The Seattle

Plastic Surgery Center

William A. Portuese, M.D.

Candidates For Eyelid Surgery

Eyelid surgery, also known as blepharoplasty, is a common cosmetic procedure that offers patients the opportunity to improve the appearance of their eyes. This article will provide an overview of who are good candidates for eyelid surgery and what outcomes they can expect.

The primary goal of eyelid surgery is to create a more youthful and energetic appearance by improving the contour of the upper and lower eyelids. The most common candidates for this procedure are those with droopy skin on their upper lids or bags beneath the lower lids. Patients may also be interested in this procedure because it can provide relief from vision obstruction due to excess tissue in the upper eyelid area.

In order to determine if a patient is an appropriate candidate for eyelid surgery, an ophthalmic plastic surgeon will assess various factors such as age, medical history, lifestyle habits, and aesthetic goals. This article will discuss these criteria in greater detail in order to provide readers with insight into who is best suited for this type of procedure.

Overview Of Eyelid Surgery

Eyelid surgery, also known as blepharoplasty, is a surgical procedure that removes excess skin and fat from the upper and lower eyelids. It is commonly used to improve the appearance of drooping or sagging eyelids, puffy bags under the eyes, and wrinkles around the eyes. In addition to improving cosmetic appearance, it can also improve vision by removing any excess skin or fatty tissue that may be blocking the patient’s vision.

The procedure is performed under local anesthesia and usually takes between one to two hours depending on the amount of correction needed and other factors. During surgery, incisions are made in the natural creases of the eye where they will be easily concealed once healed. Through these incisions, excess fat and skin are removed or repositioned to give a more youthful look to the area around the eye. Once this has been accomplished, stitches are used to close up any incisions that were made during surgery.

Eyelid surgery can provide patients with an improved aesthetic appearance as well as improved vision if there was any obstruction of their vision due to excess tissue in their eyelids prior to surgery. Recovery time for this procedure generally lasts about a week before patients return to their normal activities. Results may not be immediately visible but instead will become evident as swelling subsides over several weeks following surgery.

Who Qualifies For Eyelid Surgery?

Eyelid surgery, also known as blepharoplasty, is a procedure that can improve the appearance of the eyes by removing excess skin and fat from the lids. Before undergoing this type of surgery, it is important for patients to understand who qualifies for eyelid surgery and what risks are associated with the procedure.

Patients who qualify for eyelid surgery typically have excess skin or fat drooping over their upper lids or bulging in the lower lids. In some cases, this excess tissue may be obscuring vision. In addition to sagging or drooping, wrinkles around the eyes may also be addressed through eyelid surgery. Patients should also be in overall good health before undergoing any surgical procedure.

The risks associated with eyelid surgery include infection, bleeding, asymmetry, scarring, dry eyes and loss of vision. It is important for patients to discuss any concerns with their ophthalmic plastic surgeon prior to having any type of eye-related procedure. Ultimately, patients should consult with an experienced ophthalmic plastic surgeon to determine if they are a good candidate for eyelid surgery and which course of action will best meet their individual needs.

Eyelid surgery can help reduce signs of aging and improve overall facial appearance. Patients should take time to discuss their concerns and expectations with their ophthalmic plastic surgeon so that they can make an informed decision about whether this procedure is right for them.

Pre-Surgical Evaluation

Once it is determined that a patient is a suitable candidate for eyelid surgery, a pre-surgical evaluation must be conducted. This involves assessing the individual’s medical history, physical condition, and aesthetic goals to determine the best treatment approach. The evaluation should include a comprehensive eye examination to ensure that there are no underlying vision problems or other conditions that could cause complications during surgery.

The patient will also need to undergo various tests such as imaging studies of the eyes and facial structures, laboratory tests to evaluate overall health, and psychological assessments to assess readiness for surgery. These tests allow the surgeon to accurately plan the procedure and reduce any potential risks associated with the procedure. Additionally, any medications or supplements taken by the patient must be discussed with the surgeon in order to avoid any drug interactions or adverse reactions during or after surgery.

Prior to undergoing eyelid surgery, patients should be aware of what can realistically be achieved through this procedure. They should receive detailed information about the potential risks and benefits of eyelid surgery from their surgeon so that they can make an informed decision about whether or not it is right for them.

