Written by Dr. Julian De Silva

Blepharoplasty is one most common cosmetic procedure in men. Although in principle the procedure is similar in men and women, there are important differences in the male and female upper eyelids that correspond to the underlying facial structure and anatomy. Everyone is familiar with famous male actors and musicians who look like they have had too much work done. Key is men, “less is more”.

An attractive and youthful eyelid appearance in a man is different to a female. In men, prominent low brows and subtle eyelid show are both attractive and youthful. In women, high brows, increased lid show and high crease in the skin is beautiful.

Male blepharoplasty is more challenging than female blepharoplasty as the techniques required to give a natural looking result are a combination of specialized technique and artistic judgment.

Dr De Silva is known for natural looking results and uses specialized techniques that foster a natural and conservative rejuvenation.

Male face. Blepharoplasty

What is different in male eyelid surgery?

The male eyelid is commonly characterised with a fuller appearance to the upper eyelid, lower brow position and a conservative amount of eyelid show. This is different to the female appearance which generally have more open eyelids, greater eyelid show, and higher more arched brows. A low brow is an attractive feature in male appearance. Surgery that elevates the male brow should be conservative, as lifting the brow can result in feminisation of the male face. A cosmetic surgeon who specializes in the face is able to avoid such an appearance.

Why do many male celebrities look like they have had too much surgery?

Many people agree that George Clooney looks good for his age, one of the reasons he has undergone conservative upper blepharoplasty.

Dr De Silva’s eyelid surgery techniques?

Dr De Silva uses a combination of advanced techniques and innovations in male blepharoplasty. In some cases, he will use a combination of surgery with 3D telescopic surgery and the use of a muscle relaxant to give the best result.

  • Male blepharoplasty requires a modified blepharoplasty technique that preserves tissues to give a natural appearance
  • The eyelid skin incision should be several millimetres lower than in women. A low skin crease is more attractive in male faces
  • Natural looking male brow position is lower than in women, and elevation of the brow is often best avoided or refined to a subtle elevation
  • Use of 3D telescopic surgery for hidden incision and conservative brow elevation
  • Use of muscle relaxant in combination with surgery to give a more effective and long-lasting result
  • Use of blepharoplasty in combination with other procedures to give a natural looking result: Lower Blepharoplasty, Lid tightening (Canthopexy, Canthoplasty), Facial lifting (Rhytidectomy, mid-face lift)

De Silva is an advocate for conservative surgery and less is more philosophy in male blepharoplasty, this results in natural looking rejuvenation.

Area around eyes: Male Blepharoplasty (before treatment)
Area around eyes: Male Blepharoplasty (after treatment)

The above figures are taken from Dr Julian De Silva’s forthcoming book on Facial Cosmetic & Plastic Surgery, the top figure shows the appearance of the male brow and eyelids. Men characteristically have lower eyebrows with a fuller upper eyelid and low skin crease (marked with a blue arrow). In comparison women characteristically have a higher brow with more open eyes and a higher skin crease. Dr De Silva refined surgical techniques ensure that after surgery the eyelid and brow have a natural appearance. The techniques for natural looking male blepharoplasty are more refined than in women as it important to avoid feminisation of male appearance.

What type of anaesthesia is used?

Sedative anaesthesia, also known as “twilight anaesthesia,” which is combination of local and sedative medications. At the centre we have developed our own advanced form of twilight anaesthesia, based on practices in the USA. This specialised sedation uses tiny amounts of four to five sedation medications that cumulatively give a relaxing and safe experience avoid the risks and side effects of general anaesthesia. A much shorter recovery period than general anaesthesia, with most patients able to leave 30 to 60 minutes following the procedure. These are the most advanced sedation techniques available, and the optimal option for patients considering Asian eyelid surgery.

For more information on sedation anaesthesia please click here.

What is the recovery after eyelid surgery?

Dr De Silva uses the latest in technology including regenerative medicine to enhance recovery after surgery. Utilising your own growth factors, and advanced techniques used by professional athletes your recovery can be speeded up.

What will my friends and family think?

Many patients are concerned they will look too different after surgery and family or friends will notice. The eyelid is a key element of facial appearance as the eyes are the first point of communication between people in the form of eye contact. Loose skin, puffiness, bags, lines and dark circles all give a more tired appearance. Good eyelid surgery is discrete with hidden scars, patient’s report to Dr De Silva every week that most of their friends and family could not tell they had undergone surgery until shown before and after photos.

Male faces - Blepharoplasty

Before & After Photos

Male eyes, Before Blepharoplasty Treatment, front view, patient 1


Male eyes, After Blepharoplasty Treatment, front view, patient 1


View More Results *Results May Vary

Can male blepharoplasty be combined with other procedures?

Dr De Silva frequently combines upper eyelid surgery with other facial procedures:

  • Blepharoplasty
  • Lower eyelid surgery for puffiness (eye bags)
  • Rhinoplasty (enhance bridge and narrow features of nose, more definition to nasal tip)
  • Chin augmentation and facial balance
  • Facelift (deep plane, natural facelift)
  • Regenerative medicine
  • Volume enhancement with fat transfer.
  • Droopy eyelid (Ptosis correction)

Revision Male Blepharoplasty

Male blepharoplasty is regarding more challenging aspect of eyelid surgery and some general plastic surgeons do not complete this surgery. Over 30% of all Dr De Silva’s patients have undergoing previous surgery and are termed revision procedures. Although more challenging than primary surgery often with Dr De Silva’s advanced techniques the overall appearance and symmetry of the eyelids can be improved.

Male face, Before and After Blepharoplasty Treatment, front view

Upper Blepharoplasty FAQs

Lower Blepharoplasty FAQs

About the Author

Finding the most reputable facelift expert is never easy. Therefore, you should always research the best surgeons in your area and ask plenty of questions. Dr. De Silva is a facial cosmetic and plastic surgeon, author, global educator, with a track record of doing procedures for top celebrities. He is based at world-renowned Harley Street in Central London and specializes in three main procedures: Face and Neck lifts, Blepharoplasty, and Rhinoplasty.

Come witness a custom-built surgical centre that is not your average hospital. You are guaranteed to experience natural-looking results and fast healing thanks to regenerative technology, growth factors, regenerative cells, stem cell, oxygen therapy, and state of the art technology.

By specialising in only the face, you can rest assured knowing that you’re getting premier results. Dr. De Silva achieves natural-looking results for his patients using the latest regenerative technology, so they can heal quickly and look their absolute best. No matter what your reason for wanting a cosmetic treatment is, Dr. De Silva and his team are here to help. To find out more information about Dr. Julian De Silva and his work, check out our website.

Dr Julian De Silva's Google Scholar

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