Blepharoplasty is an eyelid surgery performed by an oculoplastic surgeon. The word blepharoplasty is Greek and means “to reconstruct the eyelids.” A blepharoplasty procedure can be used for cosmetic reasons to improve the appearance of drooping upper eyelids, or sagging, puffy lower eyelids.

Needs addressed

A lower eyelid blepharoplasty is ideal for people who have sagging or puffy lower eyelids, caused by an age related buildup of fat. Meanwhile, the upper eyelid blepharoplasty is a great option for people who have droopy upper eyelids resulting in a heavy looking and aged eyelids that sometimes block their vision. Either way, blepharoplasty will help patients look revived and more alert, and will ultimately help them look younger and in some cases improve the patient’s vision.
A consultation with one of Refresh MD’s medical aesthetic professionals will help determine if blepharoplasty is right for you.


Every year, thousands of people choose to undergo a blepharoplasty procedure to improve their look. Its safety and proven results make it a great treatment option for people who aren’t happy with the look of the skin around their eyes. Blepharoplasty is recommended for men and woman over the age of 20.
Blepharoplasty is great for enhancing the look of the eyelids, but it won’t improve dark circles, fine lines and wrinkles around the eyes (crow’s feet), nor will it help lift sagging eyebrows. Fine lines and crow’s feet can be smoothed with proven non-invasive treatments using Botox Cosmetic®, Dysport® or Teosyal®.

Course of treatment

A blepharoplasty procedure is relatively simple and offers incredibly effective results. The method is simple: create an incision in the lower or upper eyelid, remove the excess fat and skin tissue, and suture the incision. The cosmetic blepharoplasty can be performed on either the upper or lower eyelid to correct eyes that appear tired, puffy or baggy.
The one-hour procedure begins with the surgeon using local anaesthesia and light sleep sedation to help keep the patient comfortable. A small incision is then created along the natural fold of the eyelid; this helps keep scars as invisible as possible. The excess fat, muscle and skin are then removed before the incision is closed with very fine sutures. As is the case with any surgery, some scarring can be expected. However with blepharoplasty, scarring is minimal and practically invisible after several months.
Excess fat that causes sagging skin and puffiness can be removed using transconjunctival blepharoplasty. It differs from standard blepharoplasty because the incision is made inside the lower eyelid. The incision and sutures are therefore not visible after the procedure and are often self-dissolving, leaving no visible scar.


Is blepharoplasty safe? What are the complications associated with blepharoplasty?

Blepharoplasty is a safe proven procedure, with generally minor and infrequent complications that include ptosis of the upper eyelid or lagophthalmia caused by incorrect resection of the skin, scarring, and eyelid fold anomalies and very rarely visual changes or partial loss.

Potential patients are carefully screened by our oculoplastic surgeons to determine if surgery is the right option for them. Risks and benefits will be discussed prior to surgery so patients can make an informed decision. 

Is a blepharoplasty procedure painful?

The procedure is not painful and not usually associated with significant discomfort due to the use of local anaesthetics and light sleep sedation. Following the procedure, some patients complain about an itchy, scratching sensation, but this typically only lasts an hour or so.

What is the recovery like after blepharoplasty?

Blepharoplasty is a safe and proven procedure and recovery is quite smooth. A certain level of bruising and swelling after the procedure is to be expected. In the days following the procedure, cold compresses as well as head elevation when lying flat will help to keep the bruising and swelling down and relieve discomfort. Patients return to see their oculoplastic surgeon and have the sutures removed one week after the procedure – sometimes self-absorbing stitches are used and these do not require removal.
After a week, the bruising will quickly subside. The majority of the swelling will diminish after two weeks. Most patients are able to return to work after seven days. It’s recommended that patients not exercise for three weeks following the procedure.

Does blepharoplasty leave scars?

As is the case with any surgery that requires an incision, scarring should be expected immediately after the procedure. However, scarring with blepharoplasty is quite subtle and heals well due to the incision being made along the natural fold of the eye.  Lower blepharoplasties that consist of only removing fat tissue can be performed with a transconjuctival incision, which is done inside the eyelid, rather than outside. This type of blepharoplasty is advantageous because it leaves no scar and the stitches are not visible.

with one of our aesthetic consultants