Is Blepharoplasty Under Eye Surgery Right For You? Understanding The Benefits And Recovery

By Author: Pari Shams
Total Articles: 50
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Blepharoplasty under eye surgery is a cosmetic procedure designed to reduce puffiness, remove excess skin, and improve the appearance of the lower eyelids. As we age, the delicate skin beneath the eyes can become thinner and more prone to sagging, leading to bags, wrinkles, or dark circles. For many, this area is a key concern, as it can make the face appear tired or older than it really is.

Lower eyelid blepharoplasty targets these issues by removing or repositioning fat and tightening the skin, giving a more youthful, refreshed look. It’s a popular choice for both men and women seeking subtle, natural-looking improvements to their appearance. But before deciding on surgery, it’s important to understand what it involves and whether it’s the right option for you.

One of the main reasons people consider under eye surgery is to address puffiness that doesn’t go away with rest or skincare. This is often due to fat deposits beneath the eyes pushing forward over time, creating a bulging or swollen look. Blepharoplasty can help smooth this area and restore a flatter, firmer contour.

Excess skin is another ...
... common issue that develops with age. When the skin loses elasticity, it can gather and fold under the eyes, sometimes affecting the natural crease or causing irritation. Removing or tightening this skin during surgery can create a cleaner, more defined lower eyelid.

Dark circles can also be reduced with blepharoplasty, although they are not always caused by the same factors. If the circles are due to shadowing from bags or hollows under the eyes, surgery can help improve their appearance. However, if they’re caused by pigmentation or thin skin, other treatments may be more suitable.

The decision to have surgery is highly personal and should be based on your individual concerns, expectations, and overall health. A consultation with a qualified specialist will help determine if you are a good candidate. They will assess the condition of your skin, discuss your goals, and go over what the procedure can realistically achieve.

Blepharoplasty under eye surgery is usually performed under local anaesthetic with sedation or general anaesthetic, depending on the case and patient preference. The procedure typically takes between one to two hours and is often done as a day case, meaning you can return home the same day.
During surgery, a small incision is made just below the lash line or inside the lower eyelid, depending on the technique used. Through this incision, the surgeon removes or repositions fat and may also trim or tighten excess skin. The incision is then carefully closed, leaving minimal or hidden scarring.

After the operation, it’s normal to experience some swelling, bruising, and mild discomfort. These effects are most noticeable during the first week but gradually improve. Cold compresses and over-the-counter pain relief can help reduce discomfort, and your surgeon will provide specific aftercare instructions to support healing.

It’s important to rest and avoid strenuous activity during the early stages of recovery. Most people feel comfortable returning to normal routines after one to two weeks, though full healing may take several months. The final results become more visible as swelling subsides and the tissues settle.

One of the main benefits of under eye blepharoplasty is the improvement in facial harmony. By refreshing the lower eyelids, the whole face can appear brighter and more youthful. Many patients report feeling more confident and comfortable without the need for concealer or heavy makeup around the eyes.

The results of lower eyelid surgery are typically long-lasting. While the natural ageing process will continue, the improvements made during surgery can be maintained for many years, especially with good skincare, sun protection, and a healthy lifestyle.
As with any surgical procedure, there are potential risks and complications. These may include infection, scarring, asymmetry, or changes in sensation. A skilled and experienced surgeon will discuss these risks with you and take steps to minimise them during and after the procedure.
Choosing the right surgeon is a crucial part of the process. Look for someone who is experienced in lower eyelid surgery and has a strong track record of natural-looking results. A good consultation will leave you feeling informed, reassured, and confident about your decision.
It’s also important to understand the emotional side of cosmetic surgery. While the physical changes can be positive, they should align with your expectations and personal reasons for undergoing the procedure. Feeling informed and supported throughout the journey makes a big difference.

In summary, blepharoplasty under eye surgery can offer meaningful improvements for those bothered by puffiness, sagging, or tired-looking eyes. If you’re in good health, have realistic expectations, and are looking for a long-term solution, this procedure may be a suitable option. With the right care and expertise, it can help restore a more refreshed and youthful appearance, boosting both confidence and comfort in your daily life.

About Us

Miss Pari Shams, BSc, MRCP, FRCOphth graduated with distinction in Medicine, Surgery, clinical Pharmacology and Therapeutics, from Guy’s, King’s and St Thomas’ School of Medicine in London in 1999, and with a first class honours Bachelor of Science degree in Anatomy and Basic Medical Sciences, being awarded the Roger-Warwick Prize and several other awards for achievement excellence. As a Consultant Ophthalmologist at Moorfields Eye Hospital London since 2014, she offers a comprehensive oculoplastic service in eyelid, lacrimal and orbital disease. Miss Shams is a full member of the British Oculoplastic Surgery Society (BOPSS), the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), the European Society of Ophthalmic Plastic and Reconstructive Surgery (ESOPRS) and the International Thyroid Eye Disease Society ITEDS). Being involved in clinical research, teaching and training of physicians and surgeons, educational courses for GPs, physicians and ophthalmologists, she is part of the oculoplastic fellowship-training. visit us at www.parishams.com/.