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Eyelid surgery (blepharoplasty) is designed to remove excess skin and fat from the upper and lower eyelids. The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes. The procedure usually takes about 1 hour and can be performed in the office using local anesthesia. Stitches can be removed after three or four days. Age is often reflected from the appearance of our eyes. The eyes are like windows to our soul. Blepharoplasty or Eyelid surgery removes the excess skin and fat from the upper and lower eyelids. The surgery targets at correcting defects, deformities and disfigurations of the eyelids. Eyelid surgery can correct over-hanging skin found on the upper lid. The surgery can also correct the puffy eyes. The puffiness is the protective fat located around the eye area, which begins to herniated into the skin with aging. The procedure can be performed either individually, or with other facial surgeries like facelift and Browlift.

What can eyelid surgery do for you?

  • The surgery restores the correct functioning of the affected eyelid
  • Restoration of the aesthetics of the eye region of the face
  • Smoothing the underlying eye muscles
  • Tightening the supporting structure around the eye
  • The correction and modification of the upper and lower eyelids
  • Treat puffy fat deposits in the upper eyelids
  • Under eye bags
  • Fine wrinkles in the lower eyelids
  • Loose and sagging upper eyelids that may limit vision

Who is a good candidate?

The best candidate for the surgery is the one:
  • Who is in generally good health
  • The person who does not smoke
  • The person who does not have any serious eye problems


The procedure involves two types of incisions. The incision is made either in the natural crease of the upper lids or just below the lash line on the lower eyelid. After that the incision is closed with fine sutures.


You may feel bruised, swelling and a sense of tightness in the eyelids for 2 to 4 weeks. You can resume your work in 3 to 5 days. The results of the surgery are clearly visible after 2 months of the procedure.


Complications are uncommon but include infection, reaction to anesthesia, dry eyes, blurred vision, temporary swelling and tiny whiteheads among others. Eyelid NYC  

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Kenneth R. Francis, MD

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