THE COSMETIQ APPROACH
At Cosmetiq, eyelid surgery is planned around the whole eye area and your facial harmony.
Led by Dr. Bibilash Babu, our approach combines eyelid refinement with your own fat, where needed, to restore lost volume. Lower-lid surgery may use an incision inside the eyelid when suitable.
Dr. Bibilash Babu
FAMILIAR FACES AT COSMETIQ
Actor
Actor
Personal experiences. Individual results vary.
NABH-accredited hospital · Designed on green building principles
Technique
Experience
Scars
Hospital
The Cosmetiq standard
What is augmentation blepharoplasty?
Traditional blepharoplasty mainly removes skin and fat, which can leave the eyes looking hollow over time. Augmentation blepharoplasty also restores lost volume: eye bags are removed or repositioned, and your own fat is grafted where the eye area has thinned, so the result looks natural and rested.
The whole eye area, treated together
Upper lids, lower lids, tear trough, under-eye hollows and brows are assessed together for a balanced, symmetrical result.
Scarless lower-lid surgery
Most lower lids are treated through the inside of the eyelid (transconjunctival), so there is no visible skin scar.
Your own fat, not synthetic fillers
Fat from the eye bags is removed or repositioned, and fine fat grafts fill hollows for a softer, more youthful contour.
Less chance of bags returning
Because bags are corrected and the area is restored with fat, recurrence of eye bags is uncommon. Individual results vary.
Blepharoplasty at Cosmetiq is performed in our NABH-accredited operating theatre.
Why Cosmetiq
What makes blepharoplasty at Cosmetiq different
Augmentation, not just removal
We correct eye bags and restore lost volume with your own fat, so your eyes look naturally rested rather than hollow.
Planned for your anatomy
Every plan is built around your eyelids, brows, cheeks and goals, adding fat repositioning, canthopexy or a brow lift only when needed.
Natural, lively results
We aim for eyes that look fresh and expressive, and still look like yours.
Accredited, sustainable care
Surgery and recovery at an NABH-accredited hospital housed in a green, sustainable building.
eyelid procedures performed
of eyelid surgery experience
discharge for most patients
stitch removal and first review
Our philosophy
Our approach to natural-looking eyelid surgery
Eyes cannot be refreshed in isolation.
How your eyes look depends on the upper lids, lower lids, brow position, tear trough and cheeks together. Skin quality, fat, muscle tone and eyelid support all play a part.
For some patients, the answer is removing excess upper-lid skin. For others, it means correcting eye bags, filling hollows, supporting a lax lower lid or lifting the brow.
At Cosmetiq, these decisions guide the technique. Every plan is built around your anatomy and goals, with an honest discussion of what can realistically be achieved.
Our aim is for your eyes to look rested, lively and naturally yours.
The whole eye area
We treat the eye area, not just the eyelids
Tired-looking eyes are rarely caused by the eyelids alone. Under-eye hollows, a deep tear trough, a lax lower lid or a low brow often contribute, and treating one without the others can leave the result unbalanced.
Depending on your assessment, your plan may combine eye-bag removal or fat repositioning, fat grafting to hollows, canthopexy to support the lower lid, and a brow lift or infra-brow fat grafting, so the whole area is corrected symmetrically.
Your own fat. No visible lower-lid scar.
Volume is restored with your own fat rather than synthetic material. Lower-lid surgery is usually done from inside the eyelid, and upper-lid scars sit in the natural crease, where they fade well.
We also explain what surgery cannot change, such as fine skin texture, which may be better treated with CO₂ laser alongside surgery.
Types of blepharoplasty
Types of blepharoplasty we perform
Our work covers first-time and revision eyelid surgery. Depending on your eyes, one or more of these may be combined, along with non-surgical treatments for the best outcome.
Upper eyelid blepharoplasty
Removes excess, hooded upper-lid skin, with the scar hidden in the natural crease.
Lower eyelid blepharoplasty
Corrects eye bags, usually from inside the eyelid with no visible scar, or through a fine lash-line incision when skin also needs tightening.
Fat repositioning and fat grafting
Moves or adds your own fat to soften the tear trough and under-eye hollows.
Double-eyelid blepharoplasty
Creates or refines an upper-lid crease, where it suits your eye shape.
Combined procedures
Canthopexy, brow lift, infra-brow fat grafting, CO₂ laser and, when needed, ptosis correction alongside blepharoplasty.
These approaches can overlap. Your surgeon will explain which combination suits your eyes and why.
Revision eyelid surgery
Revision blepharoplasty in Kerala
If you have had eyelid surgery before and are unhappy with hollowness, asymmetry, recurring bags or eyelid position, the next step begins with understanding what was done and how your eyelids have healed.
What we assess first
Eyelid position and support
Scar tissue
Skin quality
Volume loss and hollows
Eye comfort and dryness
What revision may involve
Restoring volume with fat
Correcting asymmetry
Supporting the lower lid
We discuss achievable improvements and limitations openly. Our emphasis is on careful correction and close follow-up.
