Blepharoplasty, or eyelid surgery, is a precise procedure designed to remove or reposition excess skin, muscle, and fat from the upper and/or lower eyelids. It can improve both aesthetic appearance and, in some cases, vision if drooping upper lids interfere with sight. At Enigma Plastic Surgery, we focus on subtle, natural rejuvenation — never an overdone or “surgical” look.

Blepharoplasty can address:

• Sagging or loose skin that creates folds around the eyes
• Puffy upper eyelids
• Under-eye bags or shadowing
• Fat deposits that cause bulging or tired appearance
• Fine lines and wrinkles around the eyes

Ideal candidates are healthy adults who:

• Experience droopy eyelids, puffiness, or excess skin around the eyes
• Have realistic expectations for improvement rather than perfection
• Do not have serious eye or medical conditions that could impair healing

During your consultation, your surgeon will assess your eyelid anatomy, skin elasticity, and facial balance to determine the best approach.

At Enigma Plastic Surgery, we perform:

• Upper Blepharoplasty: Removes excess skin and tightens the upper lid for a more awake appearance.
• Lower Blepharoplasty: Reduces under-eye bags, puffiness, and sagging skin for smoother contours.

In some cases, both can be performed together for complete rejuvenation of the eye area.

Eyelid surgery is performed under local anesthesia with sedation for patient comfort. Your surgeon makes precise incisions along natural eyelid creases or inside the lower lid (for a scarless approach). Excess skin and fat are adjusted or removed, and the area is carefully sutured for minimal visibility. The procedure typically takes 1–2 hours depending on the case.

Most patients return home the same day and can resume light activities within 2–3 days. Swelling and mild bruising are normal for the first week and gradually fade. Stitches are usually removed after 5–7 days, and full healing occurs over 2–4 weeks. Cold compresses, prescribed ointments, and head elevation will help minimize swelling and promote recovery.

Incisions are placed within the natural eyelid creases or inside the eyelid, making scars virtually invisible once healed. At Enigma, we use meticulous surgical techniques and fine sutures to ensure the most discreet results possible.

Results from eyelid surgery are long-lasting, with most patients enjoying their rejuvenated look for 10 years or more. While the natural aging process continues, excess skin and fat rarely return to their original extent. Maintaining good skincare and sun protection helps preserve results even longer.

As with any surgical procedure, blepharoplasty carries some risks such as swelling, bruising, or temporary dry eyes. Severe complications are rare when performed by experienced surgeons. Your provider will review all details, safety measures, and post-operative instructions during your consultation.

Yes — eyelid surgery is often combined with facelift, brow lift, or laser resurfacing for a more complete facial rejuvenation. Your surgeon will recommend the most effective combination for your aesthetic goals while maintaining natural balance and proportion.

Most patients return to work in about 7–10 days after surgery. Makeup can typically be worn after one week, once incisions are fully healed. Swelling and redness continue to improve for several weeks, revealing your refreshed appearance.

At Enigma Medi Spa & Plastic Surgery, our board-certified physicians combine surgical artistry with advanced techniques to create elegant, natural outcomes. We emphasize safety, comfort, and personalization — performing procedures in a state-of-the-art medical facility equipped with the latest technology. With thousands of successful aesthetic treatments performed since 2007, Enigma remains one of Philadelphia’s top destinations for facial rejuvenation.