The upper eyelids play a central role in both expression and eye protection. As we age—or due to genetics or medical conditions—changes in this area can create heaviness, hooding, or a tired appearance. In some cases, the eyelid itself may droop, obstructing vision and altering the natural eyelid contour.
Upper eyelid surgery addresses these concerns by restoring a refreshed, open-eyed appearance while ensuring the eyelids function properly. As a board-certified oculofacial plastic surgeon and ophthalmologist, Dr. Nina Boal combines advanced microsurgical skill with an artistic approach to achieve natural, safe, and long-lasting results.
What is an Upper Eyelid Blepharoplasty?
Removes Excess Skin and Restores a Brighter, More Youthful Appearance
Blepharoplasty focuses on removing excess upper eyelid skin, and when needed, small amounts of fat or muscle. This procedure treats concerns such as:
- Heaviness or hooding of the eyelids
- Puffiness or bulkiness along the upper lid
- Overhanging skin that obscures vision
- Makeup smudging or difficulty applying eyeliner
By refining the upper eyelid contour, Dr. Boal restores smoothness, symmetry, and a more open, refreshed appearance.
What is ptosis surgery?
Lifts a Drooping Eyelid Muscle to Restore Normal Height and Function
Ptosis (pronounced toe-sis) refers to true eyelid drooping, caused by the weakening or stretching of the levator muscle—the muscle responsible for lifting the eyelid. Unlike blepharoplasty, which removes excess skin, ptosis repair elevates the eyelid itself to a more natural, symmetric position.
Signs you may need ptosis repair include:
- One eyelid sitting noticeably lower than the other
- Needing to lift the eyebrows to see
- Feeling tired or strained from trying to keep the eyes open
- Difficulty with reading or driving due to eyelid obstruction
- Ptosis repair strengthens, tightens, or reinserts the eyelid lifting muscle to restore proper height and improve both appearance and function.
How do I know if I need a blepharoplasty or a ptosis repair surgery?
The easiest way to tell is to understand what is causing your upper eyelid to look heavy. Excess skin and true eyelid drooping can look similar, but they require different treatments.
A blepharoplasty is typically recommended when the issue is extra skin or fullness on the upper eyelid.
A ptosis repair, on the other hand, is needed when the eyelid itself sits too low because the lifting muscle has weakened or stretched.
During your consultation, Dr. Nina Boal performs a detailed, precise exam to pinpoint the true cause of your eyelid changes. Sometimes patients need both procedures for the best functional and cosmetic results. Her dual training as a board-certified ophthalmologist and fellowship-trained oculofacial plastic surgeon allows her to determine exactly which surgery will give you the safest and most effective outcome.
THE BENEFITS OF UPPER EYELID SURGERY
- Restores a more youthful, alert appearance
- Improves peripheral vision blocked by drooping skin
- Reduces eyelid heaviness and discomfort
- Enhances self-confidence and facial symmetry
- Creates smoother, more defined upper eyelids
RECOVERY AND RESULTS
Expect mild swelling, bruising, and tightness for five to ten days. Most patients resume social activities within 10–14 days, although subtle refinements continue for several weeks. Results are long-lasting, especially when combined with good skin care and sun protection.
FAQ
Is upper eyelid surgery painful?
Most patients experience minimal discomfort that typically resolves within a few days. Over-the-counter or prescription pain relievers are usually sufficient to manage any discomfort.
What kind of anesthesia is used?
Upper eyelid surgery can be performed under local anesthesia in the office, or in our state-of-the-art surgery center in Lansdale with local anesthesia with sedation or general anesthesia, depending on your needs and goals.
Will I have visible scars?
Incisions are meticulously measured and placed to hide within your eyelids natural crease. The incision line will generally fade well over time.
What are the risks?
Potential risks include swelling, bruising, asymmetry and dry eye. Choosing an experienced eyelid surgery specialist, such as Dr. Boal, helps minimize these risks.
How long do the results last?
The results typically last 10 years or longer. While the natural aging process continues, most patients enjoy long-lasting improvements in under-eye contour and overall appearance.
When can I return to work or social events?
Most patients resume light activities within a few days and feel comfortable attending social events within 10 to 14 days, depending on individual healing.
