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June 27, 2025 | Eyelids

Is It Time for Eyelid Surgery? 6 Signs You Might Be Ready

EYELID SURGERY

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If you’ve noticed changes in your eye area that affect how you look or even how well you see, you may have asked yourself, “Is it time for eyelid surgery?”

At Sadeghi Center for Plastic Surgery, we understand that deciding to undergo a cosmetic or reconstructive procedure isn’t easy. But for many people, eyelid surgery, also called blepharoplasty, offers not just a refreshed appearance but an improvement in comfort and even vision.

We will walk you through the six signs you might be ready for eyelid surgery, how the procedure works, and what benefits you can expect. 

Key Takeaways

  • Eyelid surgery (blepharoplasty) addresses both cosmetic and functional concerns, such as vision obstruction, puffiness, and skin irritation.
  • Six key signs you might need eyelid surgery include drooping lids that impair vision, persistent under-eye bags, difficulty with makeup, and feeling self-conscious.
  • The procedure is minimally invasive and often outpatient, with most patients resuming normal activities within two weeks.
  • Cosmetic eyelid surgery focuses on aesthetics, while reconstructive surgery can be medically necessary and potentially covered by insurance.
  • Consulting with a board-certified plastic surgeon is essential for safe, tailored results.
  • At Sadeghi Center for Plastic Surgery, expert care and customized treatment plans help you look and feel your best.
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What Is Eyelid Surgery?

Eyelid surgery, or blepharoplasty, is a cosmetic surgery that involves removing or repositioning excess skin and fat from the upper or lower eyelids. It’s commonly used to correct droopy eyelids, under-eye bags, and sagging skin around the eye area. The blepharoplasty procedure can be done on the upper eyelids, lower eyelids, or both, depending on your needs.

Often considered an outpatient procedure, eyelid surgery typically requires only small incisions and a relatively short recovery time. 

In some cases, particularly when excess eyelid skin interferes with peripheral vision, the procedure may even be covered by insurance as reconstructive surgery.

Six Signs You Might Be Ready for Eyelid Surgery

While some people consider the procedure for cosmetic reasons, others are driven by functional concerns that impact daily life. 

Here are six common signs that it may be time to consult with a specialist about eyelid surgery:

Sign #1: Drooping Upper Eyelids Are Obstructing Your Vision

close up of woman eyelid swelling

One of the most common reasons people seek eyelid surgery is because drooping upper eyelids start to interfere with their field of vision. If you find yourself tilting your head back to see more clearly or constantly raising your eyebrows to open your eyes wider, this could be a sign of excess eyelid skin causing obstruction.

When the eyelids droop significantly, it becomes more than just a cosmetic concern; it affects everyday life. In these cases, upper blepharoplasty can remove excess eyelid skin, improving both your cosmetic appearance and your ability to see.

Sign #2: You Have Constant Bags Under Your Eyes or Puffy Lower Lids

Bags under your eyes and puffiness in the lower lids are often caused by a buildup of excess skin and fat in the lower eyelids. These signs can make you look worn out even when you feel well-rested. Over time, skin elasticity naturally decreases, making it harder for the skin to retain a firm, youthful appearance.

A lower blepharoplasty addresses these concerns by targeting the under-eye bags and removing or repositioning fat to create a smoother skin surface. This can result in a more youthful appearance and help reduce dark circles that are often exaggerated by shadowing in the eye area.

Sign #3: Your Eyelids Make You Look Older or More Tired Than You Feel

Do people often ask if you’re tired when you’re not? If so, your eyelid skin might be making you look older or more fatigued than you feel. As we age, the eyelid muscle weakens, and sagging skin can contribute to a more aged appearance. This is particularly true in the upper eyelids, where drooping can change the shape and expressiveness of your eyes.

In these cases, eyelid surgery serves as a form of facial rejuvenation. Whether combined with a brow lift or performed alone, it can help restore a more youthful look by tightening and refining the eye area. This type of surgery is one of the most sought-after cosmetic procedures for people in their 40s and older.

Sign #4: Eye Makeup Is Hard to Apply Due to Excess Skin

If applying eye makeup has become difficult—say, your eyelid skin folds over and smudges eyeliner or eyeshadow—it may be due to excess skin on your upper eyelids. This not only makes cosmetics frustrating to use but can also make you look less polished or professional than you’d like.

Eyelid surgery can create a smoother surface that allows makeup to glide on effortlessly. Many patients report that after the surgeon removes the excess eyelid, applying makeup becomes easier and more enjoyable.

Sign #5: You’re Self-Conscious About the Way Your Eyes Look

woman who had fillers on eye bags

Many people seek eyelid surgery not because of functional issues, but because they’re simply self-conscious about the way their eyes appear. Whether it’s drooping lower eyelids, puffiness, or uneven contours, the aesthetic impact of the eyelids can significantly affect your self-esteem.

Cosmetic blepharoplasty focuses on enhancing the overall cosmetic appearance of the eye area by correcting asymmetries, removing excess skin, and refining contours. If you feel your eyes don’t reflect how vibrant and awake you feel inside, you may benefit from this surgical procedure.

Sign #6: You’re Experiencing Discomfort or Eye Irritation

Sometimes, drooping eyelids can cause physical discomfort beyond visual or cosmetic concerns. Excess skin can trap oils and cause skin irritation, especially in warm climates or during physical activity. Similarly, drooping lower eyelids can expose more of the eye surface, leading to dryness or sensitivity.

By tightening the eyelid muscles and removing excess skin and fat, eyelid surgery can reduce discomfort and help protect the eyes more effectively. Most patients report not only aesthetic improvements but also increased comfort following the blepharoplasty procedure.

What to Expect During Eyelid Surgery

During eyelid surgery, your oculoplastic surgeon will make small incisions along the natural creases of the upper or lower eyelids. These incisions allow the surgeon to remove or reposition excess skin, fat, and sometimes muscle.

  • The surgery is typically done under local anesthesia with sedation or general anesthesia, depending on the extent of the procedure. 
  • Since it is usually an outpatient procedure, you can return home the same day. 
  • Recovery time varies, but most people are able to resume normal activities within 10 to 14 days.

Are You a Good Candidate for Eyelid Surgery?

You’re likely a good candidate for blepharoplasty if you:

  • Have realistic expectations about the results
  • Experience functional issues such as impaired vision
  • Feel bothered by the appearance of your eyelids

It’s important to consult a board-certified surgeon, like those at Sadeghi Center for Plastic Surgery, who can evaluate whether eyelid surgery or a combination of cosmetic procedures like a brow lift may be most effective for you.

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Cosmetic vs. Reconstructive Eyelid Surgery

There’s a key distinction between cosmetic surgery and reconstructive surgery when it comes to eyelid procedures. 

Cosmetic blepharoplasty focuses on improving the appearance, while reconstructive surgery addresses functional problems like obstructed vision or irritation caused by excess eyelid skin.

Be sure to check with your provider and consult a qualified surgeon for proper documentation.

Reclaim Your Confidence and Clear Vision Today!

At Sadeghi Center for Plastic Surgery, our experienced team is here to guide you through every step, from consultation to recovery. If you’re noticing the signs you might be ready for eyelid surgery, don’t wait. Regain your field of vision, restore a youthful look, and feel more confident in your skin.

Schedule your consultation with us today and take the first step toward a brighter, refreshed you!