What is Blepharoplasty?
Blepharoplasty (eyelid surgery) is a surgical procedure to correct eyelids’ defects, deformities, and disfigurations. It’s also a popular cosmetic surgery to remove excess skin, muscle, and sometimes fat from the upper or lower eyelids. It can address droopy eyelids, and bags under the eyes and remove excess fat and skin that can impair vision or detract from the look of the eyes.
In the US, blepharoplasty is one of the most popular cosmetic surgeries. According to the American Society of Plastic Surgeons, surgeons perform over 200,000 blepharoplasty procedures annually in the US.
Furthermore, it’s a top choice for those who want to enhance their facial beauty. Globally, this procedure is also in high demand, it’s a universal desire to look youthful and refreshed.
What Does the Procedure Do?
The main purpose of blepharoplasty is to rejuvenate the eyes by addressing sagging eyelids, puffiness, and wrinkles. It can also improve vision if excess skin is obstructing the upper eyelid.
By removing or repositioning fat, tightening muscles, and excising excess skin, blepharoplasty can greatly enhance the overall facial appearance, making the eyes look more alert and youthful.
What is Bleph Surgery?
“Bleph surgery” is short for blepharoplasty. It means surgery on the eyelids, whether for cosmetic reasons (to reduce signs of fine wrinkles of aging) or medical reasons (to improve vision obstructed by sagging eyelid skin.
What is a Lower Bleph?
Lower eyelid surgery blepharoplasty, or lower eyelid surgery, primarily focuses on the area below the eyes. This addresses bags under the eyes, puffiness, and wrinkles. The surgeon may remove or reposition fat to reduce puffiness and create a smoother look. Sometimes surgeons may also remove or tighten a small amount of skin to achieve the desired result.
What is Upper Bleph?
Upper blepharoplasty or upper eyelid surgery particularly focuses on the upper eyelids. However, remove excess skin that’s causing sagging which can obstruct vision or contribute to a tired look. Similarly, surgeons may also remove or reposition excess fat or muscle to enhance the result. This procedure has both functional and cosmetic benefits, it improves peripheral vision and appearance.
What is an Under Eye Lift Called?
Surgeons refer to under-eye lift as lower blepharoplasty. This procedure removes or repositions fat and tightens the skin below the eyes to get rid of puffiness, bags, and wrinkles. It’s a popular option for those who want to look more youthful and refreshed.
What is the Difference Between Eyelid Surgery and Blepharoplasty?
Although people often use the terms “eyelid surgery” and “blepharoplasty” interchangeably, they can refer to different procedures. Blepharoplasty specifically addresses the cosmetic and functional issues of the eyelids while “eyelid surgery” is a broader term that can include other procedures related to the eyelids.
Such as eyelid ptosis repair (correcting droopy eyelids caused by muscle issues) or canthoplasty (tightening the corner of the eye). However, in most cases, blepharoplasty is the most common type of eyelid ptosis surgery.
Blepharoplasty – Procedure Overview
What Happens During the Procedure?
During blepharoplasty, the patient is usually under local anesthesia with sedation or in some cases general anesthesia. The surgeon makes precise incisions along the natural creases of the eyelids to minimize scarring.
For upper blepharoplasty, the incision is in the fold or outer corner of the upper or lower lid of the upper eyelid. The surgeon removes excess skin, muscle, and sometimes fat to create a more youthful shape. The incision is then closed with sutures which are usually removed in a few days.
For lower blepharoplasty, the incision can be just below the lash line or inside the lower eyelid (transconjunctival approach). The surgeon may remove or reposition fat, tighten muscles, and remove excess skin to smooth the under-eye area. The incision is then closed with dissolvable sutures.
What are the Steps in a Blepharoplasty?
The steps in a blepharoplasty procedure are:
- Consultation and Evaluation – The surgeon evaluates the eyelids, discusses the goals of the surgery, and determines the best approach.
- Anesthesia – The patient is given local anesthesia with sedation or general anesthesia.
- Incision – The surgeon makes incisions along the natural creases of the eyelids.
- Removal/Repositioning – Excess skin, muscle, and fat are removed or repositioned to create a more youthful shape.
- Closing the Incision – The incisions are closed with sutures or skin adhesives.
- Post-Operative Care – The patient is given instructions for care and recovery and follow-up appointments are scheduled.
How Long Does the Surgery Take?
Blepharoplasty is an outpatient procedure so you can go home the same day. The time depends on the complexity of the case and if both upper lids and lower lids are being done. On average 1-2 hours. Upper lid blepharoplasty is 45 minutes to 1 hour and lower lid blepharoplasty is 1-2 hours depending on the amount of work required.
Blepharoplasty – Duration and Expected Results
How Long Does it Last?
Blepharoplasty results can be long-lasting, 10 to 15 years or more. BHoweverresults can vary depending on age, skin type, and lifestyle. For example, patients who protect their skin from sun damage, live a healthy lifestyle and follow post-op instructions will have longer-lasting results.
How Long Does Lower Blepharoplasty Last?
