In upper eyelid blepharoplasty, a fine incision is made with the laser in the pre-existing crease above each eye. A crescent of excess skin and muscle is removed, as well as excess fat (puffiness) that is present. The incisions are then closed with fine stitches, which are removed within one week. In the lower lids, the fatty deposits are typically removed from the inside of the lid so that no external incision is made. In some instances, when there is excess skin and muscle that needs to be removed, an incision can be placed under the lashes so as to avoid a conspicuous scar. As with the upper lids, fine stitches are used to close the incision.

The typical post-operative recovery period (the time necessary for bruising and swelling to resolve) after cosmetic eyelid surgery is 7 to 14 days. It is important to avoid strenuous activity for the first week after surgery, but one can return to work during this time if desired. Antibiotic eye ointment are generally prescribed for several days after surgery, and patients cannot wear contact lenses for approximately two weeks after surgery, as the eyelids may be stiff and sore. Makeup can be worn after 10-14 days, and the resultant hairline scars which follow the natural contour of the eyelids tend to fade in about 2 months.