101, Mani Mahal, Mathews Road, Opera House, Mumbai, Maharashtra 400004
Blepharoplasty in Mumbai
Upper & Lower Eyelid Surgery by Dr. Vicky Jain · Plastic & Reconstructive Surgeon
- Board Certified
- 17+ Years Experience
- International Training
What is Blepharoplasty?
Blepharoplasty is surgical correction of the eyelids. It removes excess skin, repositions or removes fat deposits, and restores the eyelid contour that makes eyes look rested, open, and younger. The eyes are the focal point of the face and the first feature to show structural aging. When that structure changes, the entire face reads as tired, stressed, or older than it is.
No topical product removes excess eyelid skin or repositions herniated fat. Once the structural change has occurred, surgery is the only effective correction. Dr. Vicky Jain performs blepharoplasty on the upper eyelids, lower eyelids, or both, depending on where the concern is and what the anatomy requires.
Upper blepharoplasty addresses drooping skin that weighs down the eyelid and in severe cases obstructs the upper visual field. Lower blepharoplasty addresses the fat pockets that create under-eye bags and the loose skin that wrinkles the under-eye area. Both procedures are frequently performed together for complete eye rejuvenation.
What Blepharoplasty Corrects
Droopy Upper Eyelids
Excess skin accumulates on the upper eyelid with age, creating a hooded appearance that makes eyes look smaller and heavier. Upper blepharoplasty removes this skin and restores a defined eyelid contour.
Under-Eye Bags
Fat pockets beneath the lower eyelid herniate forward with age, creating the bulge known as under-eye bags. Lower blepharoplasty removes or redistributes this fat to smooth the under-eye contour.
Tired or Sleepy Appearance
Heavy upper eyelids and puffy lower eyelids together create a fatigued look that persists regardless of how much sleep you get. Correcting both restores an alert, rested appearance at rest.
Wrinkled Under-Eye Skin
Loose lower eyelid skin creates fine wrinkling and crepey texture beneath the eye. Lower blepharoplasty removes the excess skin responsible for this alongside fat correction.
Vision Obstruction
In significant upper eyelid ptosis, the excess skin droops far enough to obstruct the upper visual field. Upper blepharoplasty corrects this functional problem alongside the cosmetic improvement.
Eyes That Look Older Than Your Face
When eyelid aging outpaces the rest of the face, the eyes become the dominant aging signal. Blepharoplasty brings the eyes back into proportion with the rest of your appearance.
Types of Eyelid Surgery
Upper Blepharoplasty
An incision is made in the natural crease of the upper eyelid, excess skin is removed, and the incision is closed with fine sutures. The scar sits within the crease and is not visible when the eye is open. Surgery takes 45 to 60 minutes. Local anesthesia with sedation is sufficient in most cases.
Lower Blepharoplasty
Addresses fat pockets and loose skin beneath the eye. Two incision approaches are used depending on what the lower eyelid requires. The subciliary approach places the incision just below the lash line and allows skin removal alongside fat correction. The transconjunctival approach goes through the inner surface of the lower eyelid with no external scar, used when fat removal alone is needed and skin quality is good.
Combined Upper and Lower Blepharoplasty
Both eyelids are addressed in a single procedure for patients with concerns in both areas. This is the most common approach for complete eye rejuvenation and avoids a second surgery.
Combination with Other Procedures
Blepharoplasty is frequently combined with fat grafting to the tear trough to address the hollow beneath the eye bag, laser resurfacing to improve lower eyelid skin texture, and facelift for patients who want complete facial rejuvenation. Dr. Jain discusses which combinations apply to your specific anatomy during consultation.
How Blepharoplasty Surgery is Performed
Upper blepharoplasty takes 45 to 60 minutes under local anesthesia with sedation or general anesthesia. Dr. Jain marks the upper eyelid crease precisely before surgery, makes the incision within the crease, removes the measured amount of skin and any excess fat, and closes with fine sutures. The incision is hidden in the crease when the eye is open.
