• Anesthesia:
    Local +/- sedation
  • Duration:
    45 minutes to 2 hours
  • Pain level:
    1/10
  • Recovery time:
    1 week
  • Resuming physical activities:
    4 weeks

Your eyes are usually the first thing people notice about you; unfortunately, they are one of the first areas of the face to show aging.

The delicate skin of the upper eye can begin to sag and droop. In some cases, this sagging skin may even impair your sight and prevent you from having a full field of vision.

The lower lid can also begin to show age with heavy under-eye bags that give you a run-down appearance. Despite adequate rest and good health, these puffy bags coupled with sagging lids may cause your face to appear worn or fatigued.

Eyelid Surgery, medically known as Blepharoplasty, can correct drooping eyelids (upper lids) or under eye bags by removing excess fat and skin to give you a rested and refreshed appearance. By eliminating areas of excessive bulging and by tightening the skin around the eyes, eyelid surgery can give you a “brighter” appearance without changing the way you look.

Blepharoplasty is a delicate procedure and should be performed by a board-certified plastic surgeon like Dr. Perry Gdalevitch. By tailoring your procedure to your exact needs, you can feel confident that you’ll achieve a refreshed appearance and the beautiful, natural-looking results you’ve always wanted. Book a consultation today to learn more about eyelid surgery and what it can do for you.

Patients who are good candidates for this procedure

  • Don’t have serious medical problems
  • Do not take blood thinners
  • Do not smoke
  • Do not have dryness or other medical conditions of the eyeball
  • Feel like they always look tired
  • Have a sensation of heavy eyelids
  • Feel they always have bags under their eyes

Patients who are poor candidates for this procedure

  • Obese (want or need to lose weight)
  • Smoker
  • Have serious medical problems
  • On blood thinners

Are you a good candidate?

Our Self-Evaluation Quiz can help you decide if a blepharoplasty is the right procedure for you.

Techniques for Blepharoplasty

Both upper and lower eyelid surgery can be performed under local anesthetic (freezing only), and patients can go home the same day. The scars are placed in the upper lid fold and along the lower lid of the eyelids. These surgeries can be performed alone or in a combination with other procedures to achieve the results you are looking for.

Upper Blepharoplasty

During your upper eyelid blepharoplasty, Dr. Perry makes an incision along the upper eyelid crease. Through this incision, she will reshape the upper eyelid’s contours by removing any excess skin and removing fatty tissue from the area. When the incision is closed, the scar falls in the upper eyelid crease.

Lower Blepharoplasty

While performing a lower blepharoplasty, Dr. Gdalevitch makes a small incision hidden in the skin below the lashline. Fat that has protruded into the area below the eye will be removed or repositioned to give you a more youthful contour. Dr. Gdalevitch will remove extra skin and then firmly drape the remaining skin to create a smoother undereye appearance.

Discover the procedure through live surgeries

Blepharoplasty presentation

Consent for Blepharoplasty

Pre-op instructions for Blepharoplasty

At Phi Plastic Surgery, we believe that a beautiful body can take many shapes and sizes. The Phi philosophy centers on respecting your body's proportions and helping you let your inner beauty shine.

We offer our patients the best, most advanced techniques to help them achieve their aesthetic goals.

Pre-op & post-op instructions

These pre-surgical and post-surgical instructions are provided as essential services for you. Please follow the instructions carefully to ensure optimum results. If there are instructions that need to be clarified, please feel free to contact our office as soon as possible. If some instructions are not followed, your surgery could be delayed if deemed necessary by your surgeon.

Pre-op INSTRUCTIONS

ONE MONTH before your surgery

  • Stop using contraceptive pills or hormone therapy.
  • A pre-operative visit (if necessary) approximately one month before your surgery will be scheduled to review your goals and provide you with additional information regarding your surgery.

THREE WEEKS before your surgery

  • Stop all consumption of collagen
  • Complete your preoperative tests. Be sure to complete all prescribed pre-operative tests (ECG blood tests, etc.). If all medical results and clearances of your tests are not received on time, your surgery may be delayed.
  • Prepare your surgery date: Plan to ensure a stress-free experience. Arrange your work leave and special assistance to help you with ride home. Prepare your return by organizing meals, delivery, babysitting, etc. Make sure you have someone scheduled to accompany you home after your surgery. Someone should also be on-call to help you during the first 24 hours after your surgery.

TWO WEEKS before your surgery

  • Stop the consumption of anti-inflammatory drugs.
  • A preoperative visit (if necessary), approximately two weeks before your surgery, will be scheduled to review your goals and provide you with additional information regarding your surgery.

SEVEN DAYS before your surgery

  • Stop taking any supplements or medications from the list below. These products can increase the risk of bleeding and other complications. Stop consuming any non-prescribed supplements including Omega 3-6, nutricap, ouch, echinacea, glucosamine, fat burners, St. John’s wort etc. Aspirin, medicines containing aspirin or any anticoagulants such as arixtra pf, clopidogrel, plavix, coumadin, dalteparin, edoxaban, eliquis, apixaban, enoxaparin, fragmin pfsyringe, lepirudin, padaxa, dabigatran etexilate, xarelto, rivaroxaban.
  • Confirm your surgical support plan: This includes your transportation and post-surgical care, including an adult family member or a friend on-call for your support, 24 hours after your surgery.
  • Purchase any prescription provided by Dr. Gdalevitch (If applicable) and revise your pre-surgical instructions.

