Every eye is beautiful. At Akarshan Skin & Hair Clinic, we can create a non-gifted crease or remove the more hooded skin above your eyelids through eyelid surgery to give you more beautiful, defined, and expressive eyes — without changing who you are.
Upper and lower eyelid blepharoplasty surgery is performed by an experienced Cosmetic Surgeon and Dermato Surgeon at our clinic. All procedures are carried out in our advanced operating room facility. Patients can go home after the procedure, and our doctors are available to answer your queries 24/7. Sutures are typically removed 5 to 8 days after surgery.

What Is Blepharoplasty (Eyelid Surgery)?

Blepharoplasty is a surgical procedure that corrects the appearance of the eyelids by removing or repositioning excess skin, muscle, or fat. It is one of the most sought-after cosmetic surgical procedures in Nepal, particularly for creating or enhancing eyelid creases (double eyelids) and for removing drooping or hooded skin that has developed with age.
At Akarshan, we perform three types of eyelid surgery, each designed to address a specific concern:
Surgery Type | What It Does | Best For | Duration |
Mongolian Eyelid Surgery (Crease Creation) | Creates a double eyelid crease for a wider, more defined eye appearance | Rai, Limbu, Gurung and other communities without a natural eyelid crease | 45–60 minutes |
Hooded Eyelid Surgery (Upper Blepharoplasty) | Removes excess skin drooping over the upper eyelid | Anyone with hooded or sagging upper eyelids that obscure the crease | 45–60 minutes |
Lower Eyelid Surgery (Lower Blepharoplasty) | Removes excess fat that has protruded below the eye, above the cheekbone | Under-eye puffiness, lower lid fat bags, tired appearance | 45–60 minutes |
Types of Eyelid Surgery at Akarshan
1. Mongolian Eyelid Surgery (Crease Creation)
Mongolian eyelid surgery — also known as Asian eyelid surgery or double eyelid surgery — is a surgical procedure that creates an eyelid crease in eyes that do not naturally have one. This gives the eyes a wider, more defined appearance. In Nepal, this procedure is commonly performed in the Rai, Limbu, Gurung, and other communities where a single eyelid (without a visible crease) is more prevalent. The goal is not to Westernize the eye but to create a natural-looking crease that enhances the eye’s expressiveness while preserving ethnic features.
2. Hooded Eyelid Surgery (Upper Blepharoplasty)
Hooded eyelid surgery removes the excess skin that droops over and covers the upper eyelid crease. Whether someone has had a crease or not, the upper eyelid skin can become loose and hooded with age, making the eyes appear heavier, more tired, and less open. Removing this excess skin through upper blepharoplasty restores a more awake, refreshed, and youthful appearance — and can also improve the peripheral visual field in more advanced cases.
3. Lower Eyelid Surgery (Lower Blepharoplasty)
Lower eyelid surgery addresses the excess fat that has protruded outside the cheekbone below the eye, creating visible under-eye puffiness or bags. By removing or repositioning this fat, lower blepharoplasty eliminates the tired, aged appearance caused by under-eye fat bags, resulting in a smoother transition between the lower eyelid and cheek.
Results You Can Expect
Results from eyelid surgery are permanent. Both Mongolian eyelid (crease creation) and hooded eyelid surgery deliver long-lasting outcomes that do not reverse over time. Lower eyelid surgery results are equally durable, as the removed fat does not regenerate.
Immediately after surgery, swelling and mild bruising are expected around the eyes. Swelling typically subsides within 1 to 4 weeks, with the final result becoming fully visible once the healing is complete. The eyes will appear more open, defined, and refreshed — and the result looks natural, not overdone, when performed by an experienced surgeon.
Benefits of Eyelid Surgery
- Creates a natural-looking double eyelid crease for a wider, more defined eye
- Removes drooping or hooded upper eyelid skin for a more awake, youthful appearance
- Eliminates under-eye fat bags and puffiness for a smoother, rested look
- Results are permanent — both Asian eyelid surgery and hooded eyelid surgery deliver long-lasting outcomes
- Day procedure — patients go home the same day
- Performed by experienced Cosmetic and Dermato Surgeons in an advanced operating room
- 24/7 doctor availability for post-operative queries and support
- No effect on vision — the procedure involves only skin and fat, not the eye itself
Who Is It Best For?
- Individuals from communities without a natural eyelid crease who wish to create one (Mongolian eyelid surgery)
- Anyone with hooded, drooping, or excess upper eyelid skin that makes the eyes look tired or heavy
- People experiencing under-eye fat bags or puffiness that creates a permanently tired appearance
- Adults of any age — from young adults seeking crease creation to older patients correcting age-related skin laxity
- Those who want a permanent solution rather than a temporary cosmetic fix
- Anyone medically cleared for minor surgical procedures
Important: A thorough pre-surgical consultation with our doctor is required to assess your suitability, discuss realistic expectations, and plan the most appropriate surgical approach for your eye anatomy.
