Blepharoplasty removes excess skin and/or fat in the upper or lower eyelid. Prior to surgery, an eye examination may be performed by an eye specialist. Visual field testing may be recommended to determine whether blepharoplasty would be cosmetic (to improve appearance) or functional (to improve vision). If a person's vision is limited due to excess upper eyelid skin, insurance may provide coverage.
Blepharoplasty may be done alone or in combination with other facial cosmetic procedures.
The surgery is done most commonly under local anesthesia (often with intravenous sedation medication); sometimes surgery is performed under general anesthesia, particularly if combined with other cosmetic facial procedures. This procedure is often performed on an outpatient basis, although occasionally an overnight hospital stay may be recommended if surgery is performed in conjunction with other procedures. Bruising and swelling are common following surgery, and application of cold to the surgical sites is generally recommended following surgery. A postoperative visit is often recommended within the first week or two after surgery.