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Blepharoplasty (Eyelid Surgery)

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San Diego Lower Eyelid Surgery Patient The team at San Diego Eye Care Center offers blepharoplasty (a.k.a. eyelid surgery or eyelid lift) to rejuvenate the appearance of saggy, droopy or tired-looking eyes. Excess skin is removed, fat is removed or repositioned and the muscles are tightened to create a rested and youthful eye appearance. Eyelid surgery can target the upper eyelids, lower eyelids or both.

Upper Eyelid Blepharoplasty

The goals of upper eyelid blepharoplasty are to help increase peripheral vision or to enhance one’s appearance without greatly altering one’s identity, while maintaining eye safety. Our technique is tailored to each patient, taking into account their specific anatomy, ethnicity and personal goals. Blepharoplasty in men must be performed differently than in women. The orbicularis muscle, responsible for eye closure, is preserved to ensure a full, virile look to the upper eyelid. Insurance may cover upper blepharoplasty if the skin hangs over the eyelid margin and obscures the visual fields or the excess skin pushes the eyelashes downward to interfere with visual function.

Lower Eyelid Blepharoplasty

Rejuvenating the lower eyelid may include fat excision or repositioning, skin excision or mid-face elevation. Occasionally we will recommend volume augmentation with fillers such as Restylane. The majority of patients interested in cosmetic surgery of the lower eyelids will benefit from transconjunctival lower blepharoplasty, or lower eyelid surgery. This involves excising or repositioning the fatty compartments of the lower eyelid through a hidden incision inside the eyelid. This approach provides a natural, non-surgical look after surgery, which preserves the structure and function of the orbicularis muscle in the lower eyelid. Some patients have excess skin in the lower eyelids and may benefit from pinch skin excision or laser skin resurfacing.

Ptosis Repair

Drooping eyelids may be due to a weakening of one of the muscles that is responsible for elevating the eyelid. Other common causes include age, trauma, levator muscle malfunction or nerve damage. This can often be addressed without any external incisions or scars, and treatment is covered by most insurance companies if vision is affected.

Cost of Eyelid Surgery

Blepharoplasty cost can vary widely. The cost depends on the type of procedure performed, the surgeon’s experience and other factors. In cases where redundant eyelid skin is obstructing vision, the surgery to correct it may be partially or completely covered by health insurance (check your policy for details). Whether you are interested in an upper or lower eyelid surgery, our surgeons will craft a personalized plan for you and discuss the costs involved during your consultation.

Will Blepharoplasty Affect My Vision?

A properly performed blepharoplasty procedure should not negatively affect your vision. You may have visual side effects after surgery like double vision, but symptoms are only temporary.

Eyelid surgery can actually improve your visual acuity long-term. If you have excess skin hanging over your lash line and interfering with your line of sight, upper eyelid surgery can clear the obstruction and improve your field of vision.

Why Should I Choose SD Eye Care Center for Blepharoplasty?

Blepharoplasty is a complex and delicate procedure that requires an experienced surgeon. You can be confident that Dr. Tayani, our eyelid surgeon, has the training and experience needed to make the proper improvements and deliver great results. We understand that every patient is unique, so we carefully design our treatment plans to satisfy each person’s needs and goals.

How to Prep for Blepharoplasty

We will give you detailed instructions ahead of time to prepare for blepharoplasty. We may ask you to have some lab or blood testing done, or undergo a physical with your primary care physician. We will provide a list of medications to avoid in the weeks leading up to blepharoplasty, including aspirin, anti-inflammatory drugs and certain herbal supplements and vitamins. If you smoke, we ask that you quit several weeks prior to surgery.

You will need to arrange for a ride to and from the hospital or surgery center where your procedure is performed. Someone will need to stay with you the first night after surgery, too.

What to Expect during Eyelid Surgery

Anesthesia will be used to keep you completely comfortable during the operation. Depending on your exact treatment plan, our eyelid surgeon will create the surgical incisions in or around the upper and/or lower eyelid. Through the incision, he will remove or reposition fat, trim loose skin and tighten the muscles. When he is finished making the necessary modifications, he will close the incisions with sutures.

Blepharoplasty Recovery

After eyelid surgery, your lids will likely be swollen and bruised. Your eyes may be watery and sensitive to light. Pain is uncommon, but you can take pain medication as prescribed to minimize any discomfort. We will give you complete instructions for caring for your healing eyelids, including how and when to clean your lids and apply eyedrops. You should take one to two weeks off from work and avoid strenuous exercise for up to four weeks as you heal from surgery.

Other Cosmetic Procedures

Mohs Reconstruction

We work closely with dermatologists who perform Mohs surgery for reconstruction of the eyelid and periocular area following removal of skin cancers in this area. This collaborative approach minimizes the chance of any recurrence.


The lower eyelids may turn outward as a result of lower eyelid laxity, eyelid tumors or prior lower eyelid surgery. This can often be addressed with a small incision at the corner of the lower eyelid.


The lower eyelids can turn inward and be irritating to the eye. Transconjunctival entropion repair is performed to reposition the lower eyelids and turn the eyelashes away from the eye.


San Diego BOTOX PatientWe use Botox to improve benign essential blepharospasm and hemifacial spasm. Ophthalmologists have been the longest users of Botox and have used it for two decades for treatment of benign essential blepharospasm, hemifacial spasm, and strabismus. Botox Cosmetic is used for facial wrinkles in the forehead, glabellar lines and crow’s feet.

Facial Fillers

Various facial fillers may be used to rejuvenate the face. These fillers are administered in the office and can often provide a non-surgical alternative to facial rejuvenation.


Orbital Surgery

Dr. Tayani performs specialized surgical procedures that correct disorders of the orbital cavity (eye socket), including tumors, orbital diseases and trauma.

Tear Duct System

Persistent tearing may be a result of various conditions or problems anywhere along the tear duct pathway.

Contact San Diego Eye Care Center

To schedule a consultation to discuss your eye care needs, please contact our office at (760) 757-1144.