Blepharoplasty, commonly referred to as eyelid surgery, is a popular cosmetic procedure designed to improve the appearance of the eyelids. As we age, the skin around the eyes can become loose, and fatty deposits may form, leading to a tired or aged look. Here’s how patients achieve a more youthful and refreshed appearance in the area!

How does a blepharoplasty work?

Blepharoplasty involves removing excess skin, fat, and sometimes muscle from the eyelids. Dr. Victor “Vic” Baviera Lopez, Belo’s oculoplastic and constructive surgeon, shares that blepharoplasty is a general term used to address surgery for the eyelids. 

The procedure can correct droopy upper eyelids that may impair vision and reduce puffiness or bags under the eyes. In some cases, the surgeon may also reposition or remove fat to enhance the eye area’s contour.

In Belo, the surgery typically takes 30 minutes, rather than the typical two to three hours. “We use a carbon dioxide-based laser,” says Dr. Lopez.  “It limits everything: your downtime, swelling, bruising and surgical time. We do it with the help of the laser and the Belo technique.”

It is usually performed under local anesthesia.

Who is an ideal candidate?

“Those who want to lift their eyes. Those who have eyebags, droopy eyelids,” says Dr. Lopez. Among other criterion include:

• Has excess skin on the upper or lower eyelids.
• Experiences puffiness or bags under the eyes.
• Suffers from drooping upper eyelids that impair vision.
• Is in good overall health, without serious eye conditions or medical issues that could complicate surgery.
• Has realistic expectations about the outcome of the procedure.

Patients typically seek blepharoplasty in their 50s or older, but it can be beneficial for younger individuals with genetic predispositions to droopy or puffy eyelids. This is why it’s important to book a consultation with a Belo surgeon – they’ll be able to determine if this surgery is suitable for your skin condition, goals, etc.

What can a patient expect from this procedure?

 With the consultation done and cleared, it’s time to prepare for the surgery! Patients may need to:

• Stop smoking several weeks before surgery to promote better healing.
• Avoid certain medications and supplements that could increase bleeding.
• Arrange for someone to drive them home after the surgery and assist with post-operative care.

Worry not – the surgeon will provide specific instructions tailored to each patient. 

Dr. Lopez also shared one of the main expectations for patients is of course, the result.

“Patients can expect looking younger, as if we’re moving back in time. To a fresher, and more youthful look.”

What are the risks?

Like any surgery, blepharoplasty carries certain risks. These include:

• Infection and bleeding
• Adverse reactions to anesthesia
• Dry, irritated eyes
• Difficulty closing the eyes completely
• Scarring
• Temporary blurred vision or, in rare cases, loss of vision
• Asymmetry or uneven healing
• Possible need for revision surgery

While complications are uncommon, it’s essential to discuss potential risks with your Belo surgeon before proceeding.

What is downtime/recovery like?

The downtime after blepharoplasty is relatively short compared to other cosmetic procedures. Most patients can return to their normal activities within 10 to 14 days, though complete recovery can take several weeks. During the first week, patients may experience swelling, bruising, and mild discomfort. Cold compresses and prescribed medications can help manage these symptoms.

Patients are advised to avoid strenuous activities, heavy lifting, and bending over for at least a week to reduce the risk of bleeding or swelling. Wearing sunglasses to protect the eyes from sun and wind, and using lubricating eye drops as recommended by the surgeon, can also aid in recovery.

Are the results permanent?

Blepharoplasty results are long-lasting, but they are not entirely permanent. “Of course, these things will come with age,” shared Dr. Lopez. 

Can a patient “re-do” the surgery in the future? “If needed, yes,” says Dr. Lopez. “As long as there is an area needed to improve.” 

Most patients enjoy their results for 10 to 15 years or more. Some individuals may require a touch-up procedure down the line, especially if they are prone to further drooping or puffiness.

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What are non-surgical eyelift options available?

“Some inject fillers to mask the eyebags. Some try skin tightening, but this will take time before it gets noticeable,” shares Dr. Lopez. 

Patients may opt to try our other treatments, such as Fractional CO2 Laser, SofWave (eyes), Fotona Microcoring and the Belo Beauty Cocktail.

However, Dr. Lopez shares that surgical blepharoplasty has more long lasting effects. “With surgical blepharoplasty, you can see the results soon, like in two weeks. You can already see the difference.”

Our surgical centers are located at Belo NEXA (One Ayala, Makati City), ⁠⁠Belo Greenhills in San Juan City and ⁠⁠Belo Tomas Morato in Quezon City. To book a consultation or for further queries, give us a call at 8819-BELO (2356) or book your appointment here.