Medical Reasons for Blepharoplasty Surgery

While some patients choose to undergo eyelid surgery for cosmetic reasons, blepharoplasty is also performed to address functional concerns that impact comfort, vision, and eye health. These procedures are commonly performed as part of comprehensive facial plastic surgery, balancing aesthetic improvement with medical benefits.

Ptosis

Ptosis is the medical term for drooping of the eyelid and is often associated with sagging upper eyelids caused by age-related skin laxity. It may also occur following injury or previous eye surgery. When the condition becomes more pronounced, the drooping tissue can obstruct vision as the skin falls in front of the pupil.

In these cases, upper eyelid blepharoplasty may be recommended to restore a clearer field of vision. The procedure focuses on tightening weakened muscles, refining the upper lids, and carefully reshaping the area to create a more open, refreshed look.

Sagging Lower Eyelid

Concerns affecting the lower eyelids can also lead patients to seek treatment. During lower eyelid surgery, the surgeon works along the lash line to address excess skin and fat, reinforce supporting structures, and allow the eyelid to rest comfortably against the eye. In many cases, lower eyelid blepharoplasty both improves function and restores a smoother, more balanced appearance by tightening tissue and removes excess skin that contributes to sagging.

Eyelid Surgery FAQs

Can Botox lift droopy eyelids?

Botox injections can subtly reveal more of your eyes and slightly lift the eyelids, but it is not a permanent solution and has limited effectiveness in patients.

Can droopy eyelids cause blurred vision?

Yes, usually when the upper eyelid is drooping so much that it goes in front of the pupil, causing blurred or otherwise impaired vision.

Can I sleep on my side after eyelid surgery?

Dr. Bohley instructs eyelid surgery patients to avoid sleeping on their side as well as sleeping elevated to reduce swelling after eyelid surgery.

Can you get rid of hooded eyelids?

To get rid of hooded eyelids, you will likely most benefit from a surgical procedure that can remove excess skin and fat deposits that are causing the hooded appearance.

Does eyelid surgery leave scars?

Any surgery involving incisions will involve some degree of scarring, but these are easily concealed around the eye by hiding them in natural folds and creases.

What is eyelid surgery?

Eyelid surgery, or blepharoplasty, is a plastic surgery procedure that can help eliminate the bags and puffiness from under your lower eyelids or hooded skin from the upper eyelids. This procedure goes a long way in making you appear healthier and younger around the eyes. The best part is that any scars from the surgery are indiscernible since they remain hidden in the natural creases of the eyelid.

Am I a good candidate for eyelid surgery?

If you are generally healthy and a non-smoker, you are likely a good candidate for blepharoplasty. People who are good candidates also have specific and realistic goals for the procedure and don't have any serious eye conditions. Keep in mind that the appearance of drooping upper and lower eyelids could be due to stretching of a muscle or relaxation of the eyebrow and forehead skin, which a brow lift could help correct better than blepharoplasty. The best way to know if you're a good candidate for a blepharoplasty procedure is to consult with board-certified plastic surgeon Dr. Michael Bohley in Portland, Oregon who can help determine the best procedure for enhancing the appearance of droopy eyelids.

Will blepharoplasty leave visible scars?

Blepharoplasty incisions are placed within the eyelids' natural creases or inside the lower eyelid, making any scarring minimal and well-hidden. Over time, these scars usually fade significantly. Proper post-operative care helps ensure the best cosmetic outcome.

How long do the results of blepharoplasty last?

The results of blepharoplasty are long-lasting, often for ten years or more, especially when combined with a healthy skincare routine. While aging continues, patients typically enjoy a more refreshed and youthful appearance for many years. Maintenance treatments are rarely needed.

Is blepharoplasty only for cosmetic reasons?

While blepharoplasty is commonly performed for cosmetic enhancement, it can also address functional issues. Some patients experience impaired vision due to severely drooping upper eyelids, and surgery can improve their field of vision. In such cases, insurance may partially cover the procedure.

What are the risks associated with blepharoplasty?

Blepharoplasty carries temporary risks, including infection, bleeding, dry eyes, and difficulty closing the eyes. Choosing a board-certified and experienced surgeon reduces the likelihood of complications. Most patients experience smooth recoveries with satisfying results.

