For most people, the eyes begin to show signs of aging before other areas of the face. This happens because of gravity and a loss of youthful volume over time, leading to upper and lower eyelids that sag and take away from the natural contours. Additionally, this can be the result of genetics, leading to less eyelid space and difficulty wearing eye makeup. In either case, eyelid surgery can be a beneficial way to restore the eyes and rejuvenate your upper face.

Why Choose Eyelid Surgery?

Many patients opt for eyelid surgery because they experience sagging skin and fat around their eyes that causes them to look tired or aged, even if they do not feel like it. Additionally, many patients with hooded eyes experience creasing or reduced staying power from their makeup, even with the best products. Some of the benefits of this procedure include:

  • Reducing or eliminating dark circles under the eyes
  • Eliminating hollows in the eyes
  • Eliminating eye puffiness
  • Removing deep folds in the eyelids
  • Opening up the eye region
  • Removing bags from underneath the eyes
  • Removing excess skin which results in wrinkles and droopy eyelids

Eyelid surgery, or blepharoplasty, is a simple surgical procedure that can restore the eyes and reshape sagging skin and fat, making it an effective option for many patients.

Am I a Candidate?

In general, ideal blepharoplasty candidates are men and women in good overall health who would like to correct one or more of the following signs of aging in the eye region:

  • Sagging or wrinkling in the upper or lower eyelid skin
  • Drooping in the upper eyelids
  • Hollows under the eyes that create an appearance of dark bags
  • Lost upper eyelid crease
  • Excess skin in the upper eyelid that negatively impacts your visual field
  • Puffy fat deposits in the lower eyelid which make you look tired

While the most common ages for blepharoplasty range from your 40s to 70s, Dr. Ali and Dr. Tamir are seeing an increasing number of men and women in their mid to late 30s who are experiencing the early signs of aging and would like to restore a more youthful appearance. However, each patient ages at a different rate and your plastic surgeon can make a professional recommendation about your options. Dr. Ali and Dr. Tamir may recommend a brow lift or facelift in conjunction with eyelid surgery for more comprehensive facial rejuvenation results.

Your Customized Blepharoplasty Procedure

Eyelid surgery is performed slightly differently for the upper and lower eyelids. They can be performed separately or together, according to your goals.

Upper Eyelid Surgery

Upper lid blepharoplasty typically involves the removal of excess skin to produce a youthful crease in the upper eyelid without a redundant fold of skin. In some cases, the muscle and fat of the upper eyelid can also be addressed to achieve your goals. The procedure leaves a nearly invisible scar on the upper eyelid that is concealed by the natural lid crease. In some cases, sagging upper eyelids can be corrected with a brow lift instead, and your plastic surgeon will discuss your options during a consultation.

Lower Eyelid Surgery

Lower lid blepharoplasty is frequently performed through an incision inside the lower eyelid, called a transconjunctival incision. The procedure elevates and softens the junction between the lower eyelid and the cheek, restoring a youthful appearance to the lower eyelids. Fat from the three distinct pockets in the lower eyelid are removed and repositioned to eliminate the appearance of dark circles and bags underneath the eyes. As with upper eyelid surgery, your scar will be nearly invisible.

Blepharoplasty Recovery

You can expect some swelling, bruising, and dryness after your procedure, but this can be managed with prescribed medications. Additionally, ice packs can help manage discomfort. It is important to avoid touching or rubbing your eyes, and medicated eye drops can be beneficial. Most patients feel comfortable returning to work and social engagements after one week, although it is important to rest and keep your head elevated during this time.

Frequently Asked Questions

Can Botox lift droopy eyelids?

Yes and no. Botox’s mechanism of action is to reduce muscle activity, so it really doesn’t “lift.” However, when expertly injected, it can improve the appearance of droopy eyelids.

Can droopy eyelids cause blurred vision?

No. While droopy eyelids can reduce your visual field, they do not cause blurred vision.

Can I sleep on my side after eyelid surgery?

Yes. It is preferred for the first few days that you sleep on your back with your head elevated to minimize swelling after surgery, but you are able to return to sleeping on your side.

Can you get rid of hooded eyelids?

Yes. In some cases, this involves an upper lid blepharoplasty. Other cases require a temporal brow lift. Still others may be a candidate for both procedures.

How do you reduce bruising after eyelid surgery?

The use of cool packs or frozen peas can be effective. Keeping your head elevated also reduces bruising and swelling. Nutritional supplements such as bromelain (found in fresh pineapple) and arnica are also very effective at reducing bruising and swelling after eyelid surgery.

