Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Plastic & Cosmetic · Facial Surgery
Eyelid Surgery in Hyderabad: Blepharoplasty at Lux Hospitals
Blepharoplasty removes excess skin and repositions fat around the eyes, correcting the hooding, heaviness and under-eye bags that make people look tired regardless of how well they have slept.
It is frequently functional rather than purely cosmetic: heavy upper lids can genuinely obstruct the upper field of vision. Our plastic surgeon at Lux Hospitals, HITEC CITY distinguishes true eyelid excess from a drooping brow, because operating on the wrong one makes things worse.
- Functional & Cosmetic
- Day-Care Procedure
- Qualified Plastic Surgeon
What is Eyelid Surgery?
Blepharoplasty is surgery of the eyelids to remove excess skin, reduce or reposition orbital fat, and where necessary tighten supporting structures. Upper blepharoplasty addresses hooding and heaviness of the upper lid; lower blepharoplasty addresses under-eye bags and, sometimes, excess skin below the lash line. They are separate operations and are often done together.
It is one of the few cosmetic procedures that is frequently functional. As upper lid skin descends it can encroach on the upper visual field, and people compensate by raising their brows constantly, which causes forehead ache and deepens forehead lines. Where the obstruction is measurable on visual field testing, the operation is corrective rather than purely aesthetic.
The distinction that governs everything is between eyelid excess and brow descent. When the brow drops, it pushes eyelid skin downward and produces identical-looking hooding. Removing eyelid skin in that situation drags the brow lower still, worsening the appearance and sometimes making the eyes difficult to close. Establishing which is present is the single most important part of the assessment.
Why the Eyelids Change
Several separate processes converge on a similar appearance around the eyes.
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Loss of skin elasticity
Eyelid skin is the thinnest on the body and shows collagen loss earliest. It stretches and no longer retracts.
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Weakening of the orbital septum
The membrane holding orbital fat in place thins, allowing fat to bulge forward as under-eye bags.
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Brow descent
The brow drops with age, pushing eyelid skin down and mimicking eyelid excess. This is the crucial distinction to make.
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Genetics
Under-eye bags frequently run in families and appear in people in their twenties, entirely independent of ageing.
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Mid-face volume loss
Loss of cheek volume creates a hollow beneath the bag, which makes the bag itself look far more prominent.
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Fluid retention and lifestyle
Salt, alcohol, poor sleep and allergy cause puffiness that fluctuates. This is not fat and no surgery is needed for it.
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Ptosis of the eyelid muscle
Weakening of the muscle that lifts the lid, causing genuine drooping of the lid margin over the pupil. A different problem needing different surgery.
True ptosis, where the lid margin itself sits low over the pupil, is not corrected by removing skin. It needs the levator muscle tightened, which is a different operation and easily missed if not specifically tested for.
Symptoms & Presentation
Upper and lower lid problems present quite differently and are assessed separately.
Upper eyelid symptoms
- Hooding of skin over the upper lid
- Loss of the visible eyelid crease
- A tired or heavy appearance regardless of sleep
- Skin resting on the eyelashes
- Difficulty applying eye makeup
- Forehead ache from constantly raising the brows
Lower eyelid and functional symptoms
- Puffiness or bags beneath the eyes
- A hollow or shadowed groove under the bag
- Fine crepey skin below the lash line
- A restricted upper field of vision
- Eyelashes turning downward into the line of sight
- Symptoms worse by the end of the day
Constantly raising your eyebrows to see clearly, or forehead ache by the afternoon, both suggest the hooding is genuinely obstructing vision rather than just looking heavy. That is worth mentioning at the consultation.
The Assessment Before Surgery
The assessment separates eyelid excess from brow descent and from true ptosis, and checks the eye itself is healthy.
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Examination with the brow supported
Holding the brow at its natural position to see how much hooding remains. This distinguishes eyelid excess from brow descent.
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Measuring lid position
Measuring where the lid margin sits relative to the pupil, and levator muscle function, to identify ptosis needing separate correction.
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Visual field testing
Where hooding appears to obstruct vision, formal testing documents it, which matters both clinically and for insurance.
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Dry eye assessment
Tear film testing, since blepharoplasty can worsen pre-existing dry eye. Significant dryness changes how much skin can safely be removed.
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Lower lid laxity testing
Assessing lid tone with snap-back and distraction tests. A lax lower lid needs tightening or it can pull downward after surgery.
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Medical history and photographs
Thyroid disease, dry eye, previous laser eye surgery and blood thinners all reviewed, with standardised photographs taken.
Removing too much upper eyelid skin causes lagophthalmos, an inability to close the eyes fully, which leads to corneal exposure and chronic dryness. It is far harder to correct than to prevent.
Treatment Options
What works depends on whether the problem is skin, fat, brow position or lid muscle function.
Non-surgical
Where surgery is not needed
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Treating fluid retention
Reducing salt and alcohol, treating allergy and improving sleep, all of which reduce puffiness that fluctuates rather than persists.
