Understanding Blepharoplasty

Blepharoplasty is plastic surgery performed on the upper eyelids, lower eyelids or both.

Ageing can affect several structures around the eyes. Skin may become looser, supporting tissues can change and fat may become more noticeable above or below the eyes.

Mayo Clinic describes blepharoplasty as surgery that can address sagging upper eyelid skin, lower eyelid excess skin and bags beneath the eyes. In some patients, severe upper eyelid skin can also interfere with peripheral vision.

Cosmetic eye rejuvenation therefore requires more than deciding that the eye area appears “tired.”

The assessment should determine whether the concern relates primarily to:

• excess upper eyelid skin
• upper eyelid fat
• eyelid asymmetry
• lower eyelid bags
• loose lower eyelid skin
• eyebrow descent
• a combination of these factors
• a previous eyelid procedure

The correct operation depends on the anatomy creating the concern.

Upper Blepharoplasty

Upper blepharoplasty addresses selected excess tissue of the upper eyelid.

Mayo Clinic describes the typical upper-eyelid approach as an incision positioned along the eyelid fold, allowing selected skin, muscle and potentially fat to be managed before closure.

This is general medical information rather than confirmation of the exact DR. MARIS surgical technique.

Who May Consider Upper Eyelid Surgery?

Upper blepharoplasty may be considered when a patient is concerned about:

• loose or redundant upper eyelid skin
• heaviness around the upper eyelid
• an eyelid crease obscured by excess tissue
• asymmetry between the upper eyelids
• changes in eyelid shape associated with ageing
• a previous eyelid procedure requiring reassessment

In more significant cases, upper eyelid skin can contribute to reduced peripheral vision. That is a functional concern and may require appropriate eye assessment rather than being treated as a purely cosmetic issue.

Upper eyelid surgery should also not automatically be used to treat a low eyebrow.

If brow descent is contributing substantially to upper-eye heaviness, removing additional eyelid skin without recognizing the eyebrow position may not address the underlying anatomical issue.

Lower Blepharoplasty

Lower blepharoplasty addresses selected ageing or contour concerns beneath the eyes.

Common reasons for consultation include:

• prominent under-eye bags
• visible lower eyelid fat
• loose lower eyelid skin
• contour irregularity beneath the eyes
• asymmetry
• changes following previous lower eyelid surgery

Mayo Clinic notes that lower blepharoplasty may use an incision just beneath the eyelashes or an incision inside the lower eyelid, with fat potentially removed or redistributed depending on the surgical plan.

Different lower eyelid problems require different approaches.

A younger patient with prominent fat but little loose skin may require a different operation from a patient with substantial skin laxity.

DR. MARIS should therefore avoid advertising one universal lower-eyelid technique for every patient.

Under-Eye Bags Are Not Always the Same Problem

Patients often describe all lower-eyelid fullness as “eye bags,” but several anatomical factors can influence the appearance of the under-eye region.

These may include:

• prominent orbital fat
• loose skin
• lower-eyelid laxity
• differences in cheek volume
• fluid retention
• facial anatomy
• asymmetry

Mayo Clinic specifically notes that blepharoplasty may be an option for some people with under-eye bags but that surgery should be tailored to individual anatomy and needs.

This is why photographs alone should not be used to promise a specific surgical result.

Eyebrow Lift

Some patients believe they need upper eyelid surgery when part of the heaviness comes from a descending eyebrow.

An eyebrow lift is intended to reposition eyebrow tissue rather than primarily remove upper eyelid skin.

The relationship between the eyebrow and upper eyelid is important because the two areas affect one another visually and anatomically.

Professional plastic-surgery guidance distinguishes brow-lifting surgery from blepharoplasty and notes that brow position should be evaluated when upper-eyelid heaviness is present.

Upper Blepharoplasty or Eyebrow Lift?

The procedures address different structures.

Some patients may require only one procedure.

Others may have concerns involving more than one anatomical level.

The decision should follow examination rather than automatically combining procedures.

