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Also known as eyelid shaping, recontours the upper and/or lower eyelids. Most blepharoplasty patients are unhappy with bagginess along the upper eyelid and puffiness below the lower eyelid. These changes involving the eyelids contribute to a restless, prematurely aged look.

Aging changes involving the upper eyelid typically reflects excess skin hanging over the eyelid margin. When this occurs, the crease above the eyelid is lost, leading to a baggy, tired look. Many women are also frustrated by the inability to apply make-up to the upper eyelid due to excessive skin folds.

When considering upper eyelid blepharoplasty, one must assess if the eyebrow has descended enough to contribute to the problem. In this case, a browlift is performed in conjunction with upper eyelid blepharoplasty for optimal results.

The upper blepharoplasty incision is designed to blend in with the existing but hidden natural skin crease. Redundant skin is removed and excess fat taken out as needed. The incision is closed and the end-result is a sharper, well-defined upper eyelid crease and a refreshing new look.

The lower eyelid blepharoplasty focuses on puffy bags below the eyes. The surgery can be approached in two ways. When fat is the problem, an incision is made on the inner surface of the eyelid (termed transconjunctival blepharoplasty), so there are no visible external incisions. The fat is then removed without disturbing other structures.

In other situations, an external incision is created just below the eyelashes. The fat is addressed by re-positioning or removal, and the excess skin is removed. The end result is a smoother, youthful lower lid.

Blepharoplasty is usually performed under local anesthetic with sedation as needed. Patients go home soon after the surgery. Swelling subsides within a few days and by 2-4 weeks it is difficult to tell that you ever underwent surgery.