of infection, including taking antibiotics before and after the procedure. Other risks include scarring, dry eyes, and vision changes due to swelling or bleeding. In rare cases, there may be an allergic reaction to the anesthetic used during the procedure.

It is also possible that you may not be satisfied with the results of eyelid surgery. In some cases, revisional surgery may be necessary to achieve the desired results. It is important to understand that results cannot be guaranteed, and that it can take several weeks or more for any visible changes to occur following eyelid surgery.

Before proceeding with any type of eyelid surgery, it is important that you have a full understanding of all potential risks and side effects associated with this type of procedure. Be sure to ask your doctor any questions you may have about these risks so that you can make an informed decision about whether this type of procedure is right for you.

Post-Surgery Care

Post-surgery care is essential to a successful recovery. After surgery, I will provide instructions on how to take care of your eyes and eyelids. It’s important to follow these instructions carefully.

I will typically provide ointments or eye drops for the first few weeks after surgery, which will help reduce any swelling, bruising, and discomfort. You should also avoid any strenuous activities during the recovery period as this can strain your eyes and increase healing time.

To ensure a successful recovery, you should follow my post-surgery instructions carefully and keep all of your follow-up appointments. This will allow me to monitor your progress and make sure you’re getting the best results possible from the procedure. Taking good care of yourself during the recovery period is key to ensuring optimal results from your eyelid surgery.

Recovery Timeline

The recovery timeline for eyelid surgery is typically short, with most patients seeing a marked improvement within two weeks. However, a full recovery can take up to six months or longer. During this period, it is important to follow all post-surgery care instructions given by your doctor. These may include avoiding strenuous activities and direct sunlight, wearing protective eyewear when outdoors, and sleeping with the head elevated.

It is also important to schedule follow-up visits with your doctor to monitor the healing process and check for any signs of complications. During these visits, your doctor will evaluate the incision sites and make sure that you are on track for a successful recovery. They may also discuss any lifestyle changes that you should make in order to maximize the results of the procedure.

Most patients report feeling very satisfied with their results after eyelid surgery. In addition to providing an improved appearance, this procedure can also improve vision by removing excess skin from the upper eyelids which may have been impairing vision before. If you’re considering eyelid surgery, it’s important to discuss all aspects of the procedure and recovery timeline with your doctor so you can make an informed decision about whether it’s right for you.

Cost Of Procedure

The cost of eyelid surgery will vary depending on the type of procedure you need and the complexity of your case. Generally, the cost can range from around $2,500 to $8,000. It’s important to note that this cost is just for the surgical portion of the procedure; it does not include pre-operative evaluation, anesthesia fees, and other associated costs.

When considering whether eyelid surgery is right for you, it’s important to find a board certified oculoplastic surgeon who is experienced in performing blepharoplasty procedures. This will ensure that you are receiving high-quality care and results that last. Be sure to ask your doctor about their experience with eyelid surgery as well as any additional costs or fees that may be associated with your procedure.

By researching different options and carefully weighing your decision, you can make an informed decision about whether this type of surgery is right for you.

Alternatives To Surgery

Before exploring eyelid surgery, it’s important to consider non-surgical alternatives. Depending on the individual’s goals, there may be other treatments that are better suited than surgery. Non-invasive procedures can help reduce the signs of aging, and they typically come with fewer risks than an invasive procedure like eyelid surgery.

The first option is topical products such as eye creams or ointments. These are applied directly to the skin around the eyes and provide a wide range of benefits. In addition to moisturizing and smoothing wrinkles, these products can also help reduce dark circles and puffiness around the eyes.

Another alternative to surgery is injectable treatments such as Botox or Dysport. These injections can temporarily relax certain facial muscles, resulting in a smoother appearance around the eyes without any incisions or scarring. The effects of these treatments usually last for several months before needing to be repeated.

These are just a few of the options available for reducing the signs of aging on your face without undergoing surgery. It’s always best to consult with an experienced ophthalmologist or board-certified oculoplastic surgeon before deciding which treatment is right for you.

Final Considerations

It is important to consider all aspects of eyelid surgery before making a decision. It is essential to evaluate the potential risks, cost and long-term effects of any procedure. Each person’s situation is unique and should be discussed with an experienced oculoplastic surgeon prior to moving forward.

The primary goal of eyelid surgery is to improve the appearance of the eyes and surrounding area, but it can also provide improved vision in people with severe droopiness or puffiness that obstructs the visual field. Patients should understand that complications may occur, such as infection, dry eyes, double vision, asymmetry or scarring. Patients should also be aware that some surgeries may require more than one procedure and that results are not guaranteed.

Before proceeding with any surgery, it is important to have realistic expectations. While positive outcomes can include improved vision and enhanced appearance, it is important to remember that eyelid surgery cannot stop the natural aging process or change one’s facial features drastically. Ultimately, patients must carefully weigh the risks versus benefits when deciding on whether or not eyelid surgery is right for them.


When it comes to considering eyelid surgery, there are many factors you must take into account before making a decision. It’s important to weigh the risks with the potential benefits, and be sure to discuss your concerns with a board certified oculoplastic surgeon. I can provide you with all of the information you need to determine if eyelid surgery is right for you.

If the procedure is right for your situation, then I will help you prepare by discussing pre-surgery preparation and what types of eyelid surgery may be best suited for your goals. I can also explain the recovery timeline and potential side effects, as well as go over cost considerations and alternatives to surgery.

Ultimately, eyelid surgery is a personal decision that should not be taken lightly. It’s important that you understand all of the risks and benefits before making a choice. My goal is to provide you with all of the facts so that together we can decide if this type of procedure is right for you.

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