Blepharoplasty for Men (Eyelid Surgery)
World-recognised facial plastic surgeon Dr Julian De Silva performs male eyelid surgery designed exclusively around masculine anatomy in Harley Street, London. His precise approach refreshes tired eyes while preserving strength, structure, and natural expression. Never feminised. Never overdone.
What Is Blepharoplasty for Men?
Male blepharoplasty is a specialised eyelid surgery tailored to the unique features of the male face. Men typically have fuller upper lids, a lower brow position and a more conservative display of the eyelids compared with women.
Dr De Silva’s as an expert Board-Certified Oculo-Facial Plastic surgeon has successfully treated many male patient over more than a decade. The TOP 3 patients concerns are
1. 'Natural', not looking like a celebrity that has a lot of work done e.g. Bradley Cooper. Key is in men using different techniques to women, Dr De Silva cusotmises male blepharoplasty to your own appearance (please bring an old photograph from your 20s to 30s, this can be used as a template for surgery.
2. 'Scars' not visible. Dr De Silva is an expert in hiding scars in natural skin creases, hair and the inside of the eyelids. Over 20% of Dr De Silva's patients are revision surgeries from other doctors, hiding visible scars is one of these indications.
3. 'Discretion' about the procedure, " I don't want my friends to know". Dr De Silva describes this as 'less is more'. A male eyelid appearance requires being more discrete and preservation of the fine ocular anatomy compared to female blepharoplasty. Faster healing can be enhanced with techniques during surgery (canthopexy, use of regenerative medicine), medications (anti-inflammatory medicine) and post-operative management (including use of oxygen and LED technology).
Natural Male blepharoplasty respects the difference to females blepharoplasty and focuses on restoring a refreshed, alert eye appearance while maintaining masculine proportions. Rather than exaggerating the features, the surgery removes excess skin and fat where appropriate, refines contour and preserves a naturally defined brow and lid shape.
For many men, this procedure alleviates a chronically tired look and supports a more confident presence, both socially and professionally, without betraying obvious signs of surgery.
Male Blepharoplasty at a Glance
Surgery Time
1-3 Hours
Hospital Stay
Outpatient
Home Same Day
Anaesthetic
Twilight Sedation
Recovery
2 Weeks (80%)
Resume Activities
1 Week
Driving
1 Week (+++ Regenerative Medicine)
Return to Regular Routine
2 Weeks
Exercise
3 Weeks
Full Recovery
6 Weeks (80%)
Male Blepharoplasty Before and Afters
See Dr De Silva’s verified male patient transformations that illustrate natural, refreshed eyelid definition without obvious surgical change.
Lower eyelid puffiness can create a tired appearance. Dr. De Silva performed a customized male blepharoplasty to restore a refreshed, natural look.
This man in his 30s noticed a tired appearance caused by lower eyelid bags. Dr. De Silva performed a hidden-incision lower blepharoplasty with a smooth, fast recovery, delivering a refreshed, natural look visible within one week and a result the patient was very happy with.
This man in his 80s felt his tired eyelid appearance was affecting his work. After a thorough medical assessment, Dr. De Silva performed upper and lower blepharoplasty with fat transfer and CO₂ laser, restoring a brighter, more refreshed look. The results shown are just 6 weeks after surgery, and the patient was delighted with the outcome.
Lower eyelid puffiness can create a tired appearance. Dr. De Silva performed a customized male blepharoplasty to restore a refreshed, natural look.
This man in his 30s noticed a tired appearance caused by lower eyelid bags. Dr. De Silva performed a hidden-incision lower blepharoplasty with a smooth, fast recovery, delivering a refreshed, natural look visible within one week and a result the patient was very happy with.
This man in his 80s felt his tired eyelid appearance was affecting his work. After a thorough medical assessment, Dr. De Silva performed upper and lower blepharoplasty with fat transfer and CO₂ laser, restoring a brighter, more refreshed look. The results shown are just 6 weeks after surgery, and the patient was delighted with the outcome.
Key Differences in Male Eyelid Surgery
Successful eyelid surgery for men depends on precise adjustments that reflect male facial anatomy and aesthetic goals.
Brow Position
A lower brow is often intrinsically masculine. Excessive elevation during surgery can soften the appearance, so brow shaping is subtle and anatomy-respecting. Some patients with low brow require elevation 2-3 millimetres, key is minor elevation only to avoid a surprised or unnatural appearance.
Eyelid Skin and Crease
Male upper eyelids often have a lower skin crease and greater fullness. Incisions are placed a few millimetres lower than in female surgery to preserve this natural look. Male blepharoplasty is fundamentally different to female blepharoplasty when considering the fine anatomical detail around the ocular area.
Fat Distribution
Under-eye puffiness and lower eyelid bags are addressed using techniques that remove or reposition fat without flattening the eyes.
