Blepharoplasty (Eyelid Surgery) in Delhi

Yes — when planned and executed correctly, eyelid surgery produces results that look completely natural. The goal at Panache is not to change how you look, but to make you look rested and refreshed. Upper eyelid surgery removes the hooding that makes eyes appear heavy. Lower eyelid surgery reduces the puffiness and dark hollowness beneath the eyes. Neither procedure alters the character of your eyes — it simply restores them to how they looked when younger. Patients routinely tell us that friends and colleagues notice they look well-rested rather than that they've had surgery.

Upper blepharoplasty removes excess skin and fat from the upper eyelid — correcting drooping, hooding, or a tired appearance caused by skin laxity. It is performed under local anaesthesia or sedation and is one of the quickest, most effective facial procedures available. Lower blepharoplasty removes or repositions fat from beneath the eye — correcting under-eye bags (the puffiness caused by fat prolapse) and tightening loose skin. At Panache, lower blepharoplasty is typically performed via the trans-conjunctival approach (inside the lower eyelid), leaving no external scar. Both procedures can be performed in a single session.

Upper eyelid surgery is indicated when there is excess skin causing hooding — skin resting on the lashes or obscuring the upper eyelid platform. It may also be functional if the drooping is significant enough to affect vision. Lower eyelid surgery is indicated when under-eye bags are present (caused by fat prolapse, not just dark circles from pigmentation) or when there is loose skin and a hollow appearance beneath the eye. Many patients have both concerns — combined upper and lower blepharoplasty is very commonly performed in a single session. Dr. Ankit assesses your specific anatomy and recommends the right combination at consultation.

Upper blepharoplasty is most commonly performed under local anaesthesia with or without oral sedation — making it a daycare procedure with minimal downtime. Lower blepharoplasty, particularly when combined with fat repositioning or other procedures, may be performed under intravenous sedation or general anaesthesia. When both upper and lower eyelids are being addressed simultaneously — or when blepharoplasty is combined with a brow lift or fat grafting — general anaesthesia or sedation is typically used for comfort. Dr. Ankit discusses the anaesthesia plan at your consultation based on the scope of the procedure.

For lower blepharoplasty, Dr. Ankit uses the trans-conjunctival approach — the incision is made inside the lower eyelid, leaving no external scar whatsoever. For upper blepharoplasty, the incision is placed precisely within the natural upper eyelid crease — which already exists as a natural skin fold. When healed, this scar is virtually imperceptible in the closed eye and completely hidden when the eye is open. Most patients find the scar fully invisible within a few months. Asian eyelid surgery creates the crease and heals similarly — the scar falls within the newly created crease.

Tear trough fillers (typically hyaluronic acid) address the hollow, shadowed area beneath the eye — not the fat protrusion that causes under-eye bags. If the concern is a dark hollow without significant fat prolapse, fillers can produce an excellent result. However, if the lower eyelid has prominent fat bags — the forward protrusion of orbital fat that creates a puffy, heavy appearance — fillers add volume in the wrong area and will not correct the problem. In these cases, surgery (lower blepharoplasty with fat removal or repositioning) is the correct solution. Dr. Ankit will assess which approach is appropriate for your specific anatomy.

Upper blepharoplasty results are long-lasting — typically 8–12 years or more. The removed skin does not return. However, the natural ageing process continues, and further skin laxity may develop over many years. Lower blepharoplasty (fat removal via the trans-conjunctival approach) is generally considered permanent — the removed fat does not regenerate. Some patients see gradual changes with age as the lower eyelid skin continues to age, but the fat bags themselves do not recur. Overall, blepharoplasty offers one of the best longevity-to-recovery ratios of any facial procedure.

Blepharoplasty cost at Panache depends on several factors: (1) Upper vs lower vs both — each eyelid involves separate surgical time and complexity; (2) Approach used — trans-conjunctival lower blepharoplasty vs skin-excision approaches differ in complexity; (3) Anaesthesia type — local, sedation, or general; (4) Combined procedures — blepharoplasty is frequently combined with fat grafting to the tear trough, brow lift, or laser resurfacing, each adding to the overall cost; (5) Asian eyelid surgery (crease creation) is a distinct procedure with its own cost structure. Dr. Ankit provides a complete, transparent cost breakdown at consultation after examining your eyelids and planning the approach. There are no hidden charges.