Eyelid Surgery

The ideal candidates for a blepharoplasty procedure are healthy men and women who have realistic expectations of surgical outcomes. You may be a good candidate for eyelid lift surgery if you have one or more of the following conditions:

• Fat pockets in upper and lower eyelids
• Excess skin in the upper and/or lower eyelids
• Excess wrinkles in the lower eyelid
• Tired or sad appearing eyes
• Long lower lid length

Many patients have other facial aging concerns they want addressed during the same consultation. When communicating with our office to book your consultation, just let us know what else you would like to discuss. It may be possible to schedule an additional procedure at the same time as your blepharoplasty. It is common for patients to discuss a brow lift operation to permanently correct the brow position and shape or botox treatments to temporarily elevate and reshape the brow in conjunction with upper lid blepharoplasty. In addition, it is common for patients to discuss micro fat grafting and nano fat grafting in conjunction with lower lid blepharoplasty. This consists of removing fat from one area of the body to be used as a natural filler in the undereye area to restore lost volume. You can learn more about this procedure here. Dr. Barr would be pleased to review all of these options with you at the time of your consultation.

There are different techniques that may be employed during your eyelid lift surgery, depending on whether you are seeking to have your upper or lower lids lifted. The procedure is performed under local anaesthetic that is provided after a small amount of light sedation is given. Patients are completely comfortable and relaxed throughout the procedure. This is done as an out patient procedure and patients leave when they are fully awake and ready, which is typically within an hour after surgery.

The surgical technique used for the lower lid blepharoplasty will be determined by the status of the lower lid, the extent of skin laxity, and patient preference. The two lower lid blepharoplasty techniques employed by Dr. Barr are the transconjunctival lower lid blepharoplasty or the subciliary lower lid blepharoplasty. The upper lid blepharoplasty is performed through an incision hidden within the upper lid crease. Each patient has very different anatomy and Dr. Barr individualizes the blepharoplasty to each patient’s aesthetic needs to create an optimal outcome.

Transconjunctival Lower Lid Blepharoplasty

This procedure is usually performed on younger patients with excessive eyelid skin fat but minimal skin laxity. A small incision is made within the pink (conjunctival) tissue, inside the lower lid. Through this incision, excessive fat can be easily removed or repositioned. If there is any skin laxity, it can be treated with minimal excision, resurfacing treatments or laser therapies. No visible scar exists with this procedure, since the incision site is in the lower lid.

Subciliary Lower Lid Blepharoplasty

Patients who have excessive lower eyelid skin in addition to excess muscle and fat are the best candidates for the subciliary surgical method. During this procedure the incision is made in the natural crease, just below the eyelashes. Through this approach, excessive muscle, fat and skin is removed or repositioned. Fat is often used to blend the lid cheek junction for a dramatic lower lid rejuvenating effect. With time, the incision becomes undetectable. 

Upper Blepharoplasty

During this procedure, a small incision is hidden in the natural upper eyelid crease. Excessive skin, muscle and fat are removed or repositioned using this technique. Often fat is repositioned to create an aesthetic fullness in the upper lid.  No visible scar remains after healing as the incision follows the natural crease and is hidden within it.

Affording your procedure can be made simpler by using Medicard which enables you to pay for your surgery with monthly payments. Please note that this company is not affiliated in any way with Barr Plastic Surgery. For more information on how financing can help you afford your procedure, visit:

Dr. Barr takes every precaution to ensure your scarring is as minimal and hides the incisions so that they are as undetectable as possible. Time improves all incisions. During the post-operative visits Dr. Barr and his staff will discuss methods to optimize your incisions. These include massage, sun avoidance, sunglasses when outside and silicone gel.