Eyelid Surgery (Blepharoplasty)

    Blepharoplasty Photo Gallery

    Upper Blepharoplasty

    Lower Blepharoplasty

    Eyelid surgery, also known as “blepharoplasty,” is a cosmetic surgery procedure that eliminates or repositions excess fatty deposits and/or sagging skin and muscle from the upper and lower eyelids. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

    Dr. Chasan has performed numerous blepharoplasty procedures, and he is regarded as one of the most experienced in San Diego eyelid surgery specialists in California.

    How Much Does a Blepharoplasty (Eyelid Lift) Cost?

    Blepharoplasty patients in San Diego can expect the cost of their surgery to cost between $3500 – $5000 with Dr. Chasan. Due to the variability of cases, some blepharoplasties are priced higher depending on the level of surgical complexity.

    Blepharoplasty or eyelid surgery is a surgical procedure that removes excess skin, fat, and tissue from the upper and lower lids of the eyes. 

    Redundant skin on the eyelids is called dermatochalasis (not to be confused with ptosis which is paralysis or weakness of the upper eyelids). It causes patients to look aged and tired, but can also interfere with vision and eye movement. Eyelid surgery is one of the most common solutions to dermatochalasis because refreshes the eyes, makes patients look younger, and restores vision and function.

    In this article, board-certified plastic surgeon Dr. Paul E. Chasan explains what you can expect if you’re planning to have a blepharoplasty in San Diego including the benefits of surgery and what causes the skin around the eyes to sag. 

    What is a Blepharoplasty?

    Eyelid surgery is a procedure that removes sagging and drooping skin from the upper and lower eyelids. According to The American Society of Plastic Surgeons, it was the fourth most common plastic surgery in the United States.

    Most people desire eyelid surgery so their eyes look younger and well-rested, but blepharoplasty also has some functional advantages. Excess skin of the eyelids also referred to as dermatochalasis is mostly caused by aging skin which loses its elasticity and collagen. Due to genetics and a few other factors, some younger people may suffer from sagging and drooping skin around the eyes.

    Dermatochalasis makes you look older and tired which is why it is often a cosmetic concern. But redundant skin can also make eyelids heavy, compromising the natural way you move your eyes, and the skin can sag so much that it blocks your peripheral vision. A 2017 article from Medscape reports, “visual-field loss is the most frequent sequelae of dermatochalasis. In severe cases of dermatochalasis, patients can lose more than 50% of their superior visual field.”

    Eyelid surgery is an ideal treatment for those with dermatochalasis because it restores movement and vision while simultaneously making you look well-rested and younger. 

    What is an Upper Blepharoplasty?

    An upper blepharoplasty removes skin from the top of the eyelid and can make you look several years younger as is the case with Dr. Paul E. Chasan’s patient in the image below.

    What is a Lower Blepharoplasty? 

    Lower blepharoplasty removes sagging skin in the lower eyelids, often called “baggy eyes.” It’s mostly a cosmetic procedure that gives you a refreshed and rejuvenated look. 

    Blepharoplasty Procedure and Recovery Time

    The American Society for Aesthetic Plastic Surgery’s 2018 article reports that you can expect the following during eyelid surgery, 

    • First, marks are made where the wrinkled and drooping skin will be removed.
    • For an upper blepharoplasty, an incision is made in the natural crease of the upper eyelid.
    • For a lower blepharoplasty, an incision is made just below the lashes but if fat is being removed the incision can be made inside the lower eyelid which is called a transconjunctival incision. In some cases, a laser is used as well to tighten the skin under the eye.
    • Once the incisions are made, fat, tissue, and skin are removed to improve the aesthetic quality and function of the eyelids.
    • Fat might be relocated around your eyes to minimize bags and puffiness. 
    • Sutures or tissue adhesives will be applied to close the incisions. 

    The sutures rarely leave noticeable scars, and Dr. Paul E. Chasan specializes in using the best techniques and procedures for minimizing the risks of scarring. In addition, he has a long history of blepharoplasties with stunning aesthetic results that look authentic and preserve the patient’s natural features.

    Most patients stay in observation for a couple of hours to ensure it’s safe for them to go home. The Mayo Clinic’s 2018 article reports it’s common for patients to experience some pain, discomfort, swelling, bruising, irritation, and dry eyes which clears up in about 10-14 days.

    At Ranch and Coast Plastic Surgery and Medical Spa we pride ourselves on guiding our patients through deciding which surgeries and procedures are best for them. During your consultation, board-certified plastic surgeon Dr. Paul E. Chasan will gladly discuss in detail what you can expect during blepharoplasty.


    American Society of Plastic Surgeons: 2017 Plastic Surgery Statistics Report

    Medscape: Dermatochalasis

    American Society for Aesthetic Plastic Surgery: Eyelid Surgery

    Mayo Clinic: Blepharoplasty.

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