Eye & Oculoplastic Surgery
Eyelid Surgery / Blepharoplasty
Upper and lower eyelid surgery, including blepharoplasty, for cosmetic and functional problems.
Consult Dr. Raman Mittal ↗
View before & after photos
Illustrative image · not a patient resultOverview
About Eyelid Surgery
Eyelid problems can affect appearance, comfort or vision. Blepharoplasty, the removal of excess eyelid skin and fat, is one type of eyelid surgery; other problems need different operations.
When to see a specialist
- 01A concern about upper or lower eyelid appearance
- 02Uneven or heavy eyelids
- 03Questions about cosmetic or reconstructive eyelid surgery
Whether treatment is suitable can only be decided after a consultation and examination.
Your doctor
Dr. Raman Mittal
Ophthalmology • Oculoplastic Surgery
- MBBS
- DNB – Ophthalmology
- Fellowship in Oculoplasty
Ophthalmologist and oculoplastic surgeon. He treats problems of the eyelids, tear ducts, orbit and eye socket, including cosmetic and reconstructive surgery around the eye.
Your consultation
What happens at the consultation.
At the first visit the doctor listens to your concern, takes a medical history and examines you. Not everyone who comes for a consultation needs a procedure.
Treatment planning
How the plan is decided.
The doctor examines the eyelids and eyes and asks what bothers you. Surgery is advised only if the examination supports it.
- 01
Your anatomy
- 02
Examination findings
- 03
What you want to change
- 04
General health
In detail
Eyelid surgery: what to know.
What blepharoplasty does
Blepharoplasty removes or repositions excess skin, fat and sometimes muscle from the upper or lower eyelids.
- Functional reasons: heavy upper-lid skin that rests on the lashes or blocks the upper part of your vision, or aching from constantly raising the forehead to lift the lids.
- Cosmetic reasons: hooded upper lids or bags under the eyes.
- A low eyebrow can also make the upper lid look heavy. In that case browplasty may be considered, with or instead of blepharoplasty.
How your eyelids are assessed
- How much the eyelids affect your vision. A visual field test may be done with the lids relaxed and then lifted.
- The amount of skin and fat, and the symmetry of the two sides.
- Tear film and blinking, because dry eyes need extra care before and after surgery.
- Whether the lid itself is drooping (ptosis), which needs a different repair from skin removal.
The operation
- Upper lids: the cut is made in the natural eyelid crease, so the scar is hidden when the eyes are open.
- Lower lids: the cut is made just below the lashes or on the inside of the eyelid. Fat may be removed or repositioned.
- Usually done under local anaesthetic, sometimes general, and most patients go home the same day.
- It takes from about 45 minutes to two and a half hours, depending on how many lids are treated.
Recovery
- Cold compresses, ointment and lubricating drops are used for the first days.
- Bruising and swelling mostly settle within about two weeks.
- Stitches that do not dissolve are removed after one to two weeks.
- Some people return to light activities within a few days; others take about two weeks off work.
- Contact lenses and swimming are avoided at first. Scars fade over several months and may feel tight for a while, and numbness of the lid skin can take a few months to settle.
Risks
Every operation carries some risk. Your doctor will go through the risks that apply to you before you decide.
- Dry, gritty or watery eyes, and difficulty closing the eyes fully for a time.
- Uneven eyelids or visible scarring.
- After lower-lid surgery, the lid can be pulled down or turn outward.
- Infection or bleeding, and occasionally a further operation.
- Bleeding behind the eye that affects vision is rare (around 1 in 20,000).
General information, checked against published guidance (September 2026). It does not replace an individual consultation; your doctor will advise on your own case.
Sources: NHS: Eyelid surgery · AAO: Upper eyelid blepharoplasty · AAO: Lower eyelid blepharoplasty · Cambridge University Hospitals NHS
Before & After
Eyelid Surgery / Blepharoplasty Results
Photographs of patients treated at I·PLAST, published with their consent. Results vary from patient to patient.
Lower Lid Blepharoplasty
Before and after lower eyelid blepharoplasty.
Specialist: Dr. Raman Mittal
About this treatmentBefore
After
Results vary between patients. These photographs show individual cases and cannot predict the result for anyone else.
Considering this treatment?
Book a consultation to find out whether it is suitable for you.
What to expect
From first visit to follow-up.
- 01
Consultation
Tell the doctor what concerns you and ask your questions.
- 02
Examination & Planning
The doctor examines you and explains the options, including their limits.
- 03
Treatment
Carried out only if it is suitable for you and you decide to go ahead.
- 04
Follow-Up
Check-ups after treatment to review healing and any next steps.
FAQs
Common questions.
This can only be decided after a consultation and examination. The doctor will go through your concern, your medical history and the options available.
The doctor asks about your concern and medical history, examines you, and discusses what you hope to change and whether treatment is advisable.
Dr. Raman Mittal sees patients for this treatment at I·PLAST.
Yes. If treatment is planned, the doctor will explain aftercare, any activity restrictions and the follow-up visits you will need.
Not necessarily. Results depend on your anatomy, the examination findings, your general health and the procedure. Photographs of other patients show their results only.
No. Blepharoplasty is one type of eyelid surgery. Other eyelid problems, functional or reconstructive, need different operations. The right one depends on the examination.
An upper-lid scar lies in the natural crease and usually fades over several months. When lower-lid surgery is done from the inside of the eyelid, there is no skin scar.