Lower blepharoplasty results are generally permanent when it comes to removing or repositioning fat. The reduction in puffiness and bags under the eyes typically lasts for many years. However, as the skin continues to age, some patients may notice the development of new wrinkles or slight sagging over time. In such cases, non-surgical treatments like fillers or laser skin resurfacing, can help maintain the results.
How Long Does Upper Blepharoplasty Last?
Upper lower eyelid blepharoplasty results can last between 5 and 10 years, depending on the patient’s skin elasticity and aging process. Since the upper eyelids are more prone to sagging skin along with age, some patients may eventually require a revision surgery. However, many patients find that the results of their initial surgery remain satisfactory for a decade or longer.
How Long Does Lower Eye Lift Last?
The results of a lower eye lift, or lower blepharoplasty, are typically long-lasting. The removal or repositioning of fat in this area is usually permanent, and while aging may continue, the improvements in puffiness and under-eye bags are generally maintained for many years. Patients who maintain good skin care practices and avoid excessive sun exposure can prolong the longevity of their results.
How Long Does the Procedure Last?
The results can last for many years—typically 10 to 15 years or more, depending on the individual. However, it’s important to note that blepharoplasty can significantly improve the appearance of the eyelids. Regardless it does not stop the aging process. Patients may notice gradual changes over time, but these are often less severe than the issues addressed by the surgery.
Upper and Lower Eyelids – Recovery and Post-Operative Care
How Long Does It Take to Recover from the Surgery?
Recovery from blepharoplasty eyelid surgery typically takes 1 to 2 weeks, although the complete healing process can take several months. During the first few days, patients may experience swelling, bruising, and discomfort. Moreover, individuals can manage with cold compresses and prescribed medications.
Most patients can return to normal activities, including work, within 10 to 14 days. But surgeons recommend avoiding strenuous activities and heavy lifting for at least 3 to 4 weeks.
How Long Does It Take to Fully Recover from Upper and Lower Blepharoplasty?
Full recovery from upper and lower blepharoplasty can take 3 to 6 months, depending on the individual’s healing process. While the initial swelling and bruising typically subside within the first 2 weeks, it can take several months for the final results to fully emerge.
During this time, patients should follow their surgeon’s post-operative care instructions, which may include avoiding direct sun exposure, using prescribed ointments, and attending follow-up appointments to monitor healing.
Blepharoplasty – Pain and Comfort Considerations
How Painful is the Procedure?
Blepharoplasty is generally well-tolerated, with most patients reporting mild to moderate discomfort rather than significant pain. The use of local anesthesia during the procedure helps minimize pain and post-operative discomfort.
Additionally, can usually be managed with over-the-counter pain relievers or prescribed medications. Patients may experience a tight or pulling sensation in the eyelids, as well as some dryness or itching, but severe pain is uncommon.
How Painful is Upper Eyelid Surgery?
Upper blepharoplasty is associated with minimal pain. Patients often report a feeling of tightness or pressure in the upper eyelids during the first few days of recovery. Any discomfort is usually mild and can be managed with pain relievers. The recovery process is generally smooth, and most patients feel comfortable returning to their normal activities within a week or two.
Are You Awake During the Procedure?
Surgeons perform most blepharoplasty procedures under local anesthesia with sedation. That means the patient is awake but relaxed and comfortable. The sedation helps minimize anxiety and discomfort during the surgery.
In some cases, the medical team uses general anesthesia. Particularly for more complex surgical procedures or if the patient prefers to be completely asleep during the surgery.
Blepharoplasty – Candidate Considerations
What is the Best Age for Blepharoplasty?
There is no specific “best” age for blepharoplasty, as the ideal timing depends on the individual’s needs and goals. However, most patients seeking blepharoplasty are in their 40s to 60s, as this is when signs of aging, such as sagging skin, puffiness, and wrinkles, become more prominent.
That said, younger patients in their 30s or even late 20s may also benefit from the procedure if they have hereditary issues, such as under-eye bags or drooping eyelids.
What’s a Good Age for Blepharoplasty?
A good age for blepharoplasty is when you start to notice changes in your eyelids that bother you or affect your vision. For many, that’s late 30s to early 50s. But it can be done at any age depending on your concerns and goals. Consult with a board-certified plastic surgeon to determine the best time for you based on your factors and desired results.
Can I Do the Upper and Lower Eyelid at the Same Time?
Yes, surgeons can perform upper eyelid blepharoplasty and lower lid blepharoplasty together. Oftenly recommended for patients who want to address upper eyelid sagging and lower eyelid puffiness or bags in one surgery. Doing both at the same time can give more comprehensive results and may also reduce overall recovery time if done separately.
It depends on the individual’s concerns and goals. If you have both upper eyelid sagging and lower eyelid puffiness, doing both together can give a more balanced look. It’s also one recovery and can be more cost-effective. However some patients may only need one, and a consultation with a plastic surgeon will help determine the best way to go.
Blepharoplasty – Cost Breakdown
How Much Does Blepharoplasty Cost?
The cost of cosmetic blepharoplasty alone can range from $3,000 to $5,000 in the US depending on the surgeon, complexity of the procedure, location of the practice, and if it’s one upper lid, one lower lid, or both eyelids. However, if the surgeon performs additional procedures at the same time or further specialized techniques required. Then the cost can be higher.
