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Blepharoplasty vs. Non-Surgical Eye Lifts

Written by Andrew Le, MD

UpdatedMarch 1, 2024

As we age, the skin around the eyes often begins to droop and sag, accumulating excess fat and skin that can contribute to a tired, aged appearance. For those seeking rejuvenation of the eye area, two options exist: blepharoplasty (eyelid surgery) and non-surgical eye lifts.

Both blepharoplasty and non-surgical treatments aim to create a more refreshed, youthful eye appearance, but they vary significantly in terms of procedure, recovery time, risks, costs, and results.

This article will provide a detailed comparison of surgical blepharoplasty versus non-surgical options for rejuvenating tired, aging eyes. Key factors like the procedures themselves, pros and cons, and costs be examined to help you understand the differences between these two facial rejuvenation approaches.

🔑 Key Takeaways

  • Blepharoplasty (eyelid surgery) is an invasive surgical procedure that rejuvenates the eyelids by removing excess skin, fat, and muscle tissue to eliminate sagging and create a smoother eyelid contour.
  • Non-surgical eye lifts like Botox, dermal fillers, lasers, and thread lifts offer minimally invasive options to rejuvenate the eyes with less risk, discomfort, and downtime than surgery.
  • Blepharoplasty provides longer-lasting, dramatic results by comprehensively addressing eyelid concerns, while non-surgical options provide more flexibility and accessibility but require repeat treatments for temporary improvements.
  • Recovery from blepharoplasty may involve swelling, bruising, and discomfort for several weeks along with potential surgical risks, whereas non-surgical procedures have minimal to no downtime but cannot adequately address severe eyelid sagging.
  • The average cost for blepharoplasty surgery is over $3,000, excluding anesthesia and operating room expenses, making it a more significant investment than non-surgical treatments like fillers and Botox which range from $300 to $900 per treatment.
  • Certain medical conditions increase the risks associated with blepharoplasty and may disqualify some patients, whereas non-surgical options are less restrictive regarding health qualifications.
  • Results from either surgical or non-surgical eyelid treatments may not meet a patient's expectations due to factors like individual healing, scarring risk, and variations in provider technique.
  • Both blepharoplasty surgery and non-surgical eye lifts carry potential disadvantages, so consulting a qualified practitioner is essential for determining the best approach based on an individual's specific anatomy and cosmetic goals.
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1. Definition and Procedure

Blepharoplasty, a cosmetic surgical procedure, and non-surgical eye lifts, encompass a range of minimally invasive treatments. Here are the details of their procedures:


Blepharoplasty is primarily performed to address issues such as sagging or drooping eyelids, excess skin, and fatty deposits around the eyes, which can make a person appear tired or older than their actual age.

The procedure is typically performed by a board-certified plastic surgeon or an oculoplastic surgeon with specialized training in eyelid surgery. The procedure involves several key steps:

  1. Before the surgery begins, the patient is administered local anesthesia with sedation or general anesthesia to ensure comfort and minimize pain during the procedure.
  2. The surgeon makes precise incisions along the natural creases of the eyelids. For upper eyelid surgery, the incisions are made in the eyelid's natural fold, while for lower eyelid surgery, the incisions are typically placed just below the lower lash line.
  3. Depending on the individual's needs, the surgeon may remove excess skin, fat, or muscle tissue from the eyelids. This step aims to eliminate sagging or puffiness and create a smoother, more youthful eyelid contour.
  4. The surgeon carefully closes the incisions using fine sutures, ensuring minimal scarring and a natural-looking result.
  5. Following the surgery, the patient is monitored during the initial recovery period, and any discomfort or swelling is managed with pain medication and cold compresses.
  6. The final results of blepharoplasty become gradually apparent as swelling subsides. Patients typically experience a more refreshed and youthful appearance in their eyelids, with long-lasting results that can persist for many years.

It's important to note that blepharoplasty can be performed on either the upper eyelids, lower eyelids, or both, depending on the patient's specific concerns and goals. The procedure is tailored to each individual's unique anatomy and desired outcome, making it a versatile option for addressing various eyelid-related cosmetic issues.

