Blepharoplasty (Eyelid Surgery)

Upper and lower blepharoplasty to remove excess skin, herniated fat, and muscle laxity creating a hooded, tired, or aged appearance around the eyes. Single-area procedures start at $6,150; combined upper and lower blepharoplasty from $9,350. Performed under IV-monitored sedation in the AAAHC-certified on-site surgical centre. Sessions typically complete within one hour. Recovery involves bruising and swelling for seven to ten days.

Blepharoplasty at Rousso Adams Facial Plastic Surgery addresses the characteristic changes around the eyes that accompany ageing: excess skin folds drooping over the upper eyelashes (dermatochalasis), herniated orbital fat creating puffiness above and below the eyes, laxity of the lower lid skin producing a crepey appearance, and the loss of the upper lid crease definition that contributes to a hooded or tired look. Dr. Rousso and Dr. Adams perform upper blepharoplasty by excising a precisely designed ellipse of excess upper lid skin and, where needed, sculpting or repositioning herniated pre-aponeurotic fat pads to restore a natural upper lid platform; the incision is concealed within the natural upper lid crease and heals to a fine, barely visible line. Lower blepharoplasty may be performed via a transcutaneous (external) approach using a sub-ciliary incision to excise excess skin and herniated fat, or via a transconjunctival (internal) approach in which the incision is made inside the lower lid with no external scar — the transconjunctival approach is preferred in younger patients with herniated fat but minimal skin excess, as it avoids any external incision. Repositioning or conservative reduction of the inferior orbital fat pads addresses puffiness and the shadow-creating convexity of lower lid bags, while skin resurfacing with laser can be combined at the same time to address fine lines and skin quality in the lower lid zone. The procedure is performed under IV-monitored sedation and typically completed within one hour, though combined upper and lower procedures may extend to ninety minutes. Post-operative bruising and swelling typically resolve within seven to ten days; patients are generally presentable for social situations within ten to fourteen days. All procedures are performed in the practice's AAAHC-certified ambulatory surgical centre, providing hospital-level safety standards in a dedicated outpatient setting. Single-area procedures start at $6,150; combined upper and lower from $9,350.