Incisions are made along the line creases of the upper eyelid and possibly along the outer lower rim of the eye’s skin. When removing fatty tissue, but not skin, the surgeon may perform a transconjunctival blepharoplasty with an incision inside the lower rim of the eye’s skin – they will do this for eye bags and excess fatty tissue removal if necessary. These incisions often reach the outer corners of the eyes. The surgeon then divides the fatty tissue and muscle from the skin so that excess skin, fat, or muscle can be removed. The procedure leaves no visible scars as it is hidden within the natural creases of the upper eyelid and for the lower eyelid, it is completely hidden.
The blepharoplasty procedure is often performed under local anesthesia—while you are sedated (twilight sedation) — as a day case. General anesthesia (while you are asleep) may be used. Be sure to discuss the appropriate type of anesthesia with your doctor and the anesthesiologist. Patients return home typically within hours of the surgery.