Eyelid surgery (or blepharoplasty) corrects cosmetic issues of the eyelids. A loss of volume under the lower eyelid is one concern, and can cause patients to look tired. In some individuals, a droopy upper eyelid is the problem. This occurs when excess tissue and skin collect on the eyelid causing a droopy look. Both of these are common facial concerns that can occur with aging and genetics, and can be corrected with blepharoplasty. This surgery is very popular among Orange County individuals. Newport Beach plastic surgeon, Dr. Ed Domanskis, performs this surgery on patients as young as 35 to create a rejuvenated look. It can help patients look more alert, softer and younger.
"Excellent experience with Dr. Domanskis! I had abdominalplasty and liposuction. He explained the procedures very thoroughly as well as what to expect immediately following my surgery. He was in contact with me by phone as well during the first week post op I felt very safe in his hands. My results are absolutely phenomenal I couldn't be more pleased!"- W.P. / Yelp / Aug 29, 2015
"I could not imagine having a better experience! I have had nearly 10 surgeries in my life (never plastic surgery before) and have never been treated so well and been taken care of so competently before. I am a medical student, so I have very high standards for care, and I can tell you that you will not find a better surgeon! Not only did he perform superior work and completely exceed my expectations, but he was also very accommodating and thorough. He changed his schedule to fit my school schedule, he gave me his personal cell number for questions since I am from out of town, he called and texted me to make sure I made it home okay and was feeling better, and he made the experience very enjoyable. His office administrator, Rachelle, was SO kind and helpful! She was such a joy in the entire process and seemed genuinely happy to help every time I called-such a breath of fresh air from so many other doctors' offices. There really aren't enough good things I could say about his health care team and I would 100% recommend trusting them with your care."- L.B. / Google / Aug 26, 2018
"I feel so bad, thought I had left a review. Couple things first, my review has value, the reason is that I'm rarely satisfied, and have had many things done over the years, what I received was unexpected and why I came back for more. I have psoriasis, for years I put Clobetesol on my face, which thinned it out and gave me a lovely TURKEY NECK, yikes, nothing I could do, but I had a friend who had a neck lift and it was awful, that is he had pain, weird scary looking wraps, so while things like that rarely bothered me I just wanted him to pull it up or put in fillers to tighten it. I finally ceded to neck lift, and what I got I did not expect. Not only did I get a PERFECT NECK, but I got back my best feature, my chin, I have a long, manly chin, that had been obscured with fat and loose skin, now you have to understand I went from a single guy with no prospects to back to how I was in my 20's, what is that worth?? Hock the house, seriously, to get young, hot girls again? And then the love of my life who I'm still with, all because, yes appearance, it matters people don't let anyone lie to you, I basically got to go back in time. Second, I had got used to "man boobs", and fat over my stomach, I'm athletic so figured I could handle it, but after seeing a side picture of myself, I went for it. At first he thought I'd need a tummy tuck, we avoided that, and I got what every man should get, ETCHING, first he removed all of the fat on my chest, then ETCHED the stomach, if you've never heard of it neither had I, he makes a indentation around your abs so you have them whether you work out or not!! Result? I was in seeing my dermatologist, female with her assistant, she asked me to remove my shirt, something I used to dread, I took it off and she looked at her assistant and said "What do you do", "What do you mean", "You have a great body", this all without working out, though I'm motivated and doing that now. What can I say? I have the mind and experience of an older guy, with the face and body of a much younger guy, say what you will, judge all you like, BUT I LOVE LOOKING GREAT AGAIN, getting a compliment "You have a great body", you can't imagine how often I hear "Handsome", oh that word I hadn't heard for such a long, wasted period. I had stated I was important to listen to because of experience, I've had IPL's, fillers because of my thin skin, lasers, must be over 25 doctors I've seen over the years and what do they have in common? They talk FAST AND OVER YOU, they charge to for a consult!! What nerve. Dr. Domaskis though a amazing doctor ACTUALLY LISTENS AND RESPONDS TO WHAT YOU SAY, it's why I'll NEVER pay for a consult, what arrogance what if we don't like the doctor? I want to end with this, I was staying at a hotel when I had my procedure, that is neck lift, though his directions were right on, I made a mistake and was uncomfortable, well I can be quite a nuisance, that is complainer, so I got angry, what did Doc do? HE CAME TO MY HOTEL AND FIXED IT HIMSELF!!! Tell me what plastic surgeon have you heard of doing that? Trust me the guy cares, I screwed up, he gets in his car, drives to my hotel and fixes MY MISTAKE. Thanks Doc!!!"- M.H. / Yelp / Jul 21, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure.Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure. Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
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 maximized results.
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. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.
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. 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. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
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.
The average fee for this surgery is $6,000 if both the lower and upper eyelids are addressed. In most cases, insurance will not cover cosmetic eyelid surgery. However, for some patients, insurance may be applicable. This is usually the case with patients who have their vision affected by a drooping upper eyelid.
Plan Your Procedure
- Average Cost
- $3,000 - $5,000
- Recovery Time
- 5-14 Days
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 2 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.