Advantages Of Eyelid Surgery

Eyelid surgery, also known as blepharoplasty, is a highly effective procedure for eliminating excess skin, fat and muscle from the upper and lower eyelids. This procedure can improve the appearance of sagging or drooping eyelids, as well as provide an overall rejuvenation of the eyes. The advantages of eyelid surgery include: reduced puffiness, improved vision, restored youthful contours and a boost in self-esteem.

The most obvious benefit of eyelid surgery is a dramatic reduction in the appearance of puffiness and bags under the eyes. By removing fat deposits that build up around the eyelids over time, this procedure can create a more youthful look and reduce the signs of aging. Additionally, patients may experience improved peripheral vision which can be beneficial when driving or engaging in other activities that require increased visual awareness.

Finally, blepharoplasty restores youthful contours to the eyes while giving patients an overall feeling of greater self-confidence. A successful outcome can make people feel better about their physical appearance, leading to greater social interaction and improved quality of life. When performed correctly by an experienced ophthalmic plastic surgeon, patient satisfaction with this cosmetic procedure is usually very high.

Disadvantages Of Eyelid Surgery

Eyelid surgery, while a relatively safe and effective way to reduce signs of aging, involves certain risks that should be taken into consideration. Potential complications include infection, poor healing, dry eyes, scarring, asymmetry, and the possible need for revision surgery. As with any surgical procedure, there is a risk of adverse reactions to anesthesia.

The results of eyelid surgery are not permanent and patients may eventually require another procedure to maintain their desired look. In some cases, patients may develop ectropion or entropion after surgery, which occurs when the eyelids turn inward or outward due to weakened muscles or excessive tissue removal during the procedure. Additionally, while eyelid surgery can help improve vision by removing sagging skin that covers the upper eyelid, this improvement will only be temporary as natural aging processes continue.

Patients should discuss all potential risks with their ophthalmic plastic surgeon before undergoing this type of procedure. It is important to note that even with careful planning and experienced surgeons there are no guarantees regarding outcome or satisfaction level with post-operative results.

Preparation Steps Prior To Surgery

Patients considering eyelid surgery should consult with a board-certified ophthalmic plastic surgeon to discuss the desired outcome. During this initial consultation, the surgeon will evaluate the patient’s medical history and examine the eyes and surrounding facial structures. The surgeon may take photographs of the area for further evaluation or demonstrate a virtual simulation of what can be achieved through surgery.

The patient should inform their physician of any current medications they are taking, to ensure they are not contraindicated for anesthesia used during surgery. It is important that patients follow all preoperative instructions given by their physician, such as avoiding certain medications, smoking cessation prior to surgery, and fasting prior to anesthesia.

Additionally, it is recommended that patients have someone available to drive them home after the procedure and provide assistance for a few days after surgery as well. Following pre-operative instructions ensures optimal results from eyelid surgery and reduces post-operative complications.

Post-Surgery Recovery Period

Once the eyelid surgery is completed, it is important for patients to understand and follow their surgeon’s instructions for post-operative care. To ensure the best results, patients need to attend all scheduled follow-up appointments with their surgeon and comply with all instructions. It is essential for patients to understand that recovery from eyelid surgery takes time and should not be rushed.

Immediately following the procedure, most patients experience some degree of discomfort, swelling, bruising, and/or itching around the eyes. These are all normal responses to the trauma of surgery; however, if symptoms become severe or persist beyond a few days, patients should contact their surgeon immediately. In addition, they may be prescribed topical medications or eye drops to use during recovery in order to reduce inflammation and prevent infection.

Patients typically return home on the day of or the day after surgery but are advised not to drive until they have been cleared by their doctor. Additionally, strenuous activities should be avoided for at least two weeks and heavy lifting should be avoided for up to six weeks after surgery. Sun exposure should also be minimized during recovery in order to minimize changes in skin pigmentation as well as scarring around the eyes. With proper care and compliance with post-operative instructions from their doctor, most patients can expect a successful outcome from their eyelid surgery procedure.

Risks And Complications Associated With Eyelid Surgery

Eyelid surgery is generally a safe and successful procedure, however, any type of surgery carries risks. Most common risks associated with eyelid surgery include infection, excessive scarring, bleeding, dry eyes, and difficulty closing the eyes. Less common risks include an adverse reaction to anesthesia, double vision, temporary or permanent vision loss or damage to the eye muscles that control movement. It is important for patients considering eyelid surgery to understand the potential complications and discuss them with their surgeon prior to proceeding with the procedure.

