If your baggy or sagging eyelids are affecting your vision or how you feel about your appearance, blepharoplasty, or eyelid surgery can help.

Aging doesn’t just hit your crow’s feet or smile lines — it also can cause sagging in the area around your eyelids. Lost muscle tone and elastic fibers in your skin can make your upper eyelids start to droop or the area underneath your eyes start to become baggy or puffy. Blepharoplasty, or eyelid surgery, can help to correct these concerns, revealing a fresher, more youthful-looking you. Here’s what you need to know about blepharoplasty.

Who Is a Candidate for Blepharoplasty?

From brow lifts to fillers to blepharoplasty, a variety of plastic surgery options are available to address wrinkling and sagging in the areas around your eyes. Blepharoplasty may be for you if you have some of the following characteristics:

  • Baggy or puffy upper eyelids
  • Drooping upper eyelids that interfere with your vision
  • Lower eyelids that droop beyond the colored portion of your eyes
  • Bagging under your eyes

You can ask your plastic surgeon for photographic “before” and “after” examples for how blepharoplasty can alter a person’s appearance. Blepharoplasty can be performed on the upper and/or lower eyelids, depending upon your individual cosmetic concerns.

Also, blepharoplasty can be performed along with other cosmetic adjustments, such as laser skin resurfacing, a facelift or brow lift.

Eyelid Fold Surgery

Blepharoplasty is not always for those looking to correct aging- or injury-related effects of eyelid drooping. Another option is creating an upper eyelid in Asian eyelids, which typically do not have an upper eyelid fold. Adding an eyelid crease can reduce sagging or pulling that can occur due to the absence of an eyelid fold.

How Blepharoplasty Is Performed

If you are undergoing both upper and lower eyelid surgery, your surgeon will likely correct the upper eyelids first. Upper eyelid blepharoplasty typically is performed under local anesthesia, meaning the area around your eyes will be completely numbed, and you will not feel any aspect of the surgery. Your anesthesiologist may provide an intravenous medication to relax you, however. Your surgeon will have marked natural folds and creases on your eye prior to surgery and will use these as a guide to make an incision or incisions and remove excess fat and tighten your skin. Tiny stitches are then used to close the incisions, reducing the likelihood for scarring.

Surgeons typically performed lower eyelid surgery while you are under general anesthesia. This is a more deep sleep, and you will not be conscious during surgery. The surgical approach depends upon your eyelid concerns. For example, if you have eyelid puffiness due to excess fatty tissue, your surgeon may make an incision inside your eyelid. This is known as transconjunctival b