Blepharoplasty (Eyelid Surgery)

Blepharoplasty is one of the most common aesthetic surgical procedures globally, addressing two distinct anatomical changes that affect the periorbital region with age. Upper lid blepharoplasty corrects dermatochalasis — the redundant, overhanging skin of the upper eyelid caused by loss of elasticity, gravitational descent, and the brow ptosis that loads additional skin onto the lid. In severe cases, this excess skin encroaches on the superior visual…

At EsteticUsti, upper blepharoplasty incisions are placed in the natural supratarsal crease (where the lid folds when open), concealing the scar within the crease when the eyes are open. For lower lids, a subciliary approach places the incision 1–2 mm below the lash line; alternatively, a transconjunctival approach (incision inside the lower lid) leaves no external scar, making it the preferred technique when only fat redistribution is needed without skin…

For fat prolapse correction, the herniated orbital fat pads may be excised or — increasingly favoured — transposed into the tear trough depression, simultaneously correcting the lower lid bag and the infraorbital hollowness without creating a skeletonised, operated appearance. The procedure is performed under local anaesthesia for most patients; general anaesthesia is available for anxious patients or combined upper-lower procedures requiring longer…