Eyelid Bags and Skin folds

What is Blepharoplasty?

Cosmetic Blepharoplasty (eyelid surgery) is the removal of excessive, sagging or wrinkled skin, as well as fat and sometimes muscle from the upper and/or lower eyelids. This treats eyelid “hooding” and under-eye “bags” which can cause a tired or aged appearance. Functional blepharoplasty is also performed when excess eyelid skin interferes with vision. The result is a more youthful, rested appearance of the eyes, softening of wrinkle lines, and widening of visual fields for partially blocked vision.

What is the right age for Blepharoplasty?

Eyelid Surgery is usually performed in patients aged 40 and above, although it can be done as early as the 20s or 30s for inherited traits.

Procedure and Recovery

Upper eyelid Blepharoplasty removes excess eyelid skin and fat through an incision hidden within the crease of the eyelid. The lower eyelid fat-bag is removed through an incision inside the eyelid (trans-conjunctival) so that there are no visible scars on the eyel;id skin. Large amounts of extra lower eyelid skin may require an incision just below the eyelashes to remove the skin for effective treatment. Eyelid Surgery is performed on an outpatient basis under local anesthesia and takes about 45 minutes for the upper or lower eyelids, or an hour and a half for both together. Discomfort is minimal. Stitches are removed in 5-7 days. Most patients are back to light work within a week.

A note of caution

Excess eyelid skin may be a sign of drooping eyebrows, in which case a Endoscopic browlift or Forehead lift is the preferred treatment. In addition, many patients with concerns of lower eyelid bags actually have a sunken appearance and would benefit from fat transfer to fill in the lower eyelid area, rather than fat removal.


Cosmetic blepharoplasty is not covered by health insurance. Health insurance will sometimes cover the costs of upper eyelid surgery if excess skin obstructs your vision. In this case, a visual field exam documenting this condition, photographs, and authorization from your insurance company will be required before the procedure.

Related procedures

Blepharoplasty can be combined with other cosmetic procedures such as Botox, Fillers, Browlift and Facelift.

Before and After photos


Lower eyelid fat-bags treated through a hidden incision behind the eyelid, leaving no skin scars.

Similar lower eyelid bags in a male, removed through hidden incision behind the eyelid.

Lower eyelid fat bags removed via hidden incision behind the eyelid. The shadowing effect is gone, making the eyelids look younger.

Reduction of lower eyelid bags in a middle-aged man. No stitches, no scar.

Excess upper eyelid skin (Blepharochalasis) treated with upper eyelid Blepharoplasty surgery

Excess upper eyelid skin is removed. A natural, symmetrical eyelid fold is created (scar hides within the eyelid fold).

A young lady having excess upper eyelid skin due to 'Blepharochalasis'. Excess skin removed to create a natural eyelid fold.

A young man with excess upper eyelid skin. Blepharoplasty removes the excess skin to create a natural eyelid fold.

A middle-aged East Indian lady with excess skin in the upper eyelid. An upper eyelid blepharoplasty removes excess skin, allowing a gentle 'fold' to appear, making her look younger!