Blepharoplasty, or eyelid surgery, is one of the most requested facial rejuvenation procedures. It can deliver transformative results if you’re bothered by drooping upper lids, persistent under-eye bags, or simply want a more refreshed appearance. But before making the decision, it’s natural to wonder: how painful is blepharoplasty?

While any surgical procedure involves some discomfort, most patients are pleasantly surprised by how manageable the recovery after blepharoplasty is. The procedure itself is performed with local anesthesia (sometimes with sedation), so you won’t feel pain during the surgery. Afterward, most people describe the sensation as mild soreness or tightness rather than significant pain. Swelling and bruising are more noticeable than discomfort, and most individuals require no more than over-the-counter pain relief during recovery.

What Is Blepharoplasty?

Blepharoplasty is a surgical procedure that removes excess fat, skin, and muscle from the eyelids. It can be performed on the upper eyelids, lower eyelids, or both. The goal is to restore a more youthful, rested, and alert appearance. For some, it can also improve vision by lifting sagging skin that obstructs the field of sight.

Why Consider Eyelid Surgery?

Over time, the delicate skin around the eyes can lose elasticity, causing drooping, puffiness, or the appearance of bags. Blepharoplasty addresses these concerns, helping patients look less tired and more vibrant. Many people opt for eyelid surgery to boost confidence and feel more comfortable in their own skin.

How Painful Is Blepharoplasty?

A common question patients have is, “How painful is blepharoplasty?” Most individuals report surprisingly little pain during and after the procedure. The eyelid area is numbed with local anesthesia, and if needed, sedation can be used for added comfort. As a result, the surgery itself is virtually painless.

After the anesthesia wears off, patients typically experience mild soreness, tightness, or a sensation of heaviness around the eyes. It is not unusual to feel some sensitivity or itchiness as healing begins. However, most people describe the discomfort as minor and manageable with cold compresses and over-the-counter pain medication.

Swelling and bruising peak within the first 48 hours before gradually subsiding. Most patients feel comfortable returning to normal light activities within a few days.

Lower eyelid surgery rarely results in intense pain, though temporary swelling or a gritty feeling may occur during healing.

How Pain Is Managed During the Procedure

Your comfort is a top priority. Blepharoplasty is performed under local anesthesia, often with a mild sedative to help you relax. This ensures that you remain pain-free throughout the surgery. Dr. Ann Jayaram, MD, will check your comfort level before, during, and after the procedure.

Preventing and Minimizing Discomfort After Surgery

To keep discomfort to a minimum after blepharoplasty:

Use cold compresses: They reduce swelling and soothe the area.
Take prescribed pain relievers or recommended over-the-counter medication.
Sleep with your head elevated: This helps minimize swelling and throbbing.
Avoid strenuous activity to prevent increased blood flow and swelling.
Follow all post-operative instructions: This is crucial for a smooth, comfortable recovery.

For additional tips, you can review the blepharoplasty recovery process.

Types of Blepharoplasty

Upper Blepharoplasty

Upper lid blepharoplasty targets excess skin and fat on the upper eyelids. It’s ideal for those with sagging lids that make the eyes look tired or impede vision.

Lower Blepharoplasty

Lower blepharoplasty focuses on the area beneath the eyes, removing or repositioning fat to reduce puffiness and under-eye bags.

Differences Between Upper and Lower Eyelid Surgery

Upper eyelid surgery mainly addresses loose, drooping skin, while lower eyelid surgery is commonly performed to remove or redistribute fat and tighten skin under the eye. Recovery and discomfort levels are similar, though lower blepharoplasty may involve more swelling.

To see examples of both, explore the before-and-after eyelid surgery gallery.

Candidacy for Blepharoplasty

Candidates for blepharoplasty are typically healthy adults who are bothered by sagging upper eyelids, puffy lower eyelids, or both. Non-smokers and those without medical conditions that could impede healing are ideal.

