How is male blepharoplasty different than female blepharoplasty?

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Great question—there are real, practical differences. The short version: male blepharoplasty aims to refresh without feminizing, so crease height, fullness, and brow position are handled more conservatively and the canthus is kept neutral.

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How the surgical plan differs

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Upper eyelids (male)

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• Crease placement: usually ~6–8 mm from lash line (customized to ethnicity and native crease). Keep it low and straight, avoid lateral flare.

• Skin excision: conservative—just enough to clear hooding; over-resection risks feminization and lagophthalmos.

• Muscle/fat handling: minimal orbicularis excision; preserve central/preaponeurotic fat and often only contour medial fat if bulging. Goal = natural, full upper lid.

• Brow interplay: men frequently have brow ptosis. If skin redundancy is really brow descent, consider internal browpexy via the upper-lid incision or stage/offer a subtle brow lift; avoid overly arched brows.

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Lower eyelids (male)

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• Approach: often transconjunctival for fat contouring to avoid external scar; add a skin pinch if texture/laxity needs it.

• Fat strategy: favor fat preservation or transposition to the tear trough over removal to prevent hollow “done” look.

• Support: a canthopexy/canthoplasty is more commonly added in men with laxity to keep the canthus neutral (not elevated).​

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Consultation & planning nuances

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• Goal-setting language: Men usually want to look “less tired” but unchanged; align on low crease + subtle platform show.

• Photography/measurements: document native crease height, brow position relative to the rim, canthal tilt, and lid laxity.

• Ethnic/racial anatomy: adjust crease height and fat handling accordingly (e.g., lower crease targets in many Asian lids).

• Medical factors: men are more likely to use aspirin/anticoagulants—optimize cessation plans and emphasize hemostasis.

• Risks and how they differ in emphasis

• Hollowing/feminization: higher stakes in men; avoid aggressive fat removal or high creases.

• Scar visibility: thicker skin can hide well if the incision sits in a true crease; meticulous closure matters.

• Ectropion/rounding (lower lid): mitigate with canthal support and conservative skin removal.

• Asymmetry: pre-existing brow asymmetry is common; set expectations.

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Has Dr Thiagarajah treated a lot of male patients with blepharoplasty

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Dr Thiagarajah has treated 1000s of male patients adhering to their needs and requirements. 

 

How  much does male Blepharoplasty Cost?

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The costs for male blepharoplasty can cost depending on what exactly is done. It tends to be similar to standard blepharoplasty techniques in women. Dr Thiagarajah discusses the costs of blepharoplasty here in this great video.

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Are there differences for male blepharoplasty healing?

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generally not.

 

How long is male Blepharoplasty surgery?​

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Blepharoplasty surgery takes anywhere from 30 minutes to 1 hour and 15 minutes.

 

Do I need someone to be with me for my male Blepharoplasty?

 

Yes, you will need someone to drive you to the office and pick you up. It is difficult if not impossible to drive home after blepharoplasty surgery. Understand how to prepare for surgery from with instructions on Preparing for Blepharoplasty. 

 

What are the risks of male Blepharoplasty?

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Discussed in our Risks of Blepharoplasty page  are asymmetry, vision loss, bleeding, scarring, infection and the need for more surgery.  

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When can I resume normal activities after Blepharoplasty?

 

Usually after two weeks patients are able to return to normal exercise, contact lens use, and physical exercise. Read more and watch the videos on our Blepharoplasty Recovery Page.

 

When do the stitches come out after male Blepharoplasty?

 

Stitches are removed one week after surgery.

 

Does Dr Thiagarajah have any before or after male cosmetic eyelid surgery photos?

 

Our Before and After Page has extensive photos of male eyelid surgery and cosmetic eyelid surgery. He has also written extensively about Blepharoplasty in Denver with his Blepharoplasty Articles blog .​

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Look at Before and After Photos

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