Can blepharoplasty be combined with other procedures?

Blepharoplasty is often combined with other facial procedures, such as brow lifts, facelifts, or non-surgical treatments such as Botox or dermal fillers. Combining procedures can enhance overall facial rejuvenation and create more balanced and youthful results. Your surgeon can recommend the best approach based on your goals.

How do I know if I need upper or lower blepharoplasty?

Upper blepharoplasty addresses sagging or drooping upper eyelids, while lower blepharoplasty focuses on under-eye bags, puffiness, and loose skin. Some patients benefit from both procedures for more comprehensive results. A consultation with a qualified surgeon will help determine the right treatment for your needs.

When will I see the final results of my blepharoplasty?

Most patients notice improvements within a few weeks, but swelling and bruising may take several weeks to resolve fully. Final results typically appear around two to three months after surgery as the eyelid area settles into its new shape. The results will continue to look natural and refined as healing is completed.

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What is the Recovery Like from Eyelid Surgery?

Most patients return to normal activities within 10 days of their upper or lower eyelid surgery. Applying cold packs, using artificial tears and over-the-counter painkillers (prescribed by Dr. Bohley), and limiting activity will help you the first few days immediately post-surgery.

You may experience extreme tearing, light sensitivity, double vision, and bruising and swelling (like a black eye) for the first three to four days. Any strenuous activity must be avoided for 14 days and bending over may be restricted for three to four weeks. Frequent napping may be required since your eyes may get tired easily. Dark sunglasses will help avoid irritation from the wind and sun.

What Are the Blepharoplasty Results?

The results from eyelid surgery are long-lasting. Removal of skin and fat from the upper eyelid as well as fatty tissue from under the lower lid results in a permanent solution of the aging process around the eyes. This can improve eye function and boost self-confidence by creating a more alert and awake appearance.

Any reappearance of skin over the upper eyelid will need to be corrected by a brow lift rather than another eyelid surgery.

How to Prepare for Blepharoplasty Consultation

If you’ve taken the step of scheduling a consultation about eyelid surgery, you should be prepared with detailed concerns, goals, and questions for Dr. Bohley. It’s natural and normal to feel anxious before this visit, and Dr. Bohley will work to relieve any fears you may have about the procedure as you discuss the details and what blepharoplasty eyelid surgery can achieve for you.

Questions to ask during the consultation will vary depending on your awareness of upper eyelid surgery and what you’re hoping to achieve. A good list of questions to start with is:

  • Am I a good candidate for eyelid surgery?
  • What will I need to do to get the best results?
  • Where and how will you perform this procedure?
  • What surgical technique is recommended for my specific concerns?
  • How long do you expect I will need for recovery?
  • What are the risks and complications associated with eyelid surgery?
  • How can I expect my eyes to look over time?
  • What are my options if I am not satisfied with the outcome of the surgery?

Dr. Bohley recommends patients research before-and-after photos, perhaps even bringing a few samples that match their current condition and desired final result to show him the clearest idea of what they’re hoping to achieve with eyelid surgery.

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Schedule an Eyelid Surgery Consultation in Portland, OR

For the resolution to all kinds of eyelid conditions in the Portland area, Dr. Bohley is here to help. Our accredited surgery center is equipped to handle all types of plastic surgery procedures, including blepharoplasty. To learn more about how this surgery can benefit the appearance of your upper or lower eyelids, contact us by calling (503) 897-8999 or filling out our contact form online.

Double Board-certified Plastic Surgeon |  + posts

Dr. Michael Bohley is a double board-certified plastic surgeon recognized as one of Portland’s leading experts in body, breast, and facial cosmetic procedures. With years of advanced training and a distinguished surgical career, he combines refined aesthetic judgment with meticulous technique to deliver consistently exceptional results. Renowned for his skill in tummy tucks, liposuction, breast augmentation, and mommy makeovers, Dr. Bohley develops highly individualized treatment plans to meet each patient’s unique goals. He is also recognized as an Allergan Partner Privileges Gold Member for 2026, reflecting his high level of experience and commitment to providing advanced aesthetic treatments. His dedication to patient education, safety, and precision has earned him membership in numerous prestigious professional organizations and the trust of patients throughout the greater Portland area.