Blepharoplasty (Eyelid Surgery) in Toronto

Blepharoplasty Before & After Pictures

Starts at $6,999
Procedure Time
2-3 hours
Recovery Time
7-10 days

Cost of Blepharoplasty (Eyelid Surgery)

A blepharoplasty procedure in Toronto starts at $6,999 and includes a post-op anti-aging skin rejuvenation program. Because the procedure is considered cosmetic and elective, it is not covered by insurance. However, special financing options are available for our patients.

How Long Does it Take to Recover From a Blepharoplasty?

The recovery time from blepharoplasty is, on average, 7-10 days.

How Long Does Blepharoplasty Surgery Take?

This entirely depends on the type of blepharoplasty the patient would like to undergo. Generally, upper, lower, or double blepharoplasty procedures can be performed by SpaMedica doctors in 1-2 hours.

What is a Blepharoplasty?

A blepharoplasty, commonly referred to as eyelid surgery (or eye bag surgery), removes or tightens sagging skin, bulging fat, and excess muscle around the eyes, resulting in a smoother, more youthful appearance.

For blepharoplasty on the upper eyelids, the surgeon cuts along the fold of the eyelid and removes the excess skin. For the lower eyelid, the surgeon removes and redistributes the excess skin and fat.

What Can Blepharoplasty Treat?

Blepharoplasty can treat:

Blepharoplasty is usually done for cosmetic reasons, but it can also improve sight by lifting the upper eyelids/removing excess skin that might be blocking your eye from seeing everything. You can always combine this procedure with laser resurfacing, forehead lifts, or dermal fillers/Botox to bring even more youthfulness to your newly rejuvenated, youthful appearance.

Am I a Good Candidate for Blepharoplasty?

The right candidates for blepharoplasty are generally over the age of 30, and tend to be healthy and fit. All those with signs of aging in the upper or lower eyelid may be suited for this type of plastic surgery.

Ideal candidates usually struggle with the following:

  • Upper and lower eyelid excess skin
  • Upper and lower eyelid excess fat pads
  • Wrinkled skin and creping around the eyes
  • Lower lid bags and dark circles
  • Lower lid muscle bulge or “tootsie roll”
  • Lower lid tear trough

To undergo this surgery, you must be:

  • At least 18 years old
  • Physically, mentally, and emotionally healthy
  • Free of any conditions which may affect the look of your eyes, such as allergies or thyroid issues
  • Clear of medical conditions that may affect your vision, such as diabetes, macular degeneration, glaucoma, or cataracts
  • Blepharoplasty patients must have realistic expectations about what eyelid surgery can accomplish for your appearance

Blepharoplasty Benefits

1) Restore Your Confidence

Moderate swelling, puffiness, lines, wrinkles, and excess flesh under and over the eyes are natural parts of aging. Though for many men and women, it’s not a welcome part of growing old! A lower eyelid lift and/or upper lid blepharoplasty will not only remove the droopy, saggy skin, wrinkles, and baggy areas, but will also improve the appearance of dark circles under the eye.

2) Feel and Look Younger

Blepharoplasty is a powerful way to give your facial features a revived appearance, enhancing the shape and appearance of your eyes. Those who undergo cosmetic blepharoplasty surgery tend to look years younger, more awake, refreshed, and natural.

3) Fewer Fine Lines and Wrinkles

While this is not the primary goal of cosmetic eyelid surgery, many patients notice an improvement in the upper and lower lid lines and wrinkles. Lifting both the upper and lower lids can reduce the number of deep, fine lines and crow’s feet around the eyes.

4) Minimal Scarring

The scarring involved in blepharoplasty is barely noticeable. In fact, any scarring is expertly hidden in the natural folds of the eyelids. This benefit is vital in ensuring that the results of the blepharoplasty are long-lasting and natural-looking.

Blepharoplasty Risks & Complications

Like all procedures, blepharoplasty comes with the risk of potential complications. Although Dr. Bell has not seen most of the risks listed below, these risks have been reported:

  • Mild Discomfort. While some patients describe mild discomfort during the treatment itself, the recovery period is known to be pain-free.
  • Discolouration. A Blepharoplasty can potentially lead to a slight discolouration on the skin surrounding the eyelids. However, colour should return to the area in the days following the procedure.
  • Adverse Effects of Anesthesia. Some patients may experience adverse effects from the anesthesia involved in the surgery. Prior to your surgery, Dr. Bell will review your medical history to determine the best sedation for your condition.
  • Bruising. In rare cases, the procedure may result in bruising that can last several days.

Why Choose SpaMedica for Blepharoplasty?

Dr. Bell prides his excellence on the harmonious balance of vision, aesthetic appearance, and patient care. He is known for his masterful skill and his personalized and respectful approach to patients.

At SpaMedica, all blepharoplasty procedures are administered under local or general anesthesia with IV sedation. Our on-site surgical suite, recovery, and overnight rooms exceed the highest levels of certification, making our plastic surgery centre one of the most dependable and elevated experiences in pre and post-op care.

