Blepharoplasty (Eyelid Surgery) in Toronto

Blepharoplasty Before & After Pictures

Starts at $6,999
Procedure Time
1-2 hours
Recovery Time
7-10 days

How Much Does a Blepharoplasty Cost?

The cost of a blepharoplasty procedure 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 length of recovery time from a blepharoplasty is, on average, 7-10 days.

How Long Does a Blepharoplasty Surgery Take?

This is entirely dependent on the type of blepharoplasty that the patient would like to undergo. Generally, upper, lower, or double blepharoplasty procedures can be performed by the 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.

Do I need a Blepharoplasty?

If you feel like you are always getting comments on how tired you look due to puffy, saggy, and heavy eyelids, this procedure may be for you. Not only can it help you look more alert and refreshed,  but it can also remove dark circles and bags under the eyes. 

Though this procedure is cosmetic, some people opt for this surgery as they suffer from hooded lids that interfere with their line of sight and peripheral vision.  A blepharoplasty procedure in which the excess or drooping skin is trimmed away will make a world of difference for your vision and your confidence!

Unfortunately, unless a very significant field of vision obstruction occurs, the upper lid blepharoplasty is not covered by insurance.

Am I ready for Blepharoplasty?

If you have undergone a Botox injectable treatment to reduce crow’s feet and frown lines and you still feel as if you are constantly battling with the excess of skin and drooping eyelids that come with age, it may be time to meet with a board-certified plastic surgeon at SpaMedica.

With age, crow’s feet will extend to the lower lid region and, due to the loss of support and deflation of our cheeks, fat pads can protrude. Eyelid aging makes us look old and tired. A blepharoplasty can reverse this, making you look younger and refreshed. This is why blepharoplasty is one of the most common procedures at SpaMedica’s Toronto eyelid surgery clinic.

Beauty is in the eye of the beholder but, sometimes, it is in the eye (or eyelid) of the beheld!  Consult with us today to see if this procedure is right for you!

Who is a Blepharoplasty Candidate?

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. This includes:

●  Upper lid excess skin

●. Upper lid excess fat pads

●  Upper lid crepe, wrinkled skin

●  Lower lid bags and dark circles

●  Lower lid crepe wrinkled skin

●  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

While we invite all those interested in this procedure to reach out to SpaMedica for a consultation, if you do not feel that this is right for you, please visit our non-surgical procedure page. There, you will find anti-aging procedures designed to improve the appearance of the eyes, such as dermal fillers, Botox injectables, fractional resurfacing, and Morpheus.

Benefits of a Blepharoplasty

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.

Feel 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. 

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.

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

Like all procedures, blepharoplasty comes with the risk of potential complications. Dr. Mulholland, one of the best blepharoplasty surgeons in Toronto has been performing this procedure for 25 years and after this many procedures, the risk of a significant complication is very low. Although Dr. Mulholland 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.

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 to the anesthesia involved in the surgery. Prior to your surgery, Dr. Mulholland will review your medical history to determine the best sedation for your condition.

In rare cases, the procedure may result in bruising that can last several days.

Why Choose SpaMedica for Blepharoplasty?

Simply put, when you undergo plastic surgery in and around the eyes, you need to find a surgeon with years of experience in this practice, as it is such a delicate and prominent part of your facial features. Dr. Mulholland has performed over 2,000 blepharoplasty procedures over the past 25 years.

At SpaMedica, all of our 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

Cosmetic blepharoplasty surgery and eyelid rejuvenation surgery is very common. As we age, loss of fat and volume support of the brow and upper lid result in droopiness and excess skin on the upper eyelid. The upper lid skin will descend upon the upper eyelid structures, creating a deflated, tired, saggy, and aged appearance. With loss of facial fat and droopiness of the cheeks, lower lid fat pads, excess skin and muscle rolls can develop in the lower lid.

Lower Blepharoplasty

For lower lid surgery, an incision is made under the lower lashes where excess skin, muscle, and fat are then removed. Fat may also be redistributed within the area to improve puffiness or bulges. However, your plastic surgeon may consider a procedure in which there is no external incision needed. Trans-conjunctival lower blepharoplasty is an incision made through the inner surface of the lower eyelid, which circumvents an external incision through the skin, leaving no visible scar.

Upper Blepharoplasty

An incision is made in the upper lid crease and excess skin, muscle and fat pads are removed to alleviate the hooded tired look and preserve enough to allow for normal, more youthful eyelid closure. In some cases, a small amount of the orbicularis oculi, the muscle that closes the eyelid, is removed to keep the eyelid taught. Fat pads on the inner corner are often removed (near the nose), though fat is preserved over the middle of the eyelid, as removal often leads to a sunken appearance. Once the upper lid blepharoplasty is complete, the eyelid is closed with sutures, leaving the incision minimally visible in the eyelid crease.

Non-Surgical Blepharoplasty Alternatives

Non-Surgical treatments, such as Accutite (LidTite) bipolar radiofrequency lid tightening, Morpheus8, Fractional CO2, soft tissue dermal fillers and Botox injectable 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 a Blepharoplasty (Eyelid Surgery) Performed by Dr. Mulholland or Dr. Tom Bell?

Under the direct care of Dr. Mulholland or 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. Mulholland believes that every patient should be treated with the utmost individualized care.

Dr. Bell, named Canada’s best cosmetic surgeon by W magazine, has performed more than 3,000 facelifts, blepharoplasty and cosmetic facial procedures. Neither surgeon believes in taking a cookie-cutter approach to cosmetic surgery. Dr. Mulholland and Dr. Bell will work directly with each blepharoplasty patient to determine their unique, individual 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 dry eye and other ocular diseases is essential, Dr. Mulholland will discuss this in your consultation.
  • Avoid aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and other non-steroidal anti-inflammatory medications, Vitamin E, herbal supplements, or any medications containing these compounds for two weeks before surgery. Acetaminophen (Tylenol or generic equivalent) and the daily multivitamin are fine.
  • Refrain from smoking 2 weeks before and 2 weeks after surgery. Nicotine and tobacco delay healing and can result in scarring.
  • Avoid sun damage 2 weeks before surgery. We recommend wearing an SPF 30 or higher.
  • Your prescriptions (typically an antibiotic and pain med) 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. You will not be allowed to drive or leave the clinic on your own. You should have someone to stay with you for at least the first 24 hours after surgery.

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! By the second or third week after eyelid surgery, the majority of the bruising and swelling will subside. Expect temporary bruising and swelling of the eyelids.

Blepharoplasty Recovery & Timeline

Day of surgery: Schedule for 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. Mulholland’s very experienced post-op RN team. Wait at least 2 weeks before wearing contact lenses. Return to work in 10-14 days.

  • 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 that contain aspirin unless approved by your surgeon.
  • 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 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.

Stephen Mulholland, M.D
Physician and internationally recognized cosmetic plastic surgeon and lecturer.
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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