Simon Madorsky, MD Premier Orange County
Facial Plastic and Reconstructive Surgeon

Contact us to schedule an appointment 949.719.1800

Blepharoplasty | Eyelid Surgery

Blepharoplasty enhances the appearance of the eyelids. It can correct the sagging upper and lower lid skin as well as bags under the eyes. The eyes are the most expressive part of our face.

Aging can impact the appearance of the eyes with loss of skin elasticity and natural fat atrophy. There can also be a familial tendency to develop under-eye bags at an early age. The result is a tired, sad and aged appearance.

What is Blepharoplasty?

Blepharoplasty, or eyelid surgery, can be performed to correct upper and lower eyelids and restore a more rested, youthful appearance. Surgery to remove excess skin can be done as an office procedure and requires only local anesthesia. Oral medication for relaxation may also be recommended. If lower eyelid fat bags are going to be treated, sedation anesthesia in an outpatient surgery center is often necessary to ensure patient comfort.

Aging can impact the appearance of the eyes with loss of skin elasticity and natural fat atrophy. There can also be a familial tendency to develop under-eye bags at an early age. The result is a tired, sad, or aged appearance.

Blepharoplasty Procedure

Blepharoplasty, treats droopy upper eyelids by removing a small crescent of loose eyelid skin and excess muscle. The fine incisions are hidden in the natural crease and closed with dissolving sutures. Wrinkled lower eyelid skin is removed in the same manner and the incision is hidden in the natural crease just below the lash line. The muscles are also tightened. Incisions for upper and lower blepharoplasty may also extend into the crow's feet at the outer corner of the eyes. When fat bags need to be removed from the lower lids, the incisions are made inside the lower eyelid. Fat is removed or redistributed and closed with dissolving sutures. Pretreatment of the crow's feet with Botox is recommended to allow for undisturbed healing.

Postoperative discomfort is minimal and often consists of dry, itchy eyes for up to one week. Sutures are removed, if necessary, in 5-7 days. Mild bruising and swelling last for one week. Thin, pink scars fade to barely visible lines over the next 8 weeks.

Why Choose Blepharoplasty?

  • Droopy upper eyelids

  • Under-eye bags

  • Loss of skin elasticity around the eyes

  • Tired, sad, or aged appearance

  • Wrinkled lower eyelid skin

  • Obstructed visual field