Different Types of Blepharoplasty

1) Eyelid Lift

An eyelid lift can refer to ptosis repair or upper eyelid blepharoplasty. Blepharoplasty refers to fatty deposits, and excess skin is trimmed away from the upper eyelid or lower eyelid. Ptosis repair surgery involves repairing the upper eyelid’s muscle to elevate the upper lid’s height.

2) Lower Blepharoplasty

Lower blepharoplasty tightens and repositions the lower eyelids to create a more contoured appearance. A small incision is made along the lower lids, and fat and excess tissue are removed or repositioned.

3) Upper Blepharoplasty

Upper blepharoplasty helps remove excess upper eyelid skin and can also reduce bulging fat pads in the area. Excess skin and fat is removed during the surgical procedure, and sometimes a thin strip of muscle is also removed during the procedure.

Non-Surgical Blepharoplasty Alternatives

Many non-surgical blepharoplasty alternatives are available, such as:

These can all be used on the upper and lower eyelids with great success. These non-surgical alternatives often make a significant difference and, while they do not replace blepharoplasty surgery, represent a good option for patients who are unable to undergo more invasive surgery.

How is Blepharoplasty (Eyelid Surgery) Performed by Dr. Tom Bell?

Under the direct care of Dr. Bell, all blepharoplasty procedures are performed within SpaMedica’s state-of-the-art surgical suites. Blepharoplasty is one of the most commonly performed procedures at SpaMedica in Toronto. As one of Canada’s most renowned plastic surgeons, Dr. Bell believes every patient should be treated with the utmost individualized care.

Dr. Bell, named Canada’s best cosmetic surgeon by W magazine, has performed over 3,000 facelifts, blepharoplasty, and cosmetic facial procedures. Dr. Bell will work directly with each blepharoplasty patient to determine their unique needs.

How to Prepare for a Blepharoplasty

To ensure successful blepharoplasty surgery, you will be advised to take the following precautions:

  • A pre-op evaluation for ocular diseases is essential, and Dr. Bell will discuss this during your consultation.
  • Avoid anti-inflammatory medications, Vitamin E, herbal supplements, or any medications containing these compounds for two weeks before surgery.
  • Refrain from smoking 2 weeks before and 2 weeks after surgery.
  • Avoid sun damage 2 weeks before surgery. We recommend wearing an SPF 30 or higher.
  • Your prescriptions (typically an antibiotic and pain medication) will be given to you on the day of your pre-operative appointment.
  • Do not eat or drink anything, including water, after midnight on the night before your surgery.
    Arrange for a friend or family member to take you home after the procedure.

What to Expect After a Blepharoplasty

After eye bag surgery, initial mild discomfort is controlled easily with oral medication, bruising and sensitivity to light can last for up to 2 weeks. All sutures are typically removed 7-10 days post-op, allowing you to wear your typical eye makeup.

Most bruising and swelling will subside by the second or third week after eyelid surgery. Expect temporary bruising and swelling of the eyelids.

Blepharoplasty Recovery & Timeline

Day of surgery: Schedule a friend or family member to drive you home after surgery.

Day 1-2: Use cold saline compresses for the first 24 hours for comfort and to reduce swelling and bruising. Ensure someone is at home with you for at least 1-2 days post-op.

Day 2-3: Patients can now read texts or watch television.

Week 1-2: You will have scheduled 2-3 post-op care appointments in the first 2 weeks at SpaMedica, with Dr. Bell’s very experienced post-op RN team. Wait at least 2 weeks before wearing contact lenses. Return to work in 10-14 days.

After your surgery, you should:

  • Avoid any high-impact exercises for at least 2-3 weeks.
  • Keep incisions clean with soap and water and inspect daily for signs of infection.
  • Take pain medication as prescribed, and do not take any aspirin or products containing aspirin unless your surgeon approves.
  • Sleep with your head elevated at a 45-degree angle for several days to minimize swelling.
  • Avoid exposing scars to the sun for at least 12 months, and always use a strong sunblock if exposure is unavoidable.

Best Procedures Paired with Blepharoplasty

Blepharoplasty surgery goes very well with a brow lift, cheek lift, threadlift, dermal fillers, Botox injectables and fractional RF/Morpheus resurfacing.

Combining a blepharoplasty with these complementary procedures can significantly enhance the overall results.

Blepharoplasty surgery goes very well with:

Combining a blepharoplasty with these complementary procedures can significantly enhance the overall results.

Blepharoplasty FAQ

How Do I Know If I Need an Eyelid Lift or Brow Lift?

The easiest way to determine which lift is right for you is to consider the following: are you consistently asked why you look so ‘tired’? If so, you are a likely candidate for upper blepharoplasty. If people often confuse your resting facial expression for anger, a brow lift may be for you. If, on the other hand, people constantly ask if you are tired, or if you did not sleep the night before, then a lower lid blepharoplasty may be best. 

Is There an Age Limit for Blepharoplasty?

