Upper and lower eyelid assessment

Upper and lower eyelid surgical planning during blepharoplasty consultation

Blepharoplasty in Rawalpindi

Blepharoplasty removes or repositions selected eyelid skin and fat. Planning must protect eyelid closure, tear-film health and vision while distinguishing true eyelid changes from brow descent or cheek volume loss.

Treatment explained

What is Blepharoplasty (Eyelid Surgery)?

Upper eyelid surgery commonly uses an incision in the natural crease. Lower eyelid access may be through the skin beneath the lashes or inside the eyelid, depending on skin excess and fat position.

Problems and conditions

What can Blepharoplasty (Eyelid Surgery) address?

  • Upper-eyelid skin resting on the lid crease
  • Selected lower-eye fat prominence or “bags”
  • Mild lower-eyelid skin excess
  • Asymmetry after clinical assessment

Possible suitability

Who may be a suitable candidate?

  • Adults with a defined eyelid concern and healthy enough for surgery
  • Patients with realistic expectations and stable eye health
  • People willing to accept fine permanent scars when external incisions are used
  • Those able to use eye drops, cold compresses and attend review

Safety screening

Who may not be suitable?

  • Uncontrolled dry eye or eyelid disease without ophthalmic assessment
  • Prominent eyes, weak lower-lid support or brow descent requiring a different plan
  • Unsafe thyroid, bleeding or healing circumstances
  • Expectation that eyelid surgery removes every crease or dark circle

This list is not exhaustive. The treating clinician must confirm contraindications and any condition-specific precautions.

Individual assessment

Consultation and treatment planning

Assessment checks brow position, eyelid skin and fat, lower-lid tone, eye prominence, closure, dryness, vision history, contact lenses, medicines and previous eye surgery. Eye-specialist input may be required.

Step-by-step overview

How the treatment is performed

  1. Mark conservativelyPlan skin removal while protecting complete eyelid closure.
  2. Administer anaesthesiaUse local anaesthetic with sedation or general anaesthesia according to the operation.
  3. Reshape selected tissueRemove or reposition only the agreed skin, muscle or fat.
  4. Close and protectUse fine sutures when needed and begin eye lubrication and swelling control.

Treatment duration

Upper or lower eyelid surgery often takes 45–120 minutes; combined or complex procedures take longer.

Anaesthesia or comfort measures

Local anaesthetic with or without sedation may suit selected cases. General anaesthesia may be chosen for combined or lower-eyelid surgery.

The exact technique, setting and anaesthetic plan require confirmation from the treating clinician after examination.

Downtime and healing

Expected recovery period

Social downtimeAbout 1–2 weeks

Bruising and swelling commonly remain visible.

ExerciseUsually 2–4 weeks

Avoid bending and heavy activity until cleared.

Scar and swelling maturationAbout 3–6 months

Fine scars and residual swelling continue settling.

When results may become apparent

The eyelid contour becomes clearer as swelling resolves. Surgery does not stop ageing or reliably remove pigment, tear troughs or every lower-eye line.

Recovery and result timing are general ranges, not guarantees. Your written instructions and review findings take priority.

Potential benefits

What the treatment may offer

  • Removal of selected redundant eyelid skin
  • Repositioning of selected fat prominence
  • Incisions placed in natural creases where appropriate
  • Can improve an obstructed upper field when skin is functionally significant

Informed consent

Risks, limitations and complications

  • Bleeding, infection, dry eye or irritation
  • Asymmetry, visible scar or difficulty closing the eye
  • Lower-lid retraction or ectropion
  • Rare vision-threatening bleeding or injury requiring urgent treatment

Before treatment

Preparation instructions

  • Complete the examination, medical review, photographs and any requested tests before the operation date.
  • Share all prescription medicines, supplements, allergies, smoking or nicotine use and previous anaesthetic problems.
  • Do not stop prescribed medicine unless the prescribing clinician and surgical team agree.
  • Arrange transport, a responsible adult, time away from work and the postoperative reviews described in the plan.

After treatment

Aftercare

  • Use prescribed drops, ointment, cold compresses and head elevation.
  • Avoid rubbing the eyes, contact lenses and makeup until cleared.
  • Protect healing scars from sun.
  • Seek urgent help for severe eye pain, sudden swelling, reduced vision, double vision or uncontrolled bleeding.

Why choose Dr Husnain Aesthetic Clinic?

Experienced plastic-surgery leadership in Rawalpindi

Care is led by Assoc. Prof. Dr Husnain Khan, MBBS, MCPS, FCPS, MRCS. He has more than 17 years of experience as a plastic surgeon, is Head of the Department of Plastic Surgery at Holy Family Hospital, Rawalpindi, has worked in the UK NHS and is listed with GMC reference 7427786.

These credentials do not guarantee an outcome. The purpose of consultation is to decide whether treatment is reasonable for you and explain alternatives, limitations and follow-up.

Clinic-supplied procedure rates

Blepharoplasty (Eyelid Surgery) prices

Upper Eyelid BlepharoplastyRs. 120,000
Lower Eyelid BlepharoplastyRs. 120,000

These are the clinic-supplied rate-list values. Confirm the current rate and exactly what it includes before booking. Your final written quotation may differ according to the assessed procedure scope, facility, anaesthesia, tests, medicines and follow-up.

View the complete procedure price list →

Personalised quotation

Blepharoplasty (Eyelid Surgery) cost in Rawalpindi

A responsible quotation follows consultation because price depends on the treatment plan rather than the page name alone. Relevant factors include:

  • Upper, lower or combined eyelids
  • Complexity and need for support procedures
  • Anaesthesia and operating facility
  • Medicines, tests and postoperative follow-up

The published rate-list value is not a guaranteed final quotation. Ask what the written quotation includes and whether future sessions, tests, medicines or follow-up are separate.

Read the treatment-cost planning guide →

Patient questions

Blepharoplasty (Eyelid Surgery) FAQs

Does blepharoplasty remove dark circles?

It may improve shadow from fat prominence, but pigment, thin skin and tear-trough anatomy can remain.

Can eyelid surgery improve vision?

Upper skin that obstructs the visual field can have a functional effect, but formal assessment may be needed.

Where are the scars?

Upper scars usually sit in the crease; lower access may be beneath lashes or inside the eyelid. Scars remain but usually mature.

Will I be awake?

Selected upper procedures can use local anaesthetic with or without sedation; other plans may use general anaesthesia.

How long will bruising last?

Visible bruising often improves over one to two weeks but varies between patients.

Can eye bags return?

Ageing continues and remaining tissues can change. No result is permanent in the sense of stopping ageing.

What is transconjunctival blepharoplasty?

It accesses lower-lid fat from inside the eyelid and does not remove external skin by itself.

Which symptoms are an emergency?

Severe pain, sudden tense swelling, reduced vision or double vision after eyelid surgery needs urgent assessment.

Would you like an individual assessment?

Request a private appointment in Rawalpindi. Patients from Islamabad, elsewhere in Pakistan and overseas can ask what information is needed before travelling.

General patient information · Last reviewed 12 September 2026 · This page does not replace an examination, diagnosis or informed-consent discussion.

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