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All you need to know about eyelid surgery

What is eyelid surgery?

Do you have sagging eyelids that make you look older or affect your peripheral vision?

As we age, eyelids stretch and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids, and bags under your eyes.

Eyelid surgery, also known as blepharoplasty or eye lift, is a procedure that removes excess/sagging skin and fat from the eyelids while tightening its muscles and tissues.

It’s performed on both upper and lower lids.

Which types of eyelid surgery are available?

There are two types of eyelid surgery:

Cosmetic: Improves your appearance. 

Functional: Performed to improve your field of vision.

Patients oftentimes get eyelid surgery in combination with other facial procedures like brow lift, facelift, or both, to achieve a more comprehensive facial rejuvenation.

Who is an ideal candidate for eyelid surgery?

The ideal candidate for eyelid eye surgery is a healthy individual with no medical conditions that impair proper healing.

Other criteria are for those who:

  • Have sagging skin in the upper lid or puffiness in the lower lid or both.

  • Do not smoke

  • Have excess skin that impairs vision

  • Have healthy facial tissue

  • Do not have a serious eye condition

  • Individuals without serious eye conditions

Sometimes the stretching out of the upper eyelid muscle may cause a drooping eyelid and create a condition called eyelid ptosis, which requires a different surgical treatment.


Your plastic surgeon will evaluate and determine the procedures that fit best. You may choose to have eyelid surgery at the same time as another facial procedure, such as a brow lift, face-lift or skin resurfacing.

What are the risks of eyelid surgery?

Eyelid surgery is a very safe procedure and complications are rare. But, like any other plastic surgery, there are some possible risks that include:


  • Dry eyes

  • Temporary blurred vision

  • Irritation

  • Infection

  • Granuloma

  • Reaction to anesthesia

  • Scarring

  • Skin discoloration

  • Blood clots

  • Bleeding

  • Abnormal coloring of the eyelids

  • Eyelid skin that folds in or out abnormally

How is the eyelid surgery like?

On average, eyelid surgery takes about 30 minutes.

The first step is getting the anesthesia, most likely local, to numb the area.

Then, an incision is performed on the targeted areas and excess skin or fat is removed.

Then, your plastic surgeon will close the incisions with skin glue, removable sutures that lasts over a week, or surgical tape.

What should I expect during my eyelid surgery recovery?

Take into consideration that the recovery from eyelid surgery takes several months, though the most serious bruising and swelling happens during the first week.

Your plastic surgeon will prescribe lubricating ointment, cold compresses, and medications to apply or take orally to aid healing and reduce the potential of an infection.

Be sure to ask your doctor about the proper care of the wound at home, the follow-up appointment, resuming normal activities like exercises, and eyelid sun protection.

Patients usually have two weeks of downtime from work.

What results should I expect after eyelid surgery?

Final results take from six to eight months to show. Proper sun protection helps to maintain them.

Any scarring should fade within the year until it’s barely visible.

Following the post-operative instructions from your plastic surgeon is key to the success of your surgery. Do not put your treated areas under excessive force, abrasion or motion during the recovery time.

Your eyelid surgery results should last 10 to 15 years or more.

How much do eyelid surgery costs?

In the Dominican Republic, eyelid surgery costs range from 2,700 to 3,000 dollars for an all-inclusive package that covers hospital and doctor fees, transportation, recovery house, basic medication, and lab tests.

Airfare and insurance are not covered in the package. 

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