Eyelid Surgery

Eyelid Surgery Information

Blepharoplasty, or eyelid surgery , can enhance your appearance and your self-confidence. Before you decide to have eyelid surgery, think carefully about your expectations and discuss them with your plastic surgeon.

The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.


The initial consultation with your plastic surgeon is very important. Your plastic surgeon will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform your plastic surgeon if you have any allergies; if you’re taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.

You and your plastic surgeon will carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether the skin, as well as fat, will be removed, and whether any additional procedures are appropriate.

eyelid surgery


Blepharoplasty usually takes one to three hours, depending upon the extent of the surgery. If you’re having all four eyelids done, your plastic surgeon will probably work on the upper lids first, then the lower lids.

In a typical procedure, your plastic surgeon makes incisions that follow the natural lines of your eyelids, in the creases of the upper lids, and just below the lashes on the lower lids. The incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, your plastic surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and sometimes muscle. The incisions are then closed with very fine sutures.


After surgery your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your facial plastic surgeon like John Bitner MD at http://www.drjohnbitner.com.

Your plastic surgeon will instruct you to keep your head elevated for several days, and to use cold compresses to reduce swelling and bruising. Bruising varies from person to person. It reaches its peak during the first week, and generally lasts anywhere from two weeks to a month. You’ll be shown how to clean your eyes.

Your plastic surgeon will follow your progress very closely for the first week or two. The stitches will be removed two days to a week after surgery. Once they’re out, the swelling and discoloration around your eyes will gradually subside, and you’ll start to look and feel much better.

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