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Eyelid surgery, also known as eye lift or blepharoplasty, aims to reduce bagginess from the lower eyelids and remove excess skin and fat from the upper eyelids. Eyelid surgery is usually carried out for cosmetic reasons. It’s also an effective way to improve vision for people with sagging upper eyelids. However, eyelid surgery doesn’t get rid of dark circles, wrinkles, or crow's feet. These problems can only be improved with filler injections, forehead lift, or laser resurfacing.

1. How your eyelids age

eyelid surgery

Eyelid elasticity decreases as you age. Due to the constant force of gravity, both the upper and lower eyelids have to work all the time. Gradually, this results in wrinkles and puffiness.

2. Who are the best candidates for eyelid surgery?

According to Thea's doctors, people who are 35 years or older and are in good health are candidates for eyelid surgery.

A successful eyelid surgery is surely a great confidence boost. However, in some cases, the result may change your whole facial structure. Therefore, it’s best to consider your goals and expectations, as well as discuss all the details with your surgeon before deciding to get eyelid surgery.

3. Is the result of eyelid surgery permanent?

The result you get from eyelid surgery may last from 5-7 years. Needless to say, as time naturally takes its course, your eyes will still age. If you experience sagginess again, consider a forehead lift instead of repeating eyelid surgery.

4. How to prepare for eyelid surgery?

Ask a friend or a family member to drive you home after surgery. If necessary, ask them to stay the night with you. After that, you’ll need to take a few days off, avoid working and strenuous activities to let your eyelids heal.

After surgery, you’ll likely experience eye dryness. This often lasts for 2 weeks. If dryness persists, contact your doctor for help.

At home, prepare some ice cubes, cold compression, small gauze pads, eye drops or artificial tears as instructed by your doctor so you can use right away whenever you need. According to Thea’s experts, you shouldn’t take aspirin or any medication that may increase your risk of bleeding during this period.

5. How is eyelid surgery performed?

It usually takes around 1 hour for each eyelid. You’ll be administered local anesthesia with oral sedation.

Typically, your surgeon will make incisions along the natural lines of your eyelids. From there, they will detach the skin from the tissues underneath and remove any excess skin and fat. Then, the incisions will be closed with minuscule stitches. The stitches on your upper eyelids will remain there for 3-6 days. If your surgeon performs well, you may not need stitches for your lower lids.

Another method involves making a short incision along the lash line. Through that cut, the surgeon will remove any excess skin, fat, and loose muscles. The cut line will fade eventually.

6. The recovery period

After eyelid surgery, it may take from 1 to 2 weeks for the stitches to heal. During this period, eyelid swelling and bruising are to be expected.

7. Possible complications

Complications and unwanted results are rare, but possible. Those may include: bleeding, infection, eye dryness, eyelid discoloration, trouble closing your eyes, impaired vision, etc.

If you experience any problems, contact your doctor as soon as possible.

8. Is eyelid surgery covered by insurance?

Most insurance plans don’t cover cosmetic procedures.

However, if you need eyelid surgery due to medical reasons, such as to treat impaired vision caused by droopy eyelids, your insurance may pay for it. Of course, this will have to be verified by an authority. It’s best to check on that before getting surgery to make sure you know exactly how much you’ll have to pay.