Some may wonder if they are too old for eyelid surgery, and luckily age is not a factor in the matter, though your overall health is! The procedure is usually performed under local anesthetic, so patients who may be poor candidates for general anesthesia are still often in a good position to undergo blepharoplasty.

Do I need a General Anesthetic for a Blepharoplasty Surgery?

Your blepharoplasty surgery, uppers, lowers or both and other procedures you may need, can be performed under local anesthesia and light “twilight” sedation. However, if you would like to receive general anesthesia, SpaMedica is fully certified to provide this type of sedation to blepharoplasty patients.

Will I be in Pain Afterwards?

Following surgery, your eyelids may feel uncomfortable and irritated. Your doctor will give you medicine to help with this pain and discomfort. Usually, you will not require long term post-op narcotics, as NSAIDS is all that is needed. Most patients use just acetaminophen or ibuprofen after 10 days.

How to Apply Makeup After Blepharoplasty?

It is advised to wait for a full recovery, or 10 days, to start wearing makeup again.  However, this is entirely up to the discretion of your doctor, as some feel it is best to wait until the incisions completely heal.

Once your incisions are healed, it is crucial to use your makeup carefully, clean your brushes regularly, and avoid applying makeup with your fingers. The skin around your eyes is very delicate. It is also advised to replace old products such as mascara and eyeliner to prevent infection post-surgery. 

Can I Have Blepharoplasty After Laser Vision Correction Surgery?

If you’re hoping to receive both a blepharoplasty and a laser vision correction procedure, it’s ideal to have laser eye surgery before blepharoplasty. This allows for any corneal stress and swelling to dissipate around the eye area. Your doctor will most likely advise you to wait at least 6 months between procedures, giving your eyes a chance to heal. 

How Many Times Can You Have a Blepharoplasty?

If the initial blepharoplasty is performed at a young age, a second blepharoplasty can be performed after the patient has aged more, but it is typically not desirable to have this operation more than twice. However, the key to how many times you can undergo the procedure ultimately depends on your surgeon’s skill level. Upper eyelid blepharoplasty typically lasts at least 5-7 years, and lower eyelid surgery rarely needs to be repeated. Your eyes will, however, continue to age naturally after the surgery. If your lids do sag again, a forehead lift may be a better-suited procedure at that point. A consultation will help determine which surgery suits you best. 

Can Blepharoplasty Change the Shape of Your Eyes?

Changing the shape of the eye is not the typical goal of blepharoplasty surgery. Upper blepharoplasty is intended to refresh the area and remove any excess tissue, along with the small amount of fat contributing to the unwanted ‘hooded’ look. Meanwhile, a lower blepharoplasty works to conservatively remove a portion of the three fatty compartments in the lower lids creating that ‘puffy’ look. While it is possible to change your eye’s shape with blepharoplasty if this is the desired effect, it must be performed with great precision by a skilled surgeon and is best discussed during your consultation. 

What Is a Pinch Blepharoplasty?

The pinch blepharoplasty technique is designed for patients with too much skin along their lower eyelids and is perfect for perking up eyes that can benefit from a minor alteration. Excess skin along the lower lids can cause minor sagging, or skin folds that resemble wrinkles, and pinch eyelid surgery eliminates this excess skin without altering the fatty tissues or muscles underneath. The incision is placed near the eye’s outer corner so that any scarring is hidden in the natural crease that forms there. Your surgeon will then pinch the lower eyelid skin to remove any excess skin causing wrinkles or sagging. 

Can Droopy Eyelids Affect Your Vision?

Droopy eyelids can do more than make you look sad or tired–they can also gradually limit your field of vision. The two eye conditions which cause drooping eyelids and reduced vision are dermatochalasis and ptosis. Dermatochalasis, often related to aging, is characterized by excessive eyelid skin and presents more commonly on the upper eyelid. An advanced case can impair your vision, particularly your peripheral vision. Ptosis, on the other hand, is usually caused by muscle weakness and can occur at birth or develop due to aging. When the levator muscle in the eyelid is not working effectively due to ptosis, the lid margin begins to droop down into the field of vision. Blepharoplasty can address both conditions. 

Can I Watch TV After Eyelid Surgery?

While most people can return to work within 10 days of their blepharoplasty surgery, certain tasks that require you to focus your eyes continually may be challenging due to blurred vision. Your eyes will get tired easily, so try to limit reading, computer work, and watching TV for the first few days. You should be able to watch TV again after 3-4 days. 

How Is a Lower Blepharoplasty Performed?

A lower blepharoplasty solely targets the lower eyelids, and is typically performed with an internal (or transconjunctival) incision, placed inside the lower eyelid. This ensures that any scarring remains hidden and produces more natural-looking results. Your surgeon then removes or redistributes excess fat, muscle, and sagging skin before closing your incision back up. Schedule a consultation today to learn more about your blepharoplasty options at SpaMedica.

Thomas Bell, M.D
Physician and internationally recognized cosmetic plastic surgeon and lecturer.
66 Avenue Road, Suite 4 Toronto, Ontario M5R 3N8

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