Eyelid surgery (known as blepharoplasty) enhances or repairs cosmetic issues of the eyelids. Wrinkles and pouches beneath the eyes and sagging skin on the upper lids are the two most common reasons why patients come to our Sarasota plastic surgery center to have an upper or lower blepharoplasty. Both cosmetic concerns occur with aging and genetics and can be corrected with eyelid rejuvenation. This surgery removes excess skin, fat and tissue on the upper or lower eyelid, and tightens the underlying muscles to create an awakened look. Our Sarasota plastic surgeons are experts in eyelid surgery and can help patients look more alert, softer and younger.
Eyelid Surgery Reviews
"I had liposuction of my hips, chin and fat transfer to cheeks and eyes."- Anonymous / Vitals / Jan 11, 2015
"Excellent Plastic Surgeon, Very Caring and Very Professional - Sarasota, FL - RealSelf.comExcellent plastic surgeon, very caring and very professional. He was very concerned about my wife's pain level and kept making sure she was not in pain. Also he was very cautious about doing the proceedure making sure she would not have any other complications as she has other underlying medical conditions. Excellent doctor! - - RealSelf.comExcellent plastic surgeon, very caring and very professional. He was very concerned about my wife's pain level and kept making sure she was not in pain. Also he was very cautious about doing the proceedure making sure she would not have any other complications as she has other underlying medical conditions. Excellent doctor!"- S. / RealSelf / Apr 03, 2013
"Weight Loss of 60+ = Saggy Skin; 66 Years Young. Sarasota, FL - I am now five weeks out (8-5-14). And, yes, I am happy with Dr. Graham's handiwork. I have had no problems to speak of and am feeling like I do look younger and very natural.I am only one day out, but I can say right now, my doc has been great. My final look remains to be seen, but I am optimistic of a good outcome. He has done his part, and I just need to do mine by being a good patient and healing quickly.07-16-14 Three weeks. Very happy with Doc Graham, very kind and an artist. I would recommend him for any procedure. No problems. Smooth as these events go. . . - - I have been saving for years to do a facelift. I am ready - Weight loss of nearly 70 lbs. contributed to sagging and loose skin on face. Also wrinkles. Will have fat injections around eyes and cheek and mouth, neck and face lift. I am very comfortable with the doc and facilities of where I am going."- M. / RealSelf / Jun 06, 2014
"42 Year Old with Wrinkles on Lower Eyelids - Sarasota, FL - Dr Scott Engel was very professional and truly listened to my questions. He was very knowledgable and spoke to me in a manner where I understood the procedures. He made me feel very comfortable and not so afraid of surgery. I am very pleased with Dr. Engel!! - - I can't say enough wonderful things about Dr. Scott Engel and his staff. He is a very compassionate person. He listened to my concerns and then made his recommendations. He suggested I have a Lower Blepharoplasty with Fat Injections to the hollow areas in the lower eyelid region. I proceeded with the procedures and I am extremely happy. My eyes look wonderful. My whole face has a more youthful appearance. Thank you Dr. Engel!!!"- S. / RealSelf / Jul 15, 2014
"35 Yr Old, Single Mom with Amazing Tummy Tuck Results. Thank You Dr. Engel! - Sarasota, FL - Dr. Engel is knowledgeable, thorough, professional yet very personable, great bedside manner and a true artist. He definitely has a gift! He is supported by a great staff and I will continue to highly recommend him and Sarasota Plastic Surgery Center. I look forward to my next procedure with him, a lift and breast augmentation, in the future. I will without a doubt go into it with complete confidence. Thank you for my beautiful new belly! - - I want to give a big THANK YOU to Dr. Engel and all his staff at Sarasota Plastic Surgery Center. I am a 35 yr old single mom with a now 13yr old son. At 22, when I was pregnant with my son, I gained 40 lbs and weighed in at a total of 204 lbs by the end of my pregnancy. Needless to say, I ended up with severe stretch marks and loose skin. After having my son I've worked very hard over the years to get and stay in shape. Yet was never able to tighten the flabby, loose, unwanted, unsightly skin on my abdomen despite all my efforts and healthy diet. I am 5'8 and pre surgery I have maintained an avg. of 130lbs for several years. However I was still extremely self conscious of my stomach wearing clothes or not. I live in one of the most beautiful beach communities and for the past 13 years I would avoid any activity that required being in a bathing suit like the plague. Its has been extremely emotionally taxing for the last 13 years. Finally at 35 I was tired of not being able to enjoy the beauty around me. I made the decision I deserved to feel good. I was familiar with Sarasota Plastic Surgery Center because I have been seeing Bridget Forgette (who is amazing by the way), their PA for my sclerotherapy and Botox for several years. In my thorough research Dr. Engel came highly recommended and from word of mouth is well know in the area for all areas of his work especially abdominoplasty aka Tummy tucks. Even though I knew I really wanted to have this procedure, naturally there was still a great amount of fear with me being a single mom. I questioned, was this out of vanity? Was this a selfish thing to do for myself financially? I was concerned about going under general anesthesia, the recovery, how long I was going to be out of work, etc. After my initial consultation with Dr. Engel I was completely comforted and confident I was in good hands and he was the surgeon for me. I scheduled my sugery for July 13th, 2015, the same day of my consultation. Its been almost 2 mos since my surgery and Dr. Engel's work has far exceeded my expectations. I am so pleased with my results! its been a smooth recovery and everything is healing beautifully. I am obsessed with my beautiful new belly button!! Yesterday, Sept. 6, 2015 was my first visit to the beach, in a bikini and I was, for the first time in 13 years, confident enough to have my picture taken and take my cover up off standing up. It seriously brought tears to my eyes to feel this good in my own skin again. This was all made possible by Dr. Engel, his expertise and staff. I also want to thank his nurses, especially Lisa, for answering any questions and concerns I had leading up to the surgery and post op. I had a lot of questions and they were always patient and comforting with me. My phone calls, if not taken immediately, were returned in a timely manner. This also built my confidence in my decision that I was with the right doctor and practice. Today I feel like a new person, I have a new sense of self and my body back. The recovery had its tough moments but I would do this surgery ten times over. This was one of the best things I have ever done for and myself. Dr. Engel made my dream a reality... I can't say thank you enough!Please see for yourself below my before and after... the after photo was taken approx 6 weeks post op.Tracie J."- T. / RealSelf / Sep 06, 2015
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.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 1 Hour
- Post-op Follow-up
- 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.