Last time we talked about Ear Surgery also known as Otoplasty. This week we again discuss Facial Plastic Surgery, but today we are going front and center with Eyelid Rejuvenation.
The above Quad Blepharoplasty (all four lids) before and after pictures show that the procedure both lifts the upper eyelids and smooths the lower eyelid bags.
What is Blepharoplasty?
Blepharoplasty is a surgical procedure that improves the appearance or function of the eyelids. It can be done on the upper eyelids, lower eyelids, or both. While many patients choose it for cosmetic reasons (to look younger or more refreshed), it is also performed for functional purposes — such as improving vision if drooping eyelids block your vision.
Why People Get Blepharoplasty
Cosmetic Reasons
- Sagging or drooping upper eyelids
- Puffy bags under the eyes
- Excess skin that makes the eyes look tired or aged
- Lack of a distinct upper eyelid fold
Medical Reasons
- Eyelid skin interfering with vision (visual field obstruction)
- Discomfort from heavy eyelids
- Difficulty wearing glasses or contact lenses
Another example of upper eyelid surgery is Double eyelid surgery before and after pictures for Asian eyelids. The goal is to define the upper eyelid creases.
Whether Reconstructive or Cosmetic, Eyelid Surgery can improve the function and appearance of the eyelids. Asian eyelids sometimes are missing a distinct upper eyelid fold. I see this is in non-Asian eyelids also, but less commonly. This anatomy may cause the eyelid skin and fat to sag, obstructing vision and giving a tired appearance. If this bothers you, Double Eyelid Surgery can often help.
The Eyelid Lift
- Anesthesia – Usually local anesthesia with sedation, sometimes general anesthesia.
- Incisions –
- Upper Blepharoplasty: Incision hidden in the natural crease of the lid.
- Lower Blepharoplasty: Incision just below the lash line or inside the eyelid (transconjunctival).
- Tissue adjustment – Removal or repositioning of fat deposits, trimming of excess skin, and tightening of muscles if needed.
- Closure – Incisions are closed with fine sutures, often removed within a week.
Blepharoplasty Recovery
- Swelling, bruising, and mild discomfort for 1–2 weeks.
- Cold compresses help reduce swelling.
- Most people return to normal activities in about 10–14 days.
- Final results become more apparent in 1–3 months.
Benefits of Eyelid Lifts
Lower eyelid bags can make even a young person appear tired. The above lower blepharoplasty before and after pictures show an example of the difference in lower eyelid surgery can make in smoothing the lower eyelids.
- Brighter, more youthful appearance
- Improved vision if excess skin blocked eyesight
- Long-lasting results (especially for upper eyelids)
Risks & Considerations For Blepharoplasty
- Dry eyes or irritation
- Difficulty closing eyes fully (temporary, rarely permanent)
- Scarring (usually minimal and hidden)
- Infection, bleeding, or asymmetry
- Rare changes in eyelid position
Alternatives and Adjuncts to Eyelid Surgery
- Non-surgical: Botox, dermal fillers, laser resurfacing, radiofrequency tightening (helpful for mild sagging/wrinkles but won’t remove significant excess skin).
- Brow lift: Sometimes combined with blepharoplasty if sagging brows contribute to eyelid heaviness.
Eyelid Rejuvenation Consultations
Upper eyelid surgery opens the eyes by removing heavy excess skin, while lower eyelid surgery reduces eye bags and tightens the lids.
Blepharoplasty effectively addresses cosmetic and functional concerns related to the eyelids. By removing excess skin, fat, and muscle, Blepharoplasty rejuvenates the eyes, creating a more youthful, alert, and refreshed appearance. Whether it is to enhance one’s self-confidence or improve vision, Eyelid Surgery offers a safe and reliable solution for those seeking to improve the aesthetics and functionality of their eyelids.
If you are considering Eyelid Surgery in the San Francisco Bay Area, call (925) 943-6353 to schedule a private consultation appointment with Dr. Joseph Mele. He is an experienced, Board Certified Plastic Surgeon with over 30 years of experience in Blepharoplasty.
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