Aging effects begin to show relatively early in the eyelids because of the delicate skin in this area.
Eyelid Surgery Blepharoplasty

Upper & Lower Blepharoplasty Before & After
FAQs
Am I a good candidate for blepharoplasty?
The best candidates are in good overall health, don't smoke, and are bothered by eyelid changes that affect how they look, how they express themselves, or how well they see. Age matters less than the actual degree of change in the eyelids.
How long do results last?
Upper blepharoplasty results typically hold for 5 to 7 years or more. Lower eyelid results often last a decade or longer. Aging doesn't stop, and factors like sun exposure and genetics will shape how results hold up over time.
What does recovery look like?
Most patients are back to light daily activity within 7 to 10 days. Bruising and swelling are normal and fade over the following 2 to 3 weeks. Strenuous activity should wait several weeks, and protecting your eyes from sun during healing matters. Your surgeon will walk you through a recovery plan specific to your procedure.
Will I have visible scarring?
Incisions are placed inside the natural eyelid crease or just under the lower lash line, keeping scars in areas where they are difficult to detect. They continue to fade over time. Keeping the area out of direct sun and following your aftercare instructions makes a real difference in the final result.
Is blepharoplasty painful?
The procedure is performed under anesthesia, so there is nothing to feel during surgery. Afterward, mild soreness, tightness, or some dryness around the eyes is common. Most patients manage this well with prescribed medication, and it typically clears within the first week or two.
Can blepharoplasty be combined with other procedures?
Yes. Eyelid surgery is frequently performed alongside a brow lift, facelift, or other facial work. Combining procedures means one recovery period instead of multiple, and lets you address more than one concern in a single plan.
What is the difference between blepharoplasty and a brow lift?
Blepharoplasty works directly on the eyelids, addressing excess skin, fat, and looseness in the upper or lower lids. A brow lift targets the position of the brow and forehead. For some patients, a low brow is actually what is causing the hooded appearance, making a brow lift the better solution.
Does insurance cover eyelid surgery?
Upper blepharoplasty may be partly covered when drooping skin can be documented as blocking peripheral vision, which usually requires a visual field test. Lower blepharoplasty is considered cosmetic and is not typically covered. The pēkomd® team can help you understand what documentation you may need to support an insurance inquiry.
What type of anesthesia is used?
Depending on the scope of the procedure and your preferences, blepharoplasty can be performed under local anesthesia with sedation or general anesthesia. Your surgical team will talk through the options during your consultation and recommend what is safest for you.











