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Blepharoplasty in Virginia Beach

Eyelid surgery, called blepharoplasty, is a surgical procedure intended to improve the appearance of the eyelids. This procedure can rejuvenate the eyes by creating a well-rested, more youthful appearance.

Table of Contents

What are the Types of Eyelid Surgery?

Upper blepharoplasty and lower blepharoplasty.

What is an Upper Blepharoplasty?

An upper blepharoplasty is a surgical procedure that removes excess skin, fat, and/or muscle from the upper eyelids resulting in a smoother upper eyelid with a well defined crease.

What is a Lower Blepharoplasty?

A lower blepharoplasty is a surgical procedure where in excess skin and fat, or “bags” of the lower eyelids is removed resulting in a more firmer, more youthful appearance.

Am I a Candidate? An Ideal Candidate for a Blepharoplasty:

  • Has excess or hanging skin covering the fold of the upper eyelids/eyelashes
  • Has upper or lower eyelids that appear puffy, resulting in a tired appearance
  • Has deep groves under the eyes
  • Is in generally good health
  • Is not a smoker

What Happens During a Blepharoplasty?


  1. Marking: The first step is the surgical marking, identifying what areas are to be removed and the natural crease of the eyelid.
  2. Anesthesia: This procedure may be performed under either local or general anesthesia depending on the patient’s preference and surgeon’s recommendation.
  3. Incision: The incision is made along the natural creases of the upper eyelids. They are strategically placed to minimize visible scarring once healed.
  4. Tissue Removal: Excess skin, fat, and occasionally muscle tissue are removed through the incisions. The amount removed is dependent on the patient’s specific needs and desired outcomes.
  5. Muscle Adjustment (if needed): In some cases, the surgeon may tighten or reposition the underlying muscle tissue to achieve a more youthful and refreshed appearance.
  6. Closure: Once the necessary adjustments are made, the incisions are carefully closed with sutures or surgical adhesive.
  7. Recovery: Patients are typically able to return home the same day as the surgery, although they will need someone to drive them. Recovery time varies from person to person but generally involves some swelling, bruising, and discomfort for the first week or two. Patients are advised to follow post-operative instructions provided by their surgeon, which may include using cold compresses, avoiding strenuous activities, and taking prescribed medications to manage pain and reduce the risk of infection.
  8. Follow Up: Patients usually have a follow-up appointment with their surgeon to monitor their healing progress and address any concerns or complications that may arise.
It’s important to consult with a board-certified plastic surgeon to determine if you are a suitable candidate for an upper blepharoplasty and to discuss your expectations, potential risks, and desired outcomes before undergoing the procedure.


  1. Anesthesia: This procedure may be performed under either local or general anesthesia depending on the patient’s preference and surgeon’s recommendation.
  2. Incision: The surgeon makes incisions along the lower lash line or inside the lower eyelid (transconjunctival approach). The choice of incision location depends on the patient’s anatomy and specific needs.
  3. Tissue Removal or Repositioning: Excess skin, fat, and sometimes muscle tissue are removed or repositioned to address concerns such as under-eye bags, puffiness, and wrinkles. The surgeon may use various techniques, including:
    • Fat removal: Excess fat deposits are carefully excised or redistributed to create a smoother contour.
    • Skin tightening: Loose or sagging skin is trimmed and tightened to improve the overall appearance of the lower eyelids.
    • Muscle adjustment: If necessary, the underlying muscle tissue may be tightened or repositioned to enhance the results.
  4. Closure: Once the desired adjustments are made, the incisions are meticulously closed with sutures or surgical adhesive
  5. Recovery: Similar to upper blepharoplasty, patients may experience swelling, bruising, and discomfort in the initial days following surgery. Cold compresses, prescribed medications, and avoiding strenuous activities can help manage these symptoms. Most patients can return to their normal activities within a week or two, although complete healing may take several weeks.
  6. Follow-up: Patients typically have follow-up appointments with their surgeon to monitor their progress, remove sutures if necessary, and address any concerns or complications.
It’s essential to consult with a qualified plastic surgeon to determine if you are a suitable candidate for a lower blepharoplasty and to discuss your specific concerns, expectations, and potential risks before undergoing the procedure. As with any surgical procedure, there are risks involved, and individual results may vary.

Recovery/Results: What to Expect After a Blepharoplasty

  1. Immediate Post-Operative Period (Day 1-2):
    • Patients may experience some discomfort, swelling, bruising, and mild pain around the eyes.
    • The surgeon may prescribe pain medication and advise the use of cold compresses to reduce swelling.
    • It’s essential for patients to rest with their head elevated to minimize swelling and promote healing.
  2. First Week:
    • Swelling and bruising are usually at their peak during the first few days but gradually start to improve.
    • Patients may experience some blurred vision or sensitivity to light.
    • It’s crucial to avoid strenuous activities and follow the surgeon’s instructions for post-operative care.
    • Sutures or surgical tape may be removed after several days, depending on the surgeon’s preference.
  3. Second Week:
    • Swelling and bruising continue to subside, although some residual swelling may persist.
    • Patients may begin to feel more comfortable and return to light activities.
    • Eye drops or ointments may be prescribed to keep the eyes moist and comfortable.
  4. Third Week to Fourth Week:
    • Most of the swelling and bruising should resolve by this time, although some minor swelling may persist.
    • Patients can gradually resume normal activities but should still avoid vigorous exercise or activities that could strain the eyes.
    • Makeup can typically be applied to conceal any residual bruising or discoloration.
  5. Long-Term Recovery (After One Month):
    • By this time, the majority of swelling and bruising should have resolved, and the final results of the blepharoplasty should become more apparent.
    • Patients may notice improved eyelid contours, reduced puffiness, and a more youthful appearance around the eyes.
    • It’s important to continue following up with the surgeon for post-operative appointments to monitor the healing process and address any concerns.
It’s important to note that individual recovery experiences may vary, and the timeline provided above is a general guideline. Patients should always follow their surgeon’s specific instructions for post-operative care and contact their doctor if they have any questions or experience unexpected symptoms during their recovery.

