Eyelid Surgery San Francisco

San Francisco Eyelid Surgery (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.

Eyelid Surgery (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

Eyelid Surgery (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 Eyelid  Surgery (Blepharoplasty)

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.


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*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.

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