As we age, the delicate skin of the eyelids becomes thinner and less elastic, fat pads may shift or become more prominent, and the underlying muscle and connective tissue lose their youthful tone. For some, upper eyelid skin develops excess folds that rest upon the lashes. For others, the lower lids become puffy or hollow, with shadows that convey fatigue even after a restful night. In patients with upper eyelid ptosis, the eyelid margin itself descends, narrowing the visible eye and contributing to a tired or asymmetric appearance.
Upper and lower blepharoplasty, along with upper eyelid ptosis repair, can restore a more refreshed and naturally youthful appearance. However, the periorbital region does not exist in isolation—it functions in harmony with the brow, the midface, and the quality of the skin itself. Thoughtful combination of surgical and nonsurgical treatments often yields outcomes greater than any one intervention alone.
Upper blepharoplasty, when performed conservatively, removes only the excess skin and muscle contributing to hooding while preserving the natural fullness that defines a youthful lid. In patients whose upper eyelid appears hollow or deflated, fat repositioning, fat grafting, or hyaluronic acid filler may restore volume and softness. When ptosis is present, surgical elevation of the eyelid margin can open the eye and improve symmetry, though the degree of correction must be carefully calibrated.
Lower blepharoplasty addresses puffiness, shadows, and skin laxity. A conservative approach is essential—overly aggressive fat removal can lead to a hollow appearance that is difficult to correct. For patients with volume loss in the midface, fat transfer or filler can further enhance the result.
Beyond surgery, skin quality plays an important role in the overall appearance of the eyes. Laser resurfacing, chemical peels, and medical-grade skincare can improve fine lines, pigmentation, and texture, complementing the structural improvements of blepharoplasty. When combined thoughtfully, a synergy emerges—results that appear natural and harmonious rather than surgical.
Blepharoplasty, while long-lasting, does not halt aging. Maintenance treatments may be beneficial over time to preserve the surgical result. For this reason, I value building a relationship with each patient founded on open communication and shared goals. Rather than pursuing dramatic transformation in a single session, a stepwise approach allows us to address concerns incrementally and assess results before considering additional intervention.