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Eyelid Surgery | Highlands, NC

Eyelid Surgery (Blepharoplasty)

blepharoplasty highlands NC

Since “the eyes reveal the soul,” what do yours say about you? Do they convey your inner emotion and vitality, or do they make you look sad, tired or both? As we age:

  • the tissues around the eyes stretch and descend as far as ligaments allow,
  • forming “bags” and an elongated looking lower lid as the process continues,
  • the soft tissues including fat and, to some extent, the bone atrophies,
  • the skin wrinkles,
  • the area under the eye looks dark from shadows and ability to see the underlying muscle through the thinned skin,
  • in extreme cases, sagging upper lid skin can interfere with vision,
  • the fat becomes prominent in the lower lid and in the medial upper lid,
  • attachments to bone create the characteristic bags and elongated lower lid,
  • and we look sad, tired and/or listless, hiding our inner vitality.

Some of us inherit excess fat that further hides our normal sparkle. Whether from congenital excess fat or the result of aging, blepharoplasty can rejuvenate your puffy, sagging or tired-looking eyes by:

  • removing congenital excess fat or repositioning prominent fat from aging,
  • removing and tightening loose or sagging skin,
  • tightening the sagging lid itself,
  • correcting the bags under the eyes,
  • and removing fine wrinkles.

Upper blepharoplasty is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of your field of vision. Older techniques removed significant fat from the upper lid. Today, we rarely do this since it creates a defect that later requires fat grafting. Both blepharoplasty and fat grafting are almost always done as an outpatient and frequently can be done in the office.  If you have surrounding problems, we can occasionally:

  • raise your eyebrows some,
  • reduce the appearance of wrinkles between your eyebrows,
  • make you look less tired,
  • or correct some crow’s feet through an upper blepharoplasty incision with modifications of the procedure.

If you have obstucted upper vision, this can be corrected by the blepharoplasty procedure if the problem is caused by the weight of the excess skin on the upper lid (mechanical ptosis) as the extra skin is removed. If instead you have droop of the upper lid caused by laxity of the levator muscle that raises the lid (muscular ptosis), the muscle can be shortened through the blepharoplasaty incision. This markedly corrects the “tired” look of the upper lids.

» Questions? Contact us and let us exceed your expectations.

Why consider a Lower blepharoplasty procedure?

Lower blepharoplasty will usually correct the dark circles under your eyes allowing you to look younger and more vibrant. Newer techniques give you better results that last longer and avoid many of the problems of the older methods. Today we rarely remove any of the lower lid fat, as loss of fat in the area is one of the main reasons the cosmetic problem exists. Fat removal, in fact, leads to worse problems in a few years that are harder to correct. The most effective purely surgical method to treat severe “bags” requires significant manipulation of the tissues of the lid. This is usually done under significant sedation or general anesthesia. Since this has a high rate of problems, we now do a less extensive but very safe and effective office procedure and treat any residual deformity with fat grafting. This not only provides superior cosmetic results but markedly reduces problems. You can combine this procedure with others such as a Today’s Liquid Lift, forehead lift and/or BOTOX® Cosmetic treatments to achieve other desired results. When done alone, we usually perform the procedure as an outpatient. You should be able to wear makeup and return to the public in 4-5 days. The fine incisions usually virtually disappear within several months.

While many people will require full surgical correction to achieve rejuvenation of the upper and/or the lower eyelids, others may obtain excellent correction using fillers like Juvéderm™Voluma and other Injectables, including fat. These are also excellent in correcting post surgical deformities in both the upper and lower eyelids from previous blepharoplasty, especially in those where fat has been removed.

Before and After – 49 Year Old with Lower Blepharoplasty

Before and After – 69 Year Old with Upper and Lower Blepharoplasty

Before and After – Early 60’s with Upper and Lower Blepharoplasty

Before and After – Blepharoplasty with correction of Ptosis


muscular ptosis highlands NCClick here and request an appointment or for more information on Blepharoplasty, also known as Eyelid Surgery


The American Society of Plastic Surgeons provides more general information and 3-D Animation