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Amit Aesthetics
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Cosmetic Surgery

Eyelid Surgery (Blepharoplasty)

Blepharoplasty, or eyelid surgery, is a rejuvenating cosmetic procedure that addresses sagging upper eyelids, puffy under-eye bags, and excess skin around the eyes. The eyes are often the first area of the face to show signs of aging, and heavy or drooping eyelids can make you look tired, older, or even obstruct your peripheral vision. At Amit Aesthetics in Aligarh, Dr. Amit Agrawal performs blepharoplasty using refined surgical techniques that restore a naturally alert and youthful appearance to the eye area.

Two primary methods are employed depending on your specific concerns. Traditional blepharoplasty involves an incision made within the natural crease of the upper eyelid or just below the lash line of the lower eyelid. Through this incision, excess skin, protruding fat pads, and lax muscle are precisely removed or repositioned. The transconjunctival approach — used primarily for lower eyelid surgery — places the incision inside the eyelid, leaving absolutely no visible external scar. This technique is ideal for younger patients who have puffy lower lids but minimal excess skin.

For patients who are not ready for surgery or who have mild early changes, non-surgical alternatives such as radiofrequency skin tightening and Botox injections around the crow's feet may be considered. However, for moderate to significant eyelid sagging and fat herniation, blepharoplasty remains the gold-standard treatment with highly predictable, long-lasting results.

Interested in Blepharoplasty?

Schedule a consultation to discuss your options with Dr. Amit Agrawal.

Procedures & Techniques

  • Upper eyelid blepharoplasty (excess skin and fat removal)
  • Lower eyelid blepharoplasty (bag removal and skin tightening)
  • Transconjunctival blepharoplasty (scarless lower lid approach)
  • Combined upper and lower eyelid surgery
  • Fat repositioning for hollow under-eyes

Recovery & Aftercare

After blepharoplasty, cold compresses are applied to minimize swelling. Bruising and swelling around the eyes are expected and typically peak at 2–3 days before progressively improving. Most patients feel comfortable appearing in public within 7–10 days. Sutures are removed at 5–7 days. Eye drops and ointment may be prescribed to keep the eyes comfortable. Contact lenses can be resumed after 2 weeks. The final result becomes apparent within 2–3 months as all residual swelling settles.

Frequently Asked Questions

Who is a good candidate for eyelid surgery?
Ideal candidates include adults who have drooping upper eyelids, excess upper eyelid skin, puffy bags beneath the eyes, or fine wrinkles of the lower eyelid. Candidates should be in good general health, non-smokers (or willing to stop), and free of serious eye conditions such as glaucoma or detached retina. A thorough evaluation by Dr. Agrawal will confirm your suitability.
How is blepharoplasty performed?
Upper blepharoplasty involves an incision hidden within the natural eyelid crease. Excess skin and fat are removed, and the incision is closed with fine sutures. Lower blepharoplasty may use an external incision just below the lash line or a transconjunctival (inside the eyelid) approach. The choice of technique depends on the amount of excess skin and fat present.
What type of anesthesia is used?
Blepharoplasty is most commonly performed under local anesthesia with intravenous sedation, allowing you to remain comfortable and relaxed throughout the procedure without the need for general anesthesia. For patients undergoing combined upper and lower lid surgery or those who prefer it, general anesthesia is also available.
How long does eyelid surgery take?
Upper eyelid surgery alone typically takes 45 minutes to 1 hour. Lower eyelid surgery takes approximately 1–1.5 hours. When both upper and lower lids are treated simultaneously, the total procedure time is usually 1.5–2.5 hours.
How long do the results of blepharoplasty last?
The results of upper eyelid surgery typically last 7–10 years or longer, as the excess skin that is removed does not return quickly. Lower eyelid results are often even more enduring. While the natural aging process continues, most patients enjoy their rejuvenated appearance for many years before considering a revision.

Take the First Step

Schedule a confidential consultation with Dr. Amit Agrawal to discuss your goals and explore your options.