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Eyelid Surgery / Blepharoplasty

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Eyelid Surgery / Blepharoplasty Surgery in Vancouver

Eyelid surgery is one the most popular cosmetic procedures performed today. During this procedure, excess skin and tissue are removed from the upper eyelids to create a result that makes the eyes look more open and alert. In addition, if the lower eyelids are being addressed, this surgery eliminates the bags and wrinkles under the eyes. In some circumstances, small volumes of fat are added to improve hollow regions. Our surgeons will assess the eyes and determine if an upper, lower, or combination surgery is needed to attain the results the patient desires.

The surgeons at Pacific Plastic Surgery Group are highly rated in Vancouver with extensive experience in cosmetic and reconstructive plastic surgery. Personalized, high quality care are the founding principles of our practice. Our team is dedicated in helping you realize your aesthetic goals.

During upper eyelid surgery, an incision is made within the natural fold of the upper lid. Once the incision is made, excess skin, tissue and, in some cases, a small portion of the orbicularis oculi muscle is removed. The incision is closed with temporary sutures and the scar remains almost completely hidden because of where it resides in the natural crease.

During lower eyelid surgery, an incision is made either along the bottom of the lash line, or from within the lower lid. An external incision allows the surgeon to tighten the skin where it is needed. In patients who have puffy lower eyelids but good skin tone, an approach known as a transconjunctival blepharoplasty can be performed. This technique places the incision inside the lower eyelid rather than outside. Patients who have dark circles under their eyes will sometimes have a deficiency of fat in these areas. The patients own fat can be used to help fill these soft-tissue deficiencies and can improve the appearance of these circles.

The Surgical Experience

Eyelid surgery is performed under local anaesthesia with mild sedation as an outpatient procedure in an accredited surgical facility. It generally takes up to 2 hours for both the upper and lower eyelids to be addressed. Following surgery, the area around the eyes will be bruised and swollen. Patients should apply ice packs, keep their heads elevated, and apply medicated eye ointment for a few days. Subtle, yet dramatic results restore a softer, more youthful appearance.


The cost for eyelid surgery varies for each patient and will fluctuate depending on whether both the upper and lower eyelids were addressed.

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  • Will my vision change?

    Upper eyelid surgery can help improve the vision for patients where the upper lid skin droops over the eye. Temporary dryness of the eyes is managed with eye drops, and may last 1-2 weeks. We take great care during this surgery so that the eyes themselves are left untouched and unharmed.

  • Will my “crows feet” be improved?

    Eyelid surgery corrects puffy bags and excess skin, but minimally affects crow’s feet. To truly treat crow’s feet, one will need a different approach. BOTOX® injections are better options to help eliminate crow’s feet.

  • Will there be visible scars?

    After surgery, scarring will not be easily visible because of where the incisions are placed. In the upper eyelid, the incision follows the natural crease of the eye. The lower eyelid incision will run just under the eyelashes or inside the eyelid. Scarring will be inconspicuous.

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