Upper and lower eyelid surgery, also called blepharoplasty or eye bag surgery, addresses droopy or hooded eyelids, puffy under-eyes and eye bags.
At our Maharajgunj clinic, surgery is performed by Dr. Apar Lamichhane, whose qualification is M.Ch Plastic and Reconstructive Surgery. A consultation is required before surgery. Early recovery often takes around 7 to 10 days.
What is Blepharoplasty?
Blepharoplasty is a surgical procedure that improves the upper eyelids, lower eyelids, or both. It can remove or adjust extra skin, fat, or muscle around the eyes.
Upper blepharoplasty usually focuses on heavy, droopy, or hooded upper eyelids. Lower blepharoplasty focuses on puffy under-eyes, eye bags, and loose skin below the eyes.
The right treatment plan depends on your eyelid shape, skin quality, brow position, eye health, and the result you want. Because eyelid surgery involves both appearance and function, it is reviewed as a surgical decision rather than treated like a routine skin procedure.
What Concerns Can Eyelid Surgery Treat?
- Droopy upper eyelids
- Hooded eyelids
- Heavy eyelid skin
- Puffy under-eyes
- Eye bags
- Loose lower eyelid skin
- Tired-looking eyes
- Uneven eyelid folds
- Upper eyelid skin that affects vision
Blepharoplasty does not treat every concern around the eyes. A consultation is important before deciding on surgery.
Upper vs Lower Blepharoplasty
Upper Eyelid Surgery
Upper blepharoplasty treats extra skin or fat on the upper eyelids. The incision usually sits in the natural upper eyelid crease.
- Hooded eyelids
- Droopy upper eyelid skin
- Heavy upper lids
- Skin that blocks part of vision
How Upper Blepharoplasty is Performed
For upper blepharoplasty, the incision usually follows the natural upper eyelid crease so extra skin can be removed and small fat pockets can be adjusted when needed.
Lower Eyelid Surgery
Lower blepharoplasty treats puffiness, eye bags, and loose skin under the eyes. Incision can be near lash line or inside eyelid in selected cases.
- Puffy under-eyes
- Eye bags
- Lower eyelid fat bulging
- Loose lower eyelid skin
How Lower Blepharoplasty is Performed
For lower blepharoplasty, the incision may be placed just below the lower lash line or inside the lower eyelid in selected cases, and fat may be removed or repositioned with skin adjustment based on your concern.
Who is a Good Candidate for Blepharoplasty?
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| Asian or Double Eyelid Surgery | Some patients want a more defined upper eyelid crease. This is sometimes called Asian eyelid surgery or double eyelid surgery. The goal is balanced eyelid definition that still looks natural for your facial features. |
Recovery After Blepharoplasty
Early recovery after blepharoplasty often takes around 7 to 10 days. Swelling and bruising are common during this time.
Day 1 to 2
Phase 1
Swelling, bruising, mild discomfort, and tightness are common.
Day 3 to 7
Phase 2
Bruising and swelling may start to settle.
Around 1 week
Phase 3
A follow-up visit may be needed.
1 to 2 weeks
Phase 4
Many patients feel ready for routine social activity.
3 to 6 weeks
Final Step
Swelling keeps improving gradually.
Few months
Final Refinement
Final refinement becomes clearer.
Aftercare and Risk Guide
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| Possible Risks and Side Effects |
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Blepharoplasty Cost in Nepal
The cost depends on your treatment plan. Upper, lower, and combined blepharoplasty can have different costs. Final price is discussed after consultation with Dr. Apar.
What Blepharoplasty Cannot Do
- Pigmented dark circles
- Deep tear trough hollows
- Crow’s feet wrinkles
- Brow drooping
- Severe skin laxity outside eyelids
Why Choose Let Me In for Blepharoplasty?
- M.Ch Plastic Surgeon-led care
- Detailed consultation and safety-first planning
- Natural-looking approach
- Clear follow-up care
- Multiple clinic locations
Your Blepharoplasty Specialist
Dr. Apar Lamichhane
M.Ch Plastic and Reconstructive Surgery, NAMS | Consultant Plastic and Reconstructive Surgeon
For blepharoplasty cases at Let Me In, Dr. Apar handles your consultation, eyelid analysis, surgery planning, procedure, and follow-up. The goal is a natural-looking result that fits your eyelid shape and facial balance.
- Blepharoplasty planning: Upper lids, lower lids, or combined approach based on anatomy
- Approach: Natural, safety-first, and concern-specific surgical planning
- Qualification: M.Ch Plastic and Reconstructive Surgery, NAMS
Frequently Asked Questions
What is blepharoplasty?
Blepharoplasty is eyelid surgery that treats extra skin, fat, or muscle around the upper eyelids, lower eyelids, or both.Is blepharoplasty the same as eyelid surgery?
Yes. Blepharoplasty is the medical name for eyelid surgery.What is upper blepharoplasty?
Upper blepharoplasty treats droopy, hooded, or heavy upper eyelids. It usually focuses on extra skin or fat on the upper eyelid.What is lower blepharoplasty?
Lower blepharoplasty treats puffy under-eyes, eye bags, and loose lower eyelid skin.Can I do upper and lower eyelid surgery together?
Yes, some patients can do upper and lower blepharoplasty together. Your surgeon will confirm this after checking your eyelids and medical history.Is blepharoplasty safe?
Blepharoplasty is generally safe when done by a qualified surgeon, but it still has risks. These may include swelling, bruising, infection, dry eyes, scarring, asymmetry, and rare vision-related problems.How long does blepharoplasty recovery take?
Early recovery often takes around 7 to 10 days, but swelling can take several weeks to settle fully.Is blepharoplasty painful?
Most patients feel mild discomfort, tightness, swelling, or irritation after eyelid surgery. Severe pain is not expected and should be reported to the clinic.Will eyelid surgery leave scars?
Upper eyelid incisions usually sit in the natural eyelid crease. Lower eyelid incisions may sit near the lash line or inside the eyelid in selected cases. Scar healing varies from person to person.Can blepharoplasty remove dark circles?
Blepharoplasty can improve puffiness and eye bags caused by fat or loose skin. It may not remove dark circles caused by pigmentation, thin skin, or hollowing.Can blepharoplasty improve vision?
It may help if extra upper eyelid skin blocks part of your field of vision. Your surgeon will check this during consultation.How much does blepharoplasty cost in Nepal?
The cost depends on whether you need upper eyelid surgery, lower eyelid surgery, or both. It also depends on case difficulty, anaesthesia, and care plan. You will get a cost estimate after consultation.When can I wear makeup after eyelid surgery?
This depends on your healing. Wait until your surgeon says it is safe to apply makeup around the eyes.Is lower blepharoplasty scarless?
Some lower eyelid cases can be done through an incision inside the eyelid, which avoids an external skin incision. Not every patient is suitable for this method.What age is best for blepharoplasty?
There is no fixed best age for blepharoplasty. Some people choose it for natural eyelid shape, while others choose it later for age-related sagging or puffiness.How do I know if I need eyelid surgery or another treatment?
You need a consultation. The surgeon will check whether your concern comes from extra skin, fat, brow position, pigmentation, hollowing, or another cause.Related Plastic Surgery Care
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