All Procedures
Upper Eyelid Surgery (Upper Blepharoplasty)
Useful information for patients on Upper Blepharoplasty procedures - tightening drooping upper eyelid skin.
What Is Upper Eyelid Surgery?
Upper eyelid surgery, or upper blepharoplasty, is a surgical procedure designed to enhance the contour and definition of the upper eyelids. It involves removing excess skin and, when necessary, small pockets of fat. This procedure helps restore the natural eyelid crease and can reduce heaviness or hooding of the upper eyelid.
In addition to aesthetic benefits, upper blepharoplasty may be recommended for patients whose eyelid laxity interferes with their field of vision.
When performed by a qualified surgeon, upper eyelid surgery is considered safe and effective. As with any surgery, there are risks which should be discussed during consultation.
Who Is It for?
This procedure may be considered by patients who:
- Wish to reduce drooping or heavy upper eyelids.
- Experience upper eyelid skin that obstructs vision.
- Are otherwise in good general health and have realistic expectations.
Certain conditions—such as dry eyes, proptosis (prominent eyes), clotting disorders and heightened light sensitivity (photophobia)—should be evaluated and managed prior to surgery.
Preparation
Before surgery, patients usually undergo:
- A detailed medical history review.
- Physical and ophthalmologic assessment (this is advised).
- Review of current medications.
- Smoking cessation.
- Temporary discontinuation of blood-thinning medications (e.g., aspirin or anticoagulants), usually 1 week prior to surgery.
Useful Information
Ensure you consider all aspects of a procedure. You can speak to your surgeon about these areas of the surgery in more detail during a consultation.
Length
How Long Is the Procedure?
Typically takes between 1 and 2 hours.
Anesthesia
Do I Need Anesthesia?
The surgery may be performed under local anesthesia, intravenous sedation or general anesthesia. The choice will depend on your preferences, comfort and the surgical plan.
Inpatient/Outpatient
Is The Procedure Inpatient or Outpatient?
Upper blepharoplasty is mostly performed as an outpatient procedure, with patients returning home the same day.
Additional Information
After surgery, you may notice:
- Mild discomfort or tightness around the eyelid area.
- Swelling and bruising.
- Dryness or excessive tearing.
- Light sensitivity.
- Burning, itching or irritation in the eye area.
- Infection
- Dry eyes
- Eyelid asymmetry
- Difficulty fully closing the eyes (usually temporary)
- Eyelid malposition
- Rare visual disturbance
- Possibility of revision surgery
Patients are advised to use topical ointment and lubricating eye drops, along with cold compresses, during the first 48 hours to minimize swelling. Sleeping with your head elevated for the first 2 nights can also help. Showering is usually allowed the day after surgery, and sutures (if placed) are typically removed after 1 week.
Most swelling resolves within 2 weeks and many patients can return to work or social activities within 5 to 10 days. Contact lenses may generally be worn again after 2 weeks. Alcohol consumption and strenuous activity should be avoided for at least 3 weeks post-surgery. Blood-thinning medications, including antiplatelet and anticoagulant medications, may generally be resumed on the second postoperative day, unless your surgeon advises otherwise.
Final results typically become visible within 3 to 4 months. The improvements are long-lasting, restoring a fresher and more youthful look to the eyes. However, aging will continue naturally. Sun protection and proper aftercare will help maintain results, and complementary treatments—such as skin tightening, laser resurfacing or injectables—may further enhance outcomes.
Please note: Individual results vary from patient to patient due to varying factors such as age, skin quality, bone structure, and overall health. To understand what results you can expect, please consult with a qualified aesthetic plastic surgeon.