There’s no strict age requirement, but most patients are in their 30s to 60s. Genetics, sun exposure, and skin type affect how soon signs of aging appear around the eyes.

Some individuals may also seek reconstructive surgery after trauma or medical conditions affecting the eyelids.

A qualified surgeon like Dr. Ann Jayaram will assess your unique anatomy and goals to determine if blepharoplasty is appropriate. Good candidates have realistic expectations and understand the recovery process.

Preparing for Blepharoplasty

Preparation can help ensure the smoothest experience and minimize discomfort:

Arrange for someone to drive you home after surgery.
Avoid blood-thinning medications (as advised by your surgeon).
Prepare cold compresses and loose, comfortable clothing.
Set up a relaxing recovery area at home, ideally with extra pillows.

For more detailed preparation guidelines, visit ellevatemd.com.

The Blepharoplasty Procedure

The target area is carefully cleansed and marked on the day of surgery. Local anesthetic is administered to numb the eyelids, and sedation may be provided. The surgeon then makes precise incisions, removes or repositions tissue as needed, and closes the incisions with fine sutures.

Most eyelid surgeries take between 45 minutes and 2 hours, depending on whether you’re having upper, lower, or both lids treated.

Blepharoplasty can be performed with a scalpel or a laser. Both methods achieve excellent results, but the choice depends on your anatomy and the surgeon’s recommendation. Laser techniques may reduce bleeding and swelling for some patients.

If you ever notice increased redness, swelling, or irritation after makeup removal, stop all products immediately and contact your care team. Remember, nurturing your eyes through gentle cleansing is key to a smooth recovery and the best long-term outcome.

Recovery and Results

Recovery from blepharoplasty is generally straightforward. Swelling and bruising peak in the first few days, then gradually subside. Stitches are usually removed within a week.

Most patients feel comfortable returning to desk work or social activities within 7–10 days. Strenuous exercise should be avoided for at least two weeks.
Temporary blurred vision, dryness, or watery eyes can occur but typically resolve within days. Normal vision and eye function are preserved.
Incisions are placed in natural eyelid creases or inside the lower lid, making scars virtually undetectable once healed.

Results often last 7–10 years or more, depending on skin quality, lifestyle, and genetics.

To view patient results, visit the blepharoplasty before-and-after gallery.

Cost and Additional Considerations

Blepharoplasty pricing varies depending on the extent of surgery and technique. As fee structures differ, we recommend discussing individualized pricing during your consultation. For more information, visit the blepharoplasty page.

Eyelid surgery is often combined with complementary treatments such as Botox or dermal fillers to enhance overall facial rejuvenation.

Frequently Asked Questions

Is Blepharoplasty Worth It?

Many patients report a significant boost in confidence and satisfaction with their appearance. The relatively low level of discomfort and quick recovery make it a popular choice for those seeking lasting improvement.

What Is Hooded Eyelid Surgery?

Hooded eyelid surgery refers to upper blepharoplasty, which removes excess skin that causes a “hooded” look over the eyes.

Will I Experience Long-Lasting Results?

Yes, results from blepharoplasty are long-lasting, with most patients enjoying their refreshed appearance for many years.

Why Choose Dr. Ann Jayaram at EllevateMD?

Dr. Ann Jayaram is a cosmetic eye surgeon specializing in blepharoplasty and eyelid rejuvenation in the Bay Area. Her focus is on patient comfort, safety, and satisfaction. Patients praise her caring demeanor and meticulous technique, making EllevateMD a trusted destination for eyelid rejuvenation.

Conclusion

While many people wonder how painful blepharoplasty is, most patients are surprised at how little discomfort they experience. With expert care, clear instructions, and modern techniques, eyelid surgery can be a highly rewarding experience. —

For more information about eyelid surgery, recovery, and patient stories, visit ellevatemd.com.

Before & After

Dr. Ann Jayaram

April 26, 2025