Blepharoplasty, or eyelid surgery, is one of the most requested procedures in facial cosmetic surgery. It is performed to correct excess skin, fat, or sagging in the upper and lower eyelids, rejuvenating the eyes and, in some cases, improving visual function. Although it is often associated with aging, more and more younger patients undergo this surgery for aesthetic or hereditary reasons.

When Is Blepharoplasty Recommended?

Not everyone with bags or droopy eyelids requires surgery. However, there are specific situations in which it is particularly indicated:

  • Excess skin in the upper eyelids that obstructs vision or gives a tired look.
  • Bags under the eyes caused by fat accumulation.
  • Skin laxity associated with aging or genetic factors.
  • Asymmetries in the eyes, which can be corrected with a tailored blepharoplasty.
  • Aesthetic reasons: when the patient seeks a fresher, more rested, and youthful appearance.

What Is Blepharoplasty Surgery Like?

The technique varies depending on whether it involves the upper eyelids, lower eyelids, or both. Generally, the procedure includes:

  • Removal of excess skin from the upper eyelid.
  • Extraction or repositioning of fat pads in the lower eyelids.
  • Muscle correction to achieve a natural and long-lasting result.
  • In some cases, it is combined with a brow lift or facelift to enhance rejuvenation.

The surgery is usually performed under local anesthesia with sedation, lasts 1 to 2 hours, and is typically outpatient.

Benefits of Blepharoplasty

  • Visible rejuvenation of the eyes.
  • Elimination of a tired or sad appearance.
  • Potential improvement of the visual field in cases of excess upper eyelid skin.
  • Natural and harmonious results.
  • Practically imperceptible scars, hidden in the natural folds of the eyelid.

Recovery After Blepharoplasty

Postoperative care is straightforward and requires only basic measures:

  • Mild swelling and bruising that disappear within 7–10 days.
  • Removal of stitches between day 5 and 7.
  • Use of sunglasses and sun protection during the first weeks.
  • Return to normal activities within 10–14 days, avoiding strenuous physical effort for 3–4 weeks.

Frequently Asked Questions About Blepharoplasty

At what age is blepharoplasty recommended?
There is no fixed age. It is recommended when there is excess skin or fat bags that affect appearance or vision, whether from age 30 onwards or in later decades.

Are the results permanent?
Results last for many years, although the natural aging process continues. In most cases, repeat surgery is not necessary.

Does the surgery leave visible scars?
No. Incisions are made in the natural folds of the eyelid, making scars virtually invisible once healed.

Is blepharoplasty painful?
The procedure is generally not painful. The recovery period may involve mild discomfort, easily controlled with medication.

Can it be combined with other surgeries?
Yes, it is common to combine blepharoplasty with a brow lift or facelift for a more comprehensive result.

Do you want to know if you are an ideal candidate for blepharoplasty? Schedule your first consultation with Dr. Marco Vricella and receive a personalized treatment plan tailored to your needs.