Blepharoplasty

Eyelid lift

Eyelid lift surgery, also called blepharoplasty, is done to repair sagging or drooping upper eyelids (dermatochalasis).

Sagging or drooping eyelids occur naturally with increasing age. However, some people are born with droopy eyelids or develop diseases (such as myasthenia gravis) that cause eyelid drooping.

An eyelid lift is usually done while you are awake. You will be given medicine to relieve anxiety. The surgeon will inject numbing medicine around the eye so you do not feel pain during the surgery.

The surgeon will make tiny cuts into the natural creases or folds of the eyelids, and then remove any loose skin and extra fat tissue. After tightening the eyelid muscles, the surgeon places stitches in the area.

Eyelid repair surgery rarely requires a hospital stay. The surgery is done as outpatient surgery in a medical center or hospital.

Why the Procedure is Performed?

An eyelid lift is needed for those who have excessive eyelid drooping that interferes with vision.

Some people have an eyelid lift to improve their appearance. This is called cosmetic or elective surgery.

Eyelid surgery will not remove wrinkles around the eyes, lift sagging eyebrows, or eliminate dark circles under the eyes.

Risk Factors

Risks of an eyelid lift may include:

  • Difficulty closing the eyes while sleeping (rarely permanent)
  • Double or blurred vision
  • Temporary swelling of the eyelids
  • Tiny whiteheads after stitches are removed
  • Slow healing
  • Uneven healing or scarring
  • Medical conditions that make blepharoplasty more risky are:

  • Diabetes
  • Dry eye or not enough tear production
  • Heart disease or disorders of the blood vessels
  • High blood pressure or other circulatory disorders
  • Thyroid problems such as hypothyroidism and Graves’ disease
  • The risks for any anesthesia include:

  • Breathing problems
  • Reactions to medications
  • The risks for any surgery include:

  • Bleeding
  • Infection