Upper Blepharoplasty

As we age, the skin on the upper eyelids loses its elasticity and becomes loose. This causes the upper eyelids to become puffy and the eyes to appear hooded. Eyelid hooding can be caused by the natural aging process, genetics and lifestyle factors such as lack of sleep. Often times, people with droopy eyelids and/or hooded eyes look tired, exhausted and older than what they really are.

Upper blepharoplasty, also known as upper eyelid surgery, is a popular cosmetic procedure performed by plastic surgeon Dr. Mohammed Alghoul. Upper blepharoplasty is indicated when there is excess skin in the upper eyelid fold which can droop over the lash line and obscure the crease and the eye-shadow space. This drooping skin, or hooding, results in a tired look and can eventually obstruct the field of vision. The procedure aims to rejuvenate the upper lid by removing the extra skin and contouring the fat and muscle. Dr. Alghoul provides upper blepharoplasty to help restore a youthful, vibrant appearance.

To view results from past patients of Dr. Alghoul, visit our upper eyelid surgery before and after gallery.

Top-Rated Amman Eyelid Surgeon Dr. Alghoul Explains Upper Blepharoplasty Surgery

Upper eyelid rejuvenation is more complex than many people like to think. Our recent and published research has shown that people presenting with upper lid complaints age differently and therefore should be approached differently. It is all about proportions, arcs, and curves that are visualized when you look at someone’s eyes. The lines and spaces we see influence our perception of attractiveness. Most of the time, patients presenting with upper lid complaint point to the excess skin and they often refer to the fact that their lids are drooping. However, often times the issues is more complicated than excess skin and the upper lid elevation has to be adjusted. Therefore, it is important that you see an experienced eyelid surgeon who understands upper lid proportions and the way to restore them. Upper blepharoplasty restores the youthful contour of the upper eyelid and creates a refined crease. The excess skin is removed along with some fat, and the crease is sometimes repositioned. The procedure is designed differently and personalized to each individual depending on their features and goals. For example, the procedure varies from trimming skin only, to removing skin and some muscle and fat, to removing skin and adding fat. Many times, the fat is moved from one area to the other instead of being trimmed to preserve the volume. Upper lid elevation is performed at the same time in at least 50% of patients to treat droopiness and to improve the cosmetic results. A brow lift can be combined with upper blepharoplasty in certain cases. Lifting the tail of the brow helps improve the skin hooding on the outer side of the upper lid area (also known as temporal hooding).


What does the procedure involve?

It involves removal of the excess skin in the upper eyelid and sometimes contouring of the fat. This is done through carefully designed incisions to create a well-placed and symmetrical crease. Excess fat is removed when present or re-arranged in patients with hollowed upper eyelids. Fat grafting (fat injection) can be added to the procedure when hollowing is present, and it can also help add volume to the brows. Dr. Alghoul also performs techniques to shape and contour the upper lid muscles to give a more youthful and attractive curvature to the upper lid and brow.

Where is the incision placed?

During an upper blepharoplasty the incision is designed so that the resulting scar falls over or forms the new crease. The scar heals very well in the upper lid and is hidden in a natural line.

Are there any non-surgical options?

There are no other effective treatments for excess skin of the upper eyelids; surgical removal remains the best treatment option.

Is a brow lift needed with upper blepharoplasty?

Not necessarily. Generally, a full brow lift is seldom needed. It is the tail or side of the brow that is lifted. Lifting the tail of the brow can complement the results. The degree of droopiness of the tail of the brow varies among patients, therefore a brow lift is not recommended for everybody. Usually, the presence of hooding, or excess skin on the side of the upper lid is a good indicator of who benefits from a brow lift.

Is upper blepharoplasty the treatment of choice for a droopy eye?

It depends on what is causing the upper lid to droop. There are three components to this problem: a droopy brow, excess skin in the upper lid, and a droopy upper lid. Those factors can occur alone or in combination. Upper blepharoplasty only treats the excess skin component. A droopy upper eyelid (ptosis) requires repair of the upper lid; this, if present, can be treated at the same time (see ptosis repair).

What is the recovery time?

Upper blepharoplasty is performed as an outpatient procedure under local anesthesia and sedation. Minimal bruising is common after surgery and usually resolves within a week. Swelling is also common and causes heaviness in the upper lids but resolves gradually over one to two weeks. Skin sutures are removed in the office after seven days. You may engage in light activity the day after surgery. Return to normal activity and going back to work, may take up to a week. Abstaining from exercise is recommended for the first two weeks after the procedure. To shorten your recovery time, you are advised to avoid your usual intensity exercise for four weeks from the time of surgery. Lighter exercise can be performed starting at two weeks from surgery. Keep in mind that if upper blepharoplasty is combined with ptosis repair and or brow lift, this will prolong upper lid swelling and delay recovery.

Where is the procedure performed?

If you are only interested in receiving upper eyelid surgery, then the procedure can be performed at Dr. Alghoul’s office. If you are having other surgery performed in addition to upper blepharoplasty (lower blepharoplasty, brow lift, or facelift), then the procedure is done in the operating room at Abdali Hospital.

Is upper blepharoplasty covered by insurance?

Upper blepharoplasty may be covered by your insurance if you have significant hooding obstructing your field of vision. A visual field test and a letter dictated by your doctor are usually required. Our staff will help you through this precertification process.

Contact Us

If you’d like to discuss your treatment options for upper eyelid surgery in Amman, please call to schedule a consultation with Dr. Alghoul.