Indications for blepharoplasty

Upper eyelid blepharoplasty is performed if the excess droopy upper lid skin (dermatochalasis) is causing problems from overhang, impairing vision, sitting on the upper eyelashes or causing headache and tiredness from continually lifting the eyebrows and forehead in order to lift the skin off the lashes. It can also be done solely for cosmetic or aesthetic reasons.

Excess droopy upper eyelid skin can also be associated with eyelid ptosis (drooping upper eyelid) or eyebrow ptosis (drooping of the eyebrows), therefore a careful facial examination is required, as this may also have to be addressed surgically.

Lower eyelid blepharoplasty is performed if the lower eyelids are excessively puffy. Lower eyelid surgery is very delicate and therefore precise ophthalmic assessment is needed to determine the amount of protrusion from fat or from loose skin, the degree of eyelid laxity and also whether there are dry eyes. Several different aspects may have to be addresses. Some patients have a medical cause for puffy lower eyelids such as Graves' ophthalmopathy (also known as thyroid eye disease) — these patients typically have excess fatty protrusion or bags. However, lower lid blepharoplasty is most commonly performed for cosmetic or aesthetic reasons.