Thinking About Blepharoplasty? Here’s What You Need to Know

To function normally and provide your eyes with about 18,000 moisturizing blinks a day, your upper eyelids depend on skin that’s thin (the thinnest in your body) and loose, but not too loose. As you age, this delicate skin can stretch and begin to droop. Aging may also cause your lower eyelids to become baggy.

Beyond cosmetic changes that can make you appear older than you feel and look tired even when you’re not, these age-related eyelid issues can interfere with your eye health and ability to see clearly. Blepharoplasty (eyelid surgery) can solve these problems.

At KLM Eye MDs, Dr. Elena Geller specializes in blepharoplasty of both the upper and lower lids. She’s happy to answer a few questions about this procedure and its many benefits.

What is blepharoplasty?

Blepharoplasty is a surgical procedure used to treat a variety of eyelid changes that are commonly related to the natural aging process.   Age-related changes involving your eyelids can include sagging and drooping of the upper lids as well as bagging and wrinkle formation in the lower lid region. Fat underneath your skin, especially fat pads located in the inner upper eyelid area, can also shift or protrude and cause persistent puffiness.  

During blepharoplasty, we remove excess skin and fat to tighten and correct droopy lids, reduce wrinkles, and make your eyes appear younger and more alert. Depending on your needs, we can perform blepharoplasty on just the upper eyelids or both the upper and lower eyelids.

How do droopy eyelids affect overall function of my eyes ?

Severely drooping eyelids can significantly reduce your side (peripheral) vision, especially in the upper and outer parts of your visual field. This can affect your ability to perform many of your routine daily activities, such as driving.

It’s also more difficult to wear glasses and contact lenses when your eyelids droop excessively. Along with eye strain, the condition can also cause:


When lower lids droop excessively, they can pull away from your eyes. This may irritate the moist membrane (conjunctiva) lining the inner eyelids and eye surface.

What is the eyelid procedure like?

Blepharoplasty is an outpatient procedure, meaning no overnight hospital stay. We’ll give you medication to relax you and keep you comfortable during the surgery and use local anesthetic to numb the surgical sites. We typically address both sides during the procedure.   Very precise incisions are made within the natural creases of your upper eyelids, and excess tissue is removed. Tiny sutures are placed to close the incisions.

We’ll send you home with complete instructions regarding care of the incision sites and other details, such as when you can return to work and normal activities since this often depends on the individual. You can expect bruising and swelling after the procedure, but you won’t need to wear an eyepatch or covering.

Whether you’ve decided on blepharoplasty for medical or cosmetic reasons, or both, schedule your evaluation here at KLM Eye MDs today to go over the details.

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