The day BEFORE your surgery

Prepare a bag. It should include:

  • All necessary papers
  • Your identification (RAMQ card)
  • Prescription Drugs
  • Glasses if necessary
  • Confirm the person who will assist you for the first 24 hours after surgery.
  • Take a shower. Use a non-perfumed soap. Wash your hair. Do not put cream or lotions. Do not put deodorants, hair products, perfumes, or makeup.
  • Remove any nail varnish (even if transparent) from your hands and feet, including shellac, resin, gel or acrylic. All this reduces the risk of post-surgical infections and nails are monitored for blood circulation.
  • Do not eat anything or drink any dark liquids for 8 hours before your surgery. Do not drink any light liquids 6 hours before your surgery. Anything you eat can cause cancellation of your surgery and increase the risks associated with surgery and anaesthesia. This includes sweets, mints, chewing gum, tea or coffee. You can take a very small amount of water after brushing your teeth or taking medication.
  • Relax. Enjoy a good night’s sleep and avoid stress.

YOUR SURGERY DAY

  • If you wish to have oral sedation, do not eat or drink 4 hours before the surgery. Present yourself at the time confirmed to you by a staff member one week before.
  • Do not train before surgery.
  • Please bring your medications which have been prescribed to you in a bag as above.
  • Please bring your compression socks if they have been prescribed to you.
  • Do not wear any make-up, jewellery, contact lenses, hairpin or piercings: during surgery, an electric cautery is used, any piercing or jewellery can cause burns.
  • Wear light and comfortable clothing. Wear a top that opens forward. Do not wear a sweater, turtleneck or tight clothing. You can wear a skirt, but pants and a jogging jacket are ideal. Flat shoes should be worn that are easy to put on and remove (no heels). A lip balm is recommended.

post-op instructions

When you get home

You can expect to have pain and feel like eyelids cannot close completely. Its also normal to see a bit blurry since we have placed ointment in your eyes. For your comfort we recommend:

  1. Keep your head elevated (semi sitting position)
  2. Take extra strength Tylenol every 4 hours
  3. Take a medication like gravol 30 minutes before taking your prescribed pain medication to avoid nausea and
  4. Take the pain medication as prescribed around the clock for 48 hours
  5. Apply ice to your eyelids (10 mins on, 10 mins off) until bedtime
  6. Apply the ointment to your eyes before bed and tape your eyelids shut with a gauze and some tape

Please contact us immediately if you experience any of the following

  • You have difficulty seeing
  • You have intense pain in one eye
  • You see significant swelling of one or both eyes
  • You have a fever of > 38.5
  • Severe nausea or vomiting
  • Are experiencing hallucinations or unusual behavior
  • Your pain is not controlled with the pain medication
  • Excessive bleeding

The day after surgery

  • You can expect the pain to decrease after 48 hour
  • It is best to keep your head elevated as much as possible to prevent swelling
  • Continue to apply the ointment twice a day or more often if you feel your eyes are dry
  • You can shower 48 hours after surgery

Healing and follow up

  • You will be swollen for 1-2 weeks
  • You should rest for 1 week
  • You can resume your daily activities after 1 week
  • You cannot exercise or do anything strenuous for 4 weeks
  • You will have a follow up appointment in 1 week to remove your stitches
  • You can leave the house after 1 week with make up

The final result will be seen around 1 month. Scars continue to improve over 6 months to a year.

Your results

Recovery from a blepharoplasty generally consists of swelling and bruising around the eyes for 1-2 weeks. Patients can resume their daily activities after one week but should avoid strenuous activity for 2-3 weeks.

Blepharoplasty will help you improve the shape and contours of your eyes and will accomplish the following:

  • Removal of excessive skin around the eyes
  • Smoother upper and lower eyelid contours
  • Removal of puffiness caused by fatty tissue
  • Increased self-confidence that comes with looking more awake and rested

The result is a youthful, rejuvenated and more rested-looking appearance.

View most frequently asked questions

What is blepharoplasty?

Blepharoplasty involves removing excess skin and fat from the upper and/or lower eyelids to achieve a rejuvenated appearance around the eyes.

How is a blepharoplasty performed?

The procedure is done under local anesthesia with sedation to keep you comfortable. The procedure lasts 1 hour for an upper or lower blepharoplasty and about 2 hours if the upper and lower lids are performed simultaneously.

What are the contraindications for eyelid surgery?

It is essential to know if you have any problems with your eyes, including dryness, vision problems, tearing, eyelid swelling, seasonal allergies, health problems like thyroid issues or muscular problems that can affect the eyelids. Also, anticoagulant medications must be discontinued for this procedure.

Are there bandages after blepharoplasty?

There are very light strips placed around the eyes. The stitches will be removed after one week. You will have an ointment to put in the eyes daily. The first few nights, you are asked to cover your eyes with gauze to avoid trauma to the eye while you sleep.

What are the risks and complications of blepharoplasty?

Risks are rare but include the risk of bleeding, infection, and corneal trauma. These risks will be reviewed with you during your consultation.

How much does the procedure cost?

Upper blepharoplasty

starting at $3,500

Lower blepharoplasty

starting at $5,000

Upper and Lower blepharoplasty local anesthesia with sedation

starting at $8,000

For a more beautiful and proportional you!

φ Phi is the Greek symbol that indicates the golden ratio, a ratio that is synonymous with beauty.

Dr. Perry Gdalevitch offers a unique approach that involves applying the principles of perfect proportions (phi) to help you achieve your aesthetic and reconstructive goals.

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