{"id":30590,"date":"2026-08-31T15:13:34","date_gmt":"2026-08-31T15:13:34","guid":{"rendered":"https:\/\/drrichardfakin.com\/?p=30590"},"modified":"2026-08-31T15:16:31","modified_gmt":"2026-08-31T15:16:31","slug":"blepharoplasty-before-and-after-progress-scars-and-results","status":"publish","type":"post","link":"https:\/\/drrichardfakin.com\/en\/blog\/blefaroplastia-antes-y-despues-evolucion-cicatrices-y-resultados\/","title":{"rendered":"Blepharoplasty: before and after \u2013 progress, scarring and results"},"content":{"rendered":"

Before-and-after photographs of blepharoplasty show how one\u2019s appearance can change following eyelid surgery, but the results are not immediately apparent. During the first few weeks, there may still be swelling, bruising and visible scarring, so it is important to understand how the area heals before assessing the final result.<\/p>\n\n

Blepharoplasty can be performed on the upper eyelids, lower eyelids or both, depending on the anatomy and individual needs of each patient. It can address excess skin, fat deposits and other changes that contribute to a tired or aged appearance around the eyes. On the page at Blepharoplasty by Dr Richard Fakin<\/a> Specific information on the techniques and possibilities of the procedure is available.<\/p>\n\n

In this article, we focus on a different issue: what can actually be observed in \u2018before and after\u2019 photos of blepharoplasty, how the eyelids change during recovery, where the scars are located, and when the results can begin to be assessed more accurately.<\/p>\n\n\n

Blepharoplasty should be assessed as part of the overall appearance of the eyes<\/h2>\n\n

The eye area consists of delicate structures, and even small anatomical differences can significantly alter the appearance of the eyes. For this reason, before-and-after photographs should be analysed taking into account each patient\u2019s starting point, rather than simply the amount of skin or bags removed.<\/p>\n\n

The position of the eyebrows, skin quality, the distribution of facial volume and the anatomy of the eyelids also influence the visual result.<\/p>\n\n

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\n\n \n View Dr Richard Fakin\u2019s post on Instagram\n <\/a>\n\n <\/blockquote>\n\n<\/div>\n\n\n

What changes might occur before and after blepharoplasty?<\/h2>\n\n

Blepharoplasty can primarily address excess skin on the eyelids and the presence of bags under the eyes, although the specific outcome depends on the type of procedure performed and the patient\u2019s initial anatomy.<\/p>\n\n

In upper blepharoplasty, the procedure usually focuses on the skin that accumulates above the eyelid crease and which can make the eyes appear heavier. Where clinically indicated, localised fat deposits may also be treated.<\/p>\n\n

In lower blepharoplasty, the aim may be to reduce or redistribute bags under the eyes, treat skin laxity, or combine different surgical techniques. Depending on the individual case, the procedure may be performed through the skin or via a transconjunctival approach from the inner surface of the eyelid.<\/p>\n\n

When both the upper and lower eyelids are treated in a single procedure, this is usually referred to as a full blepharoplasty. This does not mean that everyone needs to have both areas treated: whether a procedure is recommended depends on which structures are affecting the appearance of the eyes.<\/p>\n\n\n

Blepharoplasty: before and after \u2013 how the results develop<\/h2>\n\n

The results of blepharoplasty develop gradually over weeks and months. Photographs taken a few days after the operation cannot be compared with those taken once the swelling has subsided and the scars have healed.<\/p>\n\n

\n\n\n\n\n\n\n\n\n\n\n
Stage<\/th>\nWhat can be observed<\/th>\nHow to interpret the result<\/th>\n<\/tr>\n<\/thead>\n\n
The first few days<\/td>\nSwelling, bruising, a feeling of tightness and fresh scars<\/td>\nIt is still too early to assess the outcome<\/td>\n<\/tr>\n\n
First and second weeks<\/td>\nGradual reduction in bruising and swelling<\/td>\nThe design is beginning to take shape<\/td>\n<\/tr>\n\n
The first few months<\/td>\nThe tissues continue to settle, and the scars change in colour and texture<\/td>\nThe result can be seen more clearly<\/td>\n<\/tr>\n\n
Subsequent months<\/td>\nGradual maturation of the scars and stabilisation of the tissues<\/td>\nThis is a better time to compare the situation before and after<\/td>\n<\/tr>\n\n<\/tbody>\n<\/table>\n<\/div>\n\n