In order to avoid complications and achieve optimal results from the surgery, it is essential for patients to follow all pre-operative instructions provided by their surgeon. This includes avoiding blood thinning medications such as aspirin or ibuprofen as well as stopping smoking several weeks before the operation. After surgery, it is important for patients to follow post-operative instructions in order to reduce the risk of infection and ensure proper healing. These may include applying cold compresses, avoiding strenuous activities or direct exposure to sunlight until approved by the physician.

Patients should be aware that not all outcomes are guaranteed; even when performed correctly there is still a chance of experiencing some kind of complication during recovery. While most complications can be managed effectively when addressed quickly and appropriately by an experienced ophthalmic plastic surgeon, it is important for patients to recognize that they may need additional corrective treatments if complications occur.

Cost Of Eyelid Surgery

The cost of eyelid surgery is an important consideration for patients considering this procedure. Factors such as geographic region, the complexity of the surgery, and the surgeon’s experience can significantly affect the total cost. In general, however, eyelid surgery usually falls within a range of $2,000 to $4,000 per eyelid.

Patients should also be aware that additional costs may apply when undergoing a blepharoplasty procedure. These costs may include anesthesia fees, pre- and post-operative care, laboratory testing and medications. Additionally, some insurance plans may cover part or all of the cost of eyelid surgery if it is medically necessary for functional reasons (e.g., vision obstruction). In these cases, patients should consult with their insurance provider to determine coverage levels and eligibility requirements.

It is important to note that price should not be the only factor influencing a patient’s decision when considering eyelid surgery. Costly procedures may not necessarily indicate higher quality or better results than less expensive alternatives. Patients should carefully evaluate their options before settling on a particular surgeon or treatment plan in order to ensure they receive safe and effective care at a fair price.

Alternatives To Eyelid Surgery

For those who do not wish to proceed with eyelid surgery, there are several alternatives available. The most common non-surgical option is Botox injections for smoothing wrinkled skin. Botox relaxes the muscles beneath the skin and helps to reduce wrinkles and provide a more youthful appearance. Laser resurfacing is another option that can reduce wrinkles, sun damage, and fine lines around the eyes. It works by using light energy to improve the appearance of the skin by stimulating collagen production in the deeper layers of the skin. Chemical peels are also an alternative treatment for reducing wrinkles and age spots around the eyes. Chemical peels use chemical solutions to remove dead or damaged skin cells on the surface of the face and promote new cell growth in deeper layers of skin. All these treatments offer minimal downtime with no incisions, scarring, or general anesthesia required. Results typically last between three and six months, depending on individual factors such as age, lifestyle habits, and type of treatment chosen. Non-surgical treatments can be used alone or in combination with eyelid surgery for optimal results depending on each patient’s desired outcome.


Eyelid surgery is a commonly performed procedure to improve the appearance of the eyes, and is used to treat a variety of conditions. Candidates for eyelid surgery must be thoroughly evaluated pre-operatively by an ophthalmic plastic surgeon in order to ensure that it is a safe and effective treatment option. The benefits of eyelid surgery can include improved vision, enhanced facial aesthetics, and improved self-confidence. However, there are risks and complications associated with this procedure including scarring, infection, bleeding, and asymmetry. The cost of eyelid surgery varies based on the extent of the procedure required and can range from several hundred dollars to several thousand dollars. Alternatives to eyelid surgery such as dermal fillers or brow lifts may be more appropriate options for certain patients depending on their individual needs.

Overall, eyelid surgery has many potential advantages for individuals seeking improvement in their appearance or vision due to aging or medical conditions. However, it is important that any prospective patient considering this procedure discuss all available treatment options with their ophthalmic plastic surgeon in order to determine which option will provide them with the best possible outcome. With proper evaluation, education about the potential benefits and risks of eyelid surgery, and close follow up care after the procedure, patients can experience successful outcomes with minimal complications.

The Seattle

Plastic Surgery Center


Award Winning Highly Rated & Reviewed plastic surgeon Dr & medical clinic serving Seattle Wa 98104, King County, Bellevue, Kirkland, and Surrounding Areas. We offer a variety of surgical procedures and non surgical treatments for enhancement and rejuvenation.

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