Blepharoplasty is a procedure that removes excess fat, skin, muscle, and fat from the upper and lower eyelids and is commonly referred to as “Blepharoplasty”. It can correct sagging upper eyelid skin and lower eyelid bags, but it cannot completely remove crow’s feet and eyelid wrinkles, eliminate dark circles or lift sagging eyebrows. Upper and lower blepharoplasty can be performed separately or together. Blepharoplasty is also often performed in conjunction with other facial cosmetic procedures, such as a face lift or brow lift. Blepharoplasty can dramatically improve the appearance of your eyes, but it may not always achieve the results you expect and complications can occur; therefore, it is best to explain your expectations and requirements in detail and to have a thorough discussion with your surgeon during your consultation. When blepharoplasty is performed by a competent specialist, complications are rare or minor. However, complications can always occur with any surgery, including infection, poor healing of the incision and scarring. Some people are unable to close their eyelids while sleeping after surgery. Another rare but more serious complication is eyelid ectropion, which requires reoperation. 1. Indications and Contraindications Patients with hypothyroidism, inadequate tear production, hypertension, cardiovascular disease, diabetes, retinal detachment or glaucoma are generally not candidates for blepharoplasty. 2. Surgical Approach The surgical incision for the upper lid is located at the site of the heavy lid fold; the lower lid is located at the lower edge of the eyelashes and may extend laterally to the outer fishtail of the eye. Through these incisions, the skin is separated from the muscle and fat, excess fat is removed, and excess skin and muscle are trimmed. Finally, the incisions are closed with very fine sutures. Some younger patients who have only lower lid bags and have more elastic skin can have the fat removed via the lower lid conjunctiva so that no surgical marks are left on the outside. Because the skin near the lid margin is thin and flat, the rest of the eyelid is thicker and may have many folds, so some patients have a less natural appearance after surgery. After surgery, the eyes are often lubricated with eye ointment and wrapped with a dressing. After recovery from anesthesia, the eyes may feel sore and painful. Pain medication recommended by the physician may be used. If you feel severe pain and swelling, contact your doctor promptly. Avoid lowering your head and moving around too much for several days after surgery. Local cold compresses and compression may reduce swelling and bruising. Significant swelling of the eyelid may last for about a week. The duration of bruising and bruising is between 2 and 4 weeks. The stitches are removed 5 days to 1 week after surgery. Strenuous exercise, especially exercises that raise blood pressure such as body bending, weight lifting and other strenuous exercises, should be avoided for several weeks after surgery. Wound healing is a gradual process and wound redness will persist for more than six months.