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Medically Reviewed by:

Robert Applebaum M.D.

When Do You Need Eyelid Surgery?

As the years pass, many of us begin to notice that our eyelids do not appear as they once did. Instead of clinging tightly to its original shape they now appear heavy, and sometimes a crease of gathering skin begins to sag over the top. For some, this may be a minor annoyance, but to others it is either aesthetically unacceptable or even worse, functionally impedes vision. So the question is “When do you need to consider eyelid rejuvenation surgery?”

How the Problem Starts

As our skin ages, it often loses its elasticity, and with the constant pull of gravity, eyelid aging slowly creeps up on us. In addition, the eyelid muscles can also weaken over time, a condition known as ptosis which leads to a tired and aging appearance. In other instances, excess fat may gather in those regions, also lending to saggy skin and eyelid droop, or what is known medically as dermatochalasis

What Is Eyelid Rejuvenation Surgery?

Eyelid rejuvenation surgery, or blepharoplasty, is a procedure that addresses both functional and aesthetic concerns. It can help those struggling with impaired vision due to sagging or drooping skin, as well as create a more youthful and energetic appearance. In the lower eyelid it refers to removal of tired looking bags.

When Do You Know It’s Time to Have the Surgery

But how do you know if you need eyelid surgery? What signs should you look out for?

For women, a common complaint is that their upper eyelid makeup cannot be applied properly because of the sagging skin in the eyelid fold. What they are really saying is the eyelid has lost its youthful contour and appearance. Beyond just the aesthetic impact, drooping eyelids can make you appear tired and aged, it can also impact your vision. Eventually, sagging skin can hang over the natural eyelid margin and lashes , covering the normal field vision. In either case, the problem will not get better on its own and will most certainly get worse as time passes. In recognition of this reality, this would be the best time to explore eyelid rejuvenation surgery.

Signs You May Need Eyelid Rejuvenation Surgery

  • 1. Impeded Vision 
  • 2. Eyelid Droop and or Heavy Curtain Like Excess Skin Hanging Down.
  • 3. Lower Eyelid Fat Bags 

Understanding The Procedures

Eyelid surgery is a medical procedure that corrects issues with drooping or sagging eyelids. It can be performed for cosmetic reasons or to improve functionality. To address the upper eyelid heaviness, skin is removed in a very cosmetically acceptable location within the upper eyelid crease. In the lower eyelid, the prominent fat is removed from the inside of the lower eyelid with no incisions on the skin. 

Preparing for Eyelid Surgery

Before undergoing eyelid rejuvenation surgery, Beverly Hill Plastic Surgeon Dr. Robert Applebaum says it’s critical to consult with a board-certified surgeon. A skilled surgeon can provide a tailored approach based on your specific needs and expectations, and individuals can explore the most appropriate procedures to enhance their functional and antiaging outcomes. This includes preparing yourself mentally and physically as well as for post-op care and recovery.

The Procedure: What to Expect

Eyelid rejuvenation surgery is typically an outpatient procedure. While the procedure itself is relatively quick, it requires precision and expertise. Therefore, choosing a skilled surgeon is paramount. Post-surgery patients can expect some swelling and bruising. However, these symptoms usually subside within a week or two. Yet, it is important to remain in regular contact with your doctor during this time.

Post-Surgery: Recovery and Results

After eyelid surgery, immediate aftercare is important to limit swelling and bruising. Patients are usually advised to rest and avoid strenuous activities.

Pain and discomfort can be managed with prescribed medication. Cold compresses can also help reduce swelling along with head elevation.

Long-term care is equally important for lasting results. This includes maintaining a healthy lifestyle free as well as protecting the eyes from sun exposure.

Remember, the results of eyelid surgery can be long-lasting. However, they are not immune to the natural aging process.


Choosing the best options for upper and lower eyelid surgery requires a detailed examination and a well thought out treatment plan that can be explained to each patient. Dr Applebaum is committed to providing personalized consultations where it can recommend the most suitable procedure to achieve the desired outcome. The goal is to always ensure that the patients feel confident and satisfied with their final results from their procedure.

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