A Brighter, More Rested Look

The delicate skin around the eyes is often one of the first areas to show visible signs of aging. Over time, the eyelids may stretch, and the surrounding muscles weaken, leading to sagging skin, puffiness, or drooping lids that can make you appear tired or older than you feel.
At PSG, our board-certified plastic surgeons perform eyelid surgery, also known as blepharoplasty, to restore a refreshed and well-rested appearance. By removing excess skin and refining the underlying tissues, this procedure improves the contour of both the upper and lower eyelids. In some cases, upper eyelid surgery may even be covered by your health plan if excess skin interferes with vision.

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What Eyelid Surgery Can Do

Eyelid surgery can rejuvenate the upper and lower eyelid areas, improving both appearance and comfort. Depending on your concerns, the procedure may address the following issues.

Upper Eyelid Surgery can:

  • Remove loose, sagging skin that droops over the lash line
  • Create a more defined and natural upper eyelid crease
  • Restore clear vision if eyelid hooding obstructs sight
  • Refresh tired or aged-looking eyes

Lower Eyelid Surgery can:

  • Remove puffy bags beneath the eyes
  • Tighten and smooth wrinkled skin
  • Reposition or remove excess fat for a smoother contour
  • Reduce shadows and hollowness beneath the eyes

If drooping brows contribute to upper eyelid heaviness, a brow lift may also be recommended for optimal results. For fine lines and crow’s feet, non-surgical treatments such as Botox, chemical peels, or laser resurfacing may complement your surgical results.

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Testimonials Words From Our Patients

N.G.

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am ...

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am very impressed with how the healing has gone - back pain disappeared and with how thorough he is as a surgeon I believe that’s what helped the recovery process. Would recommend him and the office to anyone. :)

R.M.

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes t...

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes the time to explain everything in detail and answer any and all questions. Her expertise and her skills are truly exceptional. She is very easy to talk to and truly a master of her profession. I would not hesitate to recommend her services to anyone who wants the best. Laurie was also amazing. She is very friendly, knowledgeable and helpful. Dr. Prince and Laurie are both a real credit to the Plastic Surgery Group at City Centre.

S.W.

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of hu...

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of humour for what was a stressful time for me. The follow up visit was on time and I was booked for a second surgery. The second surgery was again, punctual and professional with a touch of humour. I am in the process of booking a follow up to my latest surgery now. I would not hesitate to use Dr. Oxley again.

K.G.

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make s...

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make sure I am still doing well. I would recommend him to anyone who is considering this surgery. He is honest and very helpful, provided all of the information I needed to make decision regarding my surgery. I feel like it's one of the best decisions I have ever made for my confidence. He did an incredible job, I trust him 100% and would not hesitate to put myself into his care again. Highly, highly recommend Dr. Ratanshi and his team!

R.M.

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-c...

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-cell carcinoma. He has always been the ultimate professional but with a kind and gentle manner that calms any anxiety a patient might be feeling. And when my most recently removed skin tested positive for melanoma I was anxious indeed! This time it was a spot on my cheek that would require a large amount of tissue removal, a biopsy of the closest lymph node, and skin grafting, all done under general anesthesia. But I need not have worried. Dr. Mian was reassuring and amazingly skillful, the surgery was successful, the melanoma contained, and the complicated skin graft has healed so well that the incision on my face is already starting to disappear. Thank you, Dr. Mian! 

J.H.

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I...

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I found my doctor. She is knowledgeable, experienced, kind and caring. Dr Genoway listened to all of my concerns, gave me honest medical opinion, including to comeback in a few years as I am too young for a particular procedures. I felt comfortable and not rushed or pressured. Most importantly I felt safe and in good hands. Ended up having my postpartum reconstruction and 2 other procedures (long time dream) in one go. Recovery was fast considering the extent of the procedures. I didn’t need the prescribed pain medication at all. She just has this “light hand”. Most importantly, the results are better than expected! Natural looking, better version of me, but still me. I feel more confident and much happier in my own skin.

M.Y.

I had my breast surgery in Plastic Surgery Group. Well organized safe and the best care during my surgery. Thank you guys and wish you all the best. 

G.M.

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery w...

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery was scary to me but I have zero regrets. Barely any pain or discomfort after surgery and any back pain I had before is now gone. I walk straighter and clothes fit better. My self esteem has improved. Would recommend this office and the actual surgery to anyone considering it. It’s a game changer.

T.W.

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence ...

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence of having this operation, go for it!! The pain level was a 1, if that. I kept waiting for the shoe to drop and the pain to hit me, never happened. Two week post op...ready to play tennis, but will wait another week. Thank you Dr.Prince and Lori!

J.P.

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Alw...

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Always greeting you as you come in and happy to answer any questions and concerns over the phone or via email. I never once felt alone during this process. Overall I recommend this capable and compassionate team. You'll be in good hands.

J.H.

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I ...

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I was in a very dark place emotionally due to the appearance of my body. Dr. Ratanshi preformed a deep inferior epigastric perforator surgery and it was a complete success. I believe Dr Ratanshi saved my life! A very skilled surgeon and a wonderful man.

