Blepharoplasty
Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids - in the creases of your upper lids and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures. If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, your surgeon may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin. Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they'll fade to a thin, nearly invisible white line. On the other hand, the positive results of your eyelid surgery - the more alert and youthful look - will last for years. For many people, these results are permanent.

Before your surgery
You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along. Be sure to tell your surgeon if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting.
Blepharoplasty is usually performed ambulant under local anaesthetic - which numbs the area around your eyes - along with oral or intravenous sedatives. You'll be awake during the surgery, but relaxed and insensitive to pain. Some patients prefer to use general anaesthesia. In that case, you'll sleep through the operation. One day before the operation all necessary examinations will be performed in the clinic. You will also discuss the anaesthesia with your anaesthesiologist. You will need to stay in the clinic overnight and leave on the next day after the operation.