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Male Eyelid Surgery

Male eyelid surgery refines the upper eyelids while preserving strong, masculine features. The procedure addresses excess skin, sagging, puffiness, and drooping, helping to restore a refreshed and well-defined appearance. Unlike female eyelid surgery, which often aims for a more delicate look, male eyelid surgery maintains a natural, structured contour that aligns with facial proportions. The approach is customised for each individual, ensuring results that complement bone structure, brow position, and eye shape.

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Dr Terence Goh

MBBS

MMed

MRCS

FAMS

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Who is a Suitable Candidate?

Male eyelid surgery is suited for those looking to:

  • Reduce heavy or hooded eyelids for a more alert, open appearance
  • Remove excess skin that causes drooping or vision obstruction
  • Improve puffiness by adjusting fat distribution in the upper eyelid
  • Address asymmetry caused by ageing or genetics
  • Achieve a refreshed look while maintaining a masculine definition

During your consultation, eyelid structure, skin quality, and facial balance are assessed to determine the best approach for natural and long-lasting results.

Indications and Benefits

Male eyelid surgery enhances the upper eyelids while ensuring strong and well-defined contours that maintain a masculine appearance.

  • Hooded or Heavy Eyelids

    Excess skin and drooping can create a tired or aged look. Removing this skin refines the eyelid structure while maintaining a masculine, structured definition.

  • Drooping Eyelids

    Weakened or stretched eyelid muscles can cause ptosis (drooping eyelids), which may lead to asymmetry or impaired vision. Adjusting the eyelid position restores balance and a sharper, more alert expression.

  • Puffiness or Fullness

    Fat deposits in the upper eyelid can contribute to a heavy, swollen look. Refining the fat distribution smooths the eyelids without making them appear hollow or overly sculpted.

  • Ageing-Related Changes

    As the skin loses elasticity with age, sagging can develop. An upper eyelid lift restores a refreshed, energised look without softening masculine facial structure.

  • Eyelid Asymmetry

    Uneven eyelids can affect facial balance. Surgery can improve symmetry while keeping the results subtle and natural-looking.

Eyelid Contour Refinement in Male Eyelid Surgery

Men typically have heavier, thicker upper eyelid skin and lower-set brows than women. Male eyelid surgery focuses on enhancing definition while avoiding overcorrection, which can result in an overly lifted or feminised look.

  • Maintaining a structured contour

    The surgery refines the eyelid without creating an excessively sculpted or hollowed appearance.

  • Enhancing definition

    The adjustments preserve a natural crease while avoiding an artificial or overly delicate shape.

  • Personalised refinements

    Each patient’s eye shape, brow position, and facial proportions are considered to create subtle but effective improvements.

Surgical Techniques

Incisional Blepharoplasty

An incision is made along the natural eyelid crease to remove excess skin, reposition fat, and adjust underlying tissues. This method is effective for correcting hooded eyelids, smoothing puffiness, and restoring a structured look while keeping scars hidden within the natural fold.

Ptosis Correction (If Required)

For men with significant eyelid drooping, the levator muscle may be tightened or repositioned to improve eyelid height. This enhances symmetry, vision, and overall facial balance.

Fat Repositioning

Rather than simply removing fat, modern techniques focus on redistribution, ensuring a smooth yet naturally full appearance without hollowing out the eyelid.

Combination with Brow Lift (If Needed)

If brow heaviness contributes to eyelid sagging, a brow lift can be combined with the procedure to restore a well-defined, masculine brow position without over-elevating the appearance.

Enhance Your Look with Natural, Masculine Definition

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Preparing for Male Eyelid Surgery

Consultation

A detailed consultation is conducted to discuss aesthetic goals and functional concerns such as vision obstruction. Visual simulations may help in exploring the best approach while ensuring a natural and structured result.

Medical Review

A review of medical history, past procedures, and current medications helps determine suitability for surgery. Any pre-existing eye conditions, allergies, or lifestyle factors that may affect healing are considered in planning the procedure.

Pre-Surgical Guidelines

Certain medications and supplements that may affect healing, such as aspirin or herbal remedies, should be paused. Alcohol intake should be limited, and smoking is best avoided for at least two weeks to support recovery. Contact lenses should not be worn for three days before the procedure, and on the day of surgery, the eye area should be clean and free of skincare products or irritants.

Step-by-Step Process

1. Anaesthesia Administration

Local anaesthesia with or without light sedation is used for comfort. A mild sensation may be felt during the initial injection, but the area quickly becomes numb, allowing the procedure to proceed smoothly.

