Eyelid Lift (Blepharoplasty)

Blepharoplasty eyelid lift surgery by Dr. James M. Nachbar at Scottsdale Plastic Surgery. Upper eyelid surgery removes excess skin and fat to eliminate hooding and refresh the upper face. Lower eyelid surgery addresses under-eye bags and loose skin. Two-lid procedure (upper only) priced at $5,800 all-inclusive; four-lid (upper and lower) at $9,100. Performed in a certified surgical facility in Scottsdale, AZ.

Eyelid lift surgery — blepharoplasty — at Scottsdale Plastic Surgery is performed by Dr. James M. Nachbar, MD, FACS, and addresses one of the most visible early signs of facial ageing: changes to the upper and lower eyelid zones. Upper blepharoplasty targets dermatochalasis — the accumulation of excess skin on the upper eyelid that causes hooding, narrowing of the visual field, and a heavy or tired appearance. In the procedure, a precisely designed ellipse of redundant upper eyelid skin is excised through an incision placed in the natural lid crease; excess pre-tarsal fat may be conservatively reduced at the same time. The resulting scar lies entirely within the eyelid crease and becomes imperceptible in most patients. When upper eyelid hooding meets functional visual-field impairment criteria, insurance coverage may be available for a portion of the procedure. Lower blepharoplasty addresses pseudoherniation of the orbital fat — the prolapse of lower eyelid fat through a weakened orbital septum that creates the appearance of under-eye bags — and excess lower eyelid skin. Depending on anatomy, Dr. Nachbar performs either a trans-conjunctival approach (internal incision, no external scar, suited to patients with prominent fat but good skin tone) or a sub-ciliary approach (fine incision just below the lower lash line, allows concurrent skin excision). The two procedures are frequently combined into a four-lid blepharoplasty, with Dr. Nachbar's all-inclusive practice estimate of $9,100 for the combined upper and lower procedure representing clear pricing transparency. The two-lid upper procedure is listed at $5,800. Both are performed under sedation or general anaesthesia in a certified facility. Recovery involves notable bruising and swelling for one to two weeks; most patients are comfortable appearing in public at ten to fourteen days.