Eyelid Surgery

With age, the eyelid skin stretches, muscles weaken, and fat accumulates. This causes bags, droopy upper lids, and sagging eyebrows, making the eyes look tired or swollen.

In addition to aging the face, severely sagging skin around the eyes can reduce side vision (peripheral vision), especially the upper and outer parts of the visual field. Blepharoplasty can reduce or get rid of these vision problems. The surgery can also make the eyes look younger and more alert.

Our eyelid surgery in Toronto corrects the upper and lower eyelids to enhance the eye area. Blepharoplasty tightens the eyelid skin, smoothes the transition between the cheek and lid, and opens and reframes the eyes. They appear younger and more vibrant by making the eyes look more open.


Upper blepharoplasty uses a surgical technique known as skin pinch blepharoplasty. An incision in the upper eyelid crease removes excess skin and fat to refresh the appearance of the eyelids. Tiny sutures are used to close the skin incisions, which Dr. Brace will remove after one-week post-op.

Transcutaneous lower eyelid surgery removes excess skin, muscle, and fat. It reshapes the lower eyelid and eliminates the separation between the eyelid and cheek to create a smooth contour and transition.

Transconjunctival lower eyelid surgery repositions fat from the lower eyelid into the hollows below the eye. Or the fat may be removed if excessive; however, this approach does not address or remove excessive skin. A secondary procedure, such as laser resurfacing, may be necessary to tighten the skin.

Fat grafting is the best option when the lower eyelid does not have enough fat to fill the hollows below the eye. The fat is harvested from the abdomen or thigh and injected under the eyelid into the hollows. Fat grafting blepharoplasty is rarely performed in isolation and requires up to twelve weeks to see the final result. Because all the transplanted fat may not survive, a second fat grafting procedure may be necessary to achieve the best results.

Am I a good candidate for eyelid surgery?

Whether you want to improve your appearance or are experiencing functional problems with your eyelids, you may be a good candidate for eyelid surgery in Toronto if you have any of the following:

  • Loose or sagging skin that creates folds
  • Fatty deposits that appear as puffiness in the eyelids
  • Bags under the eyes
  • Drooping lower eyelids
  • Excess skin and fine wrinkles around the lower eyelid

It is important to note that the appearance of a drooping upper lid may be caused by relaxation of the forehead skin and eyebrow, known as eyelid ptosis. This requires a different surgical treatment, which our doctors will discuss with you.

Eyelid muscle tone, eye position, and eyelid tendon integrity determine candidacy for lower eyelid surgery. A better option for some lower eyelids may be volume replacement with fat grafting and non-surgical skin tightening.

Eyelid surgery recovery and results

Blepharoplasty is an outpatient procedure that lasts between 45 minutes and two hours. Depending on the extent of your eyelid surgery, you will be given general anesthesia or local anesthesia with IV sedation.

During recovery from eyelid surgery, bruising and swelling subside in approximately two weeks. Additionally, your eyelids may feel tighter than usual for these two weeks. Using cold compresses and elevating your head while you sleep can improve your recovery. Following your post-operative instructions is essential to the success of your surgery, such as avoiding excessive force, abrasion, or motion during healing.

With a healthy lifestyle and consistent skincare habits, the results of eyelid surgery will be long-lasting. Your eyes will look more refreshed and youthful than they would have without an eyelid lift. While nothing can halt the natural aging process, your results will age naturally with you. Non-surgical treatments, such as Botox, dermal fillers, or skin resurfacing, can touch up your youthful appearance by smoothing wrinkles around the face and eyes.

Why choose Guelph Facial Plastics for eyelid surgery in Toronto?

Dr. Brace is a double-board cosmetic surgeon and reconstruction expert who routinely corrects eyelid malposition and reconstructs eyelids after cancer surgery. He is involved in treating patients with facial paralysis who cannot close their eyelids. Dr. Brace’s delicate and conservative approach to eyelid surgery has earned a reputation for producing naturally beautiful results.

While at the Ohio State University’s Wexner Medical Centre, Dr. Brace partnered with the oculoplastic surgery team to correct complex trauma and cancer-related eyelid deformities. He has taught courses on eyelid reconstruction and cosmetic eyelid surgery and is highly regarded by colleagues for his mastery of blepharoplasty in Toronto.

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690 Woolwich St. #2
Guelph, Ontario, N1H 3Z1

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