Eyelid surgery, also known as blepharoplasty, is a cosmetic procedure that improves the appearance of the upper and lower eyelids by removing excess skin, fat, and muscle. Eyelid surgery can also correct droopy eyelids, puffy bags, and dark circles that make you look tired, sad, or older than you are.

Dr. Pirani is a board-certified plastic surgeon who specializes in facial rejuvenation and has extensive experience in performing eyelid surgery. He uses advanced techniques and customized approaches to achieve natural-looking and long-lasting results for his patients.

If you are interested in eyelid surgery in Toronto, read on to learn more about this procedure and how Dr. Pirani can help you achieve your aesthetic goals.

Who is a good candidate for eyelid surgery?

You may be a good candidate for eyelid surgery if you:

• Are in good general health and have no medical conditions that could affect healing
• Have realistic expectations and goals for the outcome of the surgery
• Have excess skin, fat, or muscle on your upper or lower eyelids that affects your appearance
• Have puffy bags or dark circles under your eyes that make you look older or sad
• Want to enhance your facial harmony and balance

The best way to determine if you are a suitable candidate for eyelid surgery is to schedule a consultation with Dr. Pirani. He will evaluate your eyelids, facial anatomy, skin quality, and medical history. He will also discuss your concerns, expectations, and options with you and recommend the best course of action for your specific case.

Signs of aging in upper eyelids

The upper eyelids are one of the first areas of the face to show signs of aging. As we age, the skin loses its elasticity and collagen, the fat pads shift or bulge, and the muscles weaken or sag. These changes can result in:

• Excess skin that hangs over the eyelashes and creates folds or creases
• Reduced eyelid opening that impairs vision or makes applying makeup difficult
• A heavy or hooded appearance that obscures the natural shape of the eye
• A tired, sad, or angry expression that does not reflect your mood or personality

Eyelid surgery can address these issues by removing the excess skin, fat, and muscle from the upper eyelids and creating a smoother, firmer, and more youthful contour.

Signs of aging in lower eyelids

The lower eyelids are also prone to aging changes that can affect your appearance and self-confidence. As we age, the skin becomes thinner and more transparent, the fat pads herniate or protrude, and the muscles lose their tone or contract. These changes can result in:

• Puffy bags or bulges that give a swollen or tired look
• Dark circles or hollows that give a sunken or aged look
• Wrinkles or fine lines that give a crepey or dry look
• A sagging or drooping appearance that exposes the white of the eye below the iris

Eyelid surgery can address these issues by removing or repositioning the excess fat, tightening the skin and muscle, and restoring a smooth, flat, and youthful appearance to the lower eyelids.

Consultation

Before you decide to undergo eyelid surgery, you need to have a thorough consultation with Dr. Pirani. During the consultation, he will:

• Listen to your concerns, goals, and expectations
• Examine your eyelids, facial features, skin quality, and eye function
• Take measurements and photos of your eyelids and face
• Review your medical history, medications, allergies, and lifestyle habits
• Explain the procedure, risks, benefits, alternatives, and costs
• Answer any questions you may have
• Develop a personalized surgical plan that suits your needs and preferences

The consultation is a very important step in the eyelid surgery process. It is your opportunity to get to know Dr. Pirani, express your desires, and learn more about the procedure. It is also your chance to ask any questions or address any concerns you may have. Dr. Pirani will provide you with honest and professional advice and guide you through the decision-making process.

Cost

The cost of eyelid surgery varies depending on several factors, such as:

• The extent and complexity of the procedure
• The type and amount of anesthesia used
• The facility and equipment fees
• The surgeon’s fees
• The post-operative care and medications

Dr. Pirani will provide you with a detailed and personalized quote for your eyelid surgery during your consultation. He will explain the breakdown of the costs and the payment options available. He will also inform you of any financing plans or special offers that may apply to your case.

Please see our Fees & Financing Page for current pricing and financing information.

Upper eyelid surgery

Upper eyelid surgery, also known as upper blepharoplasty, is a procedure that removes excess skin, fat, and muscle from the upper eyelids and creates a more open, alert, and youthful appearance. Upper eyelid surgery can also improve vision by eliminating the excess skin that droops over the eyelashes and obstructs the field of view.

Dr. Pirani performs upper eyelid surgery using the following steps:

1. He marks the incision lines along the natural creases of the upper eyelids
2. He administers local anesthesia with sedation or general anesthesia
3. He makes the incisions and removes the excess skin, fat, and muscle
4. He closes the incisions with fine sutures and applies sterile dressings
5. He monitors your recovery and provides you with post-operative instructions

Upper eyelid surgery usually takes about one hour to complete and is performed as an outpatient procedure. You will be able to go home the same day after a brief observation period.

