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Upper blepharoplasty (upper eyelid surgery) is a precise surgical procedure performed through an incision placed in the natural eyelid crease. This allows the removal of excess skin and selective adjustment of underlying tissues without visible external scarring.
The goal is not simply to “tighten” the eyelid, but to restore anatomical balance, improve visual function when affected, and achieve a natural, refreshed appearance.
You may be a suitable candidate if you experience:
• Drooping upper eyelid skin (dermatochalasis)
• Hooded eyes or heavy eyelids
• Reduced superior visual field
• A constantly tired or aged appearance
• Makeup difficulty due to excess skin fold
Functional symptoms may include eyebrow strain, forehead tension, or the need to raise the eyebrows to improve vision.
In selected patients, upper blepharoplasty can significantly improve the superior visual field. When excess skin overlaps the eyelid margin, it can obstruct peripheral vision and reduce visual comfort.
Functional upper blepharoplasty differs from purely cosmetic surgery. In medically indicated cases, the objective is to remove the skin causing obstruction while preserving eyelid stability and avoiding over-resection. Careful preoperative assessment determines whether the procedure has a functional indication.
The procedure is typically performed under local anaesthesia with sedation or general anaesthesia, depending on the clinical context.
Key principles include:
• Incision concealed in the natural eyelid crease
• Conservative skin excision
• Preservation of orbicularis muscle integrity
• Selective fat repositioning or removal when required
• Respect for eyelid symmetry and brow position
Surgery usually takes 45–60 minutes.
Most patients experience mild swelling and bruising during the first 7–10 days. Sutures are typically removed within one week.
Expected recovery timeline:
• Days 1–3: mild swelling and tightness
• Days 5–7: suture removal
• 10–14 days: return to most social activities
• 4–6 weeks: refinement of final contour
Scars are concealed in the natural crease and typically become barely visible over time.
Upper blepharoplasty corrects excess skin and drooping of the upper eyelids. Lower blepharoplasty addresses under-eye bags and fat prolapse in the lower eyelids. Some patients benefit from combining both procedures for comprehensive rejuvenation.
Upper blepharoplasty results are long-lasting. While ageing continues, excess skin removal provides durable improvement.
The incision is hidden in the eyelid crease and usually heals discreetly.
Yes. It can be combined with brow lift, lower blepharoplasty, or facial rejuvenation procedures when appropriate.
Discomfort is generally mild and well controlled with medication.
Consultations and surgery are performed in Lisbon (primary practice) and Évora (secondary location), offering patients access to hospital-level safety standards and individualized surgical planning.
Each surgical plan is tailored based on facial anatomy, functional assessment, and aesthetic goals. The objective is always a natural, harmonious result that respects the patient’s identity.
