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Eyelid Surgery (Blepharoplasty)

Frequently Asked Questons

eye surgeryWith the eyes being the most expressive feature on your face, they are often one of the first things that people notice about you.  The eyes have been referred to as “the windows to the soul” because they are so telling.  They are a main indicator if you are tired, not feeling well or simply showing signs of aging.


Also known as blepharoplasty, eyelid surgery is a surgical procedure that improves the appearance of the upper eyelids, lower eyelids, or both.  Blepharoplasty can provide a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.  An upper eyelid blepharoplasty may involve the removal of loose or sagging excess skin that can cause you to look older and appear tired.  A blepharoplasty may also require the removal of excess fatty deposits that appear as puffiness or heaviness and that may impair vision.  A lower eyelid blepharoplasty may involve the removal of excessive fat or “bags” from under the eye in addition to skin that can cause your eyes to look older, tired and puffy.  With blepharoplasty, the eyes are lifted, and opened to reveal life and vitality creating a refreshed and more youthful appearance.


An upper eyelid blepharoplasty may be performed under local anesthesia along with an oral sedative.  It is also performed under general anesthesia when performed in conjunction with another procedure. A lower eyelid blepharoplasty, where removal of fat is necessary, is typically done under general anesthesia.

Frequently Asked Questions

  • Is Blepharoplasty right for me?

    If you feel that you could benefit from a more awake, youthful appearance, then a Blepharoplasty may be the right procedure for you.  Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.
     As with all cosmetic surgeries, this is a very personal decision and you should only do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.


    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Non-smokers
    • Individuals with a positive outlook and specific goals in mind for blepharoplasty
    • Individuals without serious eye conditions
  • What may I expect during my personalized consultation?

  • Are there additional aspects of my consultation specific to Blepharoplasty?

    You must advise Dr. Vartany if you have any of these medical conditions:

    • Eye disease such as glaucoma, dry eye or a detached retina
    • Thyroid disorders such as Graves’ disease and under or overactive thyroid
    • Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes
  • How will I prepare for my Blepharoplasty?

  • Where are the incisions made during a Blepharoplasty?

    Dr. Vartany positions the incision lines so that scars are well concealed within the natural structures of the eyelid region.  Drooping conditions of the upper eyelids can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin.  Conditions of the lower eyelid may be corrected with an incision just below the lower lash line to remove excess skin.  A trans-conjunctival incision, one hidden inside the lower eyelid, is an alternative technique to correct lower eyelid conditions and redistribute or remove excess fat.  There is no visible scar with this technique.  Dr. Vartany will advise you, at the time of your personalized consultation, what approach will be best for you and the results you wish to achieve.

  • What may I expect during my recovery?

  • Are there additional instructions for my Blepharoplasty recovery?

    Use your previously prepared cold compresses over the eyelids during the first 48 hours after surgery.  Allow the compresses to stay on the area in 15-20 minute intervals.  Swelling will be at its worst 2-3 days after surgery.  Swelling typically dissipates over the first 5-7 days after surgery.


    Bruising typically takes 7-10 days to resolve.


    You may get your face wet 24 hours after surgery.  Be gentle when cleansing around the eyes and pat dry.

    Keep your head elevated above your heart for 2 weeks after surgery.


    Avoid getting overheated, sunbathing, exercise and/or any strenuous activity that could potentially elevate your heart rate or blood pressure for 2 weeks after surgery.


    Sutures will be removed, in the office, 3-5 days after surgery.

  • Additional Procedures for Further Enhancement

  • Important Facts about the Safety and Risks of Blepharoplasty

    Dr. Vartany will explain, in detail, the risks associated with blepharoplasty.  It will be your personal choice in determining if the benefits will achieve your goals and if the risks and potential complications are acceptable.  You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.


    Possible risks of eyelid surgery include:

    • Unfavorable scarring
    • Temporarily blurred or impaired vision
    • Dry eyes
    • Difficulty closing your eyes
    • Lid lag, a pulling down of the lower eyelid may occur and is often temporary
    • Ectropion, rolling of the eyelid outwards
    • Bleeding (hematoma)
    • Poor wound healing
    • Infection
    • Fluid accumulation
    • Blood clots
    • Numbness and other changes in skin sensation
    • Anesthesia risks
    • Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; brow lift surgery will not correct these disorders; additional surgery may be required
    • Pain, which may persist
    • Skin discoloration and swelling
    • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Possibility of revisional surgery
    • Loss of eyesight
American Society of Plastic Surgery American Board of Plastic Surgery

*Individual results may vary.