How Long Does Eyelid Surgery Take? Real Dr. Explains

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Dr. Joel Kopelman

March 2, 2025

Many patients at Kopelman Aesthetic Surgery in New York City ask how long blepharoplasty surgery takes and what to expect throughout the process. Dr. Joel E. Kopelman, a renowned expert in facial plastic surgery, provides personalized care that emphasizes precision and natural-looking outcomes.

If you’re wondering how long blepharoplasty takes, the answer is that most procedures last 45 minutes to two hours, depending on how complex the surgery is. This article explores what influences that timeline and how your experience may vary.

Procedure Duration and What Affects It

How Long Does Blepharoplasty or Eyelid Surgery Take to Perform?

The average blepharoplasty procedure takes approximately 45 minutes per eyelid. A full upper and lower eyelid procedure may last one to two hours. The surgical timeline varies slightly based on whether the treatment involves one or both eyelids.

Upper vs Lower Eyelid Surgery Time

Upper eyelid surgery typically requires less timeโ€”usually around 30 to 45 minutes. Lower eyelid procedures, especially those using the transconjunctival approach, may take longer due to their complexity and delicate tissue handling.

Surgeon Experience, Anatomy, and Anesthesia

A skilled surgeon like Dr. Kopelman can perform the procedure efficiently without compromising safety or results. Factors such as patient age, the degree of eye bags or sagging, and whether local anesthesia or general anesthesia is used will also influence the total duration.

Is Eyelid Surgery Minor or Major?

While blepharoplasty is classified as a minor surgical procedure, it requires meticulous technique and artistic judgment. Despite its outpatient nature, it involves precise incisions and detailed tissue management, especially when the goal is to remove excess skin and restore symmetry.

Recovery Timeline and Healing Process

How Long Does Eyelid Surgery Take to Heal?

Most patients experience visible swelling and bruising for the first week. The initial recovery period generally lasts 10 to 14 days, though residual swelling may persist for a few weeks.

Upper vs Lower Blepharoplasty Recovery

Recovery from upper blepharoplasty tends to be faster than lower lid procedures. Lower eyelid surgery may require extra care due to the potential for increased swelling or tearing.

Week-by-Week Healing Milestones

  • Week 1: Sutures removed; most bruising subsides.
  • Week 2: Patients can return to work or non-strenuous activities.
  • Week 3-4: Swelling decreases; makeup can often be resumed.
  • Week 6+: Final results become more visible as healing completes.

When to Resume Normal Activities

Patients should avoid strenuous activities like heavy lifting or intense workouts for at least 2โ€“3 weeks. Light walking is typically permitted after the first few days. Based on individual healing progress, returning to full daily routines should be discussed with the surgeon.

Why You Should Avoid TV After Surgery

Watching TV or using screens excessively can strain the eyes during early healing. Patients are advised to limit screen time for the first 48โ€“72 hours to reduce dryness and promote better recovery.

What to Expect Before, During, and After Surgery

Do They Put You to Sleep for Eyelid Surgery?

Depending on patient needs and preferences, either local anesthesia with sedation or general anesthesia may be used. Both methods are safe and effective when administered by a qualified anesthesiologist.

How Painful Is Eyelid Lift Surgery?

Discomfort after an eyelid lift is usually mild and easily managed with prescribed medication. Some tightness or irritation may be felt during the first few days, but significant pain is uncommon.

Post-Op Care and Comfort Tips

  • Apply cold compresses during the first 48 hours.
  • Sleep with your head elevated.
  • Avoid rubbing or touching the eyes.
  • Use prescribed ointments as directed by your surgeon.

Results, Longevity, and Aesthetic Impact

How Many Years Does Blepharoplasty Take Off?

Patients often report looking 5 to 10 years younger after blepharoplasty. The procedure significantly rejuvenates the appearance by correcting drooping lids and smoothing under-eye puffiness.

How Long Does Plastic Surgery Like This Last?

Eyelid surgery results typically last 7 to 10 years. The longevity depends on lifestyle, skin condition, and natural aging processes. Maintenance treatments or a brow lift may extend results further.

Touch-Ups and Long-Term Maintenance

Most patients do not require repeat surgery for many years. However, some may consider minor touch-ups or complementary cosmetic surgery procedures like laser resurfacing to maintain their refreshed look.

Potential Risks and How to Minimize Them

While eyelid surgery is considered safe when performed by experienced plastic surgeons, itโ€™s still important to understand the potential risks. These can include infection, excessive swelling, dry eyes, asymmetry, or delayed healing.

To minimize these risks:

  • Choose a board-certified facial plastic surgery expert like Dr. Joel E. Kopelman.
  • Disclose all relevant medical conditions and medications before surgery.
  • Follow all pre- and post-operative instructions closely.

Candidacy and Cost Considerations

How to Qualify for Eyelid Surgery

Ideal candidates are healthy individuals with no severe medical conditions that could impair healing. Candidates often experience visual obstruction or dissatisfaction with sagging upper and lower eyelids.

Upper Eyelid Surgery Cost

Costs vary depending on the complexity of the upper eyelid surgery, the type of anesthesia used, and the surgeonโ€™s expertise. At Kopelman Aesthetic Surgery, each treatment plan is tailored, and detailed cost estimates are provided during consultation.

Frequently Asked Questions

How long should I avoid makeup after eyelid surgery?

Most patients can safely resume using eye makeup after 2 to 3 weeks, once incisions have healed and swelling subsides.

Will I have visible scars after a blepharoplasty procedure?

Incisions are typically placed within the natural folds of the eyelid, making scars very discreet and often barely noticeable over time.

Can eyelid surgery fix droopy eyebrows too?

Eyelid surgery primarily addresses sagging lids, but a separate brow lift may be recommended for significant brow drooping.

Is blepharoplasty only cosmetic, or can it be medical?

It can be both. When upper eyelids obstruct vision, the procedure may be considered medically necessary and potentially covered by insurance.

How soon will I see final results?

While initial improvements are noticeable within 2โ€“3 weeks, full results typically emerge after 6โ€“8 weeks once swelling has completely resolved.

Why Choose Dr. Kopelman for Your Eyelid Procedure

Choosing a surgeon with proven expertise is essential if you’re considering an eyelid procedure. Dr. Joel E. Kopelman brings over 35 years of experience in facial plastic surgery, combining technical mastery with artistic precision.

His extensive background ensures that every patient receives a customized approach that prioritizes safety, aesthetic balance, and long-lasting results.

With thousands of successful surgical procedures performed, Dr. Kopelman remains one of the most trusted and respected names in New York for facial rejuvenation.

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