What to Expect During Your Procedure
- Consultation — Our Cosmetic Surgeon evaluates your eyelid anatomy, skin condition, fat distribution, and aesthetic goals. The appropriate surgery type and technique are decided, and pre-operative instructions are provided.
- Pre-operative preparation — The surgical area is cleansed and marked. Local anesthesia is administered to the eyelid area to ensure a completely pain-free procedure.
- Surgery — The procedure takes 45 minutes to 1 hour. Excess skin or fat is carefully removed or repositioned through precise incisions placed in the natural eyelid fold to minimize visible scarring.
- Post-operative care — You are monitored briefly before going home the same day. Cold compresses, eye drops, and specific aftercare instructions are provided. Our doctors are available 24/7 to answer any queries during recovery.
- Suture removal — Sutures are removed 5 to 7 days after surgery at a follow-up visit to the clinic.
Procedure duration: 45 minutes to 1 hour. Recovery: At least 2 days off work recommended. Swelling subsides in 1–4 weeks. Sutures removed in 5–7 days.
Recovery After Eyelid Surgery
Recovery from eyelid surgery is straightforward and manageable for most patients. Here is what to expect:
- Take at least 2 days leave from work immediately following surgery
- Swelling and mild bruising around the eyes are normal and expected — these typically subside within 1 to 4 weeks
- Sutures are removed 5 to 7 days after surgery at our clinic
- Avoid strenuous activity, heavy lifting, and bending for 1–2 weeks
- Avoid rubbing or putting pressure on the eyes during healing
- Wear sunglasses outdoors to protect the healing skin from sunlight
- Follow all post-operative instructions provided by our surgeon for optimal healing
24/7 doctor availability — contact us any time during recovery if you have concerns
Eyelid Surgery Cost in Nepal
The cost of eyelid surgery at Akarshan Skin & Hair Clinic ranges from NRS 35,000 to NRS 60,000, depending on the type of procedure and the complexity of the case.
Surgery Type | Price (NRS) |
Eyelid Surgery / Blepharoplasty | NRS 35,000 – 60,000 |
Why Choose Akarshan for Eyelid Surgery in Kathmandu?
Personalized Treatment
Every patient is unique. We develop individualized care plans based on your condition, goals, and preferences.
Advanced Diagnostics
Access to cutting-edge imaging, laboratory, and diagnostic tools ensures accurate assessments.
Ongoing Monitoring
We offer follow-up care, education, and guidance to help you maintain your health over time.
Frequently Asked Questions — Eyelid Surgery Nepal
Blepharoplasty is a surgical procedure that corrects the eyelids by removing excess skin or fat. Mongolian eyelid surgery creates a double eyelid crease in eyes that do not naturally have one — commonly performed in Rai, Limbu, and Gurung communities in Nepal. Hooded eyelid surgery removes the excess skin drooping over the upper eyelid crease, restoring a more open and youthful eye appearance.
Eyelid surgery involves only the removal of excess skin and fat and has no effect on vision. Surgical side effects such as bleeding, swelling, and temporary bruising are expected and resolve during recovery. Infection is a rare risk managed through sterile surgical conditions and post-operative care instructions.
Asian eyelid surgery (crease creation) and hooded eyelid surgery results are permanent. The removed skin and fat do not return. Lower eyelid surgery results are equally long-lasting as the repositioned or removed fat does not regenerate.
We recommend taking at least 2 days off work after surgery. Sutures are removed in 5 to 7 days at our clinic. Swelling may take 1 to 4 weeks to fully subside, after which the final result becomes visible.
Eyelid surgery at Akarshan Skin & Hair Clinic ranges from NRS 35,000 to NRS 60,000 depending on the type of procedure and complexity of the case. Please book a consultation for a personalized cost estimate.
Eyelid surgery at Akarshan is performed under local anesthesia, ensuring a pain-free procedure while the patient remains awake and comfortable. No general anesthesia or hospital admission is required.
No. Our surgeons approach every procedure with sensitivity to ethnic features and identity. The goal of Mongolian eyelid surgery is to create a natural-looking crease that enhances the eye’s expressiveness — not to alter or Westernize your appearance.
Yes. All three types of eyelid surgery at Akarshan are day procedures. Patients are monitored briefly after the procedure and can return home the same day. No hospital admission is required.
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akarshanskin@gmail.com
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