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.
An upper blepharoplasty can improve:*
A lower blepharoplasty can make you look more youthful by:
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.
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.
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.
San Francisco Blepharoplasty Frequently Asked Questions
View our before-and-after photo galleries to see the results our Blepharoplasty patients have achieved.
The outside of my eyes look heavy and there’s a lot of excess skin. Will an upper blepharoplasty help with that?
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.
Can I achieve the same results as a lower blepharoplasty with fillers and lasers?
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.
Some people I know seem to have eyes which are a different shape after surgery. Will mine look like that too?
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.*
As I’ve aged, I’ve noticed that my upper eyes look hollow and have extra skin. What can I do for that?
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.*
I see some people who have hollow looking eyes after surgery. Will I look like this too?
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.