
Blepharoplasty
Upper and Lower Eyelid Blepharoplasty in Vancouver, BC
Driven by an unwavering commitment to refinement, Dr. Paul Denton developed Eye Lift 3D™, a revolutionary approach that transcends traditional eyelid surgery by addressing all dimensions of eyelid aging. This method goes beyond mere skin removal, addressing the skin surface and deeper tissues to ensure optimal and enduring results.
Blepharoplasty rejuvenates the eyes by addressing excess skin, weakened muscle, and shifted fat in the upper or lower eyelids. The eyelid skin is the thinnest on the body, which is why the eyes often show age first — and why surgery in this area demands precision and restraint.
In consultation, Dr. Denton evaluates not just the eyelids themselves but the structures around them: brow position, tear trough depth, skin quality, and the way your eyes sit within the face. Sometimes what appears to be eyelid heaviness is actually brow descent, and an honest assessment matters more than a quick answer. He'll walk you through whether upper, lower, or combined blepharoplasty best suits your anatomy.
Blepharoplasty is typically a shorter procedure performed under local anaesthesia with sedation or general anaesthesia, depending on the surgical plan. Upper eyelid incisions are hidden within the natural crease; lower eyelid incisions are placed just beneath the lash line or inside the eyelid itself, leaving no visible scar.
Dr. Denton removes or repositions tissue conservatively — the goal is a refreshed eye, never a hollow or surprised one. Most patients return home the same day.
Swelling and bruising around the eyes are normal in the first week and are managed with cold compresses, head elevation, and rest. Many patients feel presentable within a week or two, often with the help of glasses or light cover-up, though the timeline differs for everyone. Sutures are typically removed 5-7 days.
Vision-intensive activities, contact lenses, and exercise are reintroduced gradually based on Dr. Denton's guidance. Final results emerge as residual swelling resolves over the following weeks, revealing a brighter, more rested appearance.
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Eye Lift 3D™
Find clear, professional answers to common questions about our procedures and services.
Am I a good candidate for blepharoplasty surgery?
Candidates typically have sagging or drooping eyelids, under-eye bags, or excess skin that affects their appearance or even vision. A consultation with Dr. Denton will determine if this procedure is right for you.
Will I have visible scars?
Incisions are placed in the natural eyelid crease (upper lids) or along the lash line (lower lids), making them very discreet once healed.
How long do results last after a Blepharoplasty?
The improvements from eyelid surgery are typically very long-lasting, but they aren’t immune to the natural aging process. Most patients enjoy refreshed, more open-looking eyes for many years, often a decade or more, before noticing changes again. Factors such as skin quality, genetics, lifestyle habits, and overall health all influence how long your results will remain.
While no surgery can stop aging, blepharoplasty effectively resets the clock, and patients usually continue to look younger and more rested than if they had never had the procedure.
How is blepharoplasty different for Asian eyelids?
Asian blepharoplasty, sometimes called “double eyelid surgery,” is tailored to enhance the natural anatomy of Asian eyelids. The goal is to create a well-defined eyelid crease that looks natural for your features. Surgical techniques are adjusted to account for differences in skin thickness, fat distribution and crease height. During your consultation, Dr. Paul Denton will discuss the result you’d like to achieve and design a crease that complements your eyes and maintains a natural appearance.
Is blepharoplasty surgery covered under Medical Services Plan (MSP)?
In some cases, upper eyelid surgery may be partially covered by MSP if it impairs your vision and is deemed medically necessary. However, we are a private clinic and do not accept MSP coverage.
What is eyelid ptosis, and how is it different from blepharoplasty?
Ptosis refers to a drooping of the upper eyelid itself, often caused by a weakened or stretched eyelid muscle (levator muscle). This is different from having excess skin on the upper eyelid, which is corrected through blepharoplasty. In some cases, patients require ptosis repair in addition to or instead of upper blepharoplasty. Dr. Denton will assess this during your consultation.
Do I need upper eyelid surgery, a brow lift, or both?
This is the single most important question to get right and one that is frequently misdiagnosed. If your brow has descended with age, it pushes skin onto the upper lid, creating the appearance of excess eyelid skin when the real problem is brow position. A simple self-test you can do is gently lift your brow to a natural position. If your eye looks dramatically more open, you may need a brow lift rather than or in addition to eyelid surgery. Dr. Denton assesses this at every consultation.
Can both upper and lower blepharoplasty be done at the same time?
Yes, and they frequently are. Combining both in one session means a single anesthesia event, a single recovery period and a more balanced overall result. There is no significant increase in risk or recovery when performed together.
Will lower blepharoplasty get rid of my dark circles?
Sometimes, it depends on the cause. Dark circles have three distinct sources such as:
- Shadowing cast by herniated fat bags (surgery helps significantly)
- Hollowing from volume loss in the tear trough (fat repositioning or filler helps)
- Skin pigmentation (surgery does not help at all)
Many patients have a combination of all three. Dr. Denton will identify exactly what is causing yours and what can realistically be achieved.
Blepharoplasty

Dr. Paul Denton's commitment to quality work and natural-looking results is evident in everything he does. When we discussed a deep plane face and neck lift, the team also introduced the idea of a lip lift—something I hadn’t considered, but it turned out to make a world of difference. I truly felt cared for every step of the way.
Verified Review | Realself

Love the work done on my eyes! Very informative and supportive each step of the way. My eyes are even. Took 10 years off my face. Highly recommended!
Verified Review | Google

My last two surgeries have been done by Dr. Denton. When I say, they go above and beyond to make sure their patients are safe, comfortable, and taken care of I truly mean it.
I come from out of town to have my surgeries done at Refine Cosmetic Surgery and they truly made me feel at home. They are professional, kind, and caring.
Verified Review | Google

The moment I met Dr. Denton and his team, I felt completely at home. His commitment to quality work and natural-looking results is evident in everything he does. I wholeheartedly recommend Dr. Denton to anyone considering facial surgery.
If you value the latest techniques, safe and thoughtful care, excellent results, and being treated like family, you won't find a better team.
Verified Review | RealSelf
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- Clinic Address
1366 W Pender St
Vancouver, BC - Office Hours
Mon–Fri
9AM–5PM - Phone Number
+1 604 681 6399
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