Your surgeons
Your surgeons, led by Dr. Bibilash Babu
MBBS, MS, MRCS (Edin.), MCh Plastic Surgery (JIPMER), DAFPRS (Belg.), FACS (USA)
Founder and lead plastic surgeon at Cosmetiq Hospital, with a focus on aesthetic and facial plastic surgery, including primary and revision eyelid surgery. He has performed more than 2,000 eyelid procedures over 13 years.
He trained in facial plastic surgery in Belgium, where the landmark series of 500 augmentation blepharoplasty patients was published (Tonnard et al., Aesthetic Surgery Journal, 2013).
Your surgical team also includes Dr. Shenol Sasankan (MCh Plastic Surgery) and Dr. Akhila.
Your journey
Your blepharoplasty journey at Cosmetiq
1
A consultation that starts with listening
We begin with what bothers you about your eyes. Your 15 to 45 minute consultation, in person or by video, includes an examination of your eyelids, brows, tear trough and eye health.
2
Understand the possibilities before deciding
We use clinical photographs to discuss the changes that suit you and agree on which areas around the eyes need treatment, so expectations are clear before you decide.
3
Day-care surgery in an accredited hospital
Surgery is usually under local anaesthesia or monitored anaesthesia care, rarely general. Lower-lid surgery takes about 45 minutes and upper-lid 20 to 30 minutes; with our multi-surgeon team, combined procedures take less time than doing each separately. Most patients go home the same day.
4
Review and stitch removal on day 5
Your first review is on day 5, when stitches are removed. We guide you on cold compresses, eye care and medication through the first week.
5
Follow-up as your eyes settle
A review at one month is part of every plan, with further visits only if needed. We guide you on screens, make-up, contact lenses and exercise at each stage.
Our operating theatre and a private recovery suite at Cosmetiq Hospital, Trivandrum.
Recovery
Recovery after blepharoplasty: what to expect, and when
Swelling is most noticeable for the first five days and then starts to settle. Most patients look back to normal by the third week and are fully back to routine by one month.
Make-up and contact lenses can usually be resumed from day 7, and exercise from day 8.
Combined procedures, such as a brow lift or fat grafting, can lengthen recovery a little. Your surgeon will give you a timeline for your own plan.
Swelling is at its peak; rest and cold compresses.
Review and stitch removal.
Make-up and contact lenses from day 7, exercise from day 8.
Mild bruising and swelling, about 20 to 30% of the initial level, fading by week 3.
Review; fully back to your routine.
We help you understand the recovery expected for your own eyes, with guidance at each stage.
Safety & suitability
Eye health checked before surgery
Before surgery we check for dry eye, thyroid eye disease, recent laser eye surgery, blood thinners and other conditions that affect healing or planning.
Where needed, treatment is adjusted or postponed, with specialist assessment. Patients from 18 to about 70 years can be suitable; eyelid anatomy and health matter more than age.
Like any surgery, blepharoplasty carries risks, including temporary dry eye, asymmetry, a change in lower-lid position and, rarely, bleeding behind the eye. We explain these at consultation, along with what we do to reduce them.
Packages & insurance
Clear packages and insurance guidance
Your package
Our blepharoplasty packages support your journey from initial evaluation through surgery and planned recovery follow-up. Before you proceed, you receive a written explanation of the package, its inclusions, and any exclusions or additional charges.
Insurance
Most blepharoplasty is cosmetic and is not covered by insurance. Where eyelid surgery is needed for a medical reason, such as drooping lids that block vision, we can help you check whether your insurer may cover it.
Before & after
Blepharoplasty before and after photos
Photographs of consenting patients. Tap either side of an image to switch between before and after. Individual results vary.
Blepharoplasty
Blepharoplasty
Blepharoplasty
FAQ
Blepharoplasty questions, answered
What is augmentation blepharoplasty?
Will I have visible scars?
Is blepharoplasty painful?
How long is recovery?
Are there risks?
Will my eye bags come back?
Which do I need: upper or lower blepharoplasty?
Can it be combined with other procedures?
What is the right age for eyelid surgery?
Is it day-care surgery, and how long does it take?
Can fillers treat eye bags instead of surgery?
I live outside Kerala or abroad. How do I plan?
Does insurance cover blepharoplasty?
Medically reviewed by Dr. Bibilash Babu, MCh Plastic Surgery (JIPMER), FACS (USA) · Updated November 2026
Begin with a conversation
Natural, lively eyes begin with understanding you.
Whether you are concerned about hooded lids, eye bags, hollows or a previous eyelid surgery, the first step is a personal assessment. At Cosmetiq, we bring your features, goals, and recovery needs together in one considered plan.
Where your surgery happens
An NABH-accredited hospital, housed in a green building
Your surgery takes place at Cosmetiq Hospital in Trivandrum, with anaesthesia care, postoperative monitoring, and calm, light-filled recovery spaces.
