If you’re considering eyelid surgery, I want to help you understand the different options available and how to prepare for the procedure. Whether you’re looking at upper eyelid surgery, lower eyelid surgery, or both, knowing what to expect will help you plan ahead and feel confident about your decision.
Upper Eyelid Surgery
Upper eyelid surgery addresses excess skin and tissue on the upper eyelids, which can appear heavy or sleepy over time due to lost skin elasticity. The incision is typically placed within the natural crease of the eyelid (so that it remains well hidden), and through this incision, excess skin and small amounts of fat are removed to create a smoother, more refreshed eyelid contour.
Lower Eyelid Surgery
Lower eyelid surgery addresses concerns such as under-eye bags, puffiness, and loose skin beneath the eyes—often caused by fat shifting forward and supportive tissues weakening with age. Depending on the patient’s anatomy and goals, the incision may be placed just below the lower lash line or inside the lower eyelid. Through the incision, fat is removed or repositioned and excess skin is tightened, helping create a smoother transition between the lower eyelid and the cheek.
Combination Eyelid Surgery
Combination eyelid surgery treats both upper and lower eyelids during the same procedure. This allows multiple concerns around the eyes to be addressed at once, often providing a more balanced and comprehensive result. This also means undergoing only one operation and healing period rather than undergoing separate surgeries and multiple recoveries.
Planning for Eyelid Surgery
When planning eyelid surgery, the first step is a consultation with Dr. Colton McNichols, where your eyelid anatomy and aesthetic goals will be evaluated. Together, you will discuss whether upper eyelid surgery, lower eyelid surgery, or a combination procedure is the best option.
The next step is planning your procedure date and preparing for the recovery period. Most patients should plan for about one to two weeks away from work and social activities after the surgery. Preparing your home in advance for your recovery, arranging transportation after surgery, and scheduling time to rest can all help support a comfortable healing process.
Recovery and Results
During the first week after surgery, most people can expect swelling, bruising, and mild discomfort. Some dryness and sensitivity may also occur. These symptoms gradually improve as healing progresses, but while they persist it is especially important to protect your eyes from sun and wind exposure. Many patients feel comfortable returning to most normal activities after about 7 to 10 days, but strenuous activities, bending, heavy lifting, and eyestrain activities should be postponed for at least 2 to 4 weeks.
As the eyelids heal, the eyes often appear brighter and more refreshed. The goal of eyelid surgery is always a natural-looking improvement that helps you look well rested while balancing the harmony of your facial features and maintaining the character of your eyes.
If you’re interested in learning more about eyelid surgery, schedule a consultation with Dr. Colton McNichols. During your visit, you can discuss your goals and determine the best approach for achieving a refreshed, natural-looking result. Call 719-772-0908 or contact us online to book your personal consultation with Dr. McNichols today.




