Blepharoplasty (Eyelid Surgery)

Blepharoplasty (eyelid surgery) by Dr. David Hill MD to remove excess upper eyelid skin, reduce lower eyelid bags, and restore a refreshed, alert appearance. Upper: $2,400–$6,600. Lower: $6,500–$8,700. One to three hour procedure. Recovery: mild bruising and swelling for one to two weeks. Most patients return to social activities within ten to fourteen days.

Fulcrum Aesthetics offers upper and lower blepharoplasty performed by Dr. David Hill MD, whose fellowship-trained background in plastic surgery includes significant experience in periocular rejuvenation. The eyelids are among the earliest areas of the face to show signs of aging — upper lid skin excess and ptosis (drooping) create a tired or heavy-lidded appearance, while lower lid fat prolapse and skin laxity produce under-eye bags, hollowing, and festoons. Upper blepharoplasty addresses excess upper eyelid skin and herniated orbital fat through an incision placed precisely in the natural eyelid crease, which conceals the scar in the fold when healed. The amount of skin removed is calculated to maintain full eyelid closure, protect corneal integrity, and preserve the natural upper lid crease position. For patients with concurrent true ptosis (levator muscle dysfunction causing the upper lid margin to fall across the pupil), ptosis repair can be incorporated into the same procedure. Lower blepharoplasty addresses under-eye fat bags and skin laxity through either a transconjunctival approach (incision inside the lower lid, no external scar — preferred when skin laxity is minimal) or a subciliary approach (incision just below the lash line for cases requiring skin removal). For patients with significant lower lid fat prolapse and tear trough hollowing, fat repositioning rather than simple fat excision maintains volume in the lower orbit and avoids a hollow, operated appearance. Both upper and lower blepharoplasty can be performed simultaneously in a single session. Surgery takes one to three hours under local anaesthesia with sedation or general anaesthesia depending on the extent of the procedure. Recovery involves mild bruising and swelling for one to two weeks; most patients are socially presentable at ten to fourteen days. Upper blepharoplasty pricing ranges from $2,400 to $6,600; lower blepharoplasty from $6,500 to $8,700.