Eyelid Surgery Guide: Goals, Limits, and Safety
Eyelid surgery, or blepharoplasty, can address selected excess skin and fat in the upper lids, lower lids, or both. It does not treat every cause of a tired appearance. Brow position, eyelid muscle function, dry eye, allergies, and other medical conditions may need separate evaluation.
Upper and lower lids need different plans
An upper-eyelid incision usually follows the natural crease. A lower-eyelid incision may sit below the lash line or inside the lid. Depending on the concern, a surgeon may remove skin, remove or reposition fat, or adjust supporting tissue. The plan must protect eyelid closure and eye-surface health.
If drooping skin limits vision, document the symptoms and ask whether an eye examination or visual-field test is appropriate. Cosmetic and functional treatment are not interchangeable, and insurance rules vary by plan.
Can upper eyelid surgery be done in the office?
Dr. Borsting offers in-office upper eyelid surgery in Bend, Oregon with local anesthesia for suitable patients. Local anesthesia numbs the treatment area while you remain awake. Optional patient-controlled ProNox may add comfort when appropriate.
This office option is for upper eyelid surgery. Lower eyelid surgery needs a separate assessment and procedure plan. Your eye health, anatomy, treatment scope, and comfort needs determine whether an office setting fits.
Recovery is not only about bruising
Swelling, bruising, tightness, watering, light sensitivity, or dry-eye symptoms can occur during healing. Follow the surgeon's instructions for eye care, medicines, activity, contact lenses, and follow-up. Ask when it is safe to drive, work, exercise, and use eye makeup rather than relying on a standard calendar.
Risks to discuss
Risks include anesthesia problems, bleeding, infection, dry eye, difficulty closing the eyes, changes in sensation, eyelid position changes, asymmetry, visible scarring, temporary or permanent vision changes, and the possible need for another procedure. New severe eye pain, a sudden vision change, or rapidly increasing swelling needs urgent medical evaluation.
Consultation questions
Does the concern come from the eyelid, brow, eye surface, or another condition?
Which tissue would be removed or repositioned?
How will the plan protect eyelid closure and dry-eye symptoms?
What warning signs require urgent care?
When will you assess my return to driving and normal activity?
The American Society of Plastic Surgeons eyelid surgery guide provides more detail. See the facial procedures page for related options.