Types of Eyelid Surgery
The two primary types of eyelid surgery are upper and lower blepharoplasty.
Schedule onlineAn upper blepharoplasty uses an incision in the creases of the upper eyelid to remove skin and fat. A thin stitch is used to close the skin.
A lower blepharoplasty involves an incision just below the lower lash line. Alternatively, an incision may be made on the inside of the lower eyelid (transconjunctival technique). This provides the surgeon with access to the eyelid without any visible incisions, and it is typically used for patients who require changes to the fat.
Eyelid surgery may be combined with laser resurfacing of the eyelid skin to soften lines and wrinkles around the eyes.
Upper Eyelid Surgery
If your eyelids are always drooping, you may look tired or sad. Upper eyelid surgery may help restore a naturally youthful shape. The procedure aims to correct sagging, wrinkled, and loose skin to give your eyes a more open, refreshed appearance.
Lower Eyelid Surgery
If you’ve noticed puffy, sagging bags beneath your eyes, lower eyelid surgery might be a good option. As we age, herniated fat collects beneath the eyes, resulting in bags that become more noticeable over time. Puffiness and bags can occur in patients as young as their mid-twenties resulting in a prematurely aged appearance.
The Advantages and Disadvantages of Eyelid Surgery
Blepharoplasty surgery is considered low risk and offers long-lasting results, making it one of the most popular cosmetic surgical procedures.
Pros: Eliminates puffiness and bags under your eyes; Removes hooded skin from upper lids; Addresses any vision problems from heavy upper eyelids; Scars are hidden in the natural creases of your eyelids; If surgery is done under local anesthetic, there is less post-operative nausea and a shorter recovery time; Surgery usually takes under an hour; Recovery time is short, within one to two weeks; If your eyelids are obscuring your vision, surgery may be covered by insurance.
Cons: Some downtime after surgery, and you can expect swelling and bruising; You may need to have additional surgery, such as a brow lift; Some risk of bleeding and infection; Results aren’t permanent as the aging process continues – you may need another blepharoplasty after approximately 15 years; Slight risk of injuring your eye muscles; Correcting puffiness under the eyes may cause a more recessed, darker appearance in the undereye area – fat transfers and facial fillers may help; Removing too much skin during the surgery may interfere with closing your eyes.
Eyelid Surgery FAQs in CA
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How is blepharoplasty surgery performed?
Blepharoplasty can be performed on the upper or lower eyelids individually or both eyelids at the same time. During the procedure, the surgeon makes incisions in the crease of the upper eyelid and beneath or behind the lower eyelid. The placement of the incisions help hide scars after the area heals.
The surgeon marks the areas where excess skin and fat needs to be removed. Underlying muscle may also be removed or tightened with sutures.
The tissue is removed using surgical instruments, such as scalpels, cutting lasers, surgical scissors, and other specialized surgical devices. After the tissue is removed, the surgeon closes the incisions with sutures or tissue adhesives.
The surgeon carefully determines the amount of skin, muscle, and fat that needs to be removed, taking into account your facial muscle structure, eyebrow symmetry, and bone structure. If you have dry eyes, the surgeon may opt to remove less tissue and, in so doing, avoid exposing more of the eye to the air so that symptoms don’t worsen.
Optional Steps During the Procedure
Carbon dioxide (CO2) laser may be used to smooth wrinkles and lines around your lines, as well as to resurface the skin in the eyelid and eyebrow area.
A brow lift may be performed in conjunction with eyelid surgery. The procedure involves making an incision near the brow area and tightening the skin.
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How do you prepare for eyelid surgery?
Before undergoing eyelid surgery, you will need to have a thorough examination and discussion with your surgeon, to include the benefits, as well as the potential risks of the procedure. Your doctor provides pre-operative and post-operative instructions that you will need to follow closely. This will include any medication for pain relief, as well as measures to minimize discomfort, such as gauze, gel packs and artificial tears.
At the time of the consultation, your surgeon explains if the procedure requires local or general anesthesia. This usually depends on the complexity of the blepharoplasty and whether you are undergoing additional cosmetic procedures at the same time.
Before the day of the procedure (especially if it will be done under general anesthesia), you may need to:
- Stop taking blood-thinning medication, including non-prescription pain medications, such as ibuprofen and aspirin
- Eat a light meal the evening before the surgery
- Remove all makeup
- Refrain from eating or drinking anything after midnight
- Arrange for transportation to and from the surgical appointment
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How long is the recovery time?
Compared to other facial cosmetic procedures, the recovery time after blepharoplasty is relatively short. You may notice that bruising and swelling are worse on the day after the surgery. The swelling and the bruising quickly begin to go down after the first 24 hours.
During the first 48 hours after the surgery, you can use cool compresses to reduce the bruising and swelling. Light exercise, such as walking, helps accelerate healing, but you should avoid any strenuous activities.
Incision sites are covered with thin bandages, so you may not be able to see for the first five days or so. The sutures used for the procedure dissolve between four and seven days after the procedure. If your surgeon used non-dissolving stitches, they are removed seven to 10 days after the procedure.
