Eyelid Lift (Blepharoplasty)

Blepharoplasty—also known as eyelid or eyelid lift surgery—can help reduce and reverse the signs of facial aging by lifting and contouring the skin and fat around the eyes. Since the skin of the eyelids is so delicate, it is particularly prone to drooping, sagging, and becoming puffy, often contributing to a tired, sad, or angry appearance. In extreme cases, excess dropping skin can even interfere with your field of vision. Fortunately, our experienced plastic surgeon, Dr. Steven Holzman, can help restore a more youthful facial aesthetic by treating the upper and/or lower eyelids with blepharoplasty.

• What Is Blepharoplasty?
• Blepharoplasty Benefits
• Blepharoplasty Candidates
• Blepharoplasty Options
• Blepharoplasty Procedure
• Blepharoplasty Recovery
• Blepharoplasty Results
• Blepharoplasty Longevity
• Eyelid Surgery Scars
• Blepharoplasty Cost
• Additional Eyelid Surgery FAQs

What Are the Benefits of Eyelid Surgery?

Blepharoplasty can provide qualified patients with numerous potential benefits, including:

• A more youthful and refreshed appearance
• Reduction of under-eye bags and dark circles
• Removal of excess, sagging upper eyelid skin
• Reduction in excess fat around the eyes and in the upper lids
• Enhanced eye-area contours
• Functional improvements for those whose upper eyelids obscure their field of vision
• A customizable treatment based on individual goals
• Long-lasting surgical results
• Enhanced confidence and self-esteem

Who Is a Good Candidate for Blepharoplasty?

An ideal candidate for blepharoplasty is someone who is dissatisfied with the function and/or appearance of their eyelids and who has reasonable goals for what the procedure can accomplish. Possible concerns that can be treated using blepharoplasty include:

• Puffiness or heaviness in the upper eyelids caused by excess fatty deposits
• Loose, sagging skin that impairs the natural contours of your eyes
• Prominent under-eye bags or loose folds of excess skin
• Visual impairment as a result of excess skin or fat that has sagged into your field of vision

During your initial consultation, Dr. Holzman will assess the condition of your eyelids and review your cosmetic goals in order to formulate a customized treatment plan. In some cases, upper and/or lower blepharoplasty may be able to achieve all of your goals. In other cases, Dr. Holzman may recommend an alternative or additional procedure, such as a brow lift or BOTOX^® Cosmetic, for further facial enhancement.

What Are the Different Types of Eyelid Surgery?

Depending on your goals, there are several different methods of eyelid surgery that Dr. Holzman can employ.

Upper Eyelid Surgery

Upper blepharoplasty is designed to address concerns associated with the upper eyelid. This typically involves excising loose, sagging skin and removing pockets of fat that have accumulated along the eyelid, which can drag the lid down and create a puffy and/or droopy appearance. For patients experiencing vision impairment, upper eyelid surgery can often help remove the excess skin and fat that is obscuring their line of sight.

Lower Blepharoplasty

Lower blepharoplasty targets the region below the eyes, including under-eye bags, sagging or wrinkled skin folds, and excess fatty deposits. By smoothing the under-eye contours and removing excess drooping skin, the entire eye region can be effectively “lifted” for a more refreshed, well-rested, and youthful appearance.

What Is the Eyelid Lift Procedure Like?

The precise details of the blepharoplasty procedure will vary depending on whether you are undergoing upper and/or lower eyelid surgery. For lower eyelid surgery, the initial incision is typically made along the lower lash line. For upper blepharoplasty, the incision is often made along the upper eyelid crease. Both of these incision placements allow for extremely minimal scarring that blends very naturally into the surrounding contours. During the procedure, any excess fat deposits will be either removed or repositioned and smoothed out in order to improve the contours around the eye area. Excess skin is also removed, reducing sagging and wrinkling.

What Is Eyelid Surgery Recovery Like?

