Eyelid surgery (or blepharoplasty) corrects cosmetic issues of the eyelids. Drooping eyelids are caused by the loss of skin elasticity that occurs as a result of the natural aging process. Eyelids that are sagging can age your face and, in severe cases, limit your eyesight. New Orleans and Metairie cosmetic surgeon Dr. Kamran Khoobehi performs blepharoplasty, also known as eyelid lift surgery, to reduce excess tissue and wrinkles around the eyes and erase years from your appearance. A loss of volume under the lower eyelid is also one concern, which can usually be corrected with soft tissue fillers. However, if lower eyelid puffiness is an issue, lower blepharoplasty using a transconjunctival technique or skin/muscle flap can be used to remove the excess tissue and bulge. This surgery, which has become increasingly popular in patients as young as 35, can help patients look more alert, soft and younger.
Eyelid Surgery Reviews
"Love Botox - Metairie, LA - Very talented physician. He takes pride in his work and is an artist with the human body! Great with botox too! Only problem really is with injectabile fillers under eyes. Other than that, he is great, and I plan to go to him for future work! - - Got Botox 3 times since 2006. It can last about 8 months or so. I notice that the more I get it, the less i need it because it causes my muscles to stop wrinkling my skin, and over time my skin looks smoother and smoother. It is a great investment! I am in 40's but people guess me to be 25. (I also use a LOT of sunscreen faithfully which prevents other wrinkles as well.)"- K. / RealSelf / Mar 24, 2008
"Botox - Metairie, LA - he only has 10 years of experience which really concerns me and he does not have a specialty, he does everything which means he does not specialize. - - I had botox on July 17, in my forehead and by my eyes. It still has not taken effect yet, I do not believe he used enough. I wanted to get fillers for my face too but he insisted that I needed a facelift instead and that fillers were a waste in my case. however a face lift would invilve lots of scarring and major surgury which is thousands of dollars that I do not have."- R. / RealSelf / Jul 20, 2013
"Aging Eyes - Metairie, LA - Very caring and willing to spend time to answer your questions. - - I wanted to look less tired. I went to Dr. Khoobehi in Metairie, La. Best decision I could have ever made. He and his staff are very caring and professional. He told me my options and what he recommended. I couldn't be more pleased with my quad eyelid surgery which also included a lateral forehead lift and facial fat grafting. Just remember when you have multiple procedures you have to allow yourself time to heal. It's been 10 weeks now since surgery and I am seeing the great results of his art. So thankful to have found such a talented Plastic Surgeon. Thank you Dr. Khoobehi!"- H. / RealSelf / Mar 23, 2014
"No More Frown Lines. Metairie, LA - Very easy to talk to a relaxed, professional bedside manner. - - Without Botox, my frown lines are creases between my eyes. After seeing Dr. Khoobehi, it's totally smooth, but it does take about a week to really smooth out. It was not too painful. It makes a big difference in how I feel when I look in the mirror, and I'm happy that my neutral face has lost its frown!"- T. / RealSelf / May 13, 2016
"Voluma, Botox, Juviderm - Metairie, LA - Been using him for 14 years. LOVE LOVE LOVE HIM! And did I mention his staff?!LOVE THEM TOO!! - - I received Botox on my "11" between my eyes and for the crows feet on the side of my eyes. Both procedures I have done before. I received Juviderm on smile lines and the sides of my depressed chin. Both in which I have done before as well.Yesterday, for the first time, I tried the Volumina in my cheeks. Results were immediate, and very impressive! I look fuller and more youthful for sure, yet very natural. I suggested that I was up for an additional syringe if he felt I needed it and he said he would rather me wait to see if that's what I really wanted. I like how conservative he was with me knowing I wanted to look natural. I'll get more in the future when in need!"- S. / RealSelf / Aug 11, 2016
The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.
Upper Eyelid Surgery
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.
Lower Eyelid Surgery
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
The average fee for this surgery is $4,000 to $9,000 if both the lower and upper eyelids are addressed. In most cases, insurance will not cover cosmetic eyelid surgery. However, for some patients, insurance may be applicable. This is usually the case with patients who have their vision affected by a drooping upper eyelid.
Plan Your Procedure
- Average Cost
- $4,000 - $9,000
- Recovery Time
- 2-4 Weeks
- Procedure Recovery Location
Eyelid Surgery FAQs
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.