Open up a heavy, tired eye — without hollowing it out
When excess skin gathers on the upper lid, the eye looks heavy and tired — and when it hangs over the lashes, it can even narrow your vision. Upper blepharoplasty removes that excess through an incision hidden in the natural crease. The modern goal is not to strip the eye bare but to lighten it while keeping a natural fullness — which is why the fat is preserved, not simply removed, and the brow is assessed first.
بنفتح العين التقيلة — من غير ما نفرّغها. بنشيل الجلد الزائد ونحافظ على الامتلاء الطبيعي.
Why upper lids become heavy — and why the brow matters
ليه الجفن العلوي بيتقل — وليه الحاجب مهم
With age the upper-lid skin stretches and the supporting tissues relax, so skin gathers in the fold (dermatochalasis) and the eye looks hooded. Sometimes a small fat pad adds to the fullness.
But not every heavy upper eye is a skin problem. A brow that has dropped pushes skin down onto the lid and mimics excess lid skin. Removing lid skin in that situation pulls the brow down further and gives an unnatural result. That is why the brow position is assessed before anything is planned — the right operation depends on it.
Getting this distinction right is the difference between a rested, natural eye and an over-operated one.
The modern technique — conservative and volume-preserving
التقنية الحديثة — محافظة وبتحافظ على الامتلاء
Hidden-crease incision: the incision sits in the natural upper-lid crease, so it is invisible when the eyes are open and heals to a fine line.
Only the excess skin is removed: the amount is measured conservatively. Taking too much is what leaves a hollow, staring, "operated" eye — and cannot be undone — so the principle is to remove less rather than more.
Fat is preserved, not stripped: current evidence favours keeping or repositioning the upper-lid fat to maintain a natural, youthful fullness, rather than the old habit of removing it, which ages the eye by hollowing it.
Not sure whether you need surgery, or just tired-looking eyes? Read our honest assessment guide first.
See a real before & after
A combined nanofat + upper-eyelid result — heavy lids lightened and the tired area around the eye refreshed in one session — shared with patient consent.
View the results gallery →بنشيل الجلد الزائد ونحافظ على الدهون — عين مرتاحة، مش مفرّغة
Upper eyelid surgery with Dr. Khaled Ghalwash:
- Conservative, volume-preserving — no hollow "operated" eye
- Fat preserved, not stripped
- Brow assessed first — the right operation for the right cause
- Combines in one session with nanofat / lower-lid surgery
Pairs naturally with nanofat and lower eyelid surgery for complete periorbital rejuvenation.
Choosing your surgeon matters — read how to choose a surgeon first.