2. Marking the Eyelids

Reference points are carefully marked to guide incision placement, ensuring results maintain strong, masculine eyelid contours. The markings take into account natural crease position, brow height, and facial proportions to avoid an over-lifted or feminised look.

3. Surgical Technique

Male eyelid surgery typically involves incisional blepharoplasty to remove excess skin, reposition fat, and refine the eyelid structure without creating an overly sculpted or delicate appearance. If ptosis correction is needed, the levator muscle is adjusted to restore proper eyelid height while maintaining a natural, well-defined look. A brow lift may be incorporated if brow heaviness contributes to eyelid sagging, but adjustments are kept subtle to preserve a masculine brow structure.

4. Closure and Dressing

Once adjustments are made, fine sutures are used to close the incisions along the natural crease, ensuring discreet healing. A light dressing or ointment is applied to support recovery, and detailed aftercare instructions are provided to help reduce swelling and promote smooth healing.

Post-Surgical Care and Recovery

Initial Recovery

Mild soreness, tightness, and swelling are expected in the first few days, with swelling peaking between 48 and 72 hours. Cold compresses can help reduce swelling, and gentle cleaning with sterile saline supports healing. Antibiotic ointment should be applied to the incision line as directed, and any discomfort can be managed with prescribed pain relievers.

Activity Restrictions

To support healing, smoking, alcohol, and strenuous activities should be avoided for at least two weeks. Rubbing or applying pressure to the eyes should be minimised, and prolonged screen time should be limited in the early recovery phase to reduce eye strain. Contact lenses should not be worn until healing is further along.

Recovery Timeline

Swelling and bruising generally improve within one to two weeks. Sutures are removed after five to seven days, depending on healing progress. Most daily activities can be resumed after two weeks, while final results settle over two to three months as residual swelling resolves.

Potential Risks and Considerations

Temporary swelling, bruising, and mild discomfort are expected. While rare, complications such as bleeding, infection, or visible scarring can occur, though incisions are placed to heal discreetly. Some patients may experience temporary dry eyes, irritation, or slight asymmetry, which typically improves as swelling subsides. Anaesthesia reactions are uncommon and closely monitored. Most side effects resolve with time and proper aftercare.

Frequently Asked Questions (FAQ)

Can upper eyelid surgery improve my field of vision?

If excess skin is sagging and obstructing your vision, removing it can significantly improve your field of view, making daily tasks like reading, driving, and even seeing at a distance much easier and more comfortable.

How long do the results last?

Male eyelid surgery typically offers long-lasting results, lasting from 10 to 15 years or even longer. Although natural ageing will continue, the improvements will remain noticeable, and the effects of the surgery will continue to enhance your appearance for years.

Will my results look natural over time?

The procedure is designed to ensure natural-looking results over time, maintaining a refreshed and masculine look as the skin gradually matures. This ensures that the results blend seamlessly with your evolving features.

Can I have revision surgery if I want further adjustments?

Yes, revision surgery is possible if further adjustments are needed. However, many minor concerns often resolve on their own as swelling from the initial procedure subsides. If necessary, revision surgery can be considered after about six months for optimal results.

Can I combine upper and lower eyelid surgery in one procedure?

Yes, combining upper and lower blepharoplasty in one procedure is an option for a more complete rejuvenation of the eyes and surrounding area. This can be discussed in detail during your consultation to ensure it’s the right approach for your goals.

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Dr Terence Goh

Choosing to combine the intricate skills of microsurgery with aesthetic surgery, Dr Goh specialises in gynaecomastia, surgery of the Asian face, particularly Asian eyelid surgery and rhinoplasty.

Blending the precision of microsurgery with the artistry of aesthetic surgery, Dr Goh has a special interest in gynaecomastia, facial procedures, including ptosis and eyelid surgery, as well as rhinoplasty.

He also offers a full range of body contouring procedures such as mummy makeovers, breast augmentation, liposuction, and body sculpting—designed to help patients feel more confident and comfortable in their own skin.

Beyond aesthetics, Dr Goh remains active in reconstructive microsurgery, with expertise in breast reconstruction, head and neck reconstruction, and lower limb salvage—restoring both form and function where it’s needed most.

  • Bachelor of Medicine, Bachelor of Surgery, National University of Singapore
  • Master of Medicine, National University of Singapore
  • Member of the Royal College of Surgeons
  • Fellow of the Academy of Medicine, Singapore (Plastic Surgery)
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