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
"We are so happy we found Dr. Domanskis. We are always welcomed with such genuine kindness from Rachelle. Dr. Domanskis gives you his honest and professional opinion while still keeping your own vision in mind. I am so happy with my XL Expander implants. My breasts look valumptuous and perky and the placement is just fantastic. Very small incisions and I healed up well. I can't wait to get lip implants next! Thank you so much Dr. Domanskis and Rachelle!"- V.S. / Google / May 08, 2019
"I had such a great time at Dr. D's office everyone was so nice and very accommodating. I will be back very soon."- P.H. / Yelp / Apr 27, 2019
"Dr Domanskis saved me! My promised implant job before meeting him ended up not good and me distressed. Dr Domanskis was very compassionate and clear during my consultations. He said i may need 2 surgeries, and incredibely he did it all in one surgery and repaired 2 very different looking breasts to look the same and fuller! I couldnt be happier. His knowledge and skill level is second to none (I have had more than 1 breast surgery in my time). I HIGHLY recommend him and will always go back to him if needed for other things in the future! Thanks Dr. Dom! :)"- Anonymous / RateMDs / Feb 20, 2019
"I'm a new patient of Dr. Domanskis and met him under emergency circumstances (that a previous monster surgeon had done to me.) I was over a month post-op of breast lift, replacement and reconstruction surgery for the second time in less than a year and was left with LITERALLY hundreds of stitches in my breasts and a huge hole for the second time that was the size of a quarter and my implant was exposed and This was not only a repeat of what happened to me in Feb 2018 of last year but this time I knew better from past experience (that ended up putting me in the hospital for a deadly staph infection in July 2018) That it's best I find a competent Dr. Who is highly recommended. I called my Oncologists and immediately they said Dr. Domanskis is the best! Couldn't agree more! Truly from the time I called Initially which was in the AM on a Monday I was taken care of by Rachelle and she made sure I was in to see the Dr by 2:00 that day. When I met Dr. Domanskis I was already so fearful of Dr.'s and the lack of care if I had been shown previously, I was surprised at the time and effort he put into listening to me and removing all the hundreds of stitches that should have been taken out weeks ago and the amount of concern Dr. D shows me when taking a culture of the wound to make sure I did not have another staph infection like last time. He sat and slowly explained everything that was hoiu on and what my options would be. Come Friday I opted to have the implant extracted in his office and to my surprise, it was not only painless but super fast and I'm currently healing and looking forward to having Dr. Domanskis help reconstruct what the monster surgeon had done to my body. I have so much faith in Rr. Domanskis and love this place! I know hands down that I will be cared for and taken care of here. This Dr. and his team (Rachelle) treated me like family or an existing patient, it's not about money here it's about caring for the patient and they really do!!"- H.W. / Google / Feb 01, 2019
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.