Blepharoplasty Surgery

It can be frustrating when it feels like you don’t have the eyelid space that you used to. If your makeup creases even with the best primers or you find yourself looking tired or angry even when you don’t feel like it, it can usually be the result of aging and sagging in the eyelids. Although mini-surgical options like Botox® or AccuTite™ can help, the most transformative results come with surgical techniques. An eyelid lift is one of the best options for rejuvenating the face and opening the eyes for an awake, youthful look.

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What is an Eyelid Lift?

Sometimes called blepharoplasty or cosmetic eyelid surgery, the eyelid lift addresses the upper eyelids, lower eyelids, or both. This procedure uses incisions to excise loose skin and sagging fat pockets around the eyes for a lifted, awake look. Although the eyelid lift can be performed on its own, it’s also a common accompaniment to procedures like a facelift or rhinoplasty. In some cases, an eyelid lift can correct vision if you have excess skin that hangs too low over your eyes.

Eyelid Lift Candidates

The best eyelid surgery candidates are those looking for transformative results when it comes to lifting and rejuvenating the eye area. Most often, eyelid lift patients have puffiness or sagging in the upper and lower eyelids, as well as wrinkles and hoods that cause the eyes to look aged and tired. In some cases, mini-surgical options like AccuTite can be used to rejuvenate the eyes without extensive downtime or incisions. It’s important that you be in good overall health if you opt for eyelid surgery, so Dr. Diktaban will discuss your medical health and expectations during a consultation.

Eyelid Lift Benefits

An eyelid lift will not only rejuvenate your appearance but can also improve your vision. Sagging upper eyelids can block your field of vision, making it difficult to perform daily tasks like reading or driving. The heaviness of drooping upper lids may also cause you to involuntarily keep your brows raised which could contribute to worsening forehead lines. Puffy under eyes create a tired and aged appearance so lower blepharoplasty will refresh your look and restore your confidence, like upper blepharoplasty.

What Happens During an Eyelid Lift?

An eyelid lift can involve upper eyelid surgery, lower eyelid surgery, or both. All options can be performed at our certified, outpatient surgery center with an anesthetic appropriate for your customized procedure.

Upper Eyelid Surgery

During upper eyelid surgery, an incision is made within the natural crease of the eyelid. Then, excess skin is removed, and the underlying tissues are lifted into a more upright position. Once finished, the incision is closed and made ready for recovery.

Lower Eyelid Surgery

Lower eyelid surgery can be performed with an incision within the lower lash line or even inside the eyelid. Then, the excess fat deposits are repositioned and rejuvenated for a smoother and brighter look to the under eyes. Sometimes, sagging skin is removed as well. The incisions are finally closed with special sutures.

Eyelid Lift Recovery

You can expect bruising and swelling for at least one week after surgery so you might not feel comfortable returning to the public. If you wear contact lenses, you will have to wait a few weeks to resume wearing them. Some patients also experience sensitive vision to bright light and the sun so it can be helpful to wear dark sunglasses for the first few days. It’s extremely important to keep your head elevated while you sleep to decrease swelling and bruising. Applying ice packs can also alleviate your discomfort and improve swelling.

Most swelling and bruising will improve within 7-10 days, and you can resume almost all of your normal activities after two to three weeks. Once the scar is healed, it will be practically invisible since it is concealed in the natural crease of the upper lid or in the inside of the lower lid.

Eyelid Lift Results

It can take a few months for your final results to emerge as swelling gradually goes down, but the wait is worth it. The result is a rejuvenated and lifted look to your eye area, giving you a more refreshed and youthful appearance. If you have an upper blepharoplasty, your upper lids will be lifted to open up the eyes and brighten your appearance. If you have a lower blepharoplasty, the undereye area will be smoother, and heavy bags under the eyes caused by bulging fat pads will be removed.

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Eyelid Surgery Cost

There are a variety of factors that affect the cost of your eyelid surgery including anesthesia, the extent of your surgery, any combined procedures, and more. During a consultation with Dr. Diktaban, you’ll receive a full cost estimate of your eyelid surgery and a professional recommendation on the best way to achieve your personal cosmetic goals.

Cocktail Anesthesia

Cocktail anesthesia is Dr. Diktaban’s preferred tool for ensuring your procedure is relaxing and low-risk. Dr. Diktaban has used cocktail anesthesia for surgical procedures for over 10 years with resounding success. Patients are safe and comfortable during the entire procedure. It is predictable and consistent for men and women of all ages. There are no IVs or any tubes down your nose or throat. Patients describe the experience as “floating comfortably”. Patients are even allowed and instructed to have a light breakfast before coming to the office for their procedure. The cocktail anesthesia entails the ingestion of a few pills followed by two medicine injections into the arm. One big advantage with cocktail anesthesia is that during body contouring procedures, the patients are able to turn their body into different positions that enables Dr. Diktaban to sculpt their bodies in an enhanced manner. The following list of procedures can be performed under cocktail anesthesia: browlifts, facelifts, eyelid lifts, necklifts, liposuction, BBLs (buttock enlargement), fat transfer to the breasts, breast lifts, FaceTite, AccuTite, and BodyTite.  Learn more about how cocktail anesthesia can transform your surgical experience during your consultation.