Common Concerns We Address

Heavy Upper Eyelids

Upper-eye heaviness can relate to eyelid skin, eyebrow position, or both.

Dr. Maris assesses these areas together before recommending surgery.

Under-Eye Bags

Lower eyelid fullness may relate to prominent fat and surrounding tissue changes. The appropriate procedure depends on lower-eyelid anatomy and skin quality.

Eyelid Asymmetry

Some degree of asymmetry is normal.

Surgery may improve selected differences, but perfect symmetry cannot be guaranteed.

Descending Eyebrows

If the eyebrow has descended, the upper eyelid may appear heavier even when excess eyelid skin is not the only issue.

Previous Eyelid Surgery

Scar tissue, excessive previous tissue removal, asymmetry or a result that does not match expectations may require a different evaluation from primary blepharoplasty.

Dr. Maris's Approach to Eye Rejuvenation

Dr. Maris / Dr. Tran Minh Huy has 6+ years of cosmetic surgery experience based on the approved brand information supplied for this website.

Dr. Maris personally:

• conducts the consultation
• evaluates the eyelids and eyebrow position
• reviews previous procedures where relevant
• discusses realistic surgical objectives
• develops the surgical plan
• performs the operation
• participates in postoperative follow-up

This direct surgeon involvement is particularly relevant around the eyes because small anatomical differences can significantly influence the surgical plan.

For international patients, preliminary assessment can begin before travelling to Vietnam.

How Eyelid Surgery Is Planned

The procedure should be individualized according to the patient's anatomy.

Upper Eyelid Assessment

Dr. Maris may evaluate:

• amount of excess skin
• eyelid crease
• fat distribution
• eyebrow position
• left-right differences
• previous scars
• ability to close the eyes normally

Lower Eyelid Assessment

Important factors may include:

• fat prominence
• loose skin
• lower-eyelid support
• eyelid position
• cheek relationship
• previous surgery

Eye Health and Medical History

Mayo Clinic recommends that blepharoplasty assessment consider previous surgery and conditions including dry eyes, glaucoma, thyroid problems and other relevant medical factors. Eye examination may also be appropriate depending on the patient's situation.

Patients should therefore disclose relevant eye conditions rather than treating blepharoplasty as a purely superficial cosmetic procedure.

Revision or Complex Eyelid Surgery

Revision blepharoplasty may be more complicated than primary surgery.

Previous surgery can alter:

• skin availability
• eyelid position
• scar tissue
• fat distribution
• eyelid symmetry
• tissue support

Patients may seek reassessment because of:

• persistent asymmetry
• unwanted eyelid shape
• visible scarring
• excessive or insufficient skin removal
• lower eyelid retraction
• difficulty closing the eyes
• persistent bags
• dissatisfaction after previous surgery

Not every previous result can be completely corrected.

Dr. Maris must examine the remaining tissues and determine what improvement is realistically possible.

International revision patients should provide previous surgical information where available, including operative reports, photographs and details of complications.

Surgery at Hong Bang International Hospital

Eyelid surgery with DR. MARIS AESTHETICS is performed in a hospital environment at Hong Bang International Hospital (HIU), Ho Chi Minh City.

DR. MARIS AESTHETICS does not represent itself as the owner of Hong Bang International Hospital.

Professional plastic-surgery guidance recommends that eyelid surgery be performed in an appropriate licensed surgical setting or hospital.

The hospital environment provides access to hospital infrastructure, including emergency and resuscitation support when required.

For international patients, the surgical setting should be considered together with:

• who performs the procedure
• preoperative assessment
• anesthesia planning
• postoperative monitoring
• follow-up
• management of potential complications

rather than price alone.

Recovery & Aftercare

Early recovery after blepharoplasty commonly involves swelling, bruising, temporary irritation and discomfort.

ASPS notes that dry eyes, irritation and incision-site discomfort can occur during initial healing, with postoperative instructions tailored to the patient.

Mayo Clinic reports that swelling and bruising often decrease progressively over approximately 10–14 days, although scars and subtle tissue changes continue evolving for considerably longer.

