William Portuese MD

What Is Upper Eyelid Surgery ?

What Is Upper Eyelid Surgery ?

Upper eyelid surgery, also known as blepharoplasty, is an oculoplastic procedure that has become increasingly popular in recent years. It can be used to improve the aesthetic appearance of the upper lid while also providing functional benefits. As an oculoplastic surgeon, I’m often asked about this procedure and what it entails. In this article, I will provide a comprehensive overview of upper eyelid surgery, from preparation to postoperative care.

The main goal of upper eyelid surgery is to create a smoother upper lid contour by eliminating excess fat and skin. This can help reduce signs of age-related sagging or puffiness in the area, giving you a more youthful and energetic look. Additionally, removing any drooping tissue can improve peripheral vision in cases where it’s been impaired.

Upper eyelid surgery is a safe and effective way to restore the beauty of your eyes while also providing functional benefits. In my experience as an oculoplastic surgeon, I’ve found that it’s one of the most rewarding procedures for both patients and surgeons alike. To ensure a successful outcome, however, it’s important to understand all aspects of the surgery – from preparation to postoperative care – before making any decisions.

Definition Of Blepharoplasty

Blepharoplasty, also known as eyelid surgery, is a type of cosmetic procedure that is designed to improve the appearance of the upper or lower eyelids. It can be used to correct sagging skin, remove excess fat and/or skin from the eyelids, and address droopy upper eyelids. The goal of the procedure is to create a more youthful appearance and restore symmetry to the eyes.

The surgery involves making incisions along the natural contours of the eye in order to access underlying structures. Through these incisions, excess fat and/or skin can be removed or repositioned. In some cases, muscles may need to be tightened in order to reduce puffiness or bags under the eyes. Finally, any remaining incisions are closed with dissolvable sutures and covered with a bandage or ointment.

Upper eyelid blepharoplasty is often done on an outpatient basis under local anesthesia or sedation depending on patient preference. This procedure typically takes one hour or less and patients can expect minimal downtime afterwards. The results should become visible within a few weeks after recovery is complete.

Reasons For Undergoing Eyelid Surgery

Upper eyelid surgery, also known as blepharoplasty, is typically performed to improve the appearance of the eyes. It can be done for either cosmetic or medical reasons. The procedure involves removing excess skin and fat from the upper eyelids in order to restore a youthful look to the eyes. Additionally, it can be used to help correct vision problems caused by droopy eyelids. In some cases, upper eyelid surgery may even be covered by insurance.

There are several reasons why someone might opt for upper eyelid surgery. One of the most common reasons is to reduce the appearance of wrinkles and sagging skin around the eyes that has been caused by aging. This procedure can help make a person look more alert and youthful by reducing puffiness and dark circles around the eyes. It can also help improve vision if droopy upper eyelids are impairing vision due to excess skin blocking part of their field of view.

In addition to improving one’s appearance, upper eyelid surgery can also help with medical conditions such as Graves’ ophthalmopathy, which is an autoimmune disorder that affects the muscles around the eye and may cause drooping of one or both upper lids. Surgery may also be necessary in cases where there is ptosis (droopy eyelids) due to trauma or neurological conditions such as myasthenia gravis or Horner’s syndrome. Upper eyelid surgery can correct these issues and restore proper vision.

Upper eyelid surgery offers many benefits for those looking to restore their natural beauty or alleviate medical issues related to drooping lids or poor vision. Patients should consult with an experienced oculoplastic surgeon before making any decisions about undergoing this procedure so they can understand all potential risks associated with it as well as any other treatment options available.

Types Of Eyelid Surgery

Upper eyelid surgery, also known as blepharoplasty, is a type of cosmetic procedure that can address a variety of conditions. It can improve visibility by removing excess skin and fat from the upper eyelid or by restoring drooping tissue. Depending on the patient’s individual needs, different types of upper eyelid surgery may be recommended.

The standard upper blepharoplasty involves making incisions at the crease of the upper eyelid and removing excess fat and skin to create a more youthful appearance. This surgery is typically used to reduce wrinkles and puffiness in the area. For people who have very heavy lids, ptosis correction can be considered. This involves tightening muscles in order to reposition the lid higher on the eye. Both procedures are generally performed under local anesthesia with minimal recovery time needed afterward.

