Eyelid Surgery

Conveniently located to serve the areas of New Jersey and New York

Eyelid Surgery patient looks at the viewer

The eyes are often the first thing people notice about one’s face and are an important aspect of facial attractiveness. Unfortunately, over time an upper eyelid and /or lower eyelid may become “droopy” or “baggy” because the eyelid skin stretches, muscles weaken, and fat pockets bulge and become more prominent around the eyes. The eyebrows also may sag or droop as part of this same process. This most commonly occurs because of the aging process but may also be due to a hereditary condition that runs in your family.

Aesthetically, such conditions may detract from the overall attractiveness of the eyes and cause one to appear “tired”, older, and even “unhappy”. When severe, these conditions also may cause functional problems, such as impaired field of vision (secondary to eyelid hooding due to very droopy eyebrows and/or baggy upper eyelids) or difficulty wearing glasses (secondary to baggy lower eyelids).

Before and After Photos

Eyelid Surgery Explained

Eyelid surgery is aimed to improve the appearance of the eyelids is termed “blepharoplasty”. Blepharoplasty is usually an outpatient procedure performed under local anesthesia, with sedation if desired. General anesthesia may be used as well to add to the patient’s comfort.

Goal of Eyelid Surgery

The goal of eyelid surgery is to improve the “baggy” or sagging tissues, which may include skin, muscle, and/or fat pockets. During upper blepharoplasty, typically redundant eyelid skin and fat are reduced. During lower blepharoplasty, either only the fat pockets need to be reduced or the excess skin also may need to be removed and the eye muscle may need to be tightened.

What To Expect

Upper Blepharoplasty

During eyelid surgery, incisions are made in the natural folds of the eyelid so that they are virtually unnoticeable after the tissues have healed. Upon the completion of the procedure, the incisions are closed with fine sutures. If only fatty tissue needs to be removed from the lower eyelid, and not any skin, the surgery can be performed behind the eyelid. This surgery is known as “transconjunctival blepharoplasty” and leaves no visible scar. The procedure lasts roughly an hour and is performed with sedation anesthesia at an accredited out-patient surgical facility. Not infrequently eyelid surgery is combined with other procedures, such as a browlift or facelift for a more complete facial rejuvenation. However, eyelid surgery in and of itself makes a tremendous improvement in one’s appearance and is often performed as a stand alone procedure. Dr. Ovchinsky’s state-of-the-art blepharoplasty technique provides patients with natural results that are safe, long lasting, produce minimal scars and allow for the quickest recovery.

Lower Blepharoplasty (external or subciliary approach)
Lower Blepharoplasty (internal or transconjunctival approach)

After Eyelid Surgery

Following eyelid surgery, recovery is usually quick and most patients are presentable one week after surgery, however many patients are up and about within the first few days. The eyelids are particularly sensitive, and a certain degree of swelling and bruising is to be expected. Cold compresses are usually applied to the eyelids intermittently during the first 24-48 hours after the surgery to reduce swelling and bruising. During the first week, antibiotic ointment is applied to the eyelids, and strenuous activity should be minimized. Sutures are removed 5-7 days after surgery and camouflage makeup can be applied at one week. Discomfort is mild and easily controlled with oral medication. We also recommend supplementing your pain medication with Arnica Montana, an all-natural remedy for aches and pains that is available How do I know if I need Blepharoplasty?

You may be a candidate for blepharoplasty if you answer “yes” to any of the following:


Schedule your consultation today with Dr. Alexander Ovchinsky, a double-board certified Facial Plastic and Reconstructive Surgery in Short Hills, NJ for your blepharoplasty surgery.