Maintaining Results

Maintaining the results of a blepharoplasty (eyelid surgery) requires some effort and care to ensure long-lasting outcomes. Here are some tips for maintaining the results following a blepharoplasty:
  1. Follow Post-Operative Instructions: Adhere strictly to the post-operative instructions provided by your surgeon. These instructions typically include guidelines for activities to avoid, proper wound care, and medication usage.
  2. Protect Your Eyes from Sun Damage: Sun exposure can cause premature aging and damage to the delicate skin around the eyes. Wear sunglasses with UV protection whenever you’re outdoors, even on cloudy days, to shield your eyes from harmful UV rays.
  3. Maintain a Healthy Lifestyle: A healthy lifestyle can contribute to overall well-being and help maintain the results of your blepharoplasty. This includes eating a balanced diet, staying hydrated, getting enough sleep, and avoiding habits like smoking, which can accelerate aging and affect skin quality.
  4. Use Skincare Products: Incorporate gentle skincare products into your daily routine to keep the skin around your eyes moisturized and nourished. Look for products specifically formulated for the eye area, such as eye creams or serums containing ingredients like hyaluronic acid, peptides, and antioxidants. Our aestheticians at Restoration MedSpa can help recommend products for you.
  5. Limit Alcohol and Caffeine: Excessive consumption of alcohol and caffeine can lead to dehydration and puffiness around the eyes. Limit your intake of these substances to help maintain the results of your blepharoplasty.
  6. Regular Eye Exams: Schedule regular eye exams with an ophthalmologist to monitor the health of your eyes and address any concerns that may arise, such as dry eye syndrome or other eye conditions.
  7. Consider Non-Surgical Treatments: Depending on your specific needs and preferences, you may opt for non-surgical treatments to complement the results of your blepharoplasty. These may include injectable fillers, Botox, or laser skin resurfacing to address fine lines, wrinkles, or other signs of aging around the eyes.
  8. Stay Hydrated: Drinking an adequate amount of water helps maintain skin hydration and overall health. Aim to drink at least eight glasses of water per day to keep your skin looking healthy and youthful.
  9. Manage Stress: Chronic stress can contribute to the appearance of tired-looking eyes and accelerate the aging process. Practice stress-reducing techniques such as meditation, deep breathing exercises, or yoga to promote relaxation and maintain a youthful appearance.
By following these tips and maintaining a consistent skincare routine, you can help preserve the results of your blepharoplasty and enjoy a refreshed and youthful appearance around your eyes for years to come.

Possible Complications

While blepharoplasty is generally considered safe, like any surgical procedure, it carries some risks and potential complications. It’s important for patients to be aware of these potential complications before undergoing surgery. Here are some possible complications of blepharoplasty:
  1. Bleeding: Some bleeding is normal after surgery, but excessive bleeding can occur in rare cases. Your surgeon will take steps to minimize the risk of bleeding during and after the procedure.
  2. Infection: Though uncommon, infections can occur following blepharoplasty. Signs of infection include increased redness, swelling, warmth, and pain around the incision sites. Antibiotics may be prescribed to prevent or treat infections.
  3. Poor Wound Healing: In some cases, incisions may heal poorly, leading to delayed wound healing, wound separation, or hypertrophic scarring. Following your surgeon’s post-operative care instructions can help minimize this risk.
  4. Eyelid Asymmetry: Achieving perfect symmetry between the two eyelids is challenging, and subtle differences in eyelid position or shape may occur. In some cases, further revision surgery may be needed to address noticeable asymmetry.
  5. Dry Eyes: Temporary or permanent dry eyes can occur after blepharoplasty, particularly if the surgery involves the removal of too much skin or fat. Symptoms may include eye discomfort, redness, irritation, and blurred vision.
  6. Ectropion or Entropion: Ectropion occurs when the lower eyelid turns outward, exposing the inner surface of the eyelid, while entropion occurs when the lower eyelid turns inward, causing the eyelashes to rub against the eye. These conditions may require additional surgery to correct.
  7. Ptosis (Droopy Eyelid): Ptosis can occur if the muscles responsible for lifting the eyelids are weakened or damaged during surgery, resulting in a droopy appearance of the eyelids. Ptosis may require surgical correction.
  8. Sensitivity to Light: Some patients may experience increased sensitivity to light (photophobia) following blepharoplasty, which usually resolves over time but may persist in some cases.
  9. Altered Eyelid Function: In rare cases, blepharoplasty can lead to changes in eyelid function, such as difficulty closing the eyelids completely (lagophthalmos) or problems with eyelid movement.
  10. Anesthesia Risks: General anesthesia carries its own set of risks, including allergic reactions, breathing difficulties, and adverse reactions to medications. Your anesthesiologist will discuss these risks with you before the procedure.
It’s essential to discuss the potential risks and complications of blepharoplasty with your surgeon before undergoing surgery and to follow all pre-operative and post-operative instructions carefully to minimize the risk of complications. If you experience any unusual symptoms or complications after surgery, be sure to contact our office promptly for evaluation and treatment.

Blepharoplasty Before & After Photos