Eyelid Surgery – Blepharoplasty

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Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids and can be performed on either the upper or lower lids, or both. It can improve facial harmony by removing excess skin or fat deposits and offer a more youthful look. Upper eyelid surgery that removes excess skin or corrects position of the eyelids, which may both obstruct vision, may be covered by insurance. Coverage varies from carrier to carrier and prior authorization is routinely needed. Eyelid surgery, either upper or lower, may be performed under general or local anesthesia and sedation. It varies in duration, depending on what problems and which eyelids are addressed (upper, lower or both). Skin incisions are placed in normal creases of the eyelids, so they remain inconspicuous after healing. The treatment which best fits your needs and expectations can be further discussed with your surgeon during your consultation.


Eyelid surgery rejuvenates the area surrounding your eyes and treats the following:
  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
  • Excess fatty deposits that appear as puffiness in the eyelids
  • Bags under the eyes
  • Drooping lower eyelids that reveal white below the iris
  • Excess skin and fine wrinkles of the lower eyelid


Eyelid surgery is a good option for patients who have excess skin or fat on their lids, are in good health and have realistic expectations. Patients who smoke, have high blood pressure that is not under control, have blood disorders or take blood thinners, such as Aspirin, Coumadin or Plavix, may experience healing problems.


Most patients tolerate the procedure well and are able to go home the same day. Medications for pain and nausea to be taken by mouth are routinely prescribed with an occasional short course of antibiotics. Some bruising and swelling are expected but are generally well tolerated and improve over several days. Using extra pillows while you sleep will help you reduce swelling. Strenuous exercises and lifting heavy objects should be avoided for few weeks.

All patients considering elective surgery should abstain from smoking, including secondhand smoke and avoid any nicotine containing products, both before and after surgery. Dr. Ziakas strongly advises all his patients to quit smoking for good. The sutures used in blepharoplasty are absorbable and dissolve over time. All patients are advised to use a good quality sunscreen when outdoors (minimum SPF 30) to minimize the hazardous effects of sun radiation on the incisions and the rest of the skin. The majority of patients are able to return to their routine activities in about a month.

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