How long do blepharoplasty results last?

For simplicity, let’s talk upper blepharoplasty that is being performed to address age-related changes of the upper eyelid. During an “upper bleph,” a surgeon will remove excess skin and/or fat of the upper eyelid to give a cleaner, brighter, more open appearance to the upper eyelid. The skin redundancy is secondary to loss of collagen and elasticity, sagging due to gravity, and overall volume loss. Further, the fat beneath the skin begins to bulge as we age as a result of a weakening orbital septum.

The key to this question is understanding that any surgery that’s performed to address aging, whether it’s eyelid surgery (e.g., blepharoplasty), facelift surgery, etc., will turn the clock back X number of years. But nothing can stop the clock. You will continue to age.

And age-related changes of the face occur differently for different individuals. So there’s no defined answer to this question. It really depends upon how the patient continues to age. Patients who age more rapidly may have a handful of years before they begin to notice excess upper eyelid skin while patients that age more slowly may never notice recurrent excess of their upper eyelids long-term.