Eyelid Surgery

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What is Eyelid Surgery?

Eyelid Surgery, or Blepharoplasty, corrects droopy, puffy eyes, rejuvenates a tired appearance, and creates a more youthful and refreshed look.

The eyelids are one of the first facial features to show signs of aging. Sagging upper eyelids may require an eyelift surgery. Puffy lower eyelids can belie a more youthful and energetic personality. Occasionally, hereditary factors contribute to puffiness of the lower eyelids even in younger patients. Blepharoplasty is a surgical procedure that can restore vitality to the eyes. During upper blepharoplasty, Dr. Economou performs perfectly hidden incisions to remove saggy upper eyelid skin. In lower blepharoplasty, Dr. Economou often places the incision inside the lid, in order to avoid any scars. Excess fat from the eyelids is removed or repositioned to restore a youthful appearance. Redundant lower eyelid skin can be treated with a pinch excision or with laser skin resurfacing. Swelling or bruising resolves in about ten days, and most patients return to a full schedule within two weeks. Dr. Economou offers other procedures such as brow lift, facelift, Botox treatments, laser skin resurfacing, filler injections and fat grafting to compliment the results from blepharoplasty.

As the overall intent of the surgery is to give you a more youthful and refreshed look. It would be beneficial for Dr. Economou to view some old photographs, which could provide a template or model to work towards. Contact our clinic today to schedule a consultation with Dr. Economou.

Upper eyelid surgery incisions are made to remove excess fat, muscle (when necessary) and loose skin. Incisions are kept in the natural folds of the eye to hide scars and fine sutures are used to close incisions and minimize scar visibility.

Lower eyelid surgery incisions are typically made behind the eyelid to remove excess fat causing puffiness, as well as in an inconspicuous site along the lower lash line to remove excess skin.

Sometimes fat is repositioned rather than removed, and sometimes the lower lid is tightened as well.

Blepharoplasty can correct hooded upper lids, sagging lower lids and hereditary conditions such as overhanging upper lids. It can also remove puffiness and bags under the eyes that cause a worn, tired look. It also eliminates excess fat, muscle and skin and creates a more youthful, refreshed look.

Blepharoplasty will not eliminate dark circles, eliminate all fine lines and wrinkles around the eyes, nor change sagging eyebrows or remove festoons – the puffiness that sometimes occurs in the upper cheeks. It won’t correct a sagging cheek.


  • The degree of evident visual field obstruction.
  • Visual acuity and tear production.
  • Use of contact lenses.
  • Circulatory, opthalmologic or other medical problems.
  • The usefulness of other procedures such as a forehead lift, soft tissue fillers, laser resurfacing or neurotoxin injections to enhance the results of blepharoplasty.


  • Performed under local anesthesia, sometimes simultaneously with sedation , Blepharoplasty can take up from 45 min to 2 hours. Patients usually have same day discharge unless other procedures are also being performed.
  • Slight blurring may be experienced initially. Stitches are removed 7 days after surgery. Normal activities can be resumed after 1 week and full aerobic workouts after 3 weeks.