Eyelid Surgery
OUR EYES ARE THE WINDOWS TO OUR SOUL. They form the focus of our facial expressions while reflecting our mood and state of being.
- This Quarterly October 2011 -

Excessive upper eyelid skin, protruding fat or lax eyelid muscles can make us appear tired and weary even when we are not.

Far from being purely aesthetic, eyelid surgery which corrects droopy eyelids may improve our field of vision and hence, our eyesight.


Procedures for the upper eyelid include suture blepharoplasty, open blepharoplasty and ptosis correction:

  • Suture blepharoplasty, also known as stitch blepharoplasty, creates a double eyelid without making a full cut across the upper eyelid. It boasts a shorter recovery time with less visible scars. It is more suitable for patients whose eyelids are not so heavy, have less fat and less excess skin.
  • blepharoplasty is the conventional and most common form of upper eyelid surgery. This is suitable for most patients and address concerns such as excess skin or fat while creating a natural double eyelid.
  • Ptosis correction is a procedure where droopy eyelids which are blocking vision are lifted by shortening the eyelid muscles.

Lower eyelid surgery includes certain variations such as a “scar-less” lower blepharoplasty or a fat redistribution lower blepharoplasty. The former “scar-less” procedure involves a cut in the conjunctiva, which leaves no external scars. This approach is suitable for patients who require fat removal from their eye bags but who do not have lax lower eyelid skin.

The fat redistribution lower blepharoplasty avoids the excessive hollowingwhich can occur after fat removal. This innovative technique redistributes the fat surrounding the eye and uses it as natural permanent filler for the sunken areas under the eyebags which occur naturally with ageing.


It is essential for all patients to go through a pre-surgical consultation with a aesthetic surgeon. This allows the patient to communicate their desires and expectations to the surgeon, especially important with regards to eye surgery and eyelid shaping. Patients also need to be aware that there is a period of bruising and swelling after the surgery. The downtimevaries depending on the nature of the surgery and the condition of the patient. Swelling will usually resolve after five to ten days.

In general, the eye area takes a shorter time to recover because of the better blood supply to facial areas as compared to other parts of the body. There may be mild temporary discomfort after the procedure which can easily managed with oral medication if necessary.