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When Should You Consider Eyelid Surgery? - Signs to Look For

Are you considering eyelid surgery but unsure if it's the right time? When it comes to any cosmetic procedure, timing is an important factor to consider. So, when should you consider eyelid surgery? What are the signs that might indicate you're ready for a blepharoplasty? These are just some of the questions we'll be answering in this blog.

What Is Eyelid Surgery?

Before we get into the signs that may indicate you're a good candidate for eyelid surgery, let's take a moment to become familiar with the procedure itself. Eyelid surgery can target the upper eyelids, lower eyelids, or both, depending on your specific concerns and goals. Upper eyelid surgery focuses on removing excess skin, muscle, and fat that can cause sagging, drooping, or hooding of the eyelids. This procedure can not only improve your appearance but also enhance your field of vision if the excess skin is obstructing your sight. On the other hand, lower eyelid surgery targets the bags, puffiness, and wrinkles beneath the eyes, giving you a more rested and youthful appearance.

Signs You May Need Upper Eyelid Surgery

As you age, it's common for the delicate skin around your eyes to lose elasticity, leading to various concerns that can impact both your appearance and your daily life. One of the most prominent signs that you may benefit from upper eyelid surgery is sagging or drooping upper eyelids, medically known as ptosis. This condition occurs when the skin and muscles of the upper eyelids stretch and weaken, causing the eyelids to droop and appear heavy. Not only can this make you look older and more tired than you feel, but it can also cause discomfort and even impair your vision in severe cases.

Another sign that upper eyelid surgery may be right for you is the presence of excess skin obscuring the natural fold of your eyelid. This can create a hooded appearance, making your eyes look smaller and less open. You may find that your upper eyelids feel heavy or that you have to strain to keep them lifted, especially toward the end of the day. This excess skin can also make it difficult to apply eye makeup, as the surface of your eyelid may be uneven or the makeup may smudge easily due to the excess skin.

In some cases, the excess skin on the upper eyelids can hang so low that it begins to impair your peripheral vision. This can be particularly problematic when driving, reading, or engaging in other daily activities that require a clear field of vision. If you find yourself constantly lifting your eyebrows or tilting your head back to see better, it may be a sign that your upper eyelids are interfering with your sight.

Beyond the functional concerns, many of my patients seek upper eyelid surgery to address the tired or aged appearance caused by drooping eyelids. Even if you feel energetic and youthful on the inside, sagging upper eyelids can make you look perpetually exhausted or older than your actual age. This can be frustrating, especially if you lead an active, vibrant lifestyle. Upper eyelid surgery can help restore a more alert, refreshed appearance by removing the excess skin and redistributing the remaining tissue for a smoother, more youthful contour.

If you're experiencing any of these signs or symptoms, I encourage you to schedule a consultation at the Yates Institute of Plastic Surgery in Fort Lauderdale to discuss your concerns and explore your options. During our meeting, I'll assess your facial structure, listen to your goals, and develop a personalized treatment plan that addresses your unique needs. Upper eyelid surgery is a highly customizable procedure that can be tailored to your specific desires, whether you're looking for a subtle refinement or a more dramatic transformation.

Signs You May Need Lower Eyelid Surgery


Just as the upper eyelids can show signs of aging, the lower eyelids are also susceptible to changes that can impact your appearance and self-confidence. One of the most common concerns I hear from patients is the presence of persistent bags or puffiness under the eyes. These bags are often caused by the accumulation of fat beneath the skin, which can create a swollen or bulging appearance. While factors like allergies, lack of sleep, or high salt intake can contribute to temporary puffiness, the bags that result from aging tend to be more persistent and do not respond well to at-home remedies or lifestyle changes.

Another sign that you may benefit from lower eyelid surgery is the presence of excess skin or wrinkles beneath the eyes. As you age, the skin around your eyes loses collagen and elasticity, leading to a crepey or wrinkled appearance. This excess skin can also contribute to the formation of bags or puffiness, as the weakened skin is less able to support the underlying tissues. In some cases, the excess skin may even obscure the natural contour of your lower eyelid, creating a tired or aged appearance.