In some cases, an endoscopic brow lift may be recommended instead of an upper blepharoplasty. This type of surgery elevates eyebrows that have become droopy over time by using small incisions hidden within the hairline and lifting sagging tissue back into place. While this procedure does not directly target excess skin or fat around the eyes, it can provide a rejuvenated look for those with moderate forehead wrinkles or hooded eyes.

Upper eyelid surgery is a safe and effective way to address common eye issues such as excess skin or wrinkles around the eyes and drooping brows due to aging. With proper care following treatment, patients can expect long term results with minimal downtime needed afterward.

Pre-Operative Care And Preparation

Upper eyelid surgery, also known as blepharoplasty, is a procedure to remove excess skin and fat from the upper eyelids. It can improve vision and enhance the appearance of the eyes. To ensure the best possible outcome from this type of surgery, there are some important steps that must be taken before any procedure is performed.

Patients who wish to undergo upper eyelid surgery should start by consulting with their oculoplastic surgeon to discuss their goals and expectations for the results. During this visit, it’s important to inform your surgeon of any allergies or medical conditions you may have, as well as any medications or supplements you are taking. The surgeon will also need to review your past medical history in order to determine if you are a good candidate for this type of surgery.

Prior to undergoing upper eyelid surgery, patients should also make sure to avoid taking certain medications and supplements that could interfere with healing or increase bleeding during the procedure. Your oculoplastic surgeon will provide specific instructions on how best to prepare for your upcoming surgery in order to help ensure a safe and successful outcome.

Procedure Details

Upper eyelid surgery is a common procedure that I perform in my oculoplastic practice. It involves removing excess skin and fat from the upper lids, which can be done either through an incision within the lid or by a transconjunctival approach. During the procedure, I will make a precise incision along the natural crease of the upper eyelid and carefully remove any excess skin and fat. The incision is then closed with sutures, which are typically removed one week after surgery.

The benefits of upper eyelid surgery are many: improved vision due to reduced hooding over the eyes; a more alert, youthful appearance; and better makeup application. In addition to these aesthetic benefits, this procedure can also reduce headaches resulting from strain on the forehead muscles caused by heavy drooping eyelids.

Upper eyelid surgery is generally performed under local anesthesia and usually takes less than two hours to complete. Recovery time is usually around two weeks, during which patients should avoid strenuous physical activity and direct sunlight to promote optimal healing. Patients may also experience some swelling and bruising in the area during this time period as well. With proper care, however, these effects should subside quickly for most individuals.

Recovery And Aftercare

Following upper eyelid surgery, patients can expect swelling and bruising around the eyes to subside in the coming days. It’s important for them to keep their head elevated and take time for rest and relaxation. After a week or so, most of the bruising and swelling should have subsided significantly and patients will be able to return to their normal activities.

The sutures used in the procedure will usually dissolve within 5-7 days but may remain visible for a few weeks after that. Patients should avoid strenuous physical activity during this time as it increases blood flow which can cause more swelling and slow down recovery time. They should also avoid direct sunlight for at least two weeks post-surgery.

Patients should attend all follow-up visits with their doctor and any instructions given by their surgeon should be followed closely in order to ensure a successful recovery process. It is also important to use artificial tears regularly during healing in order to maintain proper moisture levels around the eye area.

Expected Results

Upper eyelid surgery is a safe and effective procedure that can result in a more youthful and alert appearance. The primary goal of this procedure is to reduce the excess skin and tissue on the upper eyelids, which can cause puffiness or sagging of the eyes. After surgery, patients can expect to see a smoother and more open appearance of their upper eyelids. In some cases, there may also be an improvement in vision due to improved peripheral vision from the removal of excess skin and fat.

The results from upper eyelid surgery will vary from patient to patient depending on their individual anatomy and desired outcome. However, most patients should expect to have improved eyelid contour, reduced puffiness, and a more rejuvenated look following surgery. There may also be some bruising and swelling after the procedure, but these effects typically resolve within a few weeks.

