The surgical procedure includes incisions made in the natural contours around the eyelids which should leave minimal visible scarring. Mr Karoo will usually work on the upper eyelids first to remove any fatty tissue and tighten loose skin. Lower eyelids are completed next to eliminate puffiness and help reduce dark circles. Techniques may also additional prescribed only medicines to soften fine lines and wrinkles located laterally (crows feet).

The surgery generally takes about one to two hours and is performed most frequently as a general anaesthetic case. Sutures are typically removed one week after surgery. Ice packs are placed on the eyes after surgery to reduce swelling and bruising.

Normally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. Bruising around the eyes may be apparent during the first couple of weeks after surgery. Patients sometimes report minor pain associated with surgery which can be treated with oral medication. While complications are infrequent, patients can minimize the risk of potential problems by carefully following the post-operative directions given after the surgery.