A more severe sign of lower eyelid aging is a condition called ectropion, where the lower eyelid begins to droop and pull away from the eye, revealing the white of the eye below the iris. This can not only be cosmetically concerning but also lead to dryness, irritation, and even tearing, as the eye is not adequately protected by the lower lid. Ectropion can be caused by a combination of factors, including weakened muscles, excess skin, and loss of facial volume.

Dark circles or hollowness under the eyes can also be a sign that you may benefit from lower eyelid surgery. While dark circles can be caused by a variety of factors, including genetics, allergies, and lack of sleep, the hollowness that develops with age is often due to a loss of volume in the tear trough area. This can create shadows or a sunken appearance beneath the eyes, making you look tired or older than you feel. Lower eyelid surgery can help address this concern by redistributing fat or adding volume to the tear trough area, creating a smoother, more youthful transition from the lower eyelid to the cheek.

Perhaps one of the most frustrating signs of lower eyelid aging is the constant appearance of being tired or older than your actual age, despite feeling energetic and youthful on the inside. This disconnect between how you feel and how you look can be discouraging and impact your self-confidence. Lower eyelid surgery can help restore harmony between your inner vitality and your outer appearance, allowing you to present your best self to the world.

Combining Upper and Lower Eyelid Surgery

For many of my patients, the signs of aging affect both the upper and lower eyelids, creating a tired, worn appearance that doesn't reflect their inner energy and vitality. In these cases, I often recommend combining upper and lower eyelid surgery to achieve a more comprehensive, harmonious rejuvenation of the eye area. By addressing both the upper and lower eyelids simultaneously, we can create a more balanced, natural-looking result that enhances your entire facial appearance.

There are several reasons to consider combining upper and lower eyelid surgery. First, by addressing both areas at once, you can achieve a more significant transformation with a single recovery period. This is particularly beneficial for patients with busy lifestyles who want to minimize downtime and return to their daily activities as quickly as possible. Second, combining the procedures allows for a more cohesive, natural-looking result, as the upper and lower eyelids are treated in proportion to one another, creating a more harmonious, youthful appearance.

FAQs about When to Consider Eyelid Lift Surgery

How long does the recovery process take after eyelid surgery?

  • The recovery time after eyelid surgery varies from patient to patient, but most people can return to work and normal activities within 7-10 days. Swelling and bruising typically subside within 1-2 weeks, and the final results become apparent within several months as the incisions heal and the skin adjusts to its new contours.

Is eyelid surgery painful?

  • Most patients experience minimal discomfort after eyelid surgery, which can be managed with prescribed pain medication, cold compresses, and gentle eye care. The majority of patients report little to no pain within a few days of the procedure, with only mild swelling and tenderness persisting for a short period.

Will I have visible scars after eyelid surgery?

  • Eyelid surgery is designed to minimize visible scarring. For upper eyelid surgery, the incisions are typically made within the natural creases of the eyelids, making them virtually unnoticeable once healed. Lower eyelid incisions are usually made just below the lash line or inside the lower eyelid, rendering them imperceptible to others.

How long do the results of eyelid surgery last?

  • The results of eyelid surgery are long-lasting, with many patients enjoying their refreshed appearance for years or even decades. However, it's important to remember that the aging process continues, and the skin and tissues around the eyes may gradually change over time. Maintaining a healthy lifestyle, protecting your skin from sun damage, and following a good skincare routine can help prolong the results of your eyelid surgery.

Can I wear contact lenses after eyelid surgery?

  • You should avoid wearing contact lenses for at least 2-3 weeks after eyelid surgery to allow your eyes to heal properly and minimize the risk of irritation or infection. During your consultation and post-operative appointments, we will provide you with specific guidelines on when it is safe to resume wearing contact lenses based on your individual healing progress.

Further Reading about Eyelid Surgery with Dr. Essie Yates

Medical References for Eyelid Surgery