Blepharoplasty is usually performed as an outpatient procedure that requires local anesthesia and sedation. General anesthesia may be used for anxious patients. Patients can choose to have this procedure for the upper or lower eyelid, or both. The procedure can take from 45 minutes to 2 hours, depending on whether the upper and lower eyelids are operated on. When operating on the upper eyelid, the incision is usually made along its natural fold.
Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is removed. For the lower eyelid, an incision is usually made just below the lash line so that excess skin can be removed. After the procedure, the incisions are closed with sutures, tissue glue or surgical tape, and usually loosely covered with gauze so the area can heal.