FaceDescription: There are three main types of blepharoplasty: Upper Lid Blepharoplasty, Transconjunctival Lower Blepharoplasty and Cutaneous Blepharoplasty.

Upper Lid Blepharoplasty is used to lift a droopy eyelid and remove fat around the upper lid, making eyes look more alert, refreshed, and open. Transconjunctival Lower Blepharoplasty removes puffy bags under the eyes, or swollen lower lids with fat protrusion.  A Cutaneous Blepharoplasty removes any skin hanging loosely or folded over the lower lid area.

How it’s done: Upper Lid Blepharoplasty involves the skin, some muscle and (sometimes) fat being removed around the upper lid, and often combined with a brow lift to give the most optimal results. The procedure is quite short, taking only an hour, two if it is combined with a brow lift. 

During a Transconjunctival Lower Blepharoplasty, an incision is made on the inside of the eyelid, and fat is removed or repositioned. No skin is removed during this procedure. It takes slightly less than an hour to do both eyes.

In a Cutaneous Blepharoplasty a cut is made under the eyelid, and the fat underneath is removed or repositioned. Then any excess skin is removed. Sometimes it’s also necessary to take care of crepey or excess skin using a laser, chemical peel, radiofrequency treatment, or a combination of the three.

Complications: Infection is the biggest concern, and patients must be diligent about keeping the area clean and applying antibiotic ointment, especially in the first 48 hours. Excessive bleeding and wound separation are also things to look out for. Dry eyes are also a common side effect, but usually goes away after a couple of weeks. Asian patients have a greater risk of complications from this procedure.

Recovery: It takes two weeks to a month for the swelling and bruising to go down, and patients must reduce their activity for three weeks.

Cost: $3,500 to $5,000.

Considering this procedure? Browse a list of Facial Plastic Surgeons in Canada.