Eyelid surgery (or blepharoplasty) corrects cosmetic issues of the eyelids. The procedure aims to reverse the signs of aging around the eyes or to correct a congenital abnormality, such as a sagging skin on the upper eyelid or deep grooves in the lower. Many opt to have an eyelid procedure to achieve a more youthful appearance for their eyes and face. Pittsburgh plastic surgeon, Dr. James Fernau, offers several techniques to address the upper or lower eyelid, or both at the same time. His professional technique is a conservative approach, so that the eyes appear rested and refreshed but not overdone. This surgery, which has become increasingly popular in patients as young as 35, can help patients look more alert, softer and younger.
Eyelid Surgery Reviews
"Amazing doctor and excellent staff. Dr. Fernau was very personable and kind. The staff was really incredible especially the nurse named Sheila. The surgery was flawless and my eyes turned out perfect with no scarring. I am extremely pleased with his work. He is an artist and very professional."- Anonymous / UCompareHealthcare / Jan 08, 2015
"Nine months ago Dr Fernau performed a facelift and a forehead left and a neck left and eyelid surgery and my results are amazing. My friends tell me I ..."- A. / Vitals / Jan 11, 2015
"My experience with Dr. Fernau and his staff could not have been better. As a physician, I have heard good things about Dr. Fernau and I would not have had him operate upon me if I did not have the utmost respect for his skills and talent. I had a facelift, neck lift and both eyes done at one time. It was done in his office under sedation which saved me money. I was given adequate post-operative pain medications. In less than 3 weeks, all the discoloration and most of the swelling is gone. I am entirely pleased with the results which should get even better as the residual swelling resolves. The only "sensation" I still have is a feeling of tighness around my face and some numb areas of skin, both of which he told me I would have for several months. Dr. Fernau is a good guy and an even better surgeon and his staff is equally professional. I would highly recommend him to both my family members and patients."- M.W. / Vitals / Feb 02, 2014
"I had a brow lift, facelift and upper and lower eyelid lift with outstanding results!"- Anonymous / RateMDs / May 25, 2015
"After having two children and recently losing 25 pounds, my breasts were unsatisfying to me. The body I worked so hard for wasn’t perfect in my eyes. There had to be something I could do, and of course there was. My husband and I went on several consultations to well qualified surgeons and found that Dr. Fernau was perfect for the job. He and his staff are professional and well educated. He uses the latest techniques and methods. I was very impressed. He explained the procedure thoroughly, answered all my questions and made me feel very comfortable. I showed concern about the pain. He assured me I would be taken care of. I felt very prepared having all my medications before my surgery. I felt confident in Dr. Fernau and was excited about the surgery. My recovery was fast and easy. I am very very happy with the results. They are exactly what I wanted. I know have the confidence and the breasts to go with my body. I would go to Dr. Fernau for all my esthetic needs. He is a very competent surgeon. I have already referred him to friends and family."- L. / Office Visit / May 28, 2015
The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.
Upper Eyelid Surgery
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.
Lower Blepharoplasty Video
Upper Blepharoplasty Video
Lower Eyelid Surgery
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
According to www.realself.com, the average price of eyelid surgery is $4,525. In most cases, insurance will not cover cosmetic eyelid surgery. However, for some patients, insurance may be applicable. This is usually the case with patients who have their vision affected by a drooping upper eyelid.
Plan Your Procedure
- Average Cost
- $3,000 - $6,000
- Recovery Time
- 2-4 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
Eyelid Surgery FAQs
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.