Blepharoplasty is typically a relatively simple procedure with minimal recovery time. Patients may experience some temporary bruising and swelling, but any discomfort is usually easily managed with rest and pain medication. You may also experience a temporary increase in sensitivity to light, which sunglasses or other protective eyewear can help with. It is important to refrain from touching your eyes, as this can increase your risk of infection and cause general irritation. You should also avoid wearing contacts or applying any form of eye makeup for at least two weeks. Dr. Holzman will provide you with more detailed and personalized recovery instructions both during your consultation and following your procedure.

What Can I Expect from My Blepharoplasty Results?

Patients typically notice a more refreshed and youthful facial aesthetic following blepharoplasty. Once excess skin and fat have been removed from around the eyes, the region should appear smoother and more well-rested, with a marked reduction in wrinkling, sagging, and under-eye bags. For patients looking to further highlight or enhance their results, dermal fillers can be an ideal next step.

Before

After

How Long Do Blepharoplasty Results Last?

When performed by a skilled and qualified plastic surgeon like Dr. Holzman, blepharoplasty typically offers long-lasting results. The improvements in the upper eyelids often last anywhere from five to seven years or even longer. In many cases, a single procedure may be sufficient for a lifetime. Lower eyelid surgery rarely needs to be repeated. However, while blepharoplasty can give enduring results, it does not halt the aging process. Over time, skin and tissues will naturally age, which may lead to some changes in your appearance. To maintain the results for as long as possible, it is important to follow a healthy lifestyle, protect your skin from harsh sun exposure, and use skin care products that promote elasticity and firmness.

Will I Have Visible Scars After Eyelid Surgery?

Eyelid surgery usually involves small incisions, but they can be carefully placed to minimize visible scarring. For upper eyelid surgery, incisions are often hidden within the natural crease of the eyelid. For lower eyelid surgery, incisions may be placed just below the lash line or inside the lower eyelid, where they are virtually undetectable once healed. While scars are a normal part of any surgical procedure, they generally fade significantly over time and become barely noticeable. Choosing a skilled plastic surgeon like Dr. Holzman and following post-operative care instructions can help support optimal healing and the best possible scar outcomes.

How Much Does Eyelid Surgery Cost?

The average cost for combined upper and lower blepharoplasty at Holzman Plastic Surgery is typically around $8,500, while just the upper or lower eyelids is approximately $4,500. The total cost may vary depending on the complexity of your procedure, whether it is combined with other treatments, and the type of anesthesia used. Following your consultation, a member of our team can provide you with a more detailed cost estimate based on your unique goals and treatment plan.

Additional Eyelid Surgery Frequently Asked Questions

Can eyelid surgery be combined with other procedures? 

Eyelid surgery can often be combined with other facial procedures to achieve more comprehensive results while allowing you to undergo a single recovery period. Many patients choose to pair blepharoplasty with a brow lift to address sagging brows or forehead lines, or with a facelift to improve overall facial rejuvenation. Non-surgical treatments such as BOTOX^® Cosmetic or dermal fillers may also complement surgical results by smoothing wrinkles and restoring volume.

During your consultation, Dr. Holzman can evaluate your goals, anatomy, and overall health to determine whether combining treatments is a safe and effective option for you. 

Are there non-surgical alternatives to eyelid surgery? 

Yes, there are non-surgical treatments that may improve mild concerns around the eyes, though they generally cannot replicate the results of eyelid surgery. BOTOX^® Cosmetic can help soften crow’s feet and subtly lift the brow, while dermal fillers may restore lost volume under the eyes and reduce a hollow appearance. Laser treatments, chemical peels, and skin tightening technologies can also improve skin texture and mild laxity. However, when significant excess skin or pronounced puffiness is present, blepharoplasty is typically the most effective and long-lasting solution. A consultation can help determine the best approach for your goals. 

How long should I wait before driving after eyelid surgery? 

Most patients can resume driving once they are no longer taking prescription pain medication and feel comfortable with clear, unobstructed vision. After eyelid surgery, temporary swelling, blurred vision, or light sensitivity may affect your ability to drive safely. For many people, this means waiting about five to seven days, though recovery timelines often vary from patient to patient. Our team can provide personalized guidance and confirm when it is safe for you to get back behind the wheel.

If you have any further questions, contact us today for more information or to schedule a consultation with Dr. Holzman.