Overall, upper eyelid surgery can provide excellent results with minimal complications when performed by an experienced oculoplastic surgeon. With careful planning and good post-operative care, patients can enjoy long-lasting aesthetic improvements with very little downtime or discomfort.

Possible Risks And Complications

Having discussed the expected results of upper eyelid surgery, it is important to understand the possible risks and complications that may arise. Generally speaking, most patients experience minimal discomfort following their procedure and the majority of them recover without any problems. However, there are some potential issues to be aware of.

First, there may be a risk of infection at the site of the incision. If this occurs, antibiotic medications may be prescribed to treat it. Additionally, there is a chance that scarring will occur around the incision area or that asymmetry in eyelid position could result from the procedure. In some cases, double vision can also be an issue post-surgery.

It is essential for patients who have undergone upper eyelid surgery to follow their doctor’s instructions for aftercare, such as keeping the incision site clean and wearing dark sunglasses when outdoors in order to reduce exposure to UV rays and protect their eyes from irritation. These simple steps can help minimize potential risks associated with upper eyelid surgery and ensure a successful outcome.

Alternatives To Eyelid Surgery

For those looking for an alternative to upper eyelid surgery, there are several options. The most popular is the use of injectable fillers such as Juvederm or Restylane. These fillers can be used to add volume and smooth out wrinkles and creases in the lower lid area. They are relatively non-invasive and can provide a more youthful look without the risks associated with surgery. In addition, they may also be used to treat hollowing or puffiness in the upper lids.

Another option is using laser resurfacing treatments. This procedure uses a device that emits concentrated beams of light to reduce wrinkles, age spots, and fine lines in the skin around the eyes. Laser resurfacing can also stimulate collagen production, resulting in smoother, firmer skin in this area. It is important to note that laser resurfacing treatments should only be done by a certified practitioner as they have the potential to cause scarring if not done properly.

Finally, there are topical products such as creams or serums that contain ingredients designed to improve appearance of the upper lids. These products can help reduce wrinkles, dark circles, and puffiness but may take several weeks before visible results appear. They can also be used in combination with other treatments such as injectables or laser treatments for enhanced results. It is best to speak with your doctor about what treatment options are best for you before starting any type of regimen.

Long-Term Effects

Upper eyelid surgery is a safe and effective procedure that can produce long-lasting results. Patients typically experience a decrease in the signs of aging, such as sagging skin, wrinkles, and puffiness around the eyes. In addition, upper eyelid surgery can also improve vision by eliminating any excess skin or fat that may be blocking the patient’s vision. After recovery from the initial procedure, patients can expect to see an immediate improvement in their appearance.

The long-term effects of upper eyelid surgery are largely positive. Over time, the area around the eyes will appear smoother and firmer due to the removal of excess skin and fat. This can help to prevent further sagging of the eyelids and reduce any wrinkles or puffiness around them. Additionally, some patients report improved vision since any obstructive tissue has been removed from their field of view.

Upper eyelid surgery is a safe and successful procedure with lasting benefits for many patients. It can provide improved aesthetics around the eyes as well as enhance visual clarity when done correctly by an experienced oculoplastic surgeon. The results are often visible soon after recovery from the initial procedure; however, it is important to follow all postoperative instructions for optimal outcomes and long-term satisfaction with your appearance.


Upper eyelid surgery, also known as blepharoplasty, is a safe and effective procedure that can reduce signs of aging. By removing excess skin and fat from the upper eyelids, it can give the area a more youthful and refreshed appearance. Although there are risks and potential complications associated with any procedure, these risks can be minimized by consulting with an experienced oculoplastic surgeon prior to undergoing eyelid surgery.

When considering upper eyelid surgery, it’s important to weigh all the possible benefits against the potential risks. I always recommend that my patients attend a consultation prior to deciding on any surgical procedure so that they have all the information they need to make an informed decision. With careful consideration and a qualified surgeon, upper eyelid surgery can provide excellent results for rejuvenating your eyes.

If you are considering upper eyelid surgery, I urge you to contact me or another oculoplastic specialist at your earliest convenience so that we can discuss your goals and determine if it is right for you. Upper eyelid surgery is a safe and effective way to reduce signs of aging around the eyes and make you look more youthful and refreshed.

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