Eyelid Surgery

lower and upper blepharoplasty before and after of woman aged 50 to 55


Patient: Female Age 50-55

Concerns: She was bothered by the puffiness of her lower lids and heavy upper lids.

Treatment: Bilateral Upper and Lower Lid Blepharoplasty

Surgery by Dr. Baljeet K. Purewal in New Jersey.


Eyelid Surgery (Blepharoplasty)

About Eyelid Surgery (Blepharoplasty)

Blepharoplasty eyelid surgery (sometimes referred to as an eyelid lift) is a plastic surgery procedure for correcting sagging eyelids, drooping eyelids, or baggy or puffy eyes.

The skin on and around our eyes is much thinner and delicate than other areas of the face. As a result, our eyes are often one of the first facial areas to exhibit signs of aging. While sagging eyelids, droopy eyelids, bags under our eyes or puffy eyes are a common effect of aging, there’s no reason to suffer through an appearance that troubles you or impacts your way of life. An eyelid lift (blepharoplasty) is often the most effective procedure to quickly restore your eyes to their youthful state.

Curious to see how other patients look after blepharoplasty? Take a peek at our before and after photos for real-world examples of what a big impact a subtle change through blepharoplasty can make.

What causes saggy, droopy, baggy, or puffy eyes?

There are many factors that contribute to saggy, droopy, baggy, or puffy eyes. External factors like sun damage, smoking, obesity (or subsequent weight loss), etc. can cause the muscles and tissue that support the eyelids to weaken. Genetics can play a significant factor as some of us are just naturally more prone to saggy, baggy, droopy, puffy eyes. Whether from external factors or genetics, eventually aging will affect every one of us, and our eyes are often one of the areas of our face that bear the most dramatic impact.

What is the treatment for saggy, droopy, baggy, or puffy eyes?

Blepharoplasty (eyelid lift) is one of the most common treatments to quickly and effectively treat droopy eyes, saggy eyes, baggy eyes, and puffy eyes. Blepharoplasty is a surgical procedure that is typically performed as an outpatient procedure requiring local anesthesia and sedation (although general anesthesia may be used for patients who request it). Patients can choose upper blepharoplas
ty to treat saggy eyes, and droopy eyes, or lower blepharoplasty to treat baggy eyes, and puffy eyes. Many patients opt for both procedures to address full upper and lower eyelid aging at the same time. Blepharoplasty (eyelid lift) procedures take anywhere from 45 minutes to 2 hours, depending on whether both the upper and lower eyelids are operated on.

What is involved in blepharoplasty (eyelid lift)?

Upper blepharoplasty is a procedure used to treat sagging and/or drooping eyelids. In an upper blepharoplasty procedure, an incision is typically made along the eyelid’s natural crease. Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is removed.

Lower blepharoplasty is a lower eyelid procedure used to treat bags under the eyes and/or puffy eyes. Lower blepharoplasty employs an incision, usually made just below the lash line, so that excess skin can be removed. For a lower eyelid that needs fat rather than skin removed, a trans-conjunctival blepharoplasty is performed. During transconjunctival blepharoplasty, an incision is made inside the lower eyelid, so there are no visible scars, and the fat is removed. This procedure has no effect on vision but results in a more refreshed, youthful appearance.

After the procedure, the incisions are closed with sutures and a thin layer of ointment is applied to encourage healing.

How long is the recovery period for blepharoplasty (eyelid lift)?

The recovery from blepharoplasty is typically uncomplicated and requires minimal downtime. Some simple steps like applying lubricating drops/ointment and utilizing cold compresses will aid in healing and minimize side effects. Most patients return to work within a few days to a week, but should avoid exercise and strenuous activities for at least 2 weeks. Stitches are usually removed after 1 week. Most swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind.

Any minor scars that result from blepharoplasty are well-concealed and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.

Have more questions? Check out our informative blog, Your Blepharoplasty Questions Answered, where we cover all things Blepharoplasty.

FAQ: Upper and Lower Eyelid Blepharoplasty

Am I candidate for Upper and Lower Lid Blepharoplasty?

If heaviness or puffiness of your eyelids is consistently bothering you about your appearance, then you are a candidate for upper and lower lid blepharoplasty.

How long does the surgery take?

The surgery takes approximately 1.5-2.5 hours to perform.

Where is the surgery performed?

IV sedation or general anesthesia makes the procedure for lower lid blepharoplasty surgery more comfortable. Therefore, the procedure for both upper and lower lid blepharoplasty is performed in an operating room at a surgical center.

What is the recovery time?

Most patients will look like they had surgery for about 1-2 weeks because of mild bruising and swelling. Intraoperative techniques and medications in combination with supplements given ahead of surgery help to minimize bruising and swelling.

How long do results last?

10-15 years

Are there alternatives, less invasive options to Upper and Lower Lid Blepharoplasty?

Some patients may be candidates for less invasive options to correct heaviness of their upper lids and puffiness of their lower lids if they are not ready for surgical intervention. A chemical browlift can be performed with strategically injected botox in the eyebrow area to give a 1-2mm lift of the brow. This can open the eyes slightly and can be combined with Ultherapy of the brows for a stronger effect. Injectable fillers can be used to camouflage the puffiness of the lower lids and treatments such as lasers, microneedling or chemical peels can improve lower lid skin texture and tone. While these treatments will not achieve surgical results, in certain patients they can be considered as an alternative to rejuvenation in this area. These treatments can also be combined with surgery for an even better result.

The Fresh Face & Eye Difference: What Makes Us Unique

At Fresh Face & Eye, we realize that the preventive care, anti-aging and skin maintenance options available can be somewhat overwhelming, for this reason, we encourage patients to ask questions and are always happy to provide them with the information they need to make the best choices. Furthermore, at Fresh Face & Eye, we believe that every patient should have access to treatment and product information without concerns related to being pressured into making an appointment or purchasing a product.

Dr. Baljeet K. Purewal is an experienced, board-certified Oculoplastics and Reconstructive Surgeon who specializes in non-surgical rejuvenation treatments for the face and surgical procedures for addressing the signs of aging that affect the eye. She has been serving Northern New Jersey for 10 years.

To schedule an appointment with Dr. Purewal at her Fresh Face & Eye practice, located in Chatham, New Jersey, please call 973-635-4000 or click here. Fresh Face & Eye is located at 82 Main Street.