What is eyelid surgery or blepharoplasty ?


A blepharoplasty involves removal of extra skin and muscle from the upper or lower eyelids.  Usually a small amount of fat is also removed in this procedure.  This fat removal improves the appearance of bags under the eyes.  Often an eyelid tightening procedure will performed in conjunction with the procedure.  See Dr. Graham’s eyelid surgery before and after pictures.

Who would benefit from upper blepharoplasty ?

Many patients present with complaints of heavy eyes or always looking tired.  Most of these patients simply have excessive skin, and sometimes muscle, in their upper eyelids. This skin and muscle gradually descends with age.  It can weigh down the lid and add years to one’s appearance.  Excising this skin and muscle can reverse this tired look and dramatically improve one’s appearance.

Who would benefit from lower blepharoplasty ?

Many patients also complain of loose skin and bagginess in their lower eyelids.  This bagginess is a result of fat from the lower eyelid gradually herniating as its retaining structures weaken.  To accentuate this orbital fat herniation, the fat from the cheek also descends, this creates a depression at the orbital rim called a “tear trough” deformity.  Lower blepharoplasty improves the skin redundancy by direct excision.  The surgery then improves the bagginess by excising or relocating the lower lid fat over the orbital rim, thus correcting the tear trough.

How does eyelid surgery work?

Upper blepharoplasty involves removing a small ellipse of skin, and sometimes muscle, from the upper eyelid. This can be done with a very conservative fat removal. Under special circumstances sometimes an eyelid muscle resuspension(levator advancement) or fold creation(Asian Blepharoplasty) will be performed as well.  This procedure can be simply performed in the office under local anesthesia. This saves both time and money.

Lower blepharoplasty involves making an incision either within the inner surface of the lower eyelid or along the lower eyelash margin. The fat under the eye is either transferred to the cheek to fill out an existing hollow, or it is removed. The excess skin of the lower lid is then pinched and removed. Often times a lower lid tightening procedure and cheek fat grafting will be performed as well.

Why should I choose Dr. Graham to perform my eyelid surgery?

Dr. Graham is a Board Certified Plastic Surgeon with extensive experience in eyelid surgery. He performs an array of eyelid procedures for reconstruction and cosmetic indications.

Where is blepharoplasty performed ?

Upper blepharoplasty can be performed as an in office procedure, which results in significant cost savings.  Although the surgery can be performed in the hospital if desired. Lower blepharoplasty is more complex and would require surgery in the hospital.

What are some of the risks of blepharoplasty ?

Please refer to the following form published by the American Society of Plastic Surgeons(ASPS)

What is the average recovery after blepharoplasty? When can I drive? When can I return to work? 

Average blepharoplasty recovery typically is a few days to a week. This depends on whether a lower blepharoplasty is performed. You can drive within a few days as long as you’re not on narcotics. You can return to work in a few days to a week, depending on your profession.

How much does blepharoplasty cost?

The national average price for blepharoplasty is $2-6000 dollars.   Asian Eyelid surgery or Asian Blepharoplasty takes more time and the price can vary for each patient.  You can see Dr. Graham’s pricing here.

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