Lower eyelid surgery

Lower eyelid surgery, also known as lower blepharoplasty, is a procedure that removes or repositions excess fat, tightens the skin and muscle, and smooths the wrinkles and fine lines of the lower eyelids. Lower eyelid surgery can also correct puffy bags, dark circles, and sagging skin that make you look tired, sad, or older than you are.

Dr. Pirani performs lower eyelid surgery using one or both of the following techniques:

1. External incision (Skin Pinch): He makes an incision just below the lash line (below the lower eyelid margin) removes excess skin and closes the incision with fine sutures. This technique is suitable for patients who have moderate to severe excess skin, fat, or muscle on the lower eyelids.
2. Transconjunctival approach: He makes an incision inside the lower eyelid and removes or repositions the excess fat. This technique is suitable for patients who have mild to moderate excess fat but no excess skin or muscle on the lower eyelids. There is no external scar if only this approach is used.

Lower eyelid surgery usually takes about one to two hours to complete and is performed as an outpatient procedure. You will be able to go home the same day after a brief observation period.

No scar lower eyelid surgery (transconjunctival blepharoplasty)

No scar lower eyelid surgery, also known as transconjunctival blepharoplasty, is a technique that Dr. Pirani uses to perform lower eyelid surgery without leaving any visible scars. He makes an incision inside the lower eyelid and removes or repositions the excess fat without affecting the skin or muscle. 

No scar lower eyelid surgery is ideal for patients who have mild to moderate excess fat but no excess skin or muscle on the lower eyelids. It is also ideal for patients who want to avoid any external scars or sutures on their lower eyelids.

No scar lower eyelid surgery usually takes about one hour to complete and is performed as an outpatient procedure. You will be able to go home the same day after a brief observation period.

What can I expect after eyelid surgery?

After eyelid surgery, you can expect some swelling, bruising, discomfort, and dryness in your eyes. These are normal and temporary side effects that will subside gradually over the first few weeks. Dr. Pirani will prescribe you some painkillers, antibiotics, and eye drops to help you manage these symptoms and help prevent any infections or complications.

You will need to follow some post-operative instructions to ensure a smooth and safe recovery, such as:

• Keep your head elevated and use cold compresses to reduce swelling and bruising
• Avoid rubbing, scratching, or applying pressure to your eyes
• Avoid smoking, drinking alcohol, or taking blood-thinning medications
• Avoid wearing contact lenses, makeup, or sunglasses until Dr. Pirani advises you otherwise
• Avoid strenuous activities, exercise, or heavy lifting for at least four weeks
• Avoid prolonged sun exposure or tanning for at least six months
• Follow a healthy diet and drink plenty of fluids
• Attend your follow-up appointments with Dr. Pirani

Dr. Pirani will monitor your healing process and remove your sutures after about a week. He will also advise you when you can resume your normal activities and work.

Recovery

The recovery time from eyelid surgery varies depending on the extent and type of the procedure, your individual healing ability, and your adherence to the post-operative instructions. In general, you can expect to:

• Return to work and social activities after about one to two weeks
• See near final results of your eyelid surgery after about six to twelve months
• Enjoy the benefits of your eyelid surgery for many years or even permanently

Dr. Pirani will provide you with specific guidelines and timelines for your recovery based on your case. He will also follow up with you regularly to ensure that you are healing well and that you are satisfied with the outcome of your eyelid surgery.

Can I combine eyelid surgery with other surgeries?

Yes, you can combine eyelid surgery with other facial rejuvenation procedures to achieve a more comprehensive and harmonious result. Some of the common procedures that Dr. Pirani performs in conjunction with eyelid surgery are:

• Facelift: A facelift is a procedure that lifts and tightens the skin and underlying tissues of the lower face and neck. It can address sagging jowls, deep nasolabial folds, marionette lines, and loose neck skin. A facelift can complement eyelid surgery by enhancing the overall contour and balance of the face.
• Brow lift: A brow lift is a procedure that elevates and reshapes the eyebrows and forehead. It can correct heavy brows and asymmetric brows. A brow lift can complement eyelid surgery by opening up the eyes and creating a more alert and refreshed expression.

Dr. Pirani will advise you if you are a good candidate for combining eyelid surgery with other procedures. He will also explain the benefits, risks, and costs of doing so. He will design a customized surgical plan that addresses your multiple concerns and achieves your desired results.

Are there non-surgical alternatives to eyelid surgery?

