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 ...

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...

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...

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...

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...

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...

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...

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 ...

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...

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 ...

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...

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 ...

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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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