Eyelid surgery or blepharoplasty is a surgical option which helps to repair droopy eyelids through the removal of excess skin, fat, and muscle. As we age, our eyelids stretch, causing the supporting muscles to weaken. As a result, excess fat deposits form around the eyelids, causing sagging eyebrows, drooping upper lids, and bags under the eyes. Aside from making you appear older, severely sagging skin can work to impair your vision. In this article, we will outline this procedure in hopes of providing information to those considering undergoing it.

Patients may consider blepharoplasty in cases where sagging or droopy eyelids prohibit the eyes from opening as they should or pull your lower lids down. Removing excess tissue from the lower lids, upper lids, or both can effectively improve vision and make the eyes appear younger and more alert. The procedure may be an option for those who have:

* Bags under the eyes
* Excess skin on the lower lids
* Droopy lower lids
* Excess skin of the upper lid that interferes with vision

The treatment is able to be performed at the same time as other procedures such as brow lifts, skin resurfacing, or a face lift.

As with any operation, eyelid surgery carries some risk of complication. These risks include:

* Temporary eyelid skin numbness
* Scarring
* Small risk of blindness
* Impaired eyelid function
* Double vision
* Dry eyes

Prior to your surgical date, you will meet with your physician to discuss whether the treatment is a good fit for you. During this meeting, you should expect the following:

An overview of your medical history – Your physician will ask questions pertaining to current or past conditions. Detailed questions may focus on glaucoma, dry eyes, eye-related allergies, and other issues regarding the eyes. Be sure to inform your doctor if you have any circulatory problems. Your doctor will also inquire as to any current medications.

Physical Exam – Your physician will conduct a physical examination, including a test of your tear production and vision. In addition, a set of special tools may be used to measure various parts of the lids.

Photos – Your eyes will be photographed in order to plan the surgery and assess the immediate and long term effects.

Discussion – A discussion will take place in order to help set the stage for a satisfactory outcome. Be prepared to talk about your motivations and hopes concerning the procedure. Your physician will be best able to tell you whether your expectations are at all reasonable.