Non-Surgical Eye Lifts

Non-surgical eye lifts encompass a range of minimally invasive cosmetic procedures aimed at rejuvenating the appearance of the eyes without the need for traditional surgery. These procedures are often chosen by individuals looking for a quicker recovery and less downtime compared to surgical options. Common non-surgical eye lift procedures include:

  • Botox (Botulinum Toxin): Botox is a popular injectable treatment used to temporarily relax the muscles around the eyes, reducing the appearance of wrinkles and crow's feet. It can provide a subtle lifting effect by smoothing out lines and wrinkles.
  • Dermal Fillers: Injectable dermal fillers, such as hyaluronic acid-based fillers like Restylane and Juvederm, can be used to add volume to areas around the eyes, including the tear troughs and cheeks. This can reduce the appearance of hollowing and dark circles, creating a more youthful look.
  • Laser and Radiofrequency Treatments: Various laser and radiofrequency devices can be employed to stimulate collagen production, tighten skin, and improve skin texture around the eyes. These treatments can address issues like fine lines, mild sagging, and skin laxity.
  • Chemical Peels: Superficial chemical peels can be used to exfoliate the skin around the eyes, improving its texture and reducing the appearance of fine lines and wrinkles.
  • Thread Lifts: A thread lift is a non-surgical procedure that involves inserting dissolvable threads under the skin to lift and tighten sagging tissue. It can be used around the eyes to provide a subtle lift.
  • Ultherapy: Ultherapy uses focused ultrasound technology to stimulate collagen production and lift sagging skin. It can be applied to the brow area to create a lifted appearance.

Non-surgical eye lifts typically have the following general procedure steps:

  1. The patient meets with a qualified healthcare provider to discuss their concerns, goals, and determine the most suitable non-surgical treatment option.
  2. Depending on the chosen procedure, the patient may receive injections, undergo laser or radiofrequency treatment, or have threads inserted.
  3. Non-surgical eye lifts generally have minimal downtime, with some patients experiencing temporary redness, swelling, or bruising. Recovery times can vary depending on the specific treatment.
  4. Results from non-surgical eye lifts are often noticeable immediately, with continued improvements over several weeks as collagen production is stimulated. However, these results are generally temporary and may require maintenance treatments to sustain the effects.

Non-surgical eye lifts are an attractive option for those seeking subtle enhancements and minimal disruption to their daily lives. The choice of procedure depends on the patient's goals, the extent of their concerns, and their willingness to undergo periodic treatments to maintain results.

2. Advantages

Both blepharoplasty and non-surgical eye lifts offer unique advantages that cater to different preferences and needs. Let's explore the advantages of each option in more detail.


  • Blepharoplasty typically provides results lasting for many years, making it a long-term solution for addressing eyelid concerns.
  • The surgical procedure can achieve a significant and noticeable enhancement in the appearance of the eyelids, resulting in a more youthful and rejuvenated look.
  • Blepharoplasty is versatile, allowing surgeons to address issues in both the upper and lower eyelids during a single procedure, ensuring a comprehensive improvement.
  • Surgeons can tailor blepharoplasty to each patient's unique anatomy and cosmetic goals, ensuring that the outcome aligns with their expectations.
  • Successful blepharoplasty can boost self-esteem and self-confidence, leading to improved overall well-being and a more positive self-image.

Non-Surgical Eye Lifts

  • Non-surgical eye lifts involve minimal invasiveness, typically without incisions or general anesthesia, resulting in a shorter recovery time compared to surgery.
  • Non-surgical procedures carry fewer risks and potential complications than surgical options, with a reduced likelihood of infection, scarring, or adverse reactions to anesthesia.
  • Many non-surgical treatments yield immediate or rapidly noticeable results, providing a fresher look without extended waiting periods.
  • Recovery from non-surgical procedures is generally shorter, allowing patients to return to their daily routines more quickly. This is especially appealing to individuals with busy lifestyles.
  • Non-surgical treatments usually do not require general anesthesia, reducing the risks associated with anesthesia and the potential for post-operative grogginess.
  • Non-surgical eye lifts offer versatility in addressing various concerns, from fine lines and wrinkles to dark circles and skin laxity. Patients can choose the treatment that best matches their specific needs.
  • Non-surgical options provide flexibility, as their effects are temporary. This allows adjustments or discontinuation without long-term consequences and is suitable for individuals who want flexibility in their appearance.

3. Disadvantages

While both blepharoplasty and non-surgical eye lifts have their merits, it's essential to consider the potential drawbacks and limitations of these procedures. Here are the disadvantages associated with each option.


  • As a surgical procedure, blepharoplasty involves incisions and anesthesia, which carry potential risks such as infection, scarring, bleeding, and adverse reactions to anesthesia. Though complications are relatively rare, they can occur.
  • Recovery from blepharoplasty can be relatively lengthy, with several weeks required for complete healing. During this time, patients may experience bruising, swelling, discomfort, and limited mobility. This may necessitate time off work and avoiding strenuous activities.
  • While most patients achieve satisfying outcomes, there is always a risk that the final results may not meet the patient's expectations. Factors such as individual healing, scarring, and variations in surgical technique can influence the final results.
  • Certain medical conditions, such as uncontrolled diabetes, cardiovascular issues, or eye diseases, may disqualify individuals from undergoing blepharoplasty due to increased surgical risks.

