Upper and lower eyelid surgery — removing excess skin, muscle and fat to brighten the eyes, eliminate puffiness and restore a youthful, wide-awake appearance.
The eyes are the most expressive feature of the face and the first to show the effects of ageing. Blepharoplasty removes excess upper eyelid skin (which can cause a hooded appearance and even obstruct vision), and treats lower eyelid fat bags and fine wrinkled skin. The procedure is frequently performed alone under local anaesthesia with sedation, or combined with a facelift for comprehensive facial rejuvenation.
Dr. Thusay assesses eyelid skin excess, fat herniation and lacrimal gland position. A basic visual field test documents any functional impairment from upper lid hooding.
Precise pre-operative markings on the upper eyelid crease ensure exactly the right amount of skin is removed while preserving natural fold.
Upper lid: small ellipse of skin (+/- orbicularis muscle and fat) removed via a crease incision, closed with fine sutures. Lower lid: fat repositioned or removed via a transconjunctival or subciliary incision.
Cold compresses for the first 24–48 hours. Bruising and swelling peak at day 3, significantly better by day 7. Sutures removed at day 5–7.
Most patients return to work at 7–10 days. Eyes appear brighter and more open immediately. Final result visible at 4–6 weeks.
Upper blepharoplasty scars sit precisely within the natural eyelid crease and are invisible when the eyes are open. Lower transconjunctival scars are inside the eyelid — no external scar. Subciliary lower lid scars sit just below the lash line and fade over 3–6 months.
Yes — if excess upper eyelid skin is obstructing the superior visual field, upper blepharoplasty is a functional as well as cosmetic procedure. A visual field test documents this and may support insurance coverage.
Upper blepharoplasty is commonly performed under local anaesthesia with mild sedation as a day procedure. Lower blepharoplasty is often done the same way. Combined upper and lower blepharoplasty may be done under general anaesthesia. Dr. Thusay will recommend the most appropriate option.
Upper lid results last 7–12 years. Lower lid fat removal is generally permanent as fat does not regrow. Skin changes from continued ageing will occur, but you will always look better than without surgery.
Temporary dry eye symptoms (irritation, grittiness) are common in the first 4–6 weeks and are managed with lubricating eye drops. Pre-existing dry eye should be assessed and optimised before surgery. Permanent worsening of dry eye from conservative blepharoplasty is rare.
Yes, and frequently so. Blepharoplasty is the ideal complement to a facelift — addressing the eye area while the facelift addresses the mid-face and neck.
A brow lift elevates the position of a descended eyebrow, which can also cause hooding of the upper lid. A blepharoplasty addresses the eyelid itself. Dr. Thusay will assess whether one or both procedures are needed — sometimes a brow lift alone resolves upper lid hooding without any lid surgery.
Yes. Dr. Thusay is experienced in double eyelid surgery (Asian blepharoplasty) — creating a supratarsal fold in patients who lack a natural upper eyelid crease, for a brighter, more open eye appearance that remains appropriate to Asian facial aesthetics.
Dr. Pranav Thusay will personally assess your case and create a tailored plan.