Eyelid surgery, or a blepharoplasty, is surgical removal of excess skin and fatty tissue from the upper and lower eyelids. Underlying fatty tissue that produces bagginess can be selectively removed or repositioned. Blepharoplasty can improve drooping skin and bagginess. It can also help improve vision in older patients who have hooding of their upper eyelids. Blepharoplasty will not remove “crow’s feet” or other wrinkles, eliminate dark circles under the eyes, or lift sagging eyebrows. For this reason, a blepharoplasty often accompanies procedures such as facelift or brow lift to combat the effects of time and gravity.

The Blepharoplasty Process

The procedure generally involves removal of excess skin and fatty tissue from the upper and lower eyelids. Cosmetic eyelid surgery repositions facial skin and underlying tissue for men and women desiring firmer skin around the eye area. If your goal is to eliminate dark circles, remove wrinkles, or lift eyebrows, Dr. Patterson may suggest incorporating additional facial procedures to achieve your desired results. Surgery isn’t always the answer. Talk to Dr. Patterson about non-surgical injectables like JUVÉDERM®, or BOTOX®  may help in the early signs of aging.

Planning Your Blepharoplasty

Planning your blepharoplasty with Dr. Patterson, begins with a comprehensive consultation and examination. During this consultation, Dr. Patterson may recommend eyelid surgery; however, in some situations a non-surgical approach is favored. A price quote will be given during your consultation. You will most likely go home same day as surgery.

Preparing for Your Blepharoplasty

After your initial consultation, you will have a second visit with us two weeks prior to your scheduled procedure. This visit will cover any pre and postop instructions as well as any medication that will need to be administered after.

The Blepharoplasty Procedure

The procedure typically takes 1 to 3 hours, but may be shorter or longer depending on specific anatomic requirements and goals.  

Blepharoplasty Recovery

You may resume reading 2-3 days after surgery. Sutures are normally removed within 4-5 days after surgery. Most patients return to non strenuous work 7-10 days following surgery. Strenuous activities and alcohol consumption can be resumed at approximately 3 weeks after surgery. Swelling, bruising and soreness could take up to several weeks to dissipate.

Exercise After Blepharoplasty

Avoidance of vigorous activity will help to minimize postoperative swelling and discomfort. Only light cardio exercise for approximately two weeks following eyelid surgery. Three weeks from surgery forward, unrestricted exercise and activity can resume.  

Blepharoplasty Aftercare

Dr. Patterson will see you for a follow-up appointment and for suture removal. Suture removal is generally 4-5 days postop. The Patterson Plastics team is always available to assist you with any questions following your procedure.

Still have some questions, or want to find out more? The next step is easy, schedule a consult with Dr. Patterson. Our staff will be happy to discuss eyelid surgery with you further. At Patterson Plastic Surgery, we want to be your partner in achieving the appearance you’ve always wanted!

Frequently Asked Questions

A blepharoplasty, often called eyelid surgery, can improve the appearance of the upper and/or lower eyelids. In an upper blepharoplasty, the goal is to correct sagging over the upper lids. With the lower blepharoplasty, the goal is to correct the under-eye bags. Whether you’re interested in upper eyelid surgery, lower eyelid surgery, or both, the following questions can help you understand more about the procedure and how it works.

Will there be visible scars?

No, in most cases the scars aren’t perceptible. Dr. Patterson places the scars very carefully and precisely so that they’re concealed inside the eyelid or in the natural eyelash line.

What’s the recovery like?

Recovery following blepharoplasty is usually smooth and easy. You can expect some swelling and irritation for a few days after surgery, but severe pain is uncommon. You can take prescription medication recommended by Dr. Patterson or an over the counter pain reliever like Tylenol for post-surgical pain if needed. Most patients return to work within about a week.

You’ll return to see Dr. Patterson 7 days after your surgery, at which point he will remove your incisions and check to make sure you’re healing well. The majority of swelling resolves after around two weeks, and the remainder of swelling gradually resolves until you see your final results at around two months post-surgery.

Will a blepharoplasty get rid of my eye wrinkles?

No, a blepharoplasty isn’t designed to get rid of eye wrinkles. However, you can add other procedures — including non-invasive options like BOTOX® — to your blepharoplasty to get the wrinkle reduction you’re looking for.

Should I have upper and lower lids done?

It depends on what your concerns and issues are. If you’re just dealing with drooping upper eyelids — especially if they’re to the point that they interfere with vision — an upper blepharoplasty may be a good choice. If your problem is only with bags under the eyes, a lower blepharoplasty can be the best option.

Many patients today are unhappy with the overall tired and droopy look that their eyes may take on with age. In these cases, it may make sense to have both upper and lower blepharoplasty for an overall rejuvenated look in the eye area.

Ready to get rid of those droopy eyelids and under eye bags? Blepharoplasty may be right for you. Contact Patterson Plastic Surgery to arrange a consultation with one of the Gulf Coast’s leading plastic surgeons, Dr. Nathan Patterson.


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