Eyelid Surgery in Montreal: Restore a Naturally Refreshed Look

Blepharoplasty treats specific changes around the eyelids, such as upper-lid skin that folds over the crease or lower-lid bags caused by prominent fat. The objective is not to erase every line, but to reduce heaviness while preserving eye shape and expression.

Upper and lower eyelid surgery solve different problems. Upper blepharoplasty removes a measured amount of skin and, when appropriate, adjusts fat. Lower blepharoplasty may remove or reposition fat, support the lid, and address limited skin laxity through an incision below the lashes or inside the eyelid.

Functional concerns and candidacy

Upper-lid skin can occasionally interfere with the superior visual field, but documentation and assessment differ from purely cosmetic surgery. Dry eye, thyroid eye disease, previous laser vision correction, blood-thinning medication, and lower-lid laxity may change the plan or make surgery inappropriate until another condition is addressed.

Potential risks include bleeding, infection, dry-eye symptoms, difficulty closing the eyes, asymmetry, visible scarring, lid malposition, altered sensation, and very rare vision-threatening complications. Conservative removal is important because skin and fat cannot simply be replaced if too much is taken.

The brow and cheek matter

A low brow can contribute to upper-lid hooding, while cheek descent and hollowing can affect the lower-lid transition. Eyelid surgery alone cannot correct every change in these neighbouring areas. Careful assessment also considers dry-eye symptoms, vision, previous procedures, and lower-lid tone.

Bruising, swelling, tightness, and temporary irritation are common early in recovery. Incisions mature gradually, and lower-lid swelling may last longer than expected. Excessive tissue removal can create a hollow or altered appearance, which is why conservative planning and tissue preservation are important.

Dr. Yalon Dolev evaluates the eyelids in relation to the brow, cheek, and overall facial anatomy. A consultation can determine whether upper blepharoplasty, lower blepharoplasty, or another approach best matches the concern.