J.C.

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best...

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best think I ever did for my health. Thank you Suman worth your weight in gold. Dr Mian Life changing can't not begin to Thank you. Absolutely best experience

C.A.

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort ...

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort on their end to look after my needs put me at ease. The seamless communication and follow-up care post-surgery further solidified my trust in their expertise. I was truly impressed by the pride they take in their work, and I'm grateful for the wonderful care I received. 

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Who Is a Good Candidate?

You may be an ideal candidate for blepharoplasty if you:

  • Have sagging or wrinkled upper eyelids
  • Notice puffiness or prominent bags beneath the eyes
  • Experience vision obstruction from drooping upper lids
  • Are in good overall health and do not smoke
  • Have realistic expectations about the outcomes of surgery
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Your Consultation Experience

During your first visit, one of our surgeons will carefully evaluate your eye area, discuss your goals, and recommend a surgical plan suited to your anatomy and desired results. 

In some cases, eyelid surgery may be combined with other rejuvenating procedures, such as a facelift or brow lift, to achieve balanced, harmonious outcomes.

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Eyelid Surgery Procedure

Blepharoplasty can be performed under local or general anesthesia. The procedure typically takes between 45 minutes and 1.5 hours, depending on whether the upper, lower, or both eyelids are being treated. Patients can return home the same day.

Upper Eyelid Surgery

For upper eyelids, your surgeon removes excess skin and small pockets of fat through precise incisions hidden along the natural eyelid crease. If sagging extends into the crow’s feet area, incisions may be extended slightly outward for smoother contouring. Once healed, scars are nearly invisible and blend naturally into the surrounding skin.

Lower Eyelid Surgery

For lower eyelids, there are two main techniques:

  • External incision (subciliary approach): Made just beneath the lashes to remove loose skin and tighten support structures. Fat may be removed or repositioned to smooth puffiness.
  • Internal incision (transconjunctival approach): Made on the inside of the eyelid, leaving no external scar. This approach is ideal for patients who only need fat repositioning without skin removal.

In some cases, a canthopexy may be performed to reinforce lower eyelid support and prevent drooping.

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Preparing for Surgery

Before your procedure, you will meet with your care team for a preoperative appointment. This includes reviewing medications, aftercare, and what to expect during recovery. You will be advised to:

  • Stop taking blood thinners, anti-inflammatory medications, and certain herbal supplements (such as ginkgo biloba, St. John’s Wort, and high-dose vitamin E) for two weeks prior to surgery
  • Avoid smoking before and after your procedure to promote healing
  • Arrange transportation and at-home assistance for the day of surgery
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Recovery Timeline

Most patients experience mild swelling, tightness, and temporary numbness around the eyelids during the first few days following surgery. Any discomfort is typically minimal and can be managed with prescribed or over-the-counter medication. Typical recovery milestones include:

  • Light activity: The next day
  • Return to work: One to three weeks, depending on the procedure
  • Bruising resolution: Within two to three weeks
  • Final results: After swelling subsides, usually within six to eight weeks

Lower eyelid recovery may take slightly longer than upper eyelid recovery due to increased sensitivity in the area. Incisions are carefully placed within natural creases or along the lash line, allowing scars to fade and blend naturally over time.

Possible Risks and Considerations

Eyelid surgery is safe and highly effective when performed by a qualified surgeon. However, all surgical procedures carry potential risks, including:

  • Temporary swelling or bruising
    Infection or delayed healing
    Asymmetry or numbness
    Dry eyes or excessive tearing
    Temporary difficulty closing the eyes completely
    Very rare vision changes

Your surgeon will review all possible complications during your consultation and ensure you understand every aspect of your procedure and recovery.

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Frequently Asked Questions Eyelid Surgery

Ready to refresh tired-looking eyes and restore a brighter, more youthful appearance? Schedule your consultation with PSG in Surrey, British Columbia, to learn more about eyelid surgery and how blepharoplasty can enhance your natural features.

Is eyelid surgery painful?

No. Anesthetic is used during the procedure, and most patients experience only mild discomfort afterward, which can usually be managed with medication.

Can men benefit from blepharoplasty?

Yes. Eyelid surgery can help men reduce drooping or puffiness around the eyes, creating a more refreshed and natural appearance.

Will I have visible scars?

Incisions are carefully placed along the natural folds of the eyelids, allowing scars to remain well concealed and fade significantly over time.

When will I see results?

Most swelling and bruising resolve within about two weeks, while final results generally become fully visible within two to three months.

Is eyelid surgery ever covered by insurance?

Yes. If excess upper eyelid skin interferes with vision, the procedure may qualify for insurance coverage. This is determined through a comprehensive eyelid evaluation and visual field examination.

How long will the results last?

Results are long-lasting, although the natural aging process will continue gradually over time.

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Schedule a Consultation

Schedule a consultation with one of our surgeons and get honest guidance tailored to your aesthetic goals, right here in Surrey.

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