Tissue Preservation
Rather than aggressive excision, Dr De Silva applies tissue-sparing methods to retain eyelid support and minimise change to eyelid shape.
Complementary Procedures
Dr De Silva often combines blepharoplasty with other facial enhancements, such as laser resurfacing, fat transfer and neck or facelift surgery, for balanced facial harmony when needed.
Visible Scars
In the upper eyelid this often includes hiding the scar in the natural upper eyelid skin crease (reducing asymmetry when present), in the lower eyelid completing 'transconjunctival' blepharoplasty (hiding the scar on the inside of the lower eyelid). Dr De Silva pioneered this approach in the UK, previous reconstructive procedures on lower eyelid (Moorfields Eye Hospital) focused on skin incision techniques that had consequential scars.
How Dr De Silva Minimises Visible Signs of Eyelid Surgery for Men
Achieving an undetectable result in male eyelid surgery requires more than precise skin removal. It depends on a detailed understanding of male eyelid anatomy, vascular supply, skin thickness, and healing behaviour. Dr De Silva applies a microsurgical, tissue-preserving approach that prioritises structural support, scar concealment, and controlled healing to ensure results appear natural at every stage of recovery.
Dr De Silva positions incisions according to individual eyelid anatomy, brow position, and skin crease height. In men, this often means placing the incision lower and more conservatively to preserve a masculine eyelid contour. Where appropriate, incisions are concealed within natural eyelid folds or hair-bearing regions, allowing scars to settle discreetly once healed.
Using high-magnification 3D telescopic visualisation, Dr De Silva operates with millimetric accuracy. This level of precision allows careful control of bleeding, minimal disruption to surrounding tissue, and exact adjustment of eyelid structures; reducing swelling, bruising, and the risk of visible surgical change.
Rather than aggressive excision, Dr De Silva preserves key supportive tissues of the eyelid. This approach maintains natural lid shape, blink function, and muscle support, avoiding hollowing, eyelid retraction, or the “operated” appearance sometimes seen after over-resection.
Dr De Silva's male blepharoplasty is performed under twilight sedation or local anaesthesia, allowing patients to remain comfortable while avoiding the physiological stress of general anaesthesia. This controlled approach supports safer surgery, reduced postoperative grogginess, and a smoother, more predictable recovery.
Why Men Choose Dr De Silva
Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.
“My focus has and always will be to be the very best at what I do, to continually innovate to provide World Class leadership to all my team, all my patients and all my associates. My mission is to help every patient be the very best version of themself with World Class services, life-long follow up with complimentary facial aesthetic procedures.”
In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.
Watch Patient Video Diaries
Hear directly from male patients about their eyelid surgery journey experience.
Am I an Ideal Candidate?
A consultation with Dr Julian De Silva begins with a detailed assessment of your eyelid anatomy, facial proportions, and overall health to ensure surgery is safe and appropriate. Ideal candidates are men with hooded or heavy upper lids, under-eye puffiness or bags, or other signs of eyelid ageing who wish to refresh the eye area while maintaining their natural masculine features. Each patient is evaluated individually, with careful consideration of medical history, tissue quality, and aesthetic goals. Dr De Silva only recommends the procedure when it aligns with both the patient’s health and desired outcome.
Results and Recovery
Recovery after male blepharoplasty reflects both the complexity of male eyelid anatomy and Dr De Silva’s meticulous surgical approach. Thicker skin, stronger orbital musculature, and denser tissue can result in slightly more swelling or bruising than in female patients, but most men notice a refreshed and defined eyelid appearance within one to two weeks.
Dr De Silva’s exclusive focus on facial cosmetic surgery, including blepharoplasty, facelift and neck lift, rhinoplasty, and chin implants, allows him to apply advanced, tissue-preserving techniques that protect natural eyelid function while enhancing masculine structure.
Patients benefit from accelerated healing protocols, including regenerative medicine, hyperbaric oxygen therapy, and LED light therapy, which reduce downtime and support smoother recovery. Temporary swelling, mild bruising, or numbness is normal, with final eyelid refinement continuing over several months.
Revision Male Blepharoplasty
Male blepharoplasty is a technically demanding procedure, and many general plastic surgeons do not perform revision eyelid surgery. Over 30% of Dr De Silva’s male patients have previously undergone eyelid surgery elsewhere. Despite the additional complexity, his advanced microsurgical and 3D telescopic techniques, combined with his deep understanding of male eyelid anatomy, allow him to improve symmetry, contour, and overall appearance, even in challenging cases. This experience underscores Dr De Silva’s standing as a World Class expert in male eyelid rejuvenation, capable of managing both primary and revision procedures with consistently natural results.
