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Eyelid Surgery

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Eyelid Surgery Before & Afters

These Eyelid Surgery before and after pictures represent actual patients from Dr. Sieber. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

eyelid surgery san franciscoSan Francisco Blepharoplasty

Poets have written about the eyes being the “windows to the soul”. Whether or not that’s true is up for debate, but your eyes are definitely one of your most identifiable features. They are also one of the first areas to show signs of aging. The skin around the eyes is extremely delicate so it’s prone to fine lines and wrinkles. Furthermore, as you age, the upper lids begin to droop or sag which makes many patients feel as if they look tired or angry all the time. Upper blepharoplasty is a quick, easy procedure to remove excess skin from the upper lid, leaving you looking brighter, more refreshed and well-rested.* Under-eye “bags”, on the other hand, can present at any age and are often genetic. These puffy looking pockets of fat and excess skin are extremely aging, and many patients complain of how they make them feel self-conscious. A lower blepharoplasty will remove the excess fat and skin that is causing your “pooch” while also smoothing out the area between your cheek and lower eyelid to deliver a more youthful countenance to the lower eye.*

With his additional fellowship training in aesthetic surgery, Dr. David Sieber has experience in both upper and lower blepharoplasty. His approach is always to personalize the procedure to each patient. Just as our eyes make each of us unique, treating them is never one size fits all since every patient has varying degrees of skin excess and fatty deposits around the eye. Many patients may also have some asymmetry between the appearance of the two upper and/or lower lids. During your initial consultation, Dr. Sieber will listen to your goals and evaluate your eyes, pointing out any differences he notices and together, you will decide on the treatment plan that best delivers your desired outcome.*

An upper and/or lower blepharoplasty is often performed in conjunction with other facial rejuvenation procedures such as a facelift, brow lift, or neck lift.

Blepharoplasty Improvements

An upper blepharoplasty can improve:*

  • Tired appearance of the eyes
  • Excess fat around the upper eye
  • Weight of skin on upper eyelid
  • Asymmetry of upper eyelids

A lower blepharoplasty can make you look more youthful by:

  • Removing the bags under the eyes
  • Smoothing out your tear troughs
  • Removing excess lower lid skin
  • Excising excess bulging fat

To find out more about an upper and/or lower blepharoplasty with Bay Area Cosmetic Surgeon Dr. Sieber, call us today at 415-915-9000 or schedule a consultation here.

Quick Facts: Upper Blepharoplasty:

  • Length: 30-45 minutes
  • Anesthesia: local or general
  • Inpt/Outpt: outpatient
  • Side effects: swelling, bruising
  • Recovery: 1 week

Quick Facts: Lower Blepharoplasty:

  • Length: 1-2 hours
  • Anesthesia: General
  • Inpt/Outpt: Outpatient
  • Side effects: bruising, swelling, temporary malposition of the eyelid
  • Recovery: 1 week

Blepharoplasty Technique

An upper blepharoplasty can be performed either in the office under local anesthesia or in the operating room under general anesthesia if it’s performed as part of another cosmetic procedure such as a facelift. Dr. Sieber will discuss all of these options with you in detail during your initial consultation. During your upper blepharoplasty procedure, he will remove a section of skin from your upper eyelid as well as any excess fat. The incision line will be placed within the crease of your eye so that any scar will be hidden.* Your incisions will be closed with sutures that will need to be removed in the office about 5-7 days following surgery.

For your lower blepharoplasty, Dr. Sieber will make an incision underneath your lower eyelash line through which he will remove and reposition the fat in your lower eye to create a smooth transition from your eye to your cheek.* Any excess skin is then excised and the incisions are closed using a dissolvable suture.

Preparing for Blepharoplasty Surgery

As with any major surgery, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Blepharoplasty Surgery

Immediately after your upper blepharoplasty surgery, you can expect some swelling and mild bruising, but this will resolve in a couple of days. The sutures will be removed in Dr. Sieber’s office 5-7 days after your procedure although it may take up to 6 months for your final results.

Recovering from a lower blepharoplasty is slightly more involved. There is typically more bruising and swelling which may last for up to a week. If performed as part of facial rejuvenation surgery, this is usually the procedure which requires the most care and downtime. It is very important to follow Dr. Sieber’s post-operative instructions to ensure that you heal in a safe, expeditious manner.


Q: The outside of my eyes look heavy and there’s a lot of excess skin. Will an upper blepharoplasty help with that?

A: Often the excess skin on the outside of the eyes is due to a combination of issues including the descent of your eyebrows. To get more effective aesthetic results, you may require a brow lift in addition to your upper blepharoplasty.

Q: Can I achieve the same results as a lower blepharoplasty with fillers and lasers?

A: Fillers are only temporary. There are also limitations as to what’s achievable with fillers alone. Dr. Sieber does perform filler injections for hallows in the tear trough area. During your initial consultation, he will discuss whether or not this would be the right option to treat your issues.

Q: Some people I know seem to have eyes which are a different shape after surgery. Will mine look like that too?

A: Changes in the appearance and shape of the eyes can sometimes happen with a drastic lower blepharoplasty. Because of Dr. Sieber’s advanced training in cosmetic surgery, he strives to deliver only the most natural-looking results.*

Q: As I’ve aged, I’ve noticed that my upper eyes look hollow and have extra skin. What can I do for that?

A: Hollowing of the upper eyes is very common as we grow older. Because it’s due to a loss of volume, this volume needs to be replaced either by transferring your own fat with fat grafting or through the use of fillers. During your consultation, Dr. Sieber will come up with a personalized treatment plan to best restore your eyes to a more youthful yet still natural-looking appearance.*

Q: I see some people who have hollow looking eyes after surgery. Will I look like this too?

A: Removing large amounts of fat around the eyes was something which was performed many years ago. That is not how Dr. Sieber works. His goal with any blepharoplasty is to only remove excess fat around the eyes and preserve any other fat deposits so that you retain youthful, but natural-looking eyes.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

450 Sutter St #1432, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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