This is general medical guidance and not a guaranteed DR. MARIS recovery timeline.

Your recovery may depend on:

• upper versus lower blepharoplasty
• combined surgery
• eyebrow lift
• extent of tissue correction
• previous eyelid surgery
• healing response
• underlying eye conditions

Recovery timing depends on the procedure and individual condition and will be discussed during consultation.

International Travel After Eyelid Surgery

International patients should allow enough time in Ho Chi Minh City for appropriate postoperative review before long-distance travel.

Planning may need to account for:

• swelling and bruising
• wound assessment
• suture removal where applicable
• eye dryness or irritation
• postoperative medication
• unexpected symptoms
• follow-up before departure

Patients should not purchase a non-changeable return flight solely around the shortest general recovery estimate found online.

Dr. Maris should confirm an appropriate travel schedule after the procedure has been determined.

Risks & Considerations

Blepharoplasty is surgery and carries potential complications.

ASPS identifies recognized eyelid-surgery risks including:

• anesthesia complications
• bleeding
• changes in sensation
• difficulty closing the eyes
• dry eyes
• infection
• lower-eyelid ectropion
• temporary lower-eyelid pulling or lid lag
• scarring
• visual changes
• need for revision surgery

Mayo Clinic also notes rare but serious risks including injury to eye muscles and, very rarely, loss of eyesight.

Eyebrow lifting carries a different risk profile, which can include:

• bleeding
• infection
• asymmetry
• sensory changes
• facial nerve injury
• hair loss around incisions
• poor wound healing
• visible scarring
• need for revision

Individual risks must be discussed before informed consent.

Results & Realistic Expectations

Eye rejuvenation surgery may improve selected signs of ageing or contour concerns around the eyelids and eyebrow region.

It cannot guarantee:

• perfectly symmetrical eyes
• an exact eyelid crease
• complete removal of every wrinkle
• permanent absence of under-eye bags
• invisible scars
• a specific degree of eye enlargement
• results identical to another patient

Healing and scar maturation take time.

Ageing also continues after surgery.

The appropriate goal is an improvement that is proportionate to the patient's anatomy rather than creating a standardized eye shape.

Blepharoplasty Cost in Vietnam

The approved DR. MARIS AESTHETICS International Price List lists three relevant procedures under Eyelid Surgery:

Combined Upper and Lower Blepharoplasty Pricing

The supplied DR. MARIS price list does not provide a fixed combined price for:

• upper + lower blepharoplasty
• upper blepharoplasty + eyebrow lift
• upper + lower blepharoplasty + eyebrow lift

Do not calculate an advertised package by simply adding the published procedure prices unless DR. MARIS has approved that quotation.

International Patients Planning Eyelid Surgery in Vietnam

Patients from Australia, New Zealand, the United States, Europe and other markets may begin with an online consultation.

Useful information can include:

• recent photographs
• the specific area that concerns you
• previous eyelid or brow procedures
• history of dry eye
• previous eye surgery
• known glaucoma or other eye conditions
• thyroid conditions where relevant
• medications
• allergies
• previous problems with wound healing

Mayo Clinic specifically notes the relevance of eye history and conditions such as dry eye and glaucoma when planning blepharoplasty.

A video or photo consultation can help with preliminary planning but cannot replace an examination where one is medically necessary.

Why International Patients Consider Dr. Maris

DR. MARIS AESTHETICS emphasizes a surgeon-led approach rather than a high-volume pathway.

Patients can expect:

• consultation directly with Dr. Maris
• personal examination by Dr. Maris
• assessment of both eyelids and brow position
• individualized surgical planning
• surgery personally performed by Dr. Maris
• postoperative follow-up involving Dr. Maris
• hospital-based surgery at City International Hospital
• preliminary consultation before travelling to Vietnam
• published reference pricing
• discussion of limitations and risks before surgery

The objective is not to perform the maximum number of procedures.

It is to determine which anatomical area actually requires correction.