What we can improve.
Before deciding what to remove, we assess the whole eye area: brow position, skin, bags, the tear trough and lower-eyelid support. An eyelid that looks heavy may also be influenced by a lowered eyebrow or a problem with the muscle that lifts it.
Please tell me if you have dry eyes, wear contact lenses, have had eye surgery or take medication. This history helps plan a correction that improves appearance without compromising eyelid closure or protection of the eye.
Options and scars.
On the upper eyelid, the incision usually follows the natural crease to remove excess skin and, where appropriate, adjust fat pockets. The lower eyelid can be approached from the inside or through a fine incision beneath the lashes, depending on the skin and work required.
Fat can be removed conservatively or repositioned to soften the transition to the cheek. If the eyelid has limited support, additional reinforcement may be needed. Dark circles caused by pigmentation and expression lines do not necessarily disappear with this operation; we will distinguish which component we are treating.
What recovery involves.
The first few days
Swelling, bruising, watering or a gritty sensation may occur during the first few days. We will explain how to apply protected cool compresses where appropriate, clean the area and care for your eyes. Resting with your head elevated and avoiding rubbing helps protect the area.
Returning to your routine
External stitches are usually removed during the first week. Returning to a desk job or social commitments is often planned after one to two weeks, although some bruising may last longer. Screen use can resume with breaks according to comfort; contact lenses and make-up should wait until the eyes and wounds are ready. Only drive when your vision is clear and you can do so safely.
How the result develops
Swelling gradually decreases and may differ between the sides. The scar and eyelid continue adapting over several months. We will review your progress before intense activity resumes; a small external wound does not mean recovery is complete.
Safety and possible risks.
Assessing dry eyes and eyelid firmness allows us to adjust how much tissue to treat and whether extra support is needed. Early irritation and bruising are usually managed with the prescribed care; persistent symptoms will be reviewed.
Differences between the sides, problems with closure or changes in lower-eyelid position may remain and require treatment. Deep bleeding affecting vision is very rare but requires urgent care: sudden severe pain or loss of vision must not wait until your next appointment. Explaining these signs is part of supporting you through recovery.
What we will discuss.
- Which part of the eye area concerns you.
- Your eye history and contact lens use.
- Whether to treat the upper eyelids, lower eyelids or both.
- Any upcoming work or social commitments.
Frequently asked questions.
Will my expression change?
The plan aims to treat skin and bags while respecting the shape of your eyes. We assess brow position, eyelid support and tissue amount to avoid excessive removal.
Will all my dark circles disappear?
Not always. Bags, hollows and pigmentation are different components. Surgery may improve some, while others need complementary treatment.
Is a lower-eyelid incision always visible on the outside?
No. When the eyelid's characteristics allow it, access is from the inside. If excess skin needs treating, an incision below the lashes may be necessary.
Keep exploring.
Revisión inicial del contenido: Dr. Luis Martín Suárez · 2026-09-13
Timeframes are a guide. The technique, suitability and aftercare are agreed during consultation according to your case and progress.