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
"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
"I love Dr Domanskis. He saved my life when other plastic surgeons said live with it you don't qualify for reconstruction. He made me feel comfortable and was more knowledgable tan the others I saw. He and he office worked with me since I live five hour away in another state. My results so far have been amazing."- Anonymous / Vitals / Oct 18, 2017
"Dr. Domanskis saved my life! He cares!I did a facelift with some other surgeon. Everything was ok until 1 week later, when some stiches had been removed. Hours later my temple artery exploded. The bleeding was profound. I was rushed by an ambulance to a hospital.Dr. Domanskis was a plastic surgeon on call at Mission Hospital at that time. He performed a surgery under a humongous stress,..."- A. / RealSelf / Jul 12, 2017
"I am alive because of Dr. Domanskis - Dr. Domanskis saved my life! He cares!I did a facelift with some other surgeon. Everything was ok until 1 week later, when some stiches had been removed. Hours later my temple artery exploded. The bleeding was profound. I was rushed by an ambulance to a hospital.Dr. Domanskis was a plastic surgeon on call at Mission Hospital at that time. He performed a surgery under a humongous stress,..."- A. / RealSelf / Jul 12, 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 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.