You may experience red and bloodshot sclera (the whites of your eyes). You should not wear eye makeup or use skin care products in your eye area. If you wear contact lenses, you can use them again once the swelling has subsided.
You should be able to return to normal activities seven to ten days after the surgery. The majority of bruising and swelling should have disappeared after two weeks.
Your doctor will offer advice on pain medication that you can use to stay comfortable. In most cases, you will only need non-prescription pain relief. You can expect discomfort, but if you have severe pain or impacted vision, call your surgeon immediately.
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What are the risks and possible complications of eyelid surgery?
Dry eyes is one of the most common complications of eyelid surgery. This is typically due to not being able to close your eyes completely. This condition usually resolves within one to two weeks. You can use eye drops to keep your eyes moist. In some cases, the dry eye condition persists for more than two or three months and may require additional corrective surgery.
Other possible complications include:
- Infection of the eyelid
- Double vision
- Vision loss (due to retrobulbar hemorrhage)
- Noticeable scarring
- Incorrectly positioned eyelids
- Under- or over-correction
- Eyelid numbness
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How much does eyelid surgery cost? Does insurance cover the cost of blepharoplasty?
The cost of eyelid surgery varies. In CA, the average cost is $2,000 to $5,000. Surgeons charge different rates based on their experience, sub-specialty, and facility where the surgery is performed.
The starting cost for a basic upper eyelid surgery without fat removal is $2,000. More complicated eyelid surgeries that involve the upper and lower eyelids may cost $5,000, and this includes removal of fat. These estimates are for surgeon fees only, and There may be additional costs of $800 to $2,000 from the facility in CA.
In general, eyelid surgery is not covered by insurance, as it is considered a cosmetic procedure. The exception to this is if is a functional blepharoplasty to correct vision obstruction from sagging eyelids. In this case, prior authorization is typically required by insurance carriers. Your medical insurance may cover a portion of the cost.
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Who are the best candidates for eyelid surgery?
If you have drooping or sagging skin around your eyes due to aging, blepharoplasty may be a good option if you are in good health. For most people, eyelid surgery is performed for cosmetic reasons after the age of 40. This is when patients typically begin to notice the signs of aging around the eyes as their skin loses elasticity. While it may make a significant difference in your appearance, it is important to have realistic expectations.
An ideal candidate for a lower eyelid procedure has puffiness under the eyes. Puffiness can be hereditary, due to fluid accumulation, or related to aging.
If you are considering eyelid surgery, schedule a consultation with an experienced, qualified cosmetic surgeon to learn more about the procedure. The surgeon determines if you have any risk factors for complications associated with the procedure, such as dry eyes, diabetes, and thyroid eye disease. Health problems may mean that you cannot safely have the procedure.
Smoking delays the healing process, and it is considered to have an increased risk of complications following surgery. If you are a smoker, you may need to stop smoking for several weeks before the surgery.
Performing eyelid surgery on people of Asian descent is more difficult due to the unique structure of the eyelids. Therefore, this population is considered at higher risk of sub-optimal outcomes. If you are in this population, look for a surgeon who specializes in eyelid surgery for people of Asian descent.
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How long do the results of blepharoplasty last?
The results of eyelid surgery may last up to 10 to 15 years. The aging process will continue and, as with any cosmetic procedure, the results will not last indefinitely. You may need a subsequent eyelid surgery in the future.
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Which procedures are often combined with eyelid surgery?
Many patients will choose to address signs of aging by having several facial procedures at the same time. Eyelid surgery can be performed as a standalone surgery. However, it is often combined with a facelift (to address jowls and sagging) and/or a brow lift (for sagging and forehead wrinkles) for full facial rejuvenation.
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Are there non-surgical alternatives to eyelid surgery?
f you have concerns about eyelid surgery and would prefer a non-invasive alternative, injectables may offer temporary anti-aging benefits. Discuss your options with a qualified surgeon.
Alternatives to Upper Eyelid Surgery
Droopy eyelids may be improved with Botox® or Dysport® to raise the eyebrows. This involves making injections in the muscles that pull the eyebrows down. This costs around $500 to $600 in CA, and the effects last for four to six months. Fillers, such as Restylane® or Juvéderm®, may also help by raising the corners of the eyebrows to raise your upper eyelids. Expect to pay approximately $700 for this treatment, and the results may last six to 18 months.
Alternatives to Lower Eyelid Surgery
Lower lid puffiness can be addressed with fillers. Fillers create a smooth surface from the lower eye area to the upper cheeks. This is most effective if the patient has firm skin under the eyes with minor puffiness.
See below for a list of the top-rated eyelid surgery specialists in Danville, CA.
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Patient Testimonials
Read real reviews from the Anzolo community
Omg.. I spent 1200 on my Botox. The nurse who gave me the Botox did a horrible job! I ended up with a bruises all over my face, black eye, and now a droopy eye! I just want to cry.
