Upper Eyelid Lift for Sagging Upper Eyelids

“An upper eyelid lift is the proven surgical procedure to remove excess, sagging skin that creates folds and gives the upper eyelid a heavy, tired, droopy look.”


Loose and sagging skin in our upper eyelids – whether from natural aging or from genetics –- can make us look tired, stressed and older than our years. The only way to remove the excess skin in the upper eyelid is an upper eyelid lift, a surgical procedure also known as an upper blepharoplasty. Upper eyelid lifts rank among the top three most popular facial cosmetic surgical procedures performed each year on both women and men. Results are immediate and typically last for 10 years or more.

The art of upper eyelid surgery – women versus men

An experienced facial cosmetic surgeon knows to approach eyelid surgery for a woman in a different manner than for a man. “Women want their eyes to look brighter and more open but still natural as in their younger years, and they want to get rid of the extra skin that interferes with makeup application,” says Dr. Robert J. Smyth. “On the other hand, men want their eyes to look less tired and heavy but still masculine and natural.”
Whether a male or female patient, the true art of eyelid surgery is the meticulous removal of just the right amount of excess skin. The goal should always be a fresher, younger look that is entirely natural –– NEVER a startled, wide-eyed look.

Determining what you actually need

You may think you need an upper eyelid lift when the heaviness you see in your eye area may be better solved by a brow lift. Or, Botox injections may be all you need now, with an upper eyelid lift sometime in the future. “With my patients, I’m looking at the entire eye area, not just the upper or lower eyelids,” says Dr. Smyth. “I feel it imperative to take this broader perspective to deliver the results patients want and deserve, and to give them the best return on their investment.”

Timeless Eyes™ upper eyelid surgery with Dr. Robert J. Smyth

Dr. Smyth has performed thousands of upper eyelid lifts. He performs the Timeless Eyes™ upper eyelid lift under strictly local anesthesia, benefiting the patient with a faster recovery and without the risks associated with general anesthesia. “Our patients are always comfortable thanks to the local anesthesia and some light relaxation medication,” says Dr. Smyth who artfully places all sutures in the natural crease of the upper eyelids to make the incision lines virtually invisible once healed.

Recovery and healing

Upper eyelid lift patients usually put on sunglasses and are out and about within 48 hours post-procedure. There will be some redness at the incision line, which gradually fades away and which is mostly hidden even during the healing process when the eyes are open. Some patients may experience a bit of swelling and/or bruising. Also, while there is no pain from the surgery, some patients may have a sense of discomfort if they experience dry eye symptoms post-op. These symptoms can quickly be remedied with over-the-counter eye drops recommended by your cosmetic surgeon.

Makeup application can resume at two-three weeks post-procedure. The biggest DON’T with eye makeup, whether applying or removing it, is to ensure you DO NOT pull, tug or rub the upper eyelid skin for those first three weeks!

If you are a contact lens wearer, you can continue to insert the contacts during the healing process provided you carefully pull down slightly at the lower eyelid only and do not pull or tug at the upper eyelid.

If you work in a job where you must wear eye protection, you can continue to wear goggles or eyeglasses but again, be careful taking them on or off so as not to pull at or interfere with the upper eyelid.

Watch-outs and precautions

Be sure to discuss the following with your facial cosmetic surgeon when considering upper eyelid surgery…

  • Prior eye injuries
  • Prior eye surgeries
  • Eye conditions for which you are being treated or have had treatment for in the past (i.e., ptosis of the upper eyelid)
  • Any allergies