Eyelid surgery (blepharoplasty) can correct droopy, puffy eyes, rejuvenate a tired appearance and create a more youthful look. Both upper and lower eyelid surgery can be carried out under local anesthesia, intravenous sedation or general anesthesia. The procedure takes up to two hours.
In upper eyelid surgery cuts are made along natural skin folds to remove excess fat, muscle and loose skin depending on what is required. In lower eyelid surgery cuts are made either inside the lower eyelid or in the skin to remove or reposition excess fat causing puffiness.
If the lower eyelids have bags without any skin excess then fat can be removed using a cut on the inside of the lower eyelid (transconjunctival blepharoplasty) that avoids an external scar. Following surgery the incisions are put back together with fine stitches that are removed after around five days. As all incisions are made along natural folds scar visibility is minimal.