May Yang on Pauline Joy Santos, Dr via Google Reviews
- There is about 4 yelp pages for this office that future patients should keep in mind by checking first prior to being seeing here, also if you notice, ALMOST ALL good reviews is because of their medspa.. not surgery side -
I had a breast augmentation back in February of last year. A couple months later I noticed they were drooping and painful if I wasn’t wearing a bra. I came in to be seen as was told to wear buy a push up wire bra AND a shower bra so my breasts are supported 24/7 until a year post op.. which as a girl, you know is highly uncomfortable and a main reason to getting your boobs done is be able to not wear a bra and your breasts look perky. I was pretty upset but remained patient and cooperative even though I had just paid so much money to get them done to be told that. I was scheduled a post op in a year and was told I’d be taken care of if a revision surgery is needed. I came in a year post op, and was sent a quote for double of what I even paid for my breast augmentation of almost $12,000 to fix this mess. I wasn’t happy and was then sent a new quote for around $7900. Which apparently both included a “discount”. My original augmentation cost $7600. The front office staff (in surgery dept) are very passive aggressive and rude which other reviews reference the same. I had to wait a month to even get sent my original quote as they ignore messages. This office is trying to profit even over fixing a surgery that could have been done correctly the first time.
I had originally asked for ultras which naturally sit higher prior to my surgery but was told I wouldn’t need them. If I had got those to begin with, this wouldn’t be happening. I have a close friend who got her breast augmentation done a bit before I did, hers bottomed out and her office redid them immediately for just the cost of the anesthesia fees which I think anyone would think is fair.
I have read other reviews stating they weren’t happy with results and their concerns were brushed off as well. From what I am hearing and seeing if you do your research on this office they do not work with you if things go wrong.
Going to an office for plastic surgery you want to be assured you will be taken care of even after you pay as results can vary up to a year post op even. This office isn’t capable of doing so unless you pay them more than your original surgery costs. Mine as well go somewhere else and pay $20,000 for a breast augmentation done right cause taking the chance of it not, you will end up paying double here.
I will be posting the ridiculous quotes and all the times I’ve reached out to the front office with no response shortly.
UPDATE 8/25/25 -
Posting an update on my previous review. I have been suffering from back pain from being told I have to wear a 24/7 wired push up bra to keep my breast from continuing to drop due to medical negligence. I can't even wear a comfortable bra support because it isn't enough hold to prevent further damage. This office does not care to leave their patients in this condition and they do have previous lawsuits against them already. PLEASE LADIES DO NOT GET PLASTIC SURGERY DONE HERE. There are plenty of other plastic surgery practices that actually care for their patients well being and outcome of the surgery. Other offices provide care to patients not only before but after to ensure proper results which is essential in plastic surgery. I also have nerve damage where the implants were placed. All around unprofessional and neglectful to leave any patient in this condition due to their errors.
Michaela B on Pauline Joy Santos, Dr via Google Reviews
I debated writing this review, but I hope it will be helpful for anyone considering Dr. Stompro for breast augmentation or any other surgery. Its been over a year since my breast augmentation and I think I could have achieved better results from a different surgeon. I'm in the process of looking for a new surgeon to revise his surgery and hopefully get to the results I initially asked for. It is not horrible work, but it could have been better and the healing process was a nightmare. Let me jump to the beginning of how I picked him. When I met with him it was a great consult and he was thoughtful and heard me out on my wants and needs and concerns. The prep process prior to surgery was thorough and well done. Surgery also went really well and no complications. He even called that first night to make sure I was doing well and I appreciated that very much. However, that first week post-surgery I was having pain and needed an adjustment in pain medicine, but his main assistant treated me like I was a drug seeking addict and scoffed at me over the phone and even laughed at me for requesting a different form of pain medicine. She was very rude every time I called and I had to request to speak to a different office assistant so that I could demand Dr. Stompro call me instead of pushing my concerns getting pushed off. I finally heard back from him and received muscle relaxers which made the recovery process more tolerable. The other issue I had was each post op visit I was seen by his nurses and never Dr. Stompro. I would try to rearrange my schedule to meet with him only to be told that he needed to reschedule me again because he couldn't meet in person. Its been over a year and I still haven't seen him for any of my follow-ups. I've also had excruciating scarring that he and his office nurses just advised to massage it. This did nothing and I still have nodules and deep pigmented scarring with no help from his office on how to reduce the pain sensation that comes and goes or help the appearance of the scars. So ultimately, he seems like a wonderful man in-person and an attentive surgeon in the beginning, but beware his first assistant who is extremely unprofessional, condescending, and judgmental and be ready to never see Dr. Stompro post surgery and only his nurses. All concerns will be brushed aside and you might not be the most pleased with your results. Highly recommend another office if seeking cosmetic surgical interventions.
Cierra Bowbeer on Pauline Joy Santos, Dr via Google Reviews
They are the absolute best. They always make me feel comfortable if I need to adjust my treatment for funds. I don’t ever feel like they judgmental, which is really important to me. All in all, I just feel like they always have my best interest at heart which for this kind of treatment is something you really want.
Sabrina Mariscal on Pauline Joy Santos, Dr via Google Reviews