Eyelid Surgery

Eyelid surgery (blepharoplasty) is one of the most popular facial plastic surgery procedures performed globally. As one of Canada’s leading facial plastic surgery experts, Dr. Ritchie Younger has performed thousands of eyelid surgeries resulting in pleasing natural-looking results.

Eyelid Surgery (Blepharoplasty) in Vancouver by Dr. Ritchie Younger

Blepharoplasty, or upper and lower eyelid surgery, can be a great way to restore a more youthful look to the eye area. Clients of all ages with excessive skin due to aging, lifestyle or genetic changes can benefit beautifully from this surgical procedure.

Blepharoplasty involves removing the excess fat, muscle, and skin from both upper and lower lids for a refreshed appearance with a younger firmer eye area. This procedure is often combined with other procedures such as a browlift to address issues like sagging eyebrows. Consultation with Dr. Younger can help you decide whether any additional complementary surgery would enhance the final result.

Pre-surgery – your eyelid surgery preliminary consultation and assessment

During your initial consultation, Dr. Younger will ask you questions about your vision, tear production, use of lenses, and your desires for surgery. Dr. Younger will explain what you can expect and answer any questions or concerns you may have regarding the recommended surgery and outcome.

Dr. Younger will take a thorough medical history, as well as assess your mental and emotional attitudes toward the surgery. A realistic attitude is vital to success.

If you proceed, he will discuss your individual procedure in-depth.


Dr. Younger talks about Blepharoplasty surgery — what it is and what the benefits are.

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Upper Eyelid Surgery

Gravity and lifestyle factors cause eyelids to age and droop over time. This may result in asymmetry of your upper eyelids due to excess skin or excess fat in the upper islands of the lids.

In upper eyelid surgery, Dr. Younger first carefully marks the individual lines and creases of the lids to keep the scars as invisible as possible. A precise incision is made and excess fat, muscle, and loose skin are removed. This tightens up the island, which makes the eyes appear more open and alert. Fine, self-dissolving sutures are used to close the incision. Upper eyelid surgery is done under local anaesthesia and typically takes 1 to 2 hours.

Immediately after surgery, an ointment to prevent dryness of the eye area is applied and used constantly during the post-operative period. A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Downtime is usually 7 to 10 days. After recovering at home, you may have minimal bruises, which can be easily covered with makeup. Although initial positive results are very apparent, ultimately, it will take up to 12 months to heal completely and to see the peak results.

Note: If clients are currently using BOTOX injections, they may need some time to let the effects of this injectable wear off before they consider upper blepharoplasty. For these clients, it is sometimes difficult to predict where their islands normally are at rest. Once the muscles in the forehead move in their regular way, it is easier to assess how much surgery they need to achieve the perfect result.

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Lower Eyelid Surgery

As we age, we lose soft tissue around the eyes. Some people develop crevasses or creases underneath the eyelids. A static lower eyelid surgery may correct this. Clients who have either excess skin on the lower eyelids and/or protruding fat accumulation in bags under the eyes, are good candidates for lower eyelid blepharoplasty.

In lower eyelid surgery, Dr. Younger makes the incision along the lash line and smile creases of the lower lid. He makes the incisions about 2 mm underneath the eyelids, which make them heal in line with the eyelid. Excess fat, muscle and skin are then trimmed away before the incision is closed with fine sutures. Upper eyelid surgery is done under local anaesthesia and typically takes 1 to 2 hours.

Dr. Younger will remove excess skin from the lower eyelids in a very conservative fashion. If a client has a lot of bulging fat under their lower eyelids, he or she may also require injections of products such as Restylane®. This will smooth out some of the fine contours of the lower eyelid.

Immediately after surgery, an ointment to prevent dryness of the eye area is applied and used constantly during the post-operative period. A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Downtime is usually 7 to 10 days. After recovering at home, you may have minimal bruises, which can be easily covered with makeup. Although initial positive results are very apparent, ultimately, it will take up to 12 months to heal completely and to see the peak results.

About 20% of clients who undergo this procedure require additional minor procedures to deal with small bulges of scar tissue or skin redundancy. The procedure sometimes has to be fine-tuned to achieve a perfect contour of the eyelid.

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Upper & Lower Eyelid Surgery

Upper and lower blepharoplasties are typically performed together on clients who have issues with both upper and lower lids due to aging. It is quite common for patients who have their upper eyelids done, to later regret that they did not also have their lower eyelids done simultaneously. At your consultation, Dr. Younger will advise you if he thinks that both an upper and lower blepharoplasty would benefit you.

The procedure is performed under local anaesthesia for both upper and lower lids. When performed simultaneously, the surgery may take 2 to 3 hours to perform.

Immediately after surgery, an ointment to prevent dryness of the eye area is applied and used constantly during the post-operative period. A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Most people are back to work within 10 days. After recovering at home, you may have minimal bruises, which can be easily covered with makeup. Although initial positive results are very apparent, ultimately, it will take up to 12 months to heal completely and to see the peak results.

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Double Lid Surgery

Double Lid surgery is sometimes called Asian eyelid surgery, but we prefer to call it something that focuses on the actual procedure rather than a potential ethnic group. About half of clients with an Asian ethnic origin do not have a fold in the area above the eyelashes. For those without a fold, a blepharoplasty procedure can create a natural-looking crease. One common reason for this is to allow makeup to be applied to the eyelids and to create a more open look of the eyes.

In double lid surgery, Dr. Younger tightens the skin of the eyelid in a way that creates a crease in the upper eyelid. The procedure is performed under local anaesthesia and takes 1to 2 hours.

In some circumstances, the clients also have a so-called epicanthal fold near the inside area of the eyelid. This can be flattened and improved surgically. The scars however, can take months to settle down. If this is an option you are interested in, please discuss the exact details with Dr. Younger. In general, swelling and bruising take about a week, with full healing reached after 8 to 12 months.


Dr. Younger discusses Double-Lid Surgery and what you need to prepare for your consultation.

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As Vancouver’s leading facial plastic surgery expert, Dr. Younger has been expertly helping thousands of happy patients look their best. Book a consultation to see what he can do for you.

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