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Blepharoplasty (Eyelid Surgery)

EYELID SURGERY (Blepharoplasty):


Your eyelids begin to stretch and sag as you grow older.  In addition to age, there are other risk factors that may contribute to the sagging of eyelids, such as hereditary factors and sun exposure.  The drooping is caused by muscles weakening and excess fat deposits gathering above and below your eyelids.  As the eyelids droop they can form hoods and interfere with peripheral vision.  To correct this problem, and restore proper vision, our ophthalmologist may recommend eyelid surgery.

Blepharoplasty Before and After

Blepharoplasty Before and After

You might consider blepharoplasty if droopy or sagging eyelids keep your eyes from opening completely or pull down your lower eyelids. Removing excess tissue from your upper eyelids, lower eyelids or both can improve vision and make your eyes appear younger and more alert.  The surgery is minimally invasive and has a quick recovery time.

Blepharoplasty may be an option if you have:

  • Baggy or droopy upper eyelids
  • Excess skin of the upper eyelids that interferes with your peripheral vision
  • Droopy lower eyelids, which may cause white to show below the colored part of the eye (iris)
  • Excess skin on the lower eyelids
  • Bags under your eyes


There are 2 types of Eyelid Surgery: Functional and Cosmetic Blepharoplasty

Functional Blepharoplasty:

If the eyelids begin sagging into the field of vision, a functional blepharoplasty, or eyelid surgery, may become medically necessary. This procedure can be covered by medical insurance if it is visually significant. Our doctors can determine this by checking the peripheral visual field with an instrument called the Humphrey Visual Field (HVF) Analyzer.

The surgeon will make small incisions, which are hidden within the natural skin folds of the eyelid, and a calculated amount of skin and fat are removed in order to tighten the area around the eyelids and improve peripheral vision.

Cosmetic Blepharoplasty:

Middle Aged Woman SmilingCosmetic blepharoplasty can be performed on the upper or lower eyelid or both if the appearance of the eyelids (such as loose or sagging skin) does not impair peripheral vision.  If no skin needs to be removed, a transconjunctival blepharoplasty can be performed, in which the incision is made inside the lower eyelid and there are no visible external scars. This procedure is not covered by medical insurance, but offers a younger, more refreshed look that reflects across the whole face.


Good candidates for eyelid surgery are generally adult men and women who have healthy facial tissue and muscle and have realistic goals for improvements of their eyelid area. You should not have life-threatening illnesses or medical conditions that can impair healing. At your consultation our doctors will also review any eye conditions you may currently have or had, such as: glaucoma, dry eye or a detached retina. You should also share any other health conditions such as thyroid disorder, dry eye syndrome, Sjogren’s, Diabetes Mellitus, cardiovascular or high blood pressure or vision impairment and blindness or any history eye surgery such as LASIK.

Recovery and Results:

The recovery period for upper and lower blepharoplasty surgery is usually short, from a few days to a few weeks. You may experience some bruising or swelling for a while, but this should not last more than two to four weeks. The scars from the blepharoplasty procedure are usually well concealed and will fade with time until they are virtually unnoticeable. The incision is hidden in the crease of the eyelid in an upper blepharoplasty, and just below the lashes in a lower blepharoplasty.

You may also feel some eyelid numbness at the surgery site or dry eye symptoms including excess tearing, light sensitivity, or occasional blurry/double vision. However, these effects should be minimal and can be treated with an over the counter medication like artificial tears or lubricating eye ointment. You can also use ice or a cold pack to help with the swelling. Your doctor will explain how to deal with the small side effects during your consultation as well as before you go home after your eyelid surgery.Happy Elderly Couple

The results of blepharoplasty surgery are expected to be long lasting.  Patients report a more youthful appearance and improved vision, as well the added benefits of restored self-confidence.  While surgery cannot fix the signs of aging forever, many patients are satisfied with their appearance and the improvement in their vision and they do not seek to repeat the procedure.  However, on rare occasions, patient may want to have eyelid surgery again in the future due to excessive drooping of eyelids from the natural aging process of the eyelids.

Call our office at 407-891-2010 to schedule your evaluation and HVF testing today.