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Eyelid Lift (Blepharoplasty)

At Daines Plastic Surgery, double board-certified facial plastic surgeon Dr. Steven Daines offers blepharoplasty procedures to his patients in the Newport Beach and Orange County areas. The eyes are one of the most prominent features on the face and are often the first thing people look at upon meeting you. Unfortunately, genetics and the gradual effects of time can cause eyelid skin to sag and wrinkle, contributing to an aged appearance and even peripheral vision impairment. Using a precise and personalized blepharoplasty procedure, Dr. Daines can eliminate excess eyelid skin for a refreshed appearance that lasts you well into the future.

What Is Blepharoplasty?

Blepharoplasty is a procedure that focuses on rejuvenating the eyelids by removing excess skin and repositioning or reducing small fat pockets. The eyes are one of the most noticeable displays of your age and are especially vulnerable to the effects of aging. The unique characteristics of eyelid skin also make them much more wrinkle prone. Years of sun exposure and repetitive facial movements gradually combine, resulting in wrinkled eyelids and a persistently grumpy or tired appearance.

Blepharoplasty can be performed on both the upper and lower eyelids to address a wide range of concerns, including:

  • Under-eye bags and wrinkles
  • Upper eyelid hooding
  • Sagging fat pockets under the eyes
  • Impaired vision caused by overhanging skin
  • A constant tired and aged appearance

Many patients choose to undergo blepharoplasty to target cosmetic issues that have developed due to aging, but blepharoplasty can also improve vision by removing overhanging skin. Every blepharoplasty procedure is different and Dr. Daines will create a personalized treatment plan that is tailored to your needs.

Who Is a Good Candidate for Blepharoplasty?

Good candidates for blepharoplasty are patients interested in correcting wrinkled, aged skin around their eyes with long-lasting results. Patients should have excess skin around the upper and/or lower eyelids that they would like to remove for cosmetic or functional reasons. Blepharoplasty does not address crow’s feet at the corners of the eyes or a sagging brow and forehead wrinkles, so patients hoping to target those areas of concern may be better candidates for a separate procedure. Ideal candidates for blepharoplasty will be non-smokers and have realistic expectations about the results they can expect.

Dr. Daines will evaluate your eyelids and help determine if blepharoplasty is right for you during an in-person consultation. Blepharoplasty is commonly paired with facial fat transfer and skin resurfacing procedures for complete anti-aging treatment, and Dr. Daines will explain all of your available options during your initial appointment.

Your Blepharoplasty Procedure

Blepharoplasty is commonly performed as a comprehensive procedure that addresses both the upper and lower eyelids for total rejuvenation of the eyes. The upper eyelids are typically treated first during a combined procedure. Blepharoplasty may be completed under local, twilight or general anesthesia depending on the extent of the procedure and your personal preference. The procedure takes about 45 minutes to two hours on average. Dr. Daines will go over all aspects of your surgery in advance to ensure you feel comfortable and prepared on the day of your procedure.

Upper Blepharoplasty

After you have been numbed and sedated, Dr. Daines will make small incisions in the skin folds of the upper eyelids. All incisions are kept within the natural skin creases of the eyes to ensure scars remain completely inconspicuous and do not distract from your results. Dr. Daines will first decide if a portion of the fat pockets in the upper eyelids need to be removed. He will then trim away any excess or overhanging skin before stitching the incisions closed.

Lower Blepharoplasty

In addition to targeting wrinkled and aged lower eyelid skin, a lower blepharoplasty also addresses under-eye bags caused by sagging fat pockets and weakened muscular support. After administering the anesthesia, Dr. Daines will begin the procedure by making an incision inside the lower eyelid. Through the incision, Dr. Daines will then trim away any small pockets of fat that need to be reduced. He will then address the eyelid skin, either by excising a small pinch of skin from under the eyelashes or treating the skin with a fractional Co2 laser. If an under-eye hollow or depression exists, he will inject small amounts of fat into the area to restore a youthful volume.

Recovering from Your Surgery

Blepharoplasty is a minimally invasive procedure that allows for a relatively quick and comfortable recovery. Following your procedure, you will be allowed to return home and begin resting. Most patients take one week off from work and need about two to three weeks to make a full recovery. You can start gradually resuming your normal routine after 7-10 days. Your sutures will be removed in-office five to seven days after your surgery. Most patients can return to very light exercise within a week and more strenuous activities in two to three weeks.

Normal side effects include mild to moderate swelling, bruising and tenderness. You may also experience watery eyes, temporary blurred vision, dry eyes and sensitivity to light during the initial 48 hours of your recovery. You may use ice packs to minimize swelling, as well as sunglasses to protect your sensitive eyes from wind and sun exposure. Most patients feel comfortable going out in public after most of the initial swelling and bruising have subsided in one week. You may apply makeup once your stitches have been removed and your incisions have fully healed. Dr. Daines will send you home with detailed aftercare instructions on how to manage a healthy recovery.
Download our post-eyelid surgery patient instruction handout here here.

Your Blepharoplasty Results

Once you have made a full recovery, you can begin enjoying your rejuvenated and refreshed appearance. Your results will be apparent following your surgery, although swelling and bruising will affect your appearance. Final results will develop over the course of a few months after all residual swelling heals. The incisions will gradually fade into thin lines after several months. Your skin and eyelids may continue to change over time due to the natural effects of aging, but your improved appearance will last you well into the future.

Choosing the Right Surgeon for Your Blepharoplasty

With years of experience as a facial plastic surgeon, Dr. Daines has the expertise and precision to provide results that exceed your expectations. Dr. Daines is double board-certified in facial plastic and reconstructive surgery and head and neck surgery. By employing the latest techniques in eyelid rejuvenation and drawing on his distinguished background in plastic surgery, he can help you achieve a youthful, refreshed appearance. He will take great care to ensure all incisions are either completely invisible or precisely camouflaged to restore a rejuvenated, bright appearance to your eyes with no evidence of surgery.

Helping You Look Your Best at Daines Plastic Surgery

If you are unhappy with eyelid sagging and wrinkles, call Daines Plastic Surgery today and come in for an appointment. Dr. Daines will sit down with you during a one-on-one consultation to listen to all of your concerns and offer his professional guidance and recommendations. With a wide range of facial plastic surgery and nonsurgical treatments at his disposal, Dr. Daines can deliver satisfying and long-lasting results for patients of all needs. Request a consultation or call us today at 949-397-6499 to learn more about blepharoplasty.

Dr Daines did a wonderful job with my eye surgery. I look 10 years younger! Dr D always takes the time to ask what I want, explains what he recommends, and what to expect. Price-wise, I feel what I got was worth more than what I paid – very reasonable for the great job he did. I highly recommend Dr Daines for any cosmetic procedure – you will not be disappointed! – Suzanne F.

Procedure Details

Eyelid surgery is performed as an outpatient procedure under local, twilight, or general anesthesia. The upper and lower eyelids can be done alone or as a combined procedure, depending on your specific needs. The length of the procedure varies from 45 minutes to around two hours, depending on the extent of your surgery. Incisions are closed with fine sutures that are removed in the office after 5-7 days.

Normal swelling and bruising will occur after eyelid surgery but tend to be mild and subside within a few days. Ice packs may be used for the first few days to enhance your comfort and to reduce swelling. Most patients return to regular activities and light exercise within a week.

Daines Plastic Surgery