Male Blepharoplasty: A Solution for Your Tired, Droopy-Looking Eyes

The procedure becomes second-most common cosmetic surgery in men

Blepharoplasty, or eyelid lift surgery, is the second-most common cosmetic surgery in men. Male blepharoplasty, however, is a tad more challenging than female blepharoplasty as the techniques employed to produce natural-looking results blend specialised techniques and artistic judgment.

One of the chief considerations in male blepharoplasty, for example, is the position of the brow: surgery that elevates the male brow should be conservative, as lifting the brow too high can lend it an effeminate appearance.

“Blepharoplasty can restore a youthful appearance to the eyelids by eliminating sagging skin and excess tissue that exists in the upper and lower eyelid regions,” explains Dr. Trelles, plastic and laser surgeon at state-of-the-art dentistry, plastic and aesthetic laser surgery clinic Vilafortuny.

So are you a candidate?

You may be considered a good candidate for eyelid surgery if you:

  • Are in good overall health.
  • Have no serious eye conditions.
  • Have trouble with vision due to excess skin or fat.

“It is also important for patients to have realistic expectations,” adds Dr. Trelles. “For example, eyelid surgery will not correct medical diseases like glaucoma, dry eye or thyroid disorders.”

Man looking away from camera smiling with bags under eyes

The initial consultation

The first step is a consultation, which will comprise a discussion regarding your expectations, your overall health and your lifestyle. You should be prepared to discuss: reasons for treatment, expectations, existing medical conditions including allergies, current medication and use of alcohol, tobacco and drugs, personal and family history and results of previous eye problems or surgeries.

Preparing for the procedure

Prior to your blepharoplasty, you will be required to:

  • Lab testing and medical evaluation.
  • Begin taking certain medications or adjust your current medications.
  • Stop smoking four weeks before surgery.
  • Avoid taking any anti-­inflammatory drugs, such as aspirin.
  • Arrange for transportation home after the procedure.

What to expect

Eyelid surgery is performed on an outpatient basis. There are two types of eyelid surgeries:

Upper Blepharoplasty

An incision is made in the natural fold of the upper eyelids so that it is hidden from sight. After the incision is made, the surgeon will remove excess skin and tissue, tighten the remaining skin and sculpt the fat in order to give your eye a more youthful appearance.

Lower Blepharoplasty

The surgeon will make an incision just below the lower eyelashes, where excess skin is removed. An inner eyelid incision will be made within the lower eyelid to re-position fat and improve puffiness under the eyes.

What to expect after

In addition to addressing your questions and concerns after the procedure, your plastic surgeon will provide written instructions regarding:

  • Post-surgery care to follow at home.
  • Prescriptions for medication.
  • Follow-up appointments.

“After the procedure, the area of your eye will be bandaged to reduce swelling. You may experience some soreness during the first few days for which pain medication can be prescribed. Most patients can return to work after one week. Incisions will fade over a few months, usually becoming barely visible.” says Dr. Trelles on what to expect after the procedure.


“The results of an eyelid surgery are only visible over the course of a few weeks after the procedure. Although the results are permanent, they may be affected by heredity and lifestyle factors. Due to ageing, the skin might become lax and wrinkles might return. In this case, a forehead lift or a second eyelid surgery can be performed,” says Dr. Trelles