If you are not ready or suitable for eyelid surgery, there are some non-surgical alternatives that can improve the appearance of your eyelids and eyes. Some of the non-surgical options that Dr. Pirani offers are:

• Botox: Botox is a neuromodulator that relaxes the muscles that cause wrinkles and fine lines. It can smooth the crow’s feet, frown lines, and forehead lines that contribute to an aged or tired look. Botox can also lift the brows and open up the eyes by weakening the muscles that pull them down.
• Dermal fillers: Dermal fillers are injectable substances that restore volume and plumpness to the skin. They can fill the hollows and dark circles under the eyes, lift the cheeks and midface, and smooth the nasolabial folds and marionette lines. Dermal fillers can also enhance the shape and size of the lips and chin.
• Laser resurfacing: Laser resurfacing is a treatment that uses a high-intensity light beam to remove the damaged outer layer of the skin and stimulate the production of new collagen and elastin. It can improve the texture, tone, and elasticity of the skin, reduce the appearance of wrinkles and fine lines, and even out the pigmentation and discoloration of the skin.
• Radiofrequency microneedling: Radiofrequency microneedling is a treatment that uses tiny needles to deliver controlled radiofrequency energy into the dermis of the skin. This stimulates the production of collagen and elastin, which firms and smooths the skin. Radiofrequency microneedling can improve the appearance of sagging, wrinkled, and crepey eyelid skin by firming the tissue. It can also reduce the visibility of scars, pores, and blood vessels on the eyelids. Radiofrequency microneedling is a non-invasive, relatively painless, and quick procedure that requires minimal downtime.

Dr. Pirani will assess your eyelids and face and recommend the best non-surgical option for you. He will also explain the procedure, results, and maintenance of the non-surgical treatment. He will help you achieve a natural and subtle enhancement of your eyelids and eyes without surgery.

FAQ section

Here are some of the frequently asked questions (FAQ) about eyelid surgery that Dr. Pirani receives from his patients:

Is eyelid surgery painful?

Eyelid surgery is usually not very painful, as you will receive anesthesia during the procedure and painkillers after the procedure. You may experience some mild discomfort, tightness, or itching in your eyes, but these should subside within a few days.

Will eyelid surgery leave scars?

Eyelid surgery will leave scars, but they are usually very well-hidden and barely noticeable. Dr. Pirani will place the incisions along the natural creases of the upper eyelids, or just below the lower eyelid margin, or inside the lower eyelid. The scars usually improve over time and typically blend very well with the surrounding skin.

How long will the results of eyelid surgery last?

The results of eyelid surgery are long-lasting and can last for many years or even permanently. However, eyelid surgery cannot stop the natural aging process, and you may notice some changes in your eyelids and eyes over time. You can maintain the results of your eyelid surgery by following a healthy lifestyle, protecting your skin from sun damage, and using quality skincare products.

What are the risks or complications of eyelid surgery?

Eyelid surgery is a safe and effective procedure, but like any surgery, it carries some risks or complications. Some of the possible risks or complications of eyelid surgery are:

• • Bleeding
  • Infection
  • Dry eyes
  • Eye irritation
  • Temporary blurred or double vision
  • Difficulty closing or opening the eyes
  • Asymmetry or unevenness of the eyelids
  • Scarring or skin discolouration
  • Nerve damage or numbness
  • Allergic reaction to anesthesia or medication

Dr. Pirani will take many precautions to minimize the risks or complications of eyelid surgery. He will also provide you with detailed instructions on how to prevent and manage any potential problems. He will monitor your recovery and address any concerns you may have.

How do I choose the best eyelid surgeon in Toronto?

Choosing the best eyelid surgeon in Toronto is a very important decision that can affect the outcome and satisfaction of your eyelid surgery. You should look for an eyelid surgeon who:

• • Is board-certified by the Royal College of Physicians and Surgeons of Canada
  • Has extensive training and experience in eyelid surgery and facial plastic surgery
  • Has a portfolio of before and after photos of eyelid surgery patients
  • Has positive reviews and testimonials from previous eyelid surgery patients
  • Has a state-of-the-art facility and equipment
  • Has a friendly and professional staff
  • Offers a personalized and comprehensive consultation
  • Understands your goals and expectations
  • Provides honest and realistic advice
  • Answers all your questions and concerns
  • Charges reasonable and transparent fees

Dr. Pirani meets all these criteria and more. He is one of the most reputable and trusted eyelid surgeons in Toronto and has achieved excellent results for his patients. He is committed to providing the highest quality of care and service to his patients. He will make you feel comfortable and confident throughout your eyelid surgery journey.

Contact us

If you are interested in eyelid surgery in Toronto, contact us today to schedule a consultation with Dr. Pirani. He will be happy to meet you and discuss your eyelid surgery options. He will help you achieve a more youthful, refreshed, and attractive appearance of your eyelids and eyes.