Eyelid surgery, or blepharoplasty, is a cosmetic procedure to remove excess fat and skin from the eyelid to make the appearance more youthful. Many of these operations are completed at Bay Area Plastic Surgery each year by board-certified cosmetic surgeon, Dr. Leonard Gray. In the upper eyelid area, either a scalpel or a laser can be used as a cutting instrument. It is important to place the incisions precisely and symmetrically so that they lie in the crease and make any scarring difficult to detect. Dr. Gray always uses magnification telescopes and calipers to ensure accuracy during this cosmetic procedure.
Lower eyelid surgery is by nature a conservative cosmetic operation. Over the past 5 years, Dr. Gray has made an effort to remove less fat or no fat from the lower lid unless there is significant excess. Fat repositioning can be performed. Quite often Dr. Gray uses a filler, such as Belotero®, to fill the depression under the lower lid, and to restore the original contour to the lower lid area. Fat can be used as well in this area but it is less precise and predictable, and has a significantly longer recovery time.
"Fantastic - Highly Recommend - So happy!!! My experience with Dr. Gray and staff has been phenomenal - very personable, professional, informative and attentive. I felt like I was in good hands throughout the entire process, and went into my surgery with utmost confidence. It has been approximately two weeks since my procedure, and I am absolutely thrilled with my results. Thank you, Dr. Gray!"- A. / RealSelf / Jan 02, 2018
"50 Shades of Grey - I went in for a breast revision to avoid any future complications. I switched from my 12 year old Saline implants to Silicone. I was very happy with my Saline implants plus there were no visible scars. In 2005 my Doctor was the first to innovative the nipple incision (not to be confused by the periareolar incision). Very pleased with my previous results without any hesitation I knew that Dr...."- X. / RealSelf / Dec 27, 2017
"BEST PLASTIC SURGEON EVER!!!!!! - There are no words that suffice to commend Dr. Gray's unbelievable work - truly impeccable and a work of artistry. I am incredibly hard to please, as I am a complete perfectionist myself. My family always teases me, as I never seem content with anything. I interviewed countless plastic surgeons and spent weeks on end researching doctors on the internet. Even though I am a mother of three..."- D. / RealSelf / Dec 25, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast forward, time to change and upgrade the girls. They are even more amazing than the first set. Went for the gummy bears high profile. So beautiful in everyway! Dr Gray knows what he is doing. I told him exactly what i Wanted in regards to size and cleavage and he made it happen!! I wanted to wait to write this review till i was a few months out and everything settled. I am not a big yelper but MUST give credit where it is due. My experience this go round was nothing short of stellar. I had breast aug and labiaplasty and everything looks amazing! I felt and feel so comfortable and confident in this man. Also i must share that I had a major medical emergency thru my healing process that had nothing to do with dr. Gray or plastic surgery. Was a female issue, that left me in critical condition. Had I not followed Dr Grays advise at a follow up and got directly to my ob/gyn it would have ended badly. I ended up in emergency surgery wich solved the issue that would have ended in devastation had i not gone to emergency on Dr Gs advice. I also wold like to mention, when i got the news i had to have emergency surgery i called Karen at the front desk, cuz no one knew of my private situation but Dr Grays office. I am BEYOND GREATFUL for the professionalism of this woman. I felt like i had a best friend who was a 911 operator on the phone. I was hysterical and she calmed me down as i drove myself to emergency surgery. It was one of the scariest experiences of my life, no family knew as i kept it private and she was like a guardian angel. Also Cherrise is like a breath of fresh air! Helped me with so much during this process and has such good energy and i know her word is GOLD! Anything i asked advice on was always on the money! Also Lalanya who i rmbr from 10 years ago is frgn awesome! i called panicking once about questions from healing and she soothed everything and everything she said was true.Shes been in the scene for a long time and KNOWS HER STUFF! STAFF IS BEYOND EXCEPTIONAL! energy is amazing. Dr Gray is IT in my eyes. He also is A MAGICIAN with ingectables! no one ever has been so thuro with botox or cheek fillers. and my lips! ARE GORGOUS! had disastorous results with lips and botox and this man lays you down like he is doing surgery for your ingectables and gets it perfect! He is a master at his craft. i will not go anywhere else for ingectables. Breasts and labiaplasty are GORGOUS! Thank you Dr Gray. YOU ALL ARE A GOD SEND! p.s. i feel Dr G is more than authentic. He spent so much time with me after my emergency surgery and i truly feel he cares. He was looking me in the eye and we had a long discussion, his concern was more than genuine .Also he overcame my fear with injectables so patient and he KNEW exactly what i wanted and delivered, this place will always hold a special place in my heart! THANK YOU! THIS MAN IS ON POINT!!!!"- K.B. / Yelp / Dec 11, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast..."- K.B. / Yahoo / Dec 11, 2017
The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.
Upper Eyelid Surgery
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Dr. Gray will remove a conservative amount of fat to improve the appearance but not so much to make the eye appear sunken. He buries his stitches along the suture line to avoid any stitch marks.
Lower Eyelid Surgery
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. Skin excision from this area also has to be conservative. Often times, Dr. Gray will use the Fractional CO2 Resurfacing laser to tighten the skin, remove fine wrinkles, and eliminate a crepe-like skin appearance. This resurfacing procedure, done in stages, can tighten the skin 3mm and is commonly known as the Madonna Eyelid Lift. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1 – 2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
Plan Your Procedure
- Average Cost
- $4,000 - $6,000
- Recovery Time
- 4 Weeks
- Average Procedure Time
- 2-3 Hours
- Post-op Follow-up
- 4 Months
- Procedure Recovery Location
Eyelid Surgery FAQs
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.