Reconstructive and cosmetic periocular surgery | Upper and lower eyelids
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Blepharoplasty Mexico City performed by Dr. Sebastián Diener corrects excess skin, muscle, and fat in the upper and lower eyelids, restoring a rested appearance and, when necessary, relieving the visual field obstructed by a drooping eyelid. As an oculoplastic ophthalmologist, Dr. Diener combines an aesthetic eye with the safety of a specialist trained in eye surgery, evaluating both the visual outcome and eyelid function in the same consultation.
There are different types of blepharoplasty Mexico City depending on the eyelid area that needs to be corrected:
Removes excess skin and fat from the upper eyelid through an incision hidden in the eyelid’s natural fold, so the scar is practically invisible once healed. It is the most requested variant because, besides rejuvenating the gaze, it can improve vision when drooping skin obstructs the upper visual field.
Treats fat bags and lower eyelid laxity, including under-eye bags caused by fat bulging. It can be performed transconjunctivally — from inside the eyelid, with no external scar — or through an incision just below the lashes when excess skin also needs to be removed.
CO2 laser is used as a cutting tool instead of a conventional scalpel, which can reduce bleeding during surgery. It is important to clarify that this remains a surgical procedure: it should not be confused with non-surgical laser resurfacing treatments, which only tighten the skin superficially and do not remove excess skin or fat the way surgery does.
This is one of the most frequent questions about this procedure. Non-surgical treatments exist — such as thread lifts, radiofrequency, or plasma — that can slightly improve eyelid skin firmness, but they do not replace blepharoplasty when there is excess skin, prominent fat bags, or drooping eyelids affecting vision. At the evaluation appointment, Dr. Diener assesses what degree of correction each patient needs and what alternative is realistic for their case.
Blepharoplasty is performed on an outpatient basis, generally under local anesthesia with sedation, lasting approximately one to two hours depending on whether one or several eyelids are treated. Dr. Diener plans the incision individually to preserve the eyelid’s natural volume and avoid an operated or “pulled” look.
Swelling and bruising are normal during the first few days and are managed with local cold compresses and relative rest. Most patients can resume desk-based activities by the third or fourth day.
Stitches are removed around the seventh day. Within one to two weeks, patients can usually resume their social life without the surgery being obvious, although mild swelling may persist and intense physical exertion should be avoided.
The definitive result is seen around six months, when residual swelling fully disappears and tissues finish settling.
A poorly performed blepharoplasty can leave sequelae such as asymmetry between both eyes, an eyelid that does not close completely (lagophthalmos), or excessive exposure of the white of the eye (scleral show) — complications that are more frequent when the surgery is performed by staff without ophthalmic training. That is why it is important for this procedure to be performed by a certified oculoplastic ophthalmologist with experience in both the aesthetic outcome and the management of eye anatomy and function. The American Academy of Ophthalmology recommends that these procedures be evaluated and performed by a qualified specialist.
Dr. Sebastián Diener is a certified oculoplastic ophthalmologist with specific training in eyelid, orbital, and tear duct surgery. This same subspecialty allows him to address, in the same visit, other orbit-related conditions that sometimes accompany eyelid aging.
If you’re looking for blepharoplasty Mexico City with an approach that combines ophthalmic safety and natural results, book your evaluation with Dr. Sebastián Diener.
Who should operate on the eyelids: a plastic surgeon or an oculoplastic surgeon?
An oculoplastic surgeon is the specialist best suited for this. In addition to training in periocular cosmetic surgery, they have complete training in eye health to evaluate the condition of the eye before surgery and manage any complication involving the eyeball.
Are scars visible after blepharoplasty?
On the upper eyelid, the incision is hidden within the natural fold, becoming practically invisible once healed. On the lower eyelid, it can be performed transconjunctivally (with no external scar) or just below the lashes, with a very discreet scar.
How long does recovery take?
Stitches are removed after 7 days. Within 1-2 weeks the patient can resume social life without the surgery being noticeable. The final result is seen at 6 months, once residual swelling has completely resolved.
Does my health insurance cover eyelid surgery?
Cosmetic blepharoplasty is not covered by insurance. However, when there is documented reduction of the visual field due to excess skin, some insurers recognize the functional component. This is assessed with visual field studies during the consultation.
At what age can blepharoplasty be performed?
From age 35 in those with relevant changes, although it is most common between ages 45 and 60. There is no upper age limit, as long as the patient is in good general and eye health.
Is there such a thing as non-surgical or scalpel-free blepharoplasty?
Non-surgical treatments exist that can slightly firm the eyelid skin, but they do not remove excess skin or fat bags the way surgery does. CO2 laser blepharoplasty remains a surgical procedure, even though it replaces the conventional scalpel with the laser as the cutting instrument.
How can I avoid a poorly done blepharoplasty?
By choosing a certified oculoplastic ophthalmologist with specific experience in eyelid anatomy. Complications such as asymmetry, lagophthalmos (difficulty closing the eye), or excessive skin removal are more common when the surgery is performed by staff without this specialized training.
Can I get eyelid surgery if I am young or if I am a man?
Yes. Blepharoplasty is indicated based on eyelid anatomy, not age or gender: some young patients have hereditary excess eyelid skin (dermatochalasis) that benefits from surgery, and more men are requesting it with an approach that preserves a natural look.