Lower blepharoplasty takes 60 to 90 minutes depending on technique and whether both skin and fat are addressed. For the subciliary approach, the incision runs just below the lower lash line. Fat is removed or repositioned, excess skin is trimmed, and closure is done with fine sutures that are removed within 5 to 7 days. For the transconjunctival approach, the incision is made inside the lower eyelid and no external sutures are required.
Most patients go home the same day. Cold compresses, head elevation, and avoiding eye strain are the main requirements during the first 48 hours.
Recovery Timeline
Days 1 to 3
Swelling and bruising around both eyes. This is normal and peaks at 48 hours before beginning to reduce.
Days 5 to 7
Sutures are removed. Bruising fades from dark to yellow. Most patients can go out with sunglasses.
Weeks 1 to 2
Most patients return to desk work. Swelling continues to reduce. Eyes look noticeably more rested.
Weeks 3 to 4 and Beyond
The eyelids settle into their final position. Residual swelling resolves fully by month 2 to 3. Final results are assessed at 3 months.
Who Is a Good Candidate for Blepharoplasty?
Most patients are between 35 and 65, though younger patients with genetic predisposition to under-eye bags or heavy upper eyelids are good candidates regardless of age. The deciding factor is the structural concern, not age alone. Patients in their 30s with significant under-eye fat herniation benefit from early correction before surrounding tissue changes compound the problem.
Good candidates are in good general health, do not have dry eye conditions that surgery could worsen, and have specific concerns with their upper or lower eyelids. Patients who are regularly asked if they are tired, notice their eyes look smaller or heavier than they used to, or see persistent puffiness that does not respond to sleep or lifestyle changes are typical candidates. Patients with vision obstruction from upper eyelid skin have both a cosmetic and functional reason for surgery.
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Would Recommend
17+
Years Experience
5★
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What Patients Say
Natural results and a professional team—supportive staff and thorough follow-up.
Sonal B.
FaceliftRefreshed and natural—subtle results exactly as I hoped.
Anjali K.
Non-Surgical TreatmentFrequently Asked Questions
What is the difference between upper and lower blepharoplasty?
Upper blepharoplasty removes excess skin from the upper eyelid to correct drooping and restore a defined eyelid crease. Lower blepharoplasty removes or repositions fat beneath the lower eyelid to reduce under-eye bags and smooth the under-eye contour. Both are frequently performed together.
Will blepharoplasty remove dark circles?
It depends on the cause. Dark circles from under-eye bags and shadow cast by the fat pocket improve significantly after lower blepharoplasty. Dark circles caused by pigmentation or thin skin are a separate concern not addressed by surgery alone.
How long does blepharoplasty recovery take?
Most patients return to desk work within 7 to 10 days. Bruising and swelling are presentable with makeup by week 2. Final results are visible at 2 to 3 months as residual swelling fully resolves.
Are blepharoplasty results permanent?
Upper eyelid results are long-lasting, typically 8 to 12 years, before additional skin laxity develops with continued aging. Lower eyelid fat removal is permanent. The aging process continues after surgery, but from a corrected baseline.
Will there be visible scarring after eyelid surgery?
Upper eyelid scars sit within the natural eyelid crease and are not visible when the eye is open. Lower eyelid scars from the subciliary approach run along the lash line and fade to near-invisible within 6 months. The transconjunctival approach leaves no external scar at all.
Is blepharoplasty painful?
Surgery is performed under anesthesia. Post-operative discomfort is mild, described by most patients as tightness and sensitivity rather than pain. Eye drops and standard medication manage this during the first few days.
Can blepharoplasty be combined with other procedures?
Yes. Common combinations include fat grafting to the tear trough, facelift for patients who want complete facial rejuvenation, and laser resurfacing to improve lower eyelid skin texture. Dr. Jain recommends combinations based on your specific anatomy during consultation.
Can blepharoplasty improve vision?
Yes, in cases where excess upper eyelid skin droops into the upper visual field. Upper blepharoplasty removes this obstruction and is considered a functional procedure in these cases, distinct from its cosmetic application.