As of 2024, the average cost of a standard blepharoplasty in the US is $4,500. This includes the surgeon’s fee, anesthesia, operating room, and follow-up care. However, this cost can vary greatly depending on the complexity of the surgery and the individual patient’s needs.
Globally the cost of blepharoplasty is $2,000 to $8,000 depending on the region and the surgeon. Countries with lower costs of healthcare may offer more affordable options but patients should carefully consider the quality of care and the surgeon’s qualifications when having surgery abroad.
How Much Does Top and Bottom Blepharoplasty Cost?
The combined cost of upper and lower blepharoplasty ranges between $6,000 to $10,000 in the US. Often referred to as a “full blepharoplasty” and is a complete eye rejuvenation.
Although the cost is higher than a single procedure it can be more cost effective for patients who want a complete makeover as it’s only one round of anesthesia and facility fee.
How Much to Get Bags Under Eyes Removed?
The cost to remove bags under the eyes through lower blepharoplasty is $3,000 to $6,000. Cost depends on the extent of the procedure, the surgeon’s expertise, and the location of the practice. Some patients may need additional treatments like laser resurfacing or fillers to get optimal results which can add to the overall cost.
How Much to Remove Eye Fat?
Removing fat from the eyelids, especially in the upper lids and lower eyelids, is a part of blepharoplasty. Typically, the cost for this procedure includes the upper and lower eyelid blepharoplasty, ranging from $3,000 to $6,000. During the consultation, the surgeon will determine the amount of fat removal or repositioning. Later, it will be included in the final cost.
Upper and Lower Eyelids Value Proposition
Is the Procedure worth it?
For many people, it’s a worthwhile investment in themselves. It can make a big difference to the eyes and make them look more youthful and rested. For those with functional issues like vision problems due to sagging eyelids, it can be a big practical benefit.
However, individuals need to have realistic expectations and understand that results vary. Consult with a board-certified plastic surgeon to see if blepharoplasty is right for you and what to expect.
Is a Lower Blepharoplasty Worth It?
Lower blepharoplasty is good for people who are concerned about bags, puffiness, or wrinkles under the eyes. These can make you look tired or older than you feel and lower blepharoplasty can address these concerns. Most patients find the improvement in their appearance and confidence makes it worth the investment.
Is Eye Lift Surgery Worth It?
Eye lift surgery whether upper blepharoplasty, lower blepharoplasty or both can give you aesthetic and functional benefits. For those with sagging lower eyelids, puffiness, or wrinkles the procedure can give you a refreshed and youthful look, often resulting in increased self-confidence. For patients with vision problems due to droopy or sagging upper eyelids, the surgery can improve daily functioning, making it a worthwhile investment in yourself and your quality of life.
Long-Term Results and Extra Procedures
Does Lower Bleph Remove Skin?
Lower blepharoplasty can remove skin if the patient has a lot of wrinkles or sagging in the lower eyelid area. Furthermore, the amount of skin removed – customized to the individual to avoid a hollowed-out look.
In some cases, the procedure may focus more on repositioning fat or tightening muscles rather than removing skin depending on the outcome desired.
How to Remove Fat Deposits on Eyelids?
During the procedure, the surgeon will excise or redistribute the fat to create a smoother more contoured look. This is a common part of the procedure especially in the upper and lower lids in eyelid surgery rarely as blepharoplasty. Where not only fat removed but also repositioned to reduce puffiness and create a more youthful look. The surgeon may also remove or adjust fat in the upper eyelids if it’s contributing to a heavy or droopy look.
How to Get Rid of Fat on Eyelids?
The best way to get rid of fat on the eyelids is through blepharoplasty. This surgical procedure allows for precise fat removal or repositioning of fat to get the look you want. Non-surgical options like laser treatments or fillers may give temporary results but don’t remove fat and aren’t as effective for major puffiness or bags.
What Causes Eyelid Fat?
Typically, genetics, aging, or lifestyle cause eyelid fat. As we age, the skin and muscles around the eyes weaken. Further causing the fat held in place to protrude and create puffiness. In some cases, hereditary factors can cause excess fat deposits in the eyelids even at a younger age. Lifestyle factors like lack of sleep, poor diet, and smoking can also contribute to eyelid fat.
Can Eyelid Fat Grow Back?
While the surgeon removes the fat during blepharoplasty. However, new fat can develop in the under-eyelid skin and surrounding area over time due to aging, weight gain, or lifestyle choices. Thus, the chances of significant fat regrowth are low and most patients enjoy long-lasting results from the surgery. By maintaining a healthy lifestyle, eating well, and exercising regularly you can prolong the benefits of blepharoplasty.
Blepharoplasty is a great procedure for those who want to rejuvenate the eye area whether for cosmetic or vision reasons. We have a high success rate and long-lasting results. But as with any surgery you need to have realistic expectations and understand the risks and benefits.
Call us or schedule a teleconsultation with our board-certified plastic surgeons to get the best possible outcome. Get a refreshed and youthful look that matches your aesthetic goals. Nevertheless, view our before and after gallery.
