Youthful women's eyes

Eyelid Surgery

What is Eyelid Surgery?

Eyelid surgery, also called a blepharoplasty, removes extra skin and fat from the upper eyelids, lower eyelids, or both to brighten the center point of your face. The aging process and genetics cause the eyelid skin to lose elasticity and the fat pads around the eyes to enlarge and herniate. This can make you appear tired, less youthful, and unhappy and make your eyes look puffy and hooded. A blepharoplasty is one of the best ways to rejuvenate your face. 

Quick Facts


Upper blepharoplasty

  • 30 min - 1 hour surgery length
  • Local or general anesthesia
  • Outpatient or in-office procedure
  • Scars in upper eyelid crease
  • 1 - 2 week recovery

Lower blepharoplasty

  • 1 - 2 hour surgery length
  • General anesthesia
  • Outpatient procedure
  • Scars just below eyelash line
  • 1 - 2 week recovery


Upper blepharoplasty

  • Brightens the appearance of eyes
  • Removes excess skin and hooding
  • Improves tired appearance
  • Increases area to apply eye make-up

Lower blepharoplasty

  • Removes excess bags of skin
  • Reduces wrinkles under the eyes
  • Removes bulging fat
  • Smoothens puffiness

Who is a good candidate for a Eyelid Surgery?

During your initial consultation, Dr. Victoria Aimé will listen to your goals and evaluate your eyes. Based on your unique physical characteristics and goals, she will discuss treatment options including what to expect from the procedure and recovery. Together, you will decide on the treatment plan that best fits your aesthetic goals. Ideal candidates:

Preparing for eyelid surgery

Prior to your procedure, you will meet with Dr. Aimé at a preoperative appointment to review the surgical plan and answer any questions you have. Depending on whether the procedure is done under local anesthesia (for upper blepharoplasty) or under general anesthesia (for lower or both upper and lower blepharoplasty), you may need to have labs done or see your primary care physician prior to surgery. Some medications or supplements may be adjusted in the weeks leading up to surgery to decrease the risk of bleeding. Smoking should be stopped 6 weeks prior to and following surgery.

eyelid surgery

An upper blepharoplasty is performed by making an incision in the upper eyelid crease and removing excess skin. Enlarged fat pockets are trimmed as well. The incision is then closed with suture and generally results in a near inconspicuous scar.

A lower blepharoplasty can be done through an external incision just below the lower lash line if there is excess skin or through an internal incision along the back of the eyelid if only fat needs to be removed. Often a small strip of skin removal is necessary. Herniated fat pockets can be trimmed through either incision or repositioned into the tear troughs. If needed, the lower eyelid muscle can also be tightened. The incision is then closed with suture.

An upper blepharoplasty can be done under local anesthesia (awake) in the office, while a lower blepharoplasty typically requires general anesthesia. Many patients elect to undergo both upper and lower eyelid surgery simultaneously for optimal eye rejuvenation.

eyelid surgery Recovery

Swelling and bruising around the eyes is common following upper and lower eyelid surgery. Using cool packs and sleeping with your head elevated on several pillows will help improve swelling. The eyelids may not close entirely immediately after the procedure due to swelling and for this reason it is important to use lubricating eye drops, gels and ointments especially while sleeping.

Post-procedure pain is usually minimal and well tolerated. Sutures are typically removed at one week. Patients that wear contacts are advised to use only glasses for approximately 2 weeks after the procedure. Many patients feel ready to return to work about a week after the procedure. Wearing glasses (even those that have no correction in the lenses) and concealer makeup can help to camouflage the incisions and any residual swelling and bruising. Most patients are able to return to normal daily activities within 1-2 weeks and may resume moderate exercise 4-6 weeks after surgery.

Eyelid surgery frequently Asked questions (FAQ)

What kind of scars can I expect with eyelid surgery?

Can Botox or other neuromodulators help at all?

If my parents had droopy eyelids, will I?

Will eyelid surgery change my vision?

Will a blepharoplasty correct my lazy eyelid?

How long after eyelid surgery do I have to wait before wearing contacts?

How long after eyelid surgery do I have to wait before I can wear eye makeup again?

I have permanent eyeliner. Will that be affected by eyelid surgery?

If I have dry eye, will eyelid surgery make it worse?

What is the best timeline for getting laser refractive surgery (such as LASIK or PRK) and eyelid surgery?

Will insurance cover my eyelid surgery?

In what situations would you refer a patient to an oculoplastic surgeon instead?


The following are reputable organizations that provide information specifically for plastic surgery patients on this and other procedures.

American Society of Plastic Surgery
American Society of Aesthetic Plastic Surgeons

Schedule A Consultation

Enhance your lifestyle and gain greater self–confidence from a cosmetic procedure at Metropolitan Plastic Surgery in Scottsdale, AZ. We invite you to schedule a consultation today by calling our office or filling out an online contact form.

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Contact Us

Whether you are looking for a subtle improvement or a big change, we will work with you to create a personalized treatment plan fit for your lifestyle! If you would like to get started on your journey to a new and improved you, please fill out the form below, or give us a call at (480) 550-9493.

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