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Tear trough filler
Filling the hollow beneath the bag so the bag itself is less obvious. Effective for mild cases, and reversible.
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Botulinum toxin
Softens crow’s feet and can produce a modest brow lift. It does nothing for skin excess or fat bulging.
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Radiofrequency skin tightening
For very mild lower lid crepiness, with subtle results. Not a substitute for surgery where skin excess is significant.
Surgical
Blepharoplasty procedures
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Upper blepharoplasty
Excess skin and a small amount of muscle removed through an incision hidden in the natural eyelid crease. Day care, quick recovery.
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Transconjunctival lower blepharoplasty
Fat removed or repositioned through an incision inside the lower lid, leaving no external scar. Best where the problem is fat without skin excess.
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Transcutaneous lower blepharoplasty
Through an incision just below the lash line, allowing skin removal as well as fat adjustment. Used where both are present.
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Fat repositioning
Rather than removing fat, moving it into the hollow below to fill the tear trough. Gives a smoother, less hollowed result.
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Lateral canthopexy
Tightening the outer corner of the lower lid, done alongside lower blepharoplasty where the lid is lax to prevent it pulling downward.
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Ptosis correction
Tightening the levator muscle where the lid margin itself droops. A different operation from skin removal, sometimes done together.
Where the brow has descended, a brow lift is the correct operation and blepharoplasty alone will disappoint. The two are frequently combined, and getting the sequence right is what produces a natural result.
The Blepharoplasty Procedure
Upper blepharoplasty takes forty-five to sixty minutes; combined upper and lower, up to two hours.
Day-care surgery under local anaesthesia with sedation
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Pre-operative preparation
Stopping blood thinners and supplements that increase bruising, with fasting where sedation is planned.
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Marking
The skin to be removed marked with you sitting upright and eyes open. This measurement is the whole operation: too much cannot be undone.
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Anaesthesia
Local anaesthesia with light sedation is standard and comfortable. General anaesthesia is available where preferred.
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Upper eyelid incision
An incision placed precisely in the natural eyelid crease, where the resulting scar becomes essentially invisible once healed.
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Removing skin and adjusting fat
The marked skin excised, a strip of muscle sometimes removed, and bulging fat trimmed conservatively: over-removal hollows the eye.
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Lower lid work if planned
Fat removed or repositioned through the conjunctiva or a subciliary incision, with the outer corner tightened where the lid is lax.
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Closure
Fine sutures placed, removed at five to seven days. Cold compresses started immediately in recovery.
The marking is the operation. Once skin is removed it cannot be replaced, and the difference between a rested look and an inability to close the eyes is a couple of millimetres.
Why Choose Lux Hospitals for Eyelid Surgery?
Eyelid surgery is measured in millimetres and unforgiving of over-correction. Here is why patients trust us:
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Brow position assessed first
Eyelid excess distinguished from brow descent and from true ptosis, so the right operation is done rather than the obvious one.
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Dry eye and lid laxity checked
Tear film and lower lid tone tested beforehand, because both determine how much skin can safely be removed.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Most people are presentable within ten to fourteen days. Bruising around the eyes is the main limitation.
- Days 1–3
Swelling and bruising peak. Cold compresses constantly, head elevated. Vision may be blurred from ointment and swelling.
- Days 4–7
Sutures removed at five to seven days. Bruising begins fading, often moving downward onto the cheeks.
- Days 7–14
Most bruising resolves and makeup can be worn from around ten days. Most people return to work at one to two weeks.
- Weeks 2–6
Residual swelling settles. Scars are pink but flattening. Exercise resumes at two to three weeks.
- Months 2–6
Scars fade into the eyelid crease and become essentially invisible. Final result established.
Aftercare
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Use cold compresses relentlessly for 48 hours
This does more to limit bruising and swelling than anything else. Twenty minutes on, twenty off, throughout the first two days.
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Sleep with your head elevated
On two or three pillows for the first week. Lying flat markedly increases periorbital swelling overnight.
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Use lubricating eye drops
Temporary dryness is common for several weeks. Preservative-free drops during the day and ointment at night keep the cornea protected.
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Wear sunglasses outdoors
They protect healing scars from sun, which prevents darkening, and shield sensitive eyes from wind and dust.
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No rubbing, straining or heavy lifting
For two weeks. Straining raises pressure around the eye and risks bleeding into the eyelid, which is the one urgent complication.
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Report sudden pain or vision loss immediately
Severe pain with rapidly increasing swelling and reduced vision suggests a retrobulbar haematoma: a rare emergency needing treatment within hours.
Upper blepharoplasty results last ten to fifteen years and often longer. Lower lid results are generally longer-lasting still, since removed fat does not return.
When Should You Book a Consultation?
A consultation is worthwhile if any of the following apply.
- Hooding of the upper eyelids that makes you look tired.