How is eyelid surgery performed?

Upper eyelid surgery typically involves the removal of skin and in some cases fat from the upper eyelid through an incision in the upper eyelid crease to eliminate the excess fold of skin in the upper lids. Lower eyelid surgery focuses more on the removal and/or repositioning of fat in the lower eyelids, often through an incision on the inside of the lid to eliminate the bags under the eyes and elevate and soften the junction between the lid and the cheek.

How is upper eyelid surgery done?

Upper eyelid surgery typically involves the removal of skin and in some cases fat from the upper eyelid through an incision in the upper eyelid crease to eliminate the excess fold of skin in the upper lids.

How is upper eyelid surgery performed?

Upper eyelid surgery typically involves the removal of skin and in some cases fat from the upper eyelid through an incision in the upper eyelid crease to eliminate the excess fold of skin in the upper lids.

How long does it take for lower blepharoplasty scars to heal?

In many cases, the only scars from a lower blepharoplasty are inside the lid and heal very quickly. If an incision is placed on the outer aspect of the lower lids, the scar is typically well healed in a few weeks, but can take several months to fully mature.

How long does it take to heal from upper eyelid surgery?

The bruising and swelling from upper eyelid surgery typically lasts 1-2 weeks.

How long does upper eyelid surgery take?

The procedure typically takes less than an hour.

What are the risks of eyelid surgery?

When performed by a qualified surgeon, eyelid surgery is quite safe. However, there are rare, but potentially serious risks. Bleeding after surgery can cause vision loss if not identified and treated early. Fortunately, this is very rare and vision loss is preventable if the bleeding is identified and treated when it occurs.

What can I expect after eyelid surgery?

You can expect a more youthful appearance to your eyes with the elimination of excess skin and fat from the upper lids and elimination of bags and dark circles from the lower lids.

Why are my eyelids hooded?

Hooding can be caused by excess skin in the outer portion of the upper eyelids, or by a low lateral brow. These are easily corrected by surgery. In some cases, the appearance of hooding may be due to ptosis or sagging of the lacrimal gland (the gland that produces tears). This can be more difficult to correct surgically.

How long does plasma skin tightening last?

Plasma skin tightening is a non-surgical procedure that utilizes heat to tighten the skin. Results vary, but like all procedures, the skin does continue to age after the treatment.

Is plasma skin tightening painful?

In most cases, a topical anesthetic is applied prior to the treatment to reduce discomfort.

Can you go blind from blepharoplasty?

While there have been reports of vision loss following blepharoplasty, they are extremely rare.

Does eyelid surgery leave scars?

Upper eyelid surgery leaves a scar in the natural crease of the upper eyelid in patients with such a crease. The scar is typically not visible when the eye is open and over time fades. Lower eyelid surgery is often done through an incision in the inside of the lid, thus leaving no visible scar.

How can I reduce eyelids?

Blepharoplasty surgery is a reliable and effective way to reduce signs of aging in the upper and/or lower eyelids.

How do you fix droopy eyelids?

Blepharoplasty surgery is a reliable and effective way to reduce signs of aging in the upper and/or lower eyelids.

How long after blepharoplasty do you see results?

Results are seen as soon as the swelling resolves, typically in just a few weeks.

How long are eyes blurry after blepharoplasty?

Blepharoplasty does not cause blurry vision. Some mild vision changes due to swelling may occur and typically only last a few days.

How long does droopy eyelid surgery last?

Results from eyelid surgery can last several years.

How long does eyelid surgery take?

The procedure typically takes an hour or less.

How much is an eyelid surgery?

Upper eyelid surgery costs approximately $5,000. Lower eyelid surgery also costs approximately $5,000. Upper and lower eyelid surgery done together costs approximately $8,000.

Is drooping eyelid surgery covered by insurance?

In some cases, yes. This requires documentation of a significant visual field test. Formal visual field testing should be performed by an ophthalmologist prior to consulting with your plastic surgeon.

Is eyelid surgery painful?

No. Most patients experience very little pain following eyelid surgery.

Is eyelid surgery safe?

Yes. When performed by a qualified board certified plastic surgeon, eyelid surgery is very safe.

Why Choose Mosharrafa Plastic Surgery?

Our board-certified plastic surgeons have over 20 years of experience in facial cosmetic surgery and can produce excellent results with eyelid surgeries. To get started on discussing your options for facial rejuvenation, contact our Phoenix office by calling or filling out our online form. We serve patients in Phoenix, Scottsdale, Paradise Valley, and the surrounding areas of Arizona.