Eyelid Aesthetics: Blepharoplasty

Eyelid aesthetics—known in medical literature as blepharoplasty—aims to support a more youthful, refreshed, and healthy appearance around the eyes, while also addressing functional concerns that may arise from eyelid drooping.

The eyes are one of the most prominent features of the face and play a central role in expressing emotion. Over time, the effects of gravity, genetic factors, and aging can lead to unwanted changes around the eye area. Signs of fatigue, vitality, age, and mood are often first noticed around the eyes.

As these changes progress, drooping of the eyelids, puffiness, and skin laxity may develop. Beyond aesthetic concerns, eyelid drooping can narrow the visual field in some cases, potentially affecting daily activities. Frequently heard comments such as “You look tired” or “Did you not get enough sleep?” are often related to these changes.

Blepharoplasty is not limited to cosmetic rejuvenation; it can also help address functional issues related to drooping eyelids that may restrict the visual field.

What Is Blepharoplasty (Eyelid Aesthetics)

Blepharoplasty is a procedure in which excess skin, loosened muscle tissue, and fat deposits contributing to puffiness in the upper and/or lower eyelids are carefully removed or repositioned. This procedure is performed by ophthalmologists experienced in oculoplastic surgery.

The eyelid is not only an aesthetic structure. It plays a vital role in protecting the eye, distributing tears evenly, and maintaining healthy visual function. For this reason, eyelid procedures require careful consideration of both aesthetic and functional balance.

Who May Be Considered for Eyelid Aesthetics?

Although eyelid aesthetics is more commonly considered in individuals aged 35 and over, it may also be evaluated at younger ages due to genetic predisposition. Situations that may warrant assessment for blepharoplasty include:

Noticeable drooping of the upper eyelids and a sensation of heaviness
Increasing eye fatigue as the day progresses
Narrowing of the upper visual field due to sagging eyelids
Pronounced under-eye bags or puffiness
Increased laxity and wrinkling around the eyes

These concerns may affect both appearance and daily comfort.

How Is the Procedure Planned?

Blepharoplasty procedures are generally planned under local anesthesia, with mild sedation if needed. The duration of the procedure varies depending on the areas treated and typically ranges from 1 to 2 hours. Discomfort during the procedure is not expected.

Upper Eyelid

In the upper eyelid, excess skin and fat tissue are carefully removed through an incision placed along the natural eyelid crease. Because the incision follows the natural fold, postoperative scars are usually minimally noticeable after healing.

Lower Eyelid

In the lower eyelid, the procedure may be performed either through an incision just below the lash line or via the inner surface of the eyelid (transconjunctival approach). Fat deposits causing puffiness may be removed or redistributed to achieve a smoother contour.

Recovery and Return to Daily Activities

Hospitalization is not required, and discharge is usually possible on the same day. Mild swelling and bruising around the eyes in the first days after the procedure are considered normal. Cold compresses may help improve comfort during this period.

Swelling and bruising typically decrease noticeably within the first week
Sutures are usually removed within approximately 10–12 days
Many individuals are able to return to social activities comfortably after about one week

Over time, the eye area may appear more refreshed, alert, and natural.

Why Should an Ophthalmologist Be Preferred for Eyelid Aesthetics?

Eyelid procedures are not purely cosmetic interventions; they directly involve delicate structures related to eye health. Ophthalmologists have in-depth knowledge of ocular anatomy, the tear system, and blinking mechanisms.

Procedures performed without appropriate planning may lead to issues such as incomplete eyelid closure, dryness, or other functional problems. For this reason, blepharoplasty should be approached with careful consideration of both aesthetic outcomes and preservation of eye function.

With eyelid aesthetics, achieving a more youthful, rested, and healthy appearance is possible. The most appropriate approach involves a personalized evaluation based on individual eye structure and needs.

Most Frequently Asked Questions About Eyelid Aesthetics (Blepharoplasty)

Is blepharoplasty performed only for aesthetic reasons?

No. In some cases, drooping of the upper eyelids may narrow the visual field. In such situations, blepharoplasty may help improve visual comfort in addition to its aesthetic benefits.

Will there be visible scarring after the procedure?

For the upper eyelid, the incision is placed within the natural eyelid crease, so scars tend to become less noticeable over time. For the lower eyelid, the incision can be made along the lash line or from the inside of the eyelid, making it generally unnoticeable from the outside.

How long does the recovery process take?

Mild swelling and bruising may occur in the first few days. These usually subside within about a week. Most individuals can comfortably return to social activities within 7–10 days.

Is eyelid surgery a permanent procedure?

The results are long-lasting. However, as the natural aging process continues, gradual changes around the eye area may occur over time.