Non-Surgical Eye Lifts

  • Results from non-surgical eye lifts are generally temporary, necessitating repeat treatments at intervals to maintain the desired appearance. This ongoing commitment can be time-consuming and costly.
  • Non-surgical procedures may not achieve the same dramatic improvement as surgical options. They are primarily suited for mild to moderate eyelid concerns and may not adequately address severe sagging or excess skin.
  • Significant sagging or loose skin may not be adequately corrected with non-surgical options, requiring surgery for optimal results.
  • The effectiveness of non-surgical eye lifts can vary based on individual needs and the specific treatment chosen. Some patients may find a non-surgical option unsuitable for their concerns.
  • While non-surgical procedures are generally less invasive, they can still cause discomfort, swelling, bruising, or other temporary side effects. These effects can vary depending on the treatment and the individual's sensitivity.

4. Costs

The cost of eyelid rejuvenation procedures can significantly influence one's decision-making process. Here are the costs associated with both blepharoplasty and non-surgical eye lifts.


According to the latest statistics from the American Society of Plastic Surgeons, the average cost of cosmetic eyelid surgery (blepharoplasty) is $3,339. However, this average cost only represents part of the total price, excluding anesthesia, operating room facilities, and other related expenses.

The final fee for blepharoplasty varies and is influenced by factors such as the surgeon's experience, the type of procedure used, and the geographic office location. Patients should discuss all associated costs with their plastic surgeon's office to determine the final fee. Many plastic surgeons also offer patient financing plans for cosmetic eyelid surgery.

Non-Surgical Eye Lifts

Nonsurgical eye lifts are considered cosmetic procedures and are generally not covered by health insurance. The costs for these treatments can vary depending on the specific treatment chosen, the treatment area, the provider, and the location. Here are estimated costs for some common nonsurgical eye lift treatments:

  • Dermal Fillers: Depending on the brand name, costs may range between $682 and $915 per syringe.
  • Botox: Botox is charged by the number of units used, with the average total cost per treatment session being approximately $376.
  • Platelet-Rich Plasma (PRP): PRP costs an average of $683 per syringe for wrinkle treatment.
  • Ultherapy: The average cost for an Ultherapy treatment session is approximately $1,802.
  • Laser Therapy: The average cost of an ablative laser resurfacing session is approximately $2,071.

It's essential to note that these cost estimates are approximate and can vary based on the treatment area, the provider's fees, and the location. Patients should discuss the specific costs and financing options with their healthcare provider.

Wrap Up

Both blepharoplasty surgery and non-surgical options like fillers and laser treatments can successfully rejuvenate aging eyes but have distinct differences in invasiveness, risks, downtime, longevity, and cost. Blepharoplasty offers longer-lasting dramatic results by surgically removing excess eyelid skin, muscle, and fat but carries standard surgical risks and a recovery period that may last weeks. Non-surgical eye lifts provide more subtle improvements non-invasively, allowing a quicker return to normal activities, but require ongoing maintenance treatments.

The option best suited for an individual seeking eye rejuvenation depends mainly on their specific anatomy, degree of skin laxity, tolerance for risk and downtime, and budget. Consulting an experienced cosmetic surgeon or practitioner is essential for deciding whether dramatic surgical enhancement or subtle non-surgical refinement aligns better with one’s cosmetic eyelid goals. Establishing realistic expectations about the lasting nature of improvements is also essential.

While neither blepharoplasty nor non-surgical eye lifts stop aging, both can restore a vibrant, well-rested appearance. Weighing all these factors carefully makes patients more likely to be satisfied with their choice.

📔 Related Articles

For a more in-depth comparison related to vision, please refer to the following articles:

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Illustration of a healthcare provider asking questions on a smart phone.
  • Lens replacements starting at $77
  • Frames starting at $97
  • Checkmark Inside Circle.Low prices on all of your favorite brands like Acuvue, DAILIES, AirOptix and more
Learn more about Lensabl

FAQs on Blepharoplasty vs. Non-Surgical Eye Lifts

Are non-surgical eye lifts permanent?

Non-surgical eye lifts are not permanent. The duration of the results depends on the type of treatment used. For example, fillers may last for several months to a couple of years, while the effects of Botox usually last for about 3-6 months.

Can non-surgical eye lifts treat severe eyelid sagging?

Non-surgical eye lifts are typically more suited for mild to moderate cases of eyelid aging. They may not be effective for severe sagging, which often requires the more extensive intervention that Blepharoplasty provides.

How do I choose between Blepharoplasty and a non-surgical eye lift?

The choice depends on the individual's specific concerns, the severity of eyelid aging, overall health, and personal preferences. Consulting with a qualified plastic surgeon or dermatologist can help in making an informed decision.