Eyelid Surgery: A Solution for Tired, Droopy-Looking

The procedure can also be used to treat blocked vision

“Age-related changes that result in tired, droopy eyes and blocked vision include hooded and wrinkled eyelids, drooping eyebrows, frown lines, bulging fat pockets, dark circles and wrinkles around the eyes. Eyelid lift surgery, also known as 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.
Blue eyes looking away from the camera

“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.”

The initial consultation

“The first step to an eyelid surgery is a consultation, which will comprise a discussion regarding your expectations, your overall health and your lifestyle. Your questions and concerns will be addressed during this consultation and 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,”  says Dr. Trelles.

Preparing for the procedure

Prior to your eyelid surgery, you will be given instructions on what you will need to do, including:

  • Lab testing and/or 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.

Incision closure

Once the desired amount of excess skin has been removed and fat has been redistributed and sculpted, the incisions are closed with sutures.

What to expect after

Your plastic surgeon will be available to address concerns and questions after the procedure and 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 after surgery for which pain medication can be prescribed. Recovery time, meanwhile, varies: most patients can return to work after one week, but strenuous physical activity is discouraged for the first two weeks following surgery. 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. If this happens, a forehead lift or a second eyelid surgery will be required,” says Dr Trelles.