Eyelid Lift (Blepharoplasty)

Your eyes are your most expressive facial feature. Your eyes tell the world when you are happy or sad, angry or tired. However, extra skin and fatty tissue around eyes can also age you & give others a false impression of who you really are and how you feel inside. Most Patients need either their top eyelids surgically improved or bottom lids; referred to as “bags”.


Blepharoplasty removes excess skin and fat from both the upper and lower eyelids. As one of the most commonly performed plastic surgeries by Dr. Fred Aguilar, Blepharoplasty is often combined with other procedures such as facelifts, Temporal Brow Lift or injectables such as Botox or “fillers” (ie. Sculptra, Juvederm, Restylane, etc). The result of an upper or lower blepharoplasty resuscitates a more refreshed look; which creates a very natural appearance and assists in maintaining a more youthful look without the “overdone” appearance.

shutterstock_299645462HOW IS THE PROCEDURE PERFORMED

The upper eyelid lift is achieved by first creating a slim incision inside the natural crease of the eyelid. The incision extends just past the outer edge of the eye into the natural laugh lines, making the tiny incision line practically invisible after surgery.

The lower eyelid lift is designed to eliminate puffiness and bulging fat under the eyes. For patients who have an excess of fat and skin under their eyes, the incision for the lower eyelid lift is made just below the eyelash line, where the resulting line will be nearly undetectable. For patients who do not have an excess of skin under their eyes, the surgeon may remove extra fat through an incision on the inside of the lower eyelid.


First, schedule a personal consultation with Dr. Aguilar. You will have the opportunity to discuss your goals and the results you would like to achieve. Dr. Aguilar will work with you to reach an understanding about what you can expect from this procedure and what long-term benefits you will experience. Every patient is different and we will choose the surgical technique and treatment plan that’s right for you during your initial consultation. You will be asked for the following:shutterstock_157676564

  • Complete medical history including previous surgical procedures, past and present medical conditions and all medications or herbal supplements that you’re taking.
  • Except Dr.Aguilar to evaluate your face, including the skin and underlying bone.
  • Photographs will be taken for your medical record
  • Be prepared to discuss possible risk and complications of the procedure.

Occasionally patients need both upper & lower lids done; which would be discussed at your one-to-one consultation with Dr. Aguilar Blepharoplasty surgery is performed under general anesthesia or I.V. sedation, and usually takes one to two hours. As it is an outpatient procedure, patients are able to be driven home that same day. Patients usually return to work within one week depending on individual healing process.


Directly after an eyelid lift surgery, Dr. Aguilar will recommend that the patient keep their head elevated and use cold compresses regularly to diminish post-operative bruising and swelling. Sutures will need to be removed on the fourth or fifth day after an eyelid lift, and patients can expect most swelling to subside after one week. Some bruising may last for up to two weeks, but this can be easily hidden with makeup once the swelling is gone. The results of an eyelid lift will be dramatically apparent after the first two weeks. Patients will continue to see improvement in the eyes as the scars soften and mature over the next several months.