Dr. Diana Ponsky · 6 Myths About Eyelid Surgery - Blepharoplasty Debunked!
Video5 min·Published Jun 2026

6 Myths About Eyelid Surgery - Blepharoplasty Debunked!

With Dr. Diana Ponsky

Chapter 1 of 6 · Patient & Family Education

Age indications

Myth 1: Blepharoplasty is only for older people

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What the experts said17 expert statements
Historically, blepharoplasty was performed only on older people for functional reasons when the upper eyelid weighed down on lashes and impaired vision.
Clinical
Younger patients now pursue blepharoplasty cosmetically for tarsal show or to achieve a less tired appearance.
Clinical
Upper eyelid surgery results are visible right away, though sutures are present and settling takes time.
Clinical
Lower eyelid surgery swelling persists longer because lymphatic drainage in the under-eye area is slower.
Clinical
Well-done upper and lower eyelid surgery should not result in a significant or perceptible change in appearance; the patient should just look less tired.
Opinion
If lower eyelid surgery is done too aggressively or incorrectly, the lower lids can be pulled down, resulting in perceptible changes in appearance.
Clinical
Eyelid surgery is not very painful if the recovery process is managed correctly; patients should notice only swelling as a sensation.
Clinical
On the first day after upper eyelid surgery, patients feel a paper-cut sensation that resolves with application of ointment.
Clinical
Icing the eyelid area reduces bruising after surgery.
Clinical
The acute phase of recovery is the initial six hours; if managed well, subsequent days are much easier and not painful.
Clinical
Upper eyelid recovery time is one week (six to seven days).
Clinical
In older individuals, upper eyelid bruising may last two weeks and resembles purple eye shadow.
Clinical
Lower eyelid bruising lasts approximately ten days.
Clinical
Lower eyelid swelling in some individuals can last up to six weeks.
Clinical
Upper eyelid surgery scars are hidden in the natural crease and are imperceptible when healed; most people forget they had the surgery.
Clinical
If the lower eyelid scar is not placed well, it can pull down and become more visible.
Clinical
Lower eyelid scars are recognizable to trained observers but most people cannot identify incision sites without instruction, though they may recognize that lower eyelid surgery was performed.
Clinical