October 15, 2025

How Long Does Blepharoplasty Surgery Take?

Sanam Zahedi, MD Plastic Surgeon

Category:Eyelid Surgery

Eyelid surgery can reshape the upper and lower eyelids to remove excess skin, reduce puffiness, and improve the appearance of your eyes. For some, it’s about restoring a youthful appearance. For others, it’s about seeing more clearly by lifting droopy eyelids. Whether you’re considering upper eyelid surgery, lower eyelid surgery, or both, it’s helpful to know what to expect, including How Long Does Blepharoplasty Surgery Take and the typical duration of the procedure.

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About the Blepharoplasty Procedure

Eyelid surgery treats the upper and lower eyelids. It removes excess skin and excess fat. The purpose is to correct droopy eyelids or alter the appearance of the eyes. Upper blepharoplasty is done on the upper eyelids. Lower blepharoplasty is done on the lower eyelid. Some people get both at the same time.

The blepharoplasty procedure is a type of cosmetic surgery. It can also help if sagging eyelid skin affects peripheral vision. Minor cuts are made in the eyelid skin, often along a natural crease. Most are done with anesthesia. Results depend on the person’s medical history and the amount of skin or fat removed.

How Long Does Upper Blepharoplasty Surgery Take?

Upper blepharoplasty takes about 30 to 45 minutes per side. Some plastic surgeons complete the procedure more quickly, depending on the amount of excess skin. The upper eyelid is marked first. A cut is made in the natural crease. The surgeon removes excess tissue and may adjust fat. Upper eyelids heal quickly. The surgical procedure is done with anesthesia in most cases. When both upper and lower eyelids are treated, the time increases.

How Long Does Lower Blepharoplasty Surgery Take?

Lower blepharoplasty takes 45 minutes to one hour per side. Some lower eyelid procedures take longer if there’s more excess skin or protruding fat. The surgeon makes an incision below the lower eyelash line or inside the lower lid. Fat removal or repositioning is done. Loose skin is tightened. Lower eyelid surgery rarely uses general anesthesia. Most are done with anesthesia. When combined with upper eyelid work, the total time can reach two hours.

What to Discuss at the Initial Consultation for Eyelid Surgery

Inform the surgeon about your medical conditions, particularly any issues related to your eyes. They need to be aware of this before undergoing eyelid surgery. Say what you want from the procedure. Be clear if you’re trying to fix vision issues, change how your eyes look, or both.

The surgeon will check your upper eyelid and lower eyelid. They’ll look for excess skin, skin laxity, and under-eye bags. If your eyelids are drooping because of weak muscles, they may recommend ptosis repair. Ask about the type of anesthesia they use. Most eyelid lift surgeries are performed with anesthesia. They should also explain what to expect in terms of swelling and bruising, as well as the typical duration of the recovery period.

Does Lower Eyelid Blepharoplasty Help with Dark Circles?

Lower blepharoplasty can help if dark circles are caused by under-eye bags or excess skin in the lower eyelid area. Removing or shifting fat in the lower eyelid may reduce shadows and smooth the area. It does not work for all cases. If dark circles result from thin skin or poor skin tone, this lower eyelid procedure may not address them.

Some people combine lower eyelid blepharoplasty with laser resurfacing to improve the skin around the eyes. A surgeon can determine if this option is suitable for you after examining the lower lids.

Does Insurance Ever Cover Eyelid Lift Surgery?

Insurance sometimes covers eyelid lift surgery if it affects your vision. A test may be performed to determine if the upper eyelid is obstructing your vision. This is more likely if the procedure is not for purely cosmetic reasons. If the doctor confirms the problem limits your peripheral vision, it may be considered medically necessary.

Most plans will not cover eyelid surgery if it is solely for cosmetic purposes. Check with your provider to determine their requirements. Some people may request photos, test results, or a letter from your doctor.

Examples of Eyelid Cosmetic Surgery

Upper eyelid surgery is done to remove excess skin. Some people want it for a cleaner crease or less heaviness. Lower blepharoplasty removes bags from the lower lids. It helps when fat pushes forward, making the area look puffy.

An eyelid lift can be done on both the upper and lower lids. These are cosmetic procedures, done for appearance. Most are done with anesthesia in an outpatient setting.

Examples of Medically Necessary Eyelid Surgery

Eyelid lift surgery can be considered medical when the upper eyelids block vision. This happens when loose or sagging skin hangs over the lashes. It can limit your ability to see clearly. A test may be performed to assess the extent to which your vision is affected.

Lower blepharoplasty may be necessary if the lower lid is pulling away from the eye. That can cause dryness or irritation. These cases are not treated as cosmetic procedures. They’re done to correct a medical issue. Most are done with local anesthesia.

How is Eyelid Surgery Performed?

The surgeon marks the skin on the upper or lower eyelids. Tiny incisions are made along natural folds to hide scars. The surgeon may remove skin or fat. In some cases, fat is redistributed instead of removed.

Most eyelid lift procedures use local anesthesia. Some people need both upper lid surgery and work on the lower lid. After the cuts are closed, antibiotic ointment is applied. Patients go home the same day. Recovery usually starts with swelling and bruising. Keeping your head elevated and using cold compresses may help reduce swelling.

FAQs: How Long Does Blepharoplasty Surgery Take?

How Painful Is Blepharoplasty Surgery?

It’s one of the least painful cosmetic procedures. Most people feel mild soreness.

What Are the Worst Days After Blepharoplasty?

Days two to four usually bring the most swelling and bruising.

How Long Do I Need Off Work After Blepharoplasty?

Plan for seven to 10 days, depending on the job and your body’s healing process.

Does Blepharoplasty Help Blepharitis?

No. Eyelid surgery helps with structure, not inflammation or infection.

Ready for Your Blepharoplasty Surgery Consultation?

Schedule your consultation with Dr. Sanam Zahedi. She offers personalized care and expert results for patients seeking eyelid surgery to address both vision and cosmetic concerns. Whether you’re considering an eyelid lift for the upper lid, lower lid, or both, Dr. Zahedi will guide you through every step.

Book your appointment today.