Blepharoplasty (Eyelid Lift)

​Blepharoplasty (eyelid lift) is a surgery which repairs droopy eyelids, and may also involve removing excess skin, fat and muscle. 

This surgery is aimed at reducing droopy upper lids, under eye bags, wrinkles and saggy eyebrows. During the surgery, your surgeon may also remove excess skin and muscle. These features are usually a natural part of aging, where your eyelids and the muscles that support them stretch and weaken with age. The overall result of the procedure intends to make your eyes appear “younger” and give you an overall more alert and “well rested” appearance. It may also help with your vision in instances where severely saggy skin surrounding your eyes reduces your peripheral vision.  

In order to decide whether or not you should undergo a blepharoplasty procedure, you should consider both the risks and the benefits, as well as do plenty of research to know what to expect and have a realistic prospect about the final outcome. Consult your eye doctor (ophthalmologist) in the Eye, Ear, Nose and Throat service line or plastic surgeon in the Gastrointestinal Medicine and Surgery service line.

You may be considering a blepharoplasty procedure if you believe you have droopy and saggy eyelids or eyebrows and that these hinder your vision or make you appear more tired, wrinkly, or “less youthful”. By removing excess tissue from you lower and/or upper eyelids, the procedure may improve your vision and give you an overall more “youthful,” alert and well rested appearance. Thus, you may consider a blepharoplasty procedure if you have:

  • Baggy or droopy upper or lower eyelids 

  • Sagging eyebrows

  • Excess skin in your upper eyelid which may restrict your peripheral vision 

  • Drooping or excess skin of your lower eyelids, which may  result in white to show in part of your iris (the coloured part of your eyes)

  • Under-eye bags 

The best candidates for the procedure are those:

  • Who are generally healthy overall, and who do not have any illnesses that may interfere or put you at risk with a blepharoplasty procedure 

  • Have a realistic expectations, positive outlook and have thought about precise goals for a blepharoplasty

  • Are without any serious eye disorders or diseases.   

During your blepharoplasty procedure, you may also simultaneously undergo other complementary procedures, such as an eyebrow lift, face-lift or skin resurfacing. 

If you feel like you may benefit from a blepharoplasty procedure, then you should visit a surgeon for a consultation and for advice. ​

​Your time with your doctor maybe limited, so make sure to prepare for your visit beforehand. Here are some tips to help get you started.

During your consultation, your surgeon will evaluate your medical and ophthalmologic history, such as any chronic systematic diseases or recent medication. They will examine and make an assessment of your eye area, such as of your upper lid, lower lid, and your eyebrows. He or she will look at factors such as your skin elasticity, quality and quantity, the three-dimensional soft-tissue contours beneath your skin, and the bony skeletal foundation. Your doctor will probably take pictures in order to aid with the procedure, maintain a medical record and for a reference of what you looked like before the operation. During your consolation, be sure to ask your doctor any questions that you may have about the procedure. If you have any worries, your doctor will be more than happy to explain the entire process to make you feel as comfortable as possible. It is important that you have a complete understanding of the procedure and realistic expectations of the final outcome. The GI and Surgery Service Line at the Aga Khan University Hospital are dedicated to quality healthcare and services.      

​A blepharoplasty is usually performed as an outpatient procedure. This means that your surgery is likely to start and end the same day, and will not require an overnight stay at the hospital. 

Before the procedure, your surgeon will inject numbering medication into your eyelids and give you intravenous medication in order to help you relax. 

The procedure may be targeted at your upper or lower eyelids, or both. If your procedure is on your upper and lower eyelids, the surgeon will tend to start working on your upper-lid first. Your surgeon will make an incision along the fold of your eyelid in order to be able to remove some excess skin, and eliminate some excess skin and fat. He or she will then close up the incision. 

They will then move on to your lower lid, where they will make a cut right below your lash line in the natural creases of your eye of inside your lower lid. He or she will then eliminate or restructure excess fat, baggy skin and muscle, and then will close the cut. 

Your surgeon may also perform a procedure called ptosis in cases where your eyelid droops close to your pupil. He or she will discuss this with you beforehand if they feel this may be necessary. 

The entire blepharoplasty procedure will usually be completed in less than two hours, depending on the extent of your procedure and the amount and location of the tissue that was removed. 

Please click here for some guidelines on what to do before your surgery.

​Please click here for some guidelines on what to do on the day of your surgery.

​As with any surgical procedure, there are some possible risks and complications with a blepharoplasty procedure. The potential complications include:
  • Infection 

  • Bleeding 

  • Dry Eye 

  • Scarring 

  • Double vision 

  • Loss of vision 

​Please click here for some guidelines on what to do after your surgery

The Aga Khan University Hospital offers various support services to help with managing or recovering from the disease or condition. These include but are not limited to nutrition, physiotherapy, rehabilitation, specialized clinics and some patient support groups. Your doctor or nurse will advise you accordingly.

The Aga Khan University Hospital offers financial assistance to those who are in need and fulfil the eligibility criteria. For further information, you can contact the Patient Welfare Department. You can find the contact number of the Patient Welfare Department in the ‘Important Numbers’ section on the website homepage.

The financial counselling staff is available during office hours, at the main PBSD (Patient Business Services Department), to answer your financial queries on treatments’ costs and authorize admissions on partial deposit as per hospital policies allow. The financial counsellor in the emergency room is open 24/7. You can find the contact number of the Patient Business Services in the ‘Important Numbers’ section on the website homepage.​

​Your doctor and or nurse will give you specific instructions about the prescribed medication. Please ensure that you take or use the prescribed medicine as advised. It can be dangerous to your health if you self-prescribe. Please inform the doctor or nurse beforehand if you have experienced any adverse reactions to any medications in the past. If you experience any symptoms of drug poisoning, overdose or severe reaction please contact the Pharmacy Service at The Aga Khan University Hospital immediately. You can find the contact number of the Pharmacy Services in the ‘Important Numbers’ section on the website homepage.

The information provided on our website is for educational purposes and not intended to be a substitute for medical advice, diagnosis or treatment. You should always seek the advice of your doctor or other healthcare professional provider. ​​