Eyelid Surgery (Blepharoplasty)

Eyelid surgery (blepharoplasty) is a frequently requested procedure at Bellevue Plastic Surgeons, reflecting strong demand across the Seattle-Bellevue and Eastside Washington market for periorbital rejuvenation. The eyes are often the first area to show visible ageing, and blepharoplasty addresses this by removing or redistributing excess tissue — skin, muscle, and fat — that accumulates around the upper and lower eyelids over time.

Upper blepharoplasty involves an incision placed within the natural eyelid crease to excise a calculated ellipse of redundant skin and, where indicated, a thin strip of orbicularis muscle. In advanced cases where the skin overhang impairs the superior visual field, the procedure may qualify for insurance coverage — the clinical team can advise on documentation requirements. Recovery involves mild bruising and swelling, with most patients presentable…

Lower blepharoplasty addresses the fat compartments of the lower eyelid that herniate through the orbital septum with age, creating the bulging appearance commonly described as under-eye bags. The transconjunctival approach (incision inside the lid, no external scar) is preferred for younger patients with good skin tone who present primarily with fat prolapse. Fat repositioning — redistributing prolapsed orbital fat into the tear-trough groove rather than…