Blepharoplasty (Eyelid Surgery)

Blepharoplasty: Your eyes are one of the first features that someone notices about you. As you age, your eyes show the earliest evidence. These changes occur due to sun exposure, skin laxity, brow position changes, genetics, eyelid anatomy and smoking. While some of these factors cannot be changed, others can be greatly improved by eyelid rejuvenation.


Blepharoplasty can eliminate drooping upper or lower eyelids, as well as bags and puffiness under the eyes. Some people have the surgery on just the upper or lower eyelids, while other patients have both the upper and lower lids treated. Lower eyelid surgery requires greater attention and special skill.

Am I a candidate for eyelid surgery?

Ideal candidates are in good health and have a desire to improve the signs of aging around their eyes and eliminate the tired and often angry appearance that aged eyelids can communicate. Patients who would benefit from eyelid surgery have one or more of the following:

  • Excess sagging skin on the upper eyelid causing a decrease in vision
  • Excess sagging skin on the upper eyelid which touches the eyelashes
  • Excess skin or wrinkling of the upper or lower eyelids which gives a very tired aged and fatigued appearance
  • Puffiness or bags present in the upper or lower eyelids
  • Hollowed out appearance to the upper of lower eyelids

Certain medical conditions can lead to some of the above symptoms and only with control of the medical conditions will the above symptoms resolve. A thorough medical history is obtained to help rule out these conditions.

Upper Blepharoplasty

An incision is made in the upper eyelid along a natural crease. Skin and muscle are removed as needed to improve the eyelid appearance. Some bulging may be present which is often fat that requires conservative removal while other times fat is injected along the orbital rim to give a more youthful appearance. A through evaluation is performed in person to determine exactly which combination of upper eyelid procedures are needed to restore an aesthetic and youthful eyelid appearance.

Lower Blepharoplasty

An incision is made just below the lash line or inside the inner lining of the lower eyelid. Skin is removed if indicated but often the main issue is puffiness due to bulging of fat present naturally around the eye. This is treated either by conservative fat removal or fat repositioning. Fat removal is unnecessary in most patients and many times additional fat is injected in the lower eyelid area to restore a more youthful and fresh appearance. For some, the lower eyelid may have to be tightened as well in order to improve droopy positioning of the eyelid.

Surgery and Recovery

Blepharoplasty procedures can be combined and safely performed at the same time if indicated. Depending on which of our surgeon’s perform the procedure, and the combination of procedures performed eyelid surgery may be done under local, sedation or general anesthesia.

Brusing and swelling extent varies from patient to patient, but by 7-10 days most patients feel comfortable being seen in public and returning to work.

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