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Signs You Might Need a Blepharoplasty: When Is the Right Time?
- March 12, 2025
- 3 Minutes Read
As individuals age, changes in the skin around the eyes become more noticeable. Drooping eyelids, excess skin, and persistent puffiness can impact appearance and vision. Blepharoplasty, or eyelid surgery, is an effective procedure addressing these concerns. But how do you know when it is the right time to consider this option? Understanding the key signs can help you determine whether you might benefit from this cosmetic or functional procedure.
1. Excess Skin on the Upper Eyelids
One of the most common indicators for blepharoplasty is excessive skin on the upper eyelids. Over time, the skin loses elasticity, leading to sagging that may obscure the natural eyelid crease. This can create a tired or aged appearance. In some cases, the excess skin can also interfere with applying makeup, making it challenging to achieve a smooth look.
2. Difficulty Seeing Due to Sagging Eyelid Skin
For some individuals, drooping upper eyelids extend beyond a cosmetic issue and become a functional problem. Daily activities such as reading and driving can become difficult when sagging skin obstructs vision, particularly in the peripheral field. If you constantly raise your eyebrows to improve visibility, it may be time to consult a specialist about eyelid surgery.
3. Persistent Puffiness or Bags Under the Eyes
Lower eyelid puffiness, often caused by fat deposits, can contribute to a worn-out or aged appearance. While skincare products and cosmetic treatments offer temporary relief, they may not be enough to address more pronounced under-eye bags. Blepharoplasty can effectively remove or reposition fat deposits, restoring a more youthful look.
4. Eyelid Ptosis (Drooping Eyelids)
Eyelid ptosis occurs when the upper eyelid muscles weaken, causing the eyelid to droop. Unlike excess skin, ptosis involves muscle dysfunction, which may require surgical correction. If one or both eyelids appear significantly lower than usual, leading to vision impairment or an asymmetrical look, a consultation with a plastic surgeon can help determine the best course of action.
5. A Constantly Tired or Aged Appearance
Many individuals notice that their eyes appear tired even when well-rested. This is often due to sagging skin, wrinkles, or dark circles that develop over time. Blepharoplasty helps rejuvenate the eye area by tightening the skin and reducing fine lines, providing a more refreshed and youthful expression.
6. Difficulty Keeping Eyes Open Comfortably
Excess skin and muscle laxity can make keeping the eyes open for extended periods physically challenging. This can lead to eye strain, headaches, or discomfort during everyday activities. If you frequently experience fatigue in the eye area, surgical intervention may provide significant relief.
7. Irritation from Excess Skin Rubbing
Loose skin folds over the eyelid can cause irritation, redness, or even infections. Constant rubbing against the lashes or skin may lead to chronic discomfort. A surgical solution might be necessary if topical treatments fail to alleviate the irritation.
8. Inability to Achieve Desired Cosmetic Results with Non-Surgical Treatments
Non-surgical options like Botox, fillers, and laser treatments can temporarily improve the eye area’s appearance. However, these treatments have limitations, particularly for individuals with significant skin laxity or fat displacement. If you have tried various cosmetic treatments without achieving your desired results, blepharoplasty may provide a long-lasting solution.
Who Is a Good Candidate for Blepharoplasty?
Ideal candidates for blepharoplasty are individuals who:
- Excessive skin on the upper or lower eyelids is also a problem.
- Experience vision impairment due to drooping eyelids.
- Are in good overall health and do not have serious eye conditions.
- Have realistic expectations about the outcome of the procedure.
- Seek long-term improvement in their eyelid appearance.
What to Expect from a Consultation?
A consultation with a board-certified plastic surgeon is the best way to determine whether blepharoplasty is the right choice. During this meeting, the surgeon will evaluate your concerns, discuss treatment options, and outline the expected results. Before undergoing any procedure, it is essential to clearly understand the benefits, recovery process, and potential risks.
Final Thoughts: Is Now the Right Time for Blepharoplasty?
Recognising the signs that you might need a blepharoplasty is the first step toward making an informed decision. Whether your concerns are cosmetic or functional, eyelid surgery can enhance both appearance and quality of life. If you identify with any of the signs mentioned above, scheduling a consultation with Dr Stavrou at EIPS can help you explore the best options for achieving a refreshed and youthful look.

Dr Stavrou is a board-certified and highly experienced plastic surgeon in Cyprus, Greece and Malta, with a keen interest in informing patients about the latest updates on reconstructive and cosmetic plastic surgery.
- University of Athens Medical School
- Residency in Plastic Surgery at the Chaim Sheba Medical Center at Tel-Hashomer, Israel
- Assistant Professor, St George’s, University of London / Medical School at the University of Nicosia
- Honorary Tutor at the University of Cardiff, School of Medicine, UK
- MSc with Distinction in “Wound Healing and Tissue Repair”, University of Cardiff, School of Medicine, U.K
- Fellow of the European Board of Plastic, Reconstructive & Aesthetic Surgery (EBOPRAS)
- International Member of the American Society of Plastic Surgeons (ASPS)
- ATLS (Advanced Trauma Life Support) Instructor
- Fellowship in “Advanced Aesthetic Surgery” from the Melbourne Institute of Plastic Surgery – Monash University, Australia
- Eyelid Surgery (Blepharoplasty)
- Brow Lift
- Chin Augmentation
- Facelift
- Facial Cancer Treatment
- Neck Lift
- Otoplasty
- Rhinoplasty (Nose Surgery)