Blepharoplasty (Eyelid Surgery) in Mumbai: What to Expect

As we age, the delicate skin around our eyes is often the first area to show signs of ageing. Drooping upper eyelids, under-eye bags, and puffiness can make you look tired, older, or even obstruct your vision. Blepharoplasty, commonly known as eyelid surgery, is one of the most popular cosmetic procedures performed worldwide. In Mumbai, Dr. Prasanna Somvanshi is a trusted plastic surgeon offering both functional and cosmetic blepharoplasty with consistently outstanding results.

Upper vs Lower Blepharoplasty

Understanding the difference between upper and lower blepharoplasty is the first step to choosing the right procedure for your needs.

Upper Blepharoplasty

Upper blepharoplasty targets excess skin and fat on the upper eyelids. Over time, the skin loses elasticity and begins to droop, creating a hooded appearance. In some cases, the excess skin hangs so low that it interferes with peripheral vision. The procedure involves making a precise incision within the natural crease of the upper eyelid, removing or repositioning excess tissue, and closing the incision so that the scar is virtually invisible once healed.

Lower Blepharoplasty

Lower blepharoplasty addresses puffiness, bags, and wrinkles beneath the eyes. Fat deposits that bulge forward with age are either removed or redistributed to create a smoother under-eye contour. The incision is typically made just below the lash line or inside the lower lid (transconjunctival approach), minimising visible scarring. Dr. Prasanna Somvanshi carefully evaluates each patient to determine which approach will deliver the most natural-looking outcome.

Functional vs Cosmetic Blepharoplasty

Not every blepharoplasty is purely cosmetic. Functional blepharoplasty is performed when drooping upper eyelids obstruct the visual field. Patients often report difficulty reading, driving, or performing daily activities because the overhanging skin limits their sight. A visual field test can objectively confirm the impairment. Cosmetic blepharoplasty, on the other hand, is elective and aimed at restoring a youthful, refreshed appearance without necessarily addressing a functional deficit.

Who Is a Good Candidate?

Ideal candidates for blepharoplasty are adults who experience one or more of the following:

Excess skin obscuring the natural fold of the upper eyelid
Puffy upper eyelids caused by fat deposits
Bags, wrinkles, or loose skin under the lower eyelids
Impaired peripheral vision due to drooping upper lids
A tired or aged appearance despite adequate rest

Good general health, realistic expectations, and the absence of serious eye conditions such as glaucoma or dry eye syndrome are important considerations. During the consultation at facilities like NH SRCC, SevenHills Hospital, or HN Reliance, Dr. Prasanna Somvanshi conducts a thorough ocular and facial assessment before recommending surgery.

The Procedure: Step by Step

Blepharoplasty is usually performed under local anaesthesia with sedation, although general anaesthesia may be used if multiple procedures are combined. The surgical steps include:

Marking: Precise markings are drawn on the eyelids while the patient is upright to account for natural skin folds and symmetry.
Incision: Incisions are placed within the natural crease (upper lid) or just below the lash line (lower lid).
Tissue Removal or Repositioning: Excess skin, muscle, and fat are carefully removed or redistributed.
Closure: Fine sutures or tissue adhesive are used to close the incisions, ensuring minimal scarring.

The entire procedure typically takes one to two hours, depending on whether one or both eyelids are treated.

Recovery Timeline

Recovery from blepharoplasty is relatively quick compared to many other cosmetic surgeries:

Days 1-3: Swelling and bruising peak. Cold compresses and head elevation help manage discomfort. Prescription eye drops and ointment keep the area moist.
Days 5-7: Sutures are removed. Most patients notice a significant reduction in swelling.
Weeks 2-3: Bruising fades, and most patients feel comfortable returning to work and social activities.
Weeks 4-6: The final results begin to emerge as residual swelling resolves.
3-6 Months: Incision lines continue to refine and fade, becoming nearly imperceptible.

Patients are advised to avoid strenuous exercise, heavy lifting, and prolonged screen time during the first two weeks. Sunglasses and sunscreen protect healing skin from UV damage.

Why Choose Dr. Prasanna Somvanshi for Blepharoplasty in Mumbai?

Dr. Prasanna Somvanshi brings extensive training and a meticulous approach to every eyelid surgery. Operating at premier hospitals including Surya Hospital, Sushrusha Hospital, and MRR Hospital, he combines advanced techniques with an artistic eye to ensure natural, balanced results. Each treatment plan is customised, and patients receive detailed pre-operative and post-operative guidance for a smooth recovery.

Schedule Your Consultation

If droopy eyelids or under-eye bags are affecting your appearance or vision, blepharoplasty could be the solution. Contact Dr. Prasanna Somvanshi's clinic in Mumbai today to book a personalised consultation and learn how eyelid surgery can help you look and feel refreshed.