Back to treatments

Upper Eyelid Surgery (Upper Blepharoplasty)

Lift and refresh heavy or sagging eyelids with upper blepharoplasty; a trusted surgical solution that restores youthful contours and may even improve vision.

Find a Provider

Overview

What is Upper Eyelid Surgery?

Upper eyelid surgery, or upper blepharoplasty, is a procedure designed to remove excess skin, fat, or muscle from the upper eyelids. It can improve drooping lids, create a more alert appearance, and even restore clearer vision if sagging skin obstructs your field of sight.

In addition to rejuvenation, upper blepharoplasty is culturally significant in Asian communities. Double eyelid surgery is the common name used in Asian contexts when the goal is to create or enhance a visible eyelid crease (a “double lid”) in someone who naturally has a “single lid” (no crease). This version of upper eyelid surgery is one of the most popular procedures among Asian patients seeking an open-eyed, symmetrical aesthetic.

Dr. Peter Lee

M.D., F.A.C.S.

Cost of Upper Eyelid Surgery

Upper eyelid surgery costs vary depending on your provider’s credentials, location, and whether it’s performed for cosmetic or functional reasons.

95–97%

Success rates

$4,200

Average cost (USD)

200,000+

Procedures performed annually

<3%

Complication rate

Average cost (USD)

$4,200

Cost Range (USD)

$2,500–$6,000

Insurance may cover upper eyelid surgery if it’s medically necessary to restore vision. A consultation can determine your coverage and exact cost.

Pros and Cons of Getting an Upper Eyelid Surgery

Pros

  • Reduces drooping and heaviness
  • Improves field of vision
  • Enhances eyelid contour and symmetry
  • Results are long-lasting
  • Often covered by insurance if medically necessary
  • Popular and safe across many ethnicities

Cons

  • Temporary bruising and swelling
  • Requires 1–2 weeks of downtime
  • Possible dry eye or irritation during healing
  • Visible scars during early healing phase
  • Surgical risks like infection or asymmetry
  • May require revision in rare cases

How it Works

Upper eyelid surgery begins with a personalized consultation to assess your goals, eyelid structure, and skin elasticity. On the day of surgery, precise incisions are made along the natural eyelid crease. Through these incisions, your surgeon removes or repositions excess skin, muscle, and fat. The area is then sutured using ultra-fine stitches to promote smooth healing and conceal scarring within the natural fold.

This outpatient procedure is typically performed under local anesthesia with sedation or general anesthesia. The result is a refreshed, lifted appearance that enhances the eyes without changing your natural expression.

What it Treats

Upper eyelid surgery treats droopy or hooded eyelids, sagging skin, and puffiness, and can improve obstructed vision.

Procedure Time

Most procedures take 45 to 90 minutes, depending on the individual’s anatomy and whether both eyes are being treated.

Eligibility

Good candidates are healthy, non-smoking adults with realistic expectations and visible upper eyelid sagging that affects appearance or vision.

Recovery & Downtime

Swelling and bruising typically lasts 7 to 14 days. Most patients return to light activities after one week and see full results within a few months.

What to Expect Before, During, and After an Upper Eyelid Surgery

Before Upper Eyelid Surgery

You’ll have a consultation and eyelid exam to assess skin laxity, vision impact, and surgical goals. Pre-op instructions will include medication guidelines and activity modifications.

During Upper Eyelid Surgery

Once numb or under light sedation, the surgeon marks the natural crease, removes redundant skin and fat, and closes with fine sutures. Incisions are designed to fade discreetly within the crease.

After Upper Eyelid Surgery

Apply cold compresses and elevate your head to reduce swelling. You may experience tightness or mild discomfort. Most people resume light activities in 5-7 days.

Potential Risks and Side Effects from an Upper Eyelid Surgery

Swelling and bruising

Mild to moderate swelling and bruising are expected during the first week and subside gradually.

Dryness or irritation

Temporary dryness, tightness, or sensitivity may occur. Use prescribed drops or ointments as directed.

Asymmetry or scarring

Rare complications include uneven results or visible scars. Proper healing and a skilled surgeon reduce this risk.

Frequently Asked Questions

Most patients can return to normal activities within 7 to 10 days. Bruising and swelling decreased significantly within the first week. Stitches are typically removed after 5 to 7 days. Full healing may take a few weeks, and results appear as residual swelling fades and incision lines mature.

You may be a good candidate if you have sagging or drooping upper eyelids that affect your appearance or vision. Ideal candidates are non-smokers in good general health with realistic expectations. A board-certified provider can evaluate your eyelid anatomy and discuss the best treatment options during your consultation.

The incision is made along the natural crease of the upper eyelid, allowing scars to remain hidden once healed. Most patients experience minimal scarring that fades significantly over time. Following post-operative care instructions and choosing an experienced surgeon are key to optimal healing and subtle, well-placed results.

Results from upper blepharoplasty typically last 10 to 15 years, depending on skin quality, genetics, and lifestyle. While the natural aging process continues, the improvements achieved through surgery are long-lasting. Some patients choose to combine their surgery with other treatments to maintain a refreshed and youthful appearance over time.

Upper eyelid surgery can actually improve vision when drooping lids obstruct the upper field of view. Rarely, temporary blurred vision or irritation may occur during healing. Permanent vision impairment is extremely uncommon. Choosing a qualified, board-certified surgeon helps minimize the risk of complications and ensures a safe recovery.

Sources & Studies

The following references provide clinical evidence and safety information on Upper Eyelid Surgery (Upper Blepharoplasty):

Overview of upper and lower blepharoplasty techniques, candidacy, recovery, and outcomes.

Clinical analysis of upper eyelid rejuvenation approaches and safety data.

Patient guidance on the procedure, risks, and what to expect.

All sources reviewed for clinical accuracy and relevance.

Locate a Certified Clinic for Upper Eyelid Surgery (Upper Blepharoplasty)

Discover trusted, world-class clinics verified for safety, expertise, and patient experience.