Every Surgery Comes With Risks
All surgical procedures carry inherent risks. Dr De Silva minimises these through meticulous technique, anaesthesia and structured aftercare support. Potential risks include swelling, bruising, dry eyes and temporary changes to sensation, all of which are discussed in your consultation.
Read Our Surgery Reviews
Unnatural celebrity male blepharoplasty
Bradley Cooper after unnatural blepharoplasty surgery. (Photo -Radaronline)
In some celebrity cases, male blepharoplasty appears unnatural because too much tissue has been removed or the eyelid shape has been altered beyond what suits a male face. The result can be an over opened eye, loss of character, or a tight appearance that changes expression. In men, even very small changes in eyelid height or contour can have a disproportionate impact on how natural the face looks.
A frequently discussed example is Bradley Cooper, where observers note that his eyes now appear more exposed and less heavy than earlier in his career. Whether from surgery, ageing, or a combination of factors, the key aesthetic issue often raised is that the eyes look sharper but less masculine. This illustrates how aggressive eyelid surgery in men can unintentionally remove the natural weight and structure that defines a male eye.
How Dr De Silva would have approached this differently
Dr Julian De Silva approaches male blepharoplasty with a strict less is more philosophy. His focus is on preserving masculine anatomy by keeping the upper eyelid crease low, avoiding unnecessary skin or fat removal, and respecting the natural male brow position. Rather than aiming to make the eyes look larger, the goal is to reduce tiredness while maintaining identity and expression.
In practice, this means conservative tissue preservation, precise millimetre level adjustments, and careful assessment of the entire eye brow and midface unit before surgery. The intended outcome is that people notice a man looks rested and well rather than different. This restrained approach is central to achieving natural results in male blepharoplasty and avoiding the unnatural celebrity outcomes often discussed online.
Ready to Refresh Your Eyes?
If you’re seeking a more alert, youthful eye appearance without losing masculine character, trust your facial anatomy to a specialist with dedicated expertise in male eyelid surgery.
Dr. Julian De Silva is a renowned facial cosmetic surgeon at Harley Street, London, specializing in facelift, blepharoplasty, and rhinoplasty. Known for natural-looking results, he has treated top celebrities and uses advanced technology for fast recovery. Dr. De Silva is also a recognized author and educator in aesthetic surgery.
Frequently Asked Questions
Blepharoplasty is commonly completed in a general hospital with other surgical procedures. Although this is the norm, it does not lead to an optimal patient experience as the staff are not specialised.
Dr De Silva has built a custom state of the art facility on Harley Street to enable complete specialisation for every patient. This can avoid issues with hospital-acquired infections, such as MRSA, providing the safest environment for patients.
Dr De Silva customises his treatments based on your individual facial characteristics, which will give you a natural appearance. You will still look like you, only better!
Often, patients who have undergone substantial rejuvenation are surprised how friends and family have not been able to tell. You will look less tired and refreshed which many people will put down to you having a good night’s sleep!
Older Patients:
There is no specific age limit for blepharoplasty and Dr De Silva has completed surgery for patients in their late eighties. Key to a successful blepharoplasty is your general health and fitness. We complete a comprehensive assessment of every patient before surgery as safety is always the number one priority.
Often there may be additional factors to consider with increasing age. These can include dry eyes, eyelid laxity and droopy eyelids (termed ptosis), which may require additional treatments at the same time as blepharoplasty to ensure a successful result.
Although loose skin, puffiness and lines around the eyelids are commonly associated with facial ageing, there is a smaller proportion of patients who have a genetic predisposition to these changes.
Younger Patients:
Lower eyelid bags or puffiness may be present in the late teens and early twenties and can be seen in other family members. The treatment of eye bags in young adults with a negative vector requires specific techniques to avoid lower lid retraction and support the lower eyelid after blepharoplasty, which Dr De Silva has written about extensively.
Note that lower blepharoplasty is not always necessary if you have very early signs of lower eyelid bags because some patients can be managed with non-surgical techniques.
Dr De Silva completes lower eyelid blepharoplasty on patients from their late teens to twenties, and some of his patients have travelled long distances as surgeons near their homes have not been able to complete surgery locally.
Yes. Dr Julian De Silva frequently combines male upper eyelid surgery with other facial procedures to achieve balanced, comprehensive rejuvenation. These may include lower eyelid surgery for puffiness or under-eye bags, rhinoplasty to refine the nasal bridge and tip, chin augmentation for enhanced facial balance, and deep-plane facelift for natural lower face lifting. He also offers volume enhancement with fat transfer, ptosis correction for droopy eyelids, and regenerative medicine protocols to support faster healing and optimise results. Combining procedures allows tailored restoration of harmony across the upper, mid, and lower face while preserving masculine structure.
Initial improvement appears within the first weeks, with continued refinement over several months as swelling resolves.