Blepharoplasty, or eyelid surgery, is a precise procedure that removes excess skin, muscle, and sometimes fat from the upper or lower eyelids. As one of the most popular facial rejuvenation procedures, blepharoplasty can eliminate drooping or hooded upper eyelids and reduce puffiness beneath the eyes, restoring a more alert, youthful appearance without changing your natural expression.

What Blepharoplasty Can Address

  • Hooded or droopy upper eyelids
  • Excess skin that obscures the natural eyelid crease
  • Under-eye bags and puffiness
  • Wrinkles and fine lines around the eyes
  • Visual field obstruction from sagging upper lids
  • Tired or aged appearance around the eyes

Types of Eyelid Surgery

Upper Blepharoplasty

Addresses excess skin on the upper eyelids that may cause a hooded appearance or even impair vision. The incision is hidden within the natural eyelid crease, making scars virtually invisible once healed.

Lower Blepharoplasty

Targets under-eye bags, puffiness, and loose skin beneath the eyes. The incision is typically made just below the lash line or inside the eyelid (transconjunctival approach), leaving no visible scar.

Combined Upper and Lower

Many patients choose to address both upper and lower eyelids simultaneously for comprehensive rejuvenation of the eye area.

The Procedure

Blepharoplasty is typically performed as an outpatient procedure under local anesthesia with sedation, or general anesthesia. The surgery takes 1-2 hours depending on whether one or both eyelid areas are treated. Dr. Howley uses meticulous techniques to ensure natural-looking results and minimal scarring.

Recovery

Initial swelling and bruising typically resolve within 10-14 days. Most patients return to work within a week to 10 days. You'll need to avoid strenuous activities and keep your head elevated to minimize swelling. Cool compresses and prescribed eye drops help ensure comfortable healing.

Long-Lasting Results

Blepharoplasty results are long-lasting, typically 10-15 years or more for upper eyelid surgery. While the procedure doesn't stop the natural aging process, most patients find they never return to the degree of drooping or puffiness they had before surgery.

Eyelid Surgery FAQ

Will blepharoplasty change my eye shape?

No, blepharoplasty is designed to rejuvenate the eyelid area while preserving your natural eye shape and expression. Dr. Howley's careful technique ensures you still look like yourself—just more refreshed and alert.

Can eyelid surgery improve my vision?

Yes, if excess upper eyelid skin is drooping into your line of sight, blepharoplasty can improve your peripheral vision. In some cases, this functional benefit may make the procedure eligible for partial insurance coverage.

At what age should I consider blepharoplasty?

There's no specific age requirement. Most patients are in their 40s to 70s, but some people develop hooded eyelids or under-eye bags earlier due to genetics. The best time is when you're bothered by changes in your eyelid appearance.

Will there be visible scars?

Upper eyelid incisions are hidden within the natural crease, making them virtually invisible. Lower eyelid incisions are placed just below the lash line or inside the eyelid, resulting in no visible scarring.

Ready to Refresh Your Look?

Schedule a consultation to discuss eyelid surgery with Dr. Howley.

Book Now