Cosmetic Eyelid Surgery (Blepharoplasty)

What is Cosmetic Eyelid Surgery?

This is a surgical procedure that improves the appearance of the upper and lower eyelids. As we become older (and on occasion due to hereditary reasons) the skin on our eyelids becomes excessive and gives us a tired look. If you are concerned about the excess of skin on your eyelids which make you look old, tired, or angry, you may be a candidate for this procedure.

This cosmetic procedure treats:

  • sagging and loose skin on the upper eyelids which obscures the natural fold of the upper eyelid
  • redundant skin that may obstruct vision
  • redundant fatty deposits in upper and lower eyelids
  • bags or “festoons” in the lower eyelids
  • excessive wrinkles in the lower eyelids

This cosmetic procedure corrects the skin redundancy and restores a more youthful appearance to the eyelids. It makes the individual look more rested, less angry, and more alert.

This operation is appropriate for those individuals who:

  • have no medical problems and specifically no eye diseases such as retinal detachment, dry eyes, or Graves disease (a thyroid gland disorder that affects the eyes).
  • are not smokers (and if they are must be willing to stop around the time of surgery)
  • have realistic expectations, positive outlook and specific goals

Where do I start?

An initial consultation with Dr. Thoma is a good point to start. In this consultation you will be informed about the procedure, and how this will enhance your appearance. The consultation will include:

  • a discussion of your expectations and an assessment of your eyelids
  • a discussion of the various techniques available and approaches to your problem
  • the expected outcome from this type of surgery and the possible complication
  • the general plan for the surgery

At this consult you will be given the opportunity to ask any relevant questions regarding the procedure.

The Evaluation Process

The success of the surgery will depend to a great degree on your outlook of life and your physical health. These will be assessed during the initial consultation and in subsequent visits. The overall success of the surgery will also depend on the following:

  • the extent of sharing your expectations honestly with Dr. Thoma
  • you fully disclose your medical and surgical history, and any prescribed or “off the shelf” medications you take including herbal or vitamin supplements, alcohol, smoking or other drugs
  • your commitment to listen and follow Dr. Thoma’s recommendations and advice


Safety in Cosmetic Eyelid Surgery

If you follow Dr. Thoma’s instructions, then you will have taken an important step to ensure a safe procedure. Dr. Thoma is a certified plastic surgeon by the Royal College of Physicians and Surgeons of Canada. This certification designates surgeons who trained in plastic and cosmetic surgery.


My Cosmetic Eyelid Surgery (Blepharoplasty)

Dr. Thoma will discuss the types of techniques used to rejuvenate the appearance of your eyelids. This surgery can have very dramatic improvement in your appearance. The sagging and redundant skin can only be achieved by surgical excision. Some other ancillary procedures may be used to enhance the overall appearance. This procedure may be used with a facelift on occasion or it can be done alone.

Preparation for Eyelid Surgery (Blepharoplasty)

Dr. Thoma will explain the operation that you have both agreed upon and will most likely provide you with the best cosmetic result. You will be given a prescription of pain medications so you don’t have to worry about it on the day of the surgery. You will be told which activities are permissible and which are not after the surgery and for how long. You will also be educated on the care of your eyelids until you recover. Instructions will be given to you on what to do in the event of an unlikely complication, such as infection or bleeding.

After Surgery

After surgery there will be no dressings on the suture line, just some antibiotic ointment. You will be accompanied home by one of your relatives or friends. You will be given an appointment for the next office visit, usually within one week. You may wash your face and eyelids the day after the surgery. You will be asked to apply some icepacks over your face to minimize the swelling and bruising.


The recovery and healing process is a gradual one. You are expected to be up walking around the same day as the surgery. You need to avoid strenuous activities until you recover. Some bruising is expected after the surgery which usually clears up within seven days. You may have to wear sun glasses for the first week to conceal the bruising when you are in public for the first week. You may resume unrestricted sports activities within two weeks of the surgery.

Expected Result

It is anticipated that you will notice immediate improvement in your eyelids after the surgery. The final result will be evident to you within one month after the surgery once all the swelling has subsided. Eventually the small scars become inconspicuous.

These are photos of Dr. Thoma’s patients. Written consent has been obtained to use them.