- A sense that your upper field of vision is restricted.
- Forehead ache from constantly raising your eyebrows.
- Persistent bags beneath the eyes unrelated to sleep.
- Loss of the visible upper eyelid crease.
- Uncertainty about whether you need eyelid surgery or a brow lift.
Cost of Eyelid Surgery in Hyderabad
Upper and lower blepharoplasty are costed separately, and many patients have both.
| Procedure | Estimated Cost |
|---|---|
| Consultation Includes assessment and photographs | ₹800 – ₹1,500 |
| Visual field testing Where vision is obstructed | ₹1,500 – ₹4,000 |
| Upper blepharoplasty Both eyes, day care | ₹85,000 – ₹1,60,000 |
| Lower blepharoplasty Both eyes, day care | ₹1,10,000 – ₹2,00,000 |
| Combined upper and lower All four lids in one sitting | ₹1,70,000 – ₹3,00,000 |
| Fat repositioning Rather than fat removal | ₹1,40,000 – ₹2,40,000 |
| Ptosis correction Levator tightening; often combined | ₹1,10,000 – ₹2,00,000 |
| With lateral canthopexy Added where the lower lid is lax | ₹30,000 – ₹60,000 |
What changes the estimate
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Upper, lower or both
Upper blepharoplasty is the shorter and less expensive procedure. Lower lid surgery is technically more demanding and costs more.
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Additional procedures
Ptosis correction, canthopexy or a brow lift performed at the same time each add to the total but avoid a second operation.
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Functional or cosmetic
Where visual field testing documents genuine obstruction, upper blepharoplasty may be considered functional: worth checking with your insurer.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Plastic & Cosmetic Surgery Treatments
Our Surgeons
Eyelid Surgery Specialists at Lux Hospitals
The plastic surgeon who performs blepharoplasty at our HITEC CITY hospital.
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Dr. M. Ram Prabhu
Consultant Plastic & Cosmetic Surgeon
MBBS, MS, MCh (Plastic Surgery)
16 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for cosmetic and plastic surgery at Lux Hospitals, Hyderabad.
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Got Questions?
Frequently Asked Questions
Common questions about eyelid surgery, recovery and what blepharoplasty costs at Lux Hospitals.
Is eyelid surgery painful?
Not particularly. It is done under local anaesthesia with light sedation and is painless at the time. Afterwards there is tightness and mild soreness rather than significant pain, controlled with simple painkillers. Most people find the swelling and bruising more bothersome than any discomfort.
How long does recovery from eyelid surgery take?
Sutures come out at five to seven days. Most bruising resolves within ten to fourteen days, and makeup can usually be worn from around ten days. Most people return to work at one to two weeks. Residual swelling settles over four to six weeks and scars fade over several months.
How long do the results last?
Upper blepharoplasty results typically last ten to fifteen years and often longer: the skin removed does not come back, though ageing continues. Lower lid results tend to last longer still, since the fat removed does not return. Neither stops the ageing process, but both set it back substantially.
What is the best age for eyelid surgery?
There is no fixed age. Most patients are between forty and seventy, but people with genetically inherited under-eye bags sometimes have surgery in their twenties or thirties. The right time is when the change bothers you or affects your vision, not at any particular birthday.
What is double eyelid surgery?
It creates a visible crease in an upper eyelid that naturally has none, which is a common feature in some East Asian populations. It is a different operation from blepharoplasty for ageing: the aim is to create a crease rather than to remove excess skin, though the two can be combined.
Can I get a double eyelid without surgery?
Tapes and glues create a temporary crease that lasts only while they are worn, and prolonged use can stretch and irritate the eyelid skin. Non-incisional suture techniques create a crease with stitches rather than an incision, giving a semi-permanent result, though it can loosen over time.
What are the risks of eyelid surgery?
Temporary dry eye and blurred vision are common and settle. Less common are asymmetry, visible scarring, lower lid pulling downward, and inability to close the eyes fully from over-removal. The rare emergency is bleeding behind the eye, which threatens vision and needs treatment within hours.
Will eyelid surgery help my vision?
It can, where upper lid hooding genuinely obstructs the upper visual field. Formal visual field testing documents this. Patients frequently report not only clearer vision but relief from forehead ache, because they stop constantly raising their brows to compensate.
How much does eyelid surgery cost in Hyderabad?
Upper blepharoplasty at Lux Hospitals is ₹85,000–₹1,60,000 for both eyes, lower blepharoplasty ₹1,10,000–₹2,00,000, and combined upper and lower ₹1,70,000–₹3,00,000. Ptosis correction is ₹1,10,000–₹2,00,000 and fat repositioning ₹1,40,000–₹2,40,000.
How can I book a consultation at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. The consultation includes assessing brow position and lid function, which determines whether blepharoplasty alone will give you the result you want.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book an Eyelid Surgery Consultation in Hyderabad
Eyelid excess, brow position and lid function assessed properly, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032