Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. In a typical procedure, incisions are made following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. From these incisions, the skin is separated from the underlying fatty tissue and muscle, the excess fat is removed and sometimes sagging skin and muscle is trimmed. The incisions are then closed with very fine sutures.
If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, a transconjunctival blepharoplasty may be performed. In this procedure, the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.