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Home/Surgical Cosmetic Procedures/Facial Plastic Surgery/Blepharoplasty


(Eyelid Surgery)

What is Blepharoplasty?

Eyelid surgery (blepharoplasty) is designed to remove excess skin and fat from the upper and lower eyelids. The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes. Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a facelift or a brow lift.

Who is a Good Candidate for Eyelid Surgery?

Individuals in good overall health who notice loose, sagging skin above or below the eyes can usually be considered good candidates for blepharoplasty. The signs of aging and the effects of gravity, especially in the area around the eyes, can lead to sagging of the upper eyelid skin and bagginess of the lower eyelids. The inelastic skin often creates a “tired” or “angry” appearance, or may make a person look older than they actually are.

Ultimately, a consultation with Philadelphia plastic surgeon Dr. Joseph DiBello will help you determine if you are a candidate for eyelid surgery. At that time, he will discuss what is involved in your personal surgical experience and the best technique for you to achieve a natural, more refreshed result.

What Are the Different Types of Eyelid Surgery?

Depending on your individual concerns, Dr. DiBello can help you determine which type of eyelid surgery is right for you. Some patients may even find they can benefit from a combination of both upper and lower blepharoplasty.

Upper Eyelid Surgery

Upper blepharoplasty addresses loose, hanging skin around the upper eyelid area, as well as any excess fat. This procedure can be employed to correct obstructed vision, and frequently helps patients achieve a happier, more youthful appearance.

Lower Blepharoplasty

Lower eyelid surgery is designed to reduce or eliminate the appearance of bags, puffiness, and/or sagging skin below the eyes. Results of this procedure typically provide patients with a more rested and rejuvenated appearance.

How is the Blepharoplasty Procedure Performed?

Typically, Dr. DiBello can perform upper blepharoplasty surgery at his in-office surgical suite at DiBello Plastic Surgery, under local anesthesia. Fat and loose skin are removed from the upper eyelid area through an incision that is hidden within the natural eyelid fold. The incision does extend slightly up to the outside corner of the eye towards the eyebrow to allow it to blend into existing creases. When the upper eyelid problem is aggravated by sagging of the eyebrows this can be treated with a brow lift.

Lower blepharoplasty surgery, performed either in combination with upper blepharoplasty or alone, requires deeper anesthesia. To treat the lower eyelids, an incision is made just beneath the eyelash line and through this incision the excess fatty tissue leading to the lower eyelid bags is removed and sometimes repositioned and the excess skin and muscle laxity is tightened, without changing the shape of the eye. Occasionally, in younger patients or if the lower eyelid skin tone is satisfactory, a transconjunctival lower eyelid lift can be performed through an incision on the inside of the lid. An additional procedure that is sometimes used is laser resurfacing of the lower eyelid skin to achieve a small degree of tightening combined with the approach through the inside of the eyelid.

View a 3D animation of eyelid surgery to get a better idea of what you can expect from this procedure.

What is Eyelid Surgery Recovery Like?

Following eyelid surgery, some swelling and bruising is to be expected, but should mostly fade within approximately 7-10 days. Dr. DiBello recommends consistent use of cold compresses around the eyes within the first few days after surgery to help reduce swelling. Any bruising can usually be concealed with makeup until it resolves. Based on your individual case, Dr. DiBello will provide you with personalized aftercare instructions, including information about how soon you can expect to resume your daily schedule. Most patients are advised to avoid strenuous activities for at least four weeks after surgery, but some patients may be able to return to work, school, or other low-impact routines as soon as a few days after surgery, depending on their specific treatment plan.

How Much Does Blepharoplasty Cost?

Although pricing can vary due to the individualized nature of this procedure, the average cost for upper eyelid surgery is around $2,000 at DiBello Plastic Surgery, if performed at our in-office surgical suite. The average cost of lower eyelid surgery alone is approximately $3,900, while combined upper and lower eyelid surgery is about $5,300. These prices include the cost of prescribed medications, as well as fees for the surgeon, hospital or surgical facility, anesthesia, pre-admission testing, and more.

It should be noted that prices found online for blepharoplasty typically only include the average cost of the surgeon’s fee, as opposed to the overall cost.

To obtain the most accurate price estimate for your specific needs and aesthetic goals, we encourage you to schedule a consultation with Dr. DiBello.

Contact Us

If you are interested in blepharoplasty and want to see if it is right for you, please contact us today to learn more or schedule a consultation with Dr. DiBello. In a consultation, Dr. DiBello can provide personalized answers to your questions and help determine your eligibility for this procedure. If you are not considered an ideal candidate, Dr. DiBello can recommend a more appropriate treatment to help you achieve your aesthetic goals.

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