Your eyes are often the first thing people notice about you and are an important aspect of your overall appearance.  This is the area aging usually first shows up.  As we age, the tone and shape of our eyelids can loosen and sag.  Eyelid surgery can give the eyes a more youthful look by removing excess skin, bulging fat, and lax muscle from the upper or lower eyelids. If the sagging upper eyelid skin obstructs peripheral vision, blepharoplasty can eliminate the obstruction and expand the visual field.  This surgery is becoming increasingly popular due to the surprisingly noticeable results that this surgery can deliver.  Blepharoplasty performed by a qualified facial cosmetic surgeon can dramatically improve one’s appearance — by rejuvenating the eyes and the areas surrounding the eyes, by correcting drooping eyelids, by removing excess fat around the eyes, or even by removing the wrinkles around the eyes.  If drooping eyebrows are contributing greatly to “hooded” upper eyelids, a brow lift may be recommended as well.

Procedure of Upper and Lower Eyelid Surgery:

Upper Eyelid Surgery:

  • Incisions are made hidden in the natural eyelid crease
  • Excess fat and skin are removed
  • If the lid is droopy, the muscle that raises the upper lid can be tightened
  • The incision is then closed with fine sutures

Lower Eyelid Surgery:

  • Incisions are made along or just below the lash line to remove skin and/or fat, or
  • Incisions are made in the interior of the eyelids (transconjunctival) to remove or reposition fat
  • The incision is then closed with fine sutures

Risks involved in Eyelid Surgery

Eyelid surgery, although considered a low-risk procedure, comes with some potential risks and complications, which include:

  • Bleeding: There may be a chance of uncontrolled bleeding.
  • Anesthesia Risks: A person’s body may not react positively to anesthesia.
  • Swelling: Swelling may be experienced after the surgery
  • Infection: There is always a chance of infection from any surgery
  • Vision change: There may be experiences of change in the vision.
  • Pain: Most pain associated with this surgery is controlled by medications.
  • Repeat Surgery: if the desired results are not achieved during the first surgery, another surgery may be required to complete the procedure.
  • Dryness: The eyes may experience some sort of dryness post-surgery.
  • Sensitivity to light: There can be increased sensitivity to light or sunlight after the surgery.
  • Scarring: Though the incisions are small, some scarring should be expected. Most scarring disappears within 1-2 years.

Recovery — what to expect:

After surgery you spend time in a recovery room, where you are monitored for complications. You can leave later that same day to recuperate at home.  Eyelids should look normal within a week or two.

After surgery you may temporarily experience:

  • Blurred vision from the lubricating ointment applied to your eyes
  • Watering eyes
  • Light sensitivity
  • Double vision
  • Redness where the cuts were made
  • Puffy, numb eyelids
  • Swelling and bruising similar to having “black eyes”
  • Some pain

Your doctor will likely suggest you take the following steps after surgery:

  • Gently clean your eyelids and use prescribed eye drops or ointments.
  • Avoid straining, heavy lifting and swimming for 10 to 14 days.
  • Avoid strenuous activities, such as aerobics and jogging, for 10 to 14 days.
  • Avoid activities in which you must move your head abruptly or that increase the blood pressure in your head.
  • Avoid bending over, which causes your head to be lower than your heart.
  • Avoid smoking.
  • Avoid rubbing your eyes — IMPORTANT.
  • If you use contact lenses, don’t put them in for about two weeks after surgery.
  • Wear darkly tinted sunglasses to protect the skin of your eyelids from sun and wind.
  • Sleep with your head raised higher than your chest for a few days.
  • Apply cool compresses to reduce swelling the first 48 hours.
  • Stitches removal, if needed, is usually done a week after surgery.
  • For a few days, avoid aspirin and other blood-thinning or anti-inflammatory medications or herbal supplements that may increase bleeding. If needed, use acetaminophen (Tylenol, others) to control pain.

Seek medical attention immediately if you experience any of the following:

  • Shortness of breath
  • Chest pain
  • An unusual heart rate
  • Severe new eye pain
  • Bleeding
  • Vision problems


For more information about eyelid surgery in Costa Rica or to contact a leading facial cosmetic surgeon in Costa Rica, please fill out the “Help Me Find a Doctor” form in this page.  A participating medical specialist will contact you to discuss your case.