Blepharoplasty (eyelid surgery) is a cosmetic procedure that removes excess fat, skin and muscle from the upper and lower eyelids to create a younger appearance around the eye area. It may also be performed to correct puffy or baggy eyes that often develop as a person ages. Blepharoplasty does not remove black circles or wrinkles around the eye (crow’s feet), or lift sagging eyebrows. Patients often have other closely related cosmetic procedures, such as a browlift or facelift, performed at the same time.

There are two types of blepharoplasty. The most common type is called transconjunctival blepharoplasty and involves an incision in the inside of the lower eyelid (transconjunctival) to remove excess fat, but not skin, from beneath the eye. However, transcutaneous blepharoplasty (incision made through the skin) is necessary to treat the upper eyelids, as well as the lower eyelids in cases where loose or excess skin is present.

Prior to surgery, the physician will take a patient’s complete medical history and closely inspect the eyes (ocular examination) as part of a complete physical examination. Among other topics, the physician will discuss the patient's goals and anticipated results.   

Blepharoplasty is usually performed on an outpatient basis under local anesthesia (patient is awake) that numbs the area around the eyes. Depending on the type and extent of the procedure, blepharoplasty usually takes between one and three hours to perform.

In most instances, blepharoplasty enhances the patient’s appearance and self-confidence. However, there is always a risk that the procedure will produce undesirable results or that complications may occur (e.g., dry eye syndrome).