Blepharoplasty: What You Need to Know Before Surgery

Blepharoplasty, commonly known as eyelid surgery, is a popular cosmetic procedure designed to enhance the appearance of the eyelids. Whether you’re considering it for aesthetic reasons or to improve your vision, understanding the details of the surgery is crucial for making an informed decision. This article covers everything you need to know about blepharoplasty, including its benefits, procedure details, risks, and recovery tips.

What is Blepharoplasty?

Blepharoplasty is a surgical procedure that removes excess skin, muscle, and sometimes fat from the upper or lower eyelids. This procedure can address issues such as drooping upper eyelids, puffiness, and bags under the eyes, providing a more youthful and refreshed appearance.

Benefits of Blepharoplasty

1. Enhanced Appearance

One of the primary benefits of blepharoplasty is the improvement in the appearance of the eyes. The procedure can make you look more alert and youthful by reducing sagging skin and puffiness around the eyes.

2. Improved Vision

For some individuals, excess skin on the upper eyelids can impair vision. Blepharoplasty can remove this obstruction, improving peripheral vision and overall sight.

3. Boost in Confidence

A more youthful and refreshed appearance can significantly boost self-confidence. Many patients feel more comfortable and assured in their appearance after the procedure.

The Blepharoplasty Procedure

1. Consultation

The process begins with a thorough consultation at Vive Medical Spa. During this session, you’ll discuss your goals, medical history, and any concerns with a qualified surgeon. The surgeon will evaluate your eyelids and determine the best approach for your needs.

2. Preparation

Before the surgery, your surgeon will provide detailed instructions on how to prepare. This may include guidelines on medications to avoid, fasting requirements, and any necessary pre-operative tests.

3. Anesthesia

Blepharoplasty can be performed under local anesthesia with sedation or general anesthesia, depending on the extent of the procedure and your preference. Your surgeon will discuss the best option for you during the consultation.

4. Surgical Procedure

  • Upper Eyelid Surgery: The surgeon will make incisions along the natural creases of the upper eyelids, removing excess skin, muscle, and sometimes fat. The incisions are then closed with sutures.
  • Lower Eyelid Surgery: For the lower eyelids, the incision is usually made just below the lash line or inside the eyelid (transconjunctival approach). Excess fat and skin are removed or repositioned, and the incision is closed with sutures.

The entire procedure typically takes about 1 to 2 hours, depending on the complexity and whether both upper and lower eyelids are being treated.

Risks and Considerations

1. Potential Complications

As with any surgical procedure, blepharoplasty carries some risks. Potential complications include infection, bleeding, dry eyes, difficulty closing the eyes, noticeable scarring, and temporary or permanent changes in vision. It’s important to discuss these risks with your surgeon and follow all pre- and post-operative instructions to minimize them.

2. Realistic Expectations

Having realistic expectations is crucial for satisfaction with the results. While blepharoplasty can significantly improve the appearance of the eyes, it won’t completely change your face or prevent future aging.

3. Medical Conditions

Certain medical conditions may affect your suitability for blepharoplasty. These include thyroid problems, dry eye syndrome, high blood pressure, cardiovascular disease, and diabetes. A thorough medical evaluation will help determine if you’re a good candidate for the surgery.

Recovery and Aftercare

1. Immediate Aftercare

After the surgery, you may experience swelling, bruising, and some discomfort around the eyes. Your surgeon will provide specific aftercare instructions, including how to clean the eyelids, use prescribed eye drops or ointments, and manage pain and swelling.

2. Rest and Elevation

Resting with your head elevated helps reduce swelling and speeds up recovery. Avoid strenuous activities, heavy lifting, and bending over for the first few weeks after surgery.

3. Cold Compresses

Applying cold compresses to the eyes can help minimize swelling and bruising. Be sure to follow your surgeon’s instructions on how to do this safely.

4. Follow-Up Appointments

Regular follow-up appointments are essential to monitor your healing process and address any concerns. Your surgeon will remove stitches (if not dissolvable) and assess your recovery during these visits.

5. Protecting Your Eyes

Protect your eyes from sun exposure and wind by wearing dark sunglasses and applying sunscreen to the eyelid area. This helps prevent irritation and protects the delicate skin during the healing process.


Blepharoplasty can provide significant aesthetic and functional benefits, enhancing your appearance and improving your vision. By understanding the procedure, risks, and recovery process, you can make an informed decision and ensure a smooth and successful experience. At Vive Medical Spa, our experienced surgeons are dedicated to providing personalized care and achieving the best possible outcomes for our patients. If you’re considering blepharoplasty, schedule a consultation to discuss your goals and learn more about how this procedure can benefit you.