Eyelid Surgery (Blepharoplasty)

Upper and lower eyelid surgery (blepharoplasty) at Seattle Plastic Surgery Center by Dr. David Santos and Dr. Craig Jonov. Dr. Santos uses the UltraPulse CO2 laser technique for upper blepharoplasty — sealing blood vessels while cutting to reduce bruising and allow recovery within the eyelid crease using ultra-fine sutures. Procedures run approximately 30 minutes for a single-lid case. Pricing from $3,995 under local anesthesia with Dr. Santos.

Eyelid surgery at Seattle Plastic Surgery Center addresses both functional and cosmetic concerns of the upper and lower eyelid complex, performed by two surgeons with differing approaches. Dr. David Santos offers upper blepharoplasty using the Lumenis UltraPulse CO2 laser — a technique that uses a precise, high-energy laser beam rather than a traditional scalpel to make the skin incision. The CO2 laser simultaneously cuts and coagulates blood vessels in the tissue, substantially reducing intraoperative bleeding and the resulting post-operative bruising compared to cold-steel incisions. The incision is placed within the natural upper eyelid crease, and ultra-fine sutures (finer than standard blepharoplasty sutures) are used to close the incision, aiming for a fine, inconspicuous scar hidden within the crease. The reduced trauma from the laser technique may shorten recovery compared to conventional approaches. Under local anesthesia and oral sedation, the procedure runs approximately 30 minutes for upper lids alone and can often be completed on the same day as a consultation. Dr. Santos prices upper or lower blepharoplasty at $3,995 (local anesthesia) or $4,995 (general), depending on patient preference and case complexity. Dr. Craig Jonov prices upper or lower blepharoplasty at $4,285, with combined upper and lower treatment at $6,595. The lower blepharoplasty addresses under-eye fat prolapse (bags), excess skin, and muscle laxity through a transconjunctival approach (incision inside the eyelid, no external scar) or a subciliary approach (incision just below the lash line) depending on the degree of skin excess present. Recovery involves mild bruising and swelling resolving in 7–14 days.