These timeframes are approximate. Recovery times may vary depending on the type of blepharoplasty, the extent of the procedure, the healing process and each patient\u2019s individual circumstances.<\/p>\n\n\n

What are the first few days like after blepharoplasty?<\/h2>\n\n

During the first few days, it is common for the appearance not yet to resemble the final result. Swelling may make both sides look slightly different, and bruises may change colour as they gradually fade.<\/p>\n\n

You may also experience a feeling of tightness, tenderness around the incisions or minor discomfort. The surgical team will provide personalised advice on hygiene, medication, eye protection, physical activity and wound care.<\/p>\n\n

One of the most common mistakes when assessing the results of a blepharoplasty is to worry about any asymmetry that is noticed too soon. During the initial phase, the swelling does not always subside at exactly the same rate on both sides.<\/p>\n\n

For this reason, the first few weeks should be seen as a recovery phase rather than a definitive indication of the outcome.<\/p>\n\n\n

Blepharoplasty scars: where they are and how they heal<\/h2>\n\n

The location of the scars depends on the procedure performed. Upper blepharoplasty, lower blepharoplasty with external access, and transconjunctival lower blepharoplasty all use different approaches.<\/p>\n\n

Scar from upper blepharoplasty<\/h3>\n\n

In upper blepharoplasty, the incision is usually made within the natural crease of the eyelid. This location helps to conceal the scar when the eye is open, once healing has progressed.<\/p>\n\n

During the first few weeks, the line may appear pink, slightly raised or more pronounced than expected. Scars go through a maturing process that continues for several months, so they should not be judged solely on their initial appearance.<\/p>\n\n

Scar from lower blepharoplasty<\/h3>\n\n

When lower blepharoplasty is performed using a cutaneous approach, the incision is usually made close to the edge of the lower eyelashes. Its position is designed to ensure that it is barely visible once the scar has healed properly.<\/p>\n\n

In certain patients, a transconjunctival approach from the inside of the eyelid may be used. This technique avoids an external skin incision, although it is not suitable for all situations and the choice of approach depends on the structures that need to be treated.<\/p>\n\n

Do scars disappear completely?<\/h3>\n\n

It is more accurate to say that scars gradually become less noticeable than to promise that they will disappear completely. How they develop depends on the individual\u2019s skin response, sun exposure, smoking, post-operative care and other factors relating to the healing process.<\/p>\n\n\n

When do you start to see results?<\/h2>\n\n

The first changes can be seen as the swelling and bruising subside, but the result continues to develop thereafter.<\/p>\n\n

During the first few weeks, the swelling around the eyes gradually begins to subside. However, the skin, tissues and scars continue to settle over the following months.<\/p>\n\n

This explains why a \u2018before and after\u2019 photograph may look very different from what a person sees when looking in the mirror during the first few days. There is usually a considerable period of time between the pre-operative photograph and the image used to show the final result.<\/p>\n\n

To interpret a set of results correctly, it is also helpful to know how much time has elapsed since the operation.<\/p>\n\n\n

Blepharoplasty results: what to look out for<\/h2>\n\n

Photographs and audiovisual material provide a better understanding of how the appearance of the eyes may change following eyelid surgery. When comparing results, it is important to take into account the initial anatomy, the procedure performed and the time elapsed since the operation.<\/p>\n\n

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\n\n \n Watch Dr Richard Fakin\u2019s reel on Instagram\n <\/a>\n\n <\/blockquote>\n\n<\/div>\n\n

When comparing \u2018before\u2019 and \u2018after\u2019 photos of blepharoplasty, it is worth paying attention to various aspects:<\/p>\n\n