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Madronich Plastic Surgery and Laser

Blepharoplasty or Eyelid Surgery for Vaughan, Richmond Hill, and Greater Toronto Area

Blepharoplasty, commonly referred to as eyelid surgery or an eyelift, can restore a brighter and more youthful look to the face by removing excess skin with an upper, lower, or double eyelid cosmetic procedure.

The delicate skin around the eyes is one of the first areas to show signs of aging. As we age, the muscles around our eyes begin to weaken and the collagen in the skin around your eyes loses elasticity. The sensitive skin around your eyes is more susceptible to damage than the skin on the rest of your face, particularly by lifestyle choices, such as smoking and sun exposure. As a result, skin on the upper and/or lower eyelids can begin to sag and wrinkles can develop at the outer corners of the eyes, commonly referred to as 'crow's feet.'

Deposits of fat around the eye can cause the upper eyelids to look puffy and result in the appearance of 'bags' under the eyes. Some people have a strong genetic pre-disposition for fatty deposits around the eye, particularly under the lower lid. These fatty deposits tend to run in families and are not always age related. These individuals are excellent candidates for blepharoplasty.

To learn more about blepharoplasty or cosmetic eyelid surgery in Vaughan, Richmond Hill, and Greater Toronto Area, call Madronich Plastic Surgery and Laser at 1-877-508-1148 or contact us to book a consultation.

Depending on the anatomy of the eye, many people find that puffiness in the upper and/or lower lid makes them look tired, angry, or stressed.

Eyelid surgery can quickly and safely rejuvenate eyes by eliminating excess skin, removing fatty deposits, and tightening the underlying eyelid muscles. Patients look more relaxed, rested, and youthful following blepharoplasty, which can dramatically reduce the look of swollen, sagging, or puffy eyes.

Blepharoplasty, or eyelid surgery, is designed to treat:

  • Loose or sagging skin on the upper eyelid
  • Excess fat deposits, or 'puffiness', around the upper eyelid
  • Fat deposits in the lower eyelid, often referred to as 'bags under the eyes'
  • Droopiness of the lower eyelid muscles, which can cause the white area below the iris to show
  • Excess skin and fine wrinkles of the lower eyelid

Depending on their individual needs, patients can choose to have a full blepharoplasty, in which both the upper and lower eyelids are altered, or a partial blepharoplasty in which either the upper or lower eyelids are operated on.

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Blepharoplasty can also correct folding of the skin around the eyes that disturbs the natural contour of the upper eyelid and impairs peripheral vision. In severe cases of peripheral vision impairment, such as when 75% of the visual field is obstructed, the Ontario Health Insurance Plan (OHIP) may cover the cost of blepharoplasty. If you feel that you might be a candidate for an insurance-based blepharoplasty, please inform us during your initial consultation. Our office will gladly coordinate with your ophthalmologist and the Ministry of Health.

Blepharoplasty should only be performed by a qualified plastic surgeon—a medical specialist who has completed a minimum of five years of training in surgery following medical school. Plastic surgeons require a high level of surgical skill, excellent aesthetic judgment, extensive knowledge, and years of practice.

Finding a qualified plastic surgeon that you feel is right for you is an important part of the blepharoplasty process. Patients considering aesthetic surgery should have the opportunity to discuss their expectations and options in depth with their surgeon.

Dr. J. Robert Madronich

Dr. J. Robert Madronich

Dr. Robert Madronich is a Toronto Plastic Surgeon and a member of the Canadian Society of Plastic and Reconstructive Surgeons. He holds double board certification with both a Plastic Surgery Fellowship as well as a Head and Neck Plastic Surgery Fellowship.

What to Expect - Consultation

If you are interested in eyelid surgery, have questions about the procedure, or want to know if you are a suitable candidate, you can book a consultation with Dr. Madronich to discuss your options and learn about his approach to plastic surgery.

During your consultation, Dr. Madronich will ask about your medical history, get to know you, and work to understand your needs, expectations and goals. Dr. Madronich will talk you through available surgical procedures, associated costs, what you can expect in terms of recovery, as well as any risks associated with the procedure. Together you will discuss what kind of results you can reasonably expect from a blepharoplasty procedure in the context of your facial features and overall health. You will be able to ask questions, see before and after photos, and meet the friendly staff at Madronich Plastic Surgery and Laser.

Blepharoplasty and any other options that interest you can be discussed at the consultation in a pressure-free environment, in which you are free to ask questions and determine which options are right for you.

The fee for a consultation with Dr. Madronich is $100 CAD, which can be applied to the cost of your blepharoplasty surgery, should you decide to proceed.

Procedure: How Blepharoplasty or Eyelid Surgery Works

Cosmetic eyelid surgery is typically done under local anesthesia as an outpatient at Mackenzie Health (previously named York Central Hospital) in Richmond Hill, Ontario. The procedure typically takes between 1-2 hours.

During your blepharoplasty, Dr. Madronich will make an incision in the crease of the upper eyelid and/or along the lash line of the lower lid. Depending on your individual needs, he will then excise the drooping skin, remove any fat deposits, and tighten the underlying muscles. The incisions will be closed with either fine removable sutures, skin adhesives, or surgical tape. Any resulting scars, though minimal, will be naturally hidden in the crease of the upper lid or by the lashes in the lower lid.


Immediately after surgery, cold compresses and lubricating ointment will be applied to alleviate any discomfort, and the area may be covered in gauze. You can expect to experience some swelling, bruising, irritation, or dry eyes. Any symptoms can easily be controlled with medication, such as eyedrops, and/or a cold compresses. Post surgery, patients must wear sunscreen and dark sunglasses until the eyelids are fully healed. The final result will appear within several weeks, though it may take up to a year for the incision lines to fully integrate into the surrounding area.

To learn more about blepharoplasty or eyelid surgery in Vaughan, Richmond Hill, and Greater Toronto Area, call Madronich Plastic Surgery and Laser at 1-877-508-1148 or contact us to book a consultation.
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