Schedule a Consultation

The eyelid lift can be an excellent way to minimize sagging, puffy skin from around the eyes. To get started, we invite you to contact our Manhattan office by calling or filling out our online form.

Frequently Asked Questions

Can droopy eyelids cause blurred vision?

Droopy eyelids can definitely cause a decrease in peripheral vision but not necessarily blurred vision.

Can I sleep on my side after eyelid surgery?

Sleeping by slightly leaning to either side is probably going to be okay. Sleeping flat on your back is perfect. Sleeping face down is obviously not permitted.

Can you get rid of hooded eyelids?

Getting rid of hooded upper eyelids is called an upper blepharoplasty. An upper blepharoplasty improves the upper eyelid contour by removing excess and possibly excess muscle and fat depending on the look desired.

How do you reduce bruising after eyelid surgery?

Reducing bruising begins before surgery by elimination foods and drugs that decrease blood clotting. The use of certain homeopathic substances like Arnica Montana and Bromelain taken before and after surgery also will help. Lastly, resting with your head elevated and applying cold will definitely help minimize bruising.

Can you go blind from blepharoplasty?

It is a very rare occurrence. It has only occurred when all four eyelids were operated upon at the same. Therefore, it has NOT occurred when only the upper eyelids or when only the lower eyelids are operated upon. Proper preparation and following your doctors instructions is of paramount importance.

Does eyelid surgery leave scars?

Upper eyelid surgery typically leaves a scar where the crease is located. So when you open your eyes, the scar hides in the crease. Lower eyelid scars can be hidden on the inside of the lower eyelid or placed just beneath the eyelashes of the lower eyelid.

Can an eyelid lift fix tear troughs?

Dr. Diktaban can determine whether eyelid surgery will be your best option for tear troughs. In some cases, dermal fillers can more effectively restore volume to the undereye area.

Will I have visible scars?

For upper eyelid surgery, your scars will be placed within the natural crease of your eye, meaning it’s not easily visible and can easily be concealed with cosmetics. Lower eyelid surgery can place your scars within the lash line or inside the eyelid. Dr. Diktaban prefers to make the incision on the inside of your lower eyelid where you will never see it. If visible scarring from an external incision is a concern, Dr. Diktaban can recommend your best options for scarring treatments.

Do I need a brow lift or eyelid lift?

In some cases, a brow lift is a better option if upper eyelid sagging is caused by heaviness in the brow. Dr. Diktaban performs endoscopic brow lifts with incisions hidden within the hairline. This can also sometimes be corrected with Botox. Dr. Diktaban can determine the right option for you during a consultation.

Can eyelid surgery fix hooded eyes?

Hooded eyes can be caused by genetics where skin hangs over the mobile lid space. Eyelid surgery can remove this excess skin and open up new eyelid space, reducing heaviness and eyeshadow creasing that is common with hooded eyes.

Can Botox lift droopy eyelids?

Botox can be used around the eyes to tighten sagging eyelids. This is a great non-surgical solution for those who wish to avoid surgery.

How long does eyelid surgery take?

Blepharoplasty, or eyelid surgery, takes about 1-2 hours to complete.

How is upper eyelid surgery done?

Upper eyelid surgery is performed under local or general anesthesia. It usually entails making a well placed incision on the upper eyelid to address the anatomical issues.

How is upper eyelid surgery performed?

Upper eyelid surgery is performed under local or general anesthesia. It usually entails making a well placed incision on the upper eyelid to address the anatomical issues.

How long does it take for lower blepharoplasty scars to heal?

External lower blepharoplasty scars will heal within 6 months for the most part. Scars on the inside of the lower eyelid will heal within a few weeks.

Why are my eyelids hooded?

Hooded eyelids are related to a family inherited trait and/or skin aging. If related to a family inherited trait, it will be apparent at an earlier age than age related changes.

Is eyelid surgery painful?

Eyelid surgery is rarely painful. Any eyelid swelling and/or bruising is rarely associated with pain.

Is eyelid surgery safe?

Eyelid surgery is safe when preparation of the patient, the medical staff and doctors is adhered to.

Is drooping eyelid surgery covered by insurance?

Drooping eyelid surgery can sometimes be covered by insurance provided the droopy eyelids decrease peripheral vision as documented by visual field testing.

How much is an eyelid surgery?

The cost of eyelid surgery can vary greatly based on the scope of work that is necessary to

Theodore Diktaban, MD, FACS
Double Board-Certified Plastic Surgeon

For over 35 years, Theodore Diktaban, MD, FACS, has made it his life's work to enhance the natural beauty of his patients in the Upper East Side and surrounding areas of New York City. As a double board-certified plastic surgeon, Dr. Diktaban provides the ideal blend of realistic, aesthetic, and safe cosmetic treatments and procedures.