1. The patient is given anesthesia which can be either local or general.
2. The surgeon makes an incision in the upper or lower lid, depending on the type of surgery.
3. The surgeon removes excess fat and skin from the eyelid.
4. The surgeon sutures the incision closed and applies an ointment to the wound.
5. The patient is monitored for a few hours post-surgery to ensure that no complications arise.
6. The patient is given instructions on how to care for the wound and reduce swelling.
7. The patient is given follow-up appointments to monitor healing and check for any potential complications.
8. After sufficient healing, the sutures are removed and the patient is free to resume normal activities.

Before having eyelid surgery, it is important to consult a qualified plastic surgeon. During the consultation, the surgeon will discuss the risks, benefits, and desired outcomes of the surgery. The patient should also ask questions and make sure they understand the procedure and potential complications. It is important to stop smoking and drinking alcohol before surgery as these activities can interfere with healing. The patient should also stop taking any medications that can thin the blood, such as ibuprofen, aspirin, and other nonsteroidal anti-inflammatory drugs. Prior to the procedure, the patient will need to have blood work, an EKG, and other tests as requested by the surgeon. The patient should also arrange for a ride home after the procedure. They will need to rest for 1-2 days and avoid strenuous activity for several weeks. The surgeon will provide detailed instructions on how to care for the incisions and when to return for follow-up appointments. Following these instructions is essential for an optimal outcome.

The risks of eyelid surgery, also known as blepharoplasty, include infection, scarring, dry eyes, eyelid malposition, poor wound healing, temporary numbness, and temporary vision changes. There is also the risk of allergic reactions to anesthesia, blood clots, and excess bleeding. The incision lines may become visible and cause an uneven appearance. In some cases, the eyelids can become asymmetrical, or the muscles can be damaged, resulting in drooping eyelids or difficulty closing the eyes. There is also a risk of lower eyelid retraction, which can cause the eye to appear too open. In rare cases, a person may experience vision problems due to damage to the eyelids, nerves, or muscles. It is important to discuss all possible risks with a plastic surgeon before undergoing any facial surgery.