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  • Writer's pictureDr. Peggy Velayo

Surgical Blepharoplasty vs. Laser Blepharoplasty

Why Surgical Blepharoplasty is the superior choice over Laser Blepharoplasty

Many patients ask me about the difference between a surgical and a laser blepharoplasty. It is a widespread believe that the laser procedure is less invasive or heals faster. This perception is not necessarily correct. In this blog, I am explaining why the surgical procedure is superior the laser procedure.

When it comes to enhancing the appearance of your eyes, blepharoplasty, commonly known as an eyelid lift, can make a tremendous difference. This cosmetic procedure removes or repositions excess tissue and skin around the eyes to offer a more youthful, refreshed look. As technology evolves, various forms of blepharoplasty have been introduced, namely surgical and laser. While both promise significant results, surgical blepharoplasty often shines as the superior choice. Let's dive into why that is.

1 Precision and Control

Surgical blepharoplasty allows a level of precision and control that simply cannot be matched by its laser counterpart. Surgeons can remove or reposition the exact amount of skin, fat, and muscle as necessary to achieve the desired results. This level of control is not easily achievable with laser blepharoplasty, which relies on the heating of tissues to stimulate tightening and can result in unpredictable responses.

2 Versatility

Surgical blepharoplasty can address a range of issues including droopy upper eyelids, under-eye bags, and excess skin or fine wrinkles on the lower eyelid. While laser blepharoplasty can treat some of these conditions, it is primarily effective for superficial skin changes and is less effective when it comes to deeper structural changes such as pronounced bags or drooping eyelids.

3 Long-lasting Results

The effects of surgical blepharoplasty are generally long-lasting. Once the excess skin, fat, and muscle are removed, they do not come back, barring major lifestyle changes or the natural aging process. On the other hand, the results of laser blepharoplasty may be less enduring. Because laser procedures rely on stimulating collagen production to tighten skin, the effects can fade over time, requiring additional treatment sessions.

4 Addressing Muscle and Fat Pads

Surgical blepharoplasty doesn't just tackle skin—it also allows for the adjustment of muscle and fat pads. Some individuals have puffiness under the eyes because of prominent fat pads, while others may suffer from laxity of the muscles around the eye. Surgical techniques can address these conditions directly. Laser blepharoplasty, unfortunately, is unable to directly treat these issues.

5 Safety Concerns

In terms of safety, surgical blepharoplasty has a well-established safety profile, with complications being quite rare. On the other hand, while laser procedures are generally safe, they come with a unique set of risks including thermal injuries to the skin and eyes, scarring, and potential changes in skin pigmentation.


It's important to remember, that no two individuals are alike, and what works best will depend on your specific needs and goals. While surgical blepharoplasty generally presents more advantages, there may be instances where laser blepharoplasty could be more suitable, such as in patients who may not be ideal candidates for surgery due to certain health conditions.

Both surgical and laser blepharoplasty are medical procedures that should be undertaken with a qualified professional, who is both, an experienced ophthalmologist and cosmetic surgeon. Thorough consultation is crucial to understand your needs and choose the right path for your circumstances. Always make sure to do your research and discuss all your options with your ophthalmologist.

To sum up: while laser blepharoplasty has its place in the realm of cosmetic procedures, surgical blepharoplasty, with its precision, versatility, and long-lasting results, often takes the crown as the superior choice for individuals seeking to refresh and rejuvenate their eyes.

If you are a candidate for blepharoplasty, book an appointments now. You can contact me through the booking template on our website:

See you soon!

Dr. Peggy Velayo

Alabang Aesthetic Clinic

Unit 821 Parkway Corporate Center

Filinvest Alabang, Muntinlupa,

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