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 UT
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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 UT, 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 UT.
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 UT, 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 Salt Lake City, UT.
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I consulted with Dr Fairbanks Senior two years ago after having a botched facelift by somebody else and although I have not had surgery by him yet, I do have a date scheduled. I have consulted with many many doctors and I have had procedures here and there and I’ve never had a consultation like with Dr Fairbanks senior. I was so impressed in every way and I’m happy to see some recent reviews as I know that he is a little bit older of a doctor, and while I am not aegis at all, I just wanna make sure that his skills were on point and I’m happy to see some more Recent reviews and will be posting a very thorough review with photos after my surgery date which I’m looking forward to. I wish I would’ve found him before I went to the guy who screwed up my face. I described him as a doctor that stepped out of a Norman Rockwell painting, and if he wasn’t a facial plastic surgeon, I’m sure he would be carrying his old-school Dr bag and making the most wonderful house calls. I was pleasantly surprised to see his office instead of being decorated by an interior decorator it was filled with hundreds of plastic surgery books that you can tell he read every single page of and different techniques and really studied them. He literally spent 3 1/2 hours with me, showing me so many different things, and if you only knew how many consultations I’ve had in my life both in person and virtually and I can tell you that I’ve never had one like this, nor have any of my friends who have had a bunch of facial plastic surgery as well many by well-known doctors and that doesn’t necessarily mean that they came out good either. Not to say the least that his before and after pictures I’ll be at older ones they are amazing for his deep plane facelifts.
mels chicken jungle on Grant R. Fairbanks, Dr via Google Reviews
I’d like to share photos Dr. Grant R. Fairbanks masterful work of reconstructive surgery so that everyone could see his work on my nose in which had made me a more happier person than ever before. When I was ten years old I had gotten in a terrible bike accident causing me to get a hematoma and destroying my nose cartilage, eventually I got my hematoma removed and then we met Dr. Riddles a rhinoplasty surgeon who had worked on my nose twice at a really young age and ended up falling thus causing my nose to disfigure both inside and out using my ear cartilage on the right side of my ear instead of the left side. So for eighteen years my breathing through my nose was awful and that I looked ugly when I looked at the mirror or talking to people made me embarrassed than when I was twenty seven years old a neighbor told my mother about a surgeon named Dr. Grant R. Fairbanks a world renowned reconstructive/plastic surgeon that helped my neighbor’s daughter get her nose fixed. So me and my mom went and made an appointment with him and within a few months in 2017 we met him and he brought us to his exam room to inspect my nose. As he was examining my nose he noticed how awful the inside and outside of my nose was and wondered who did my rhinoplasty and we told him Dr. Riddles then he responded how old were you when he did your rhinoplasty then we responded when I was in elementary and used my right ear cartilage instead of my left ear then Dr. Fairbanks responded you never ever rhinoplasty at that age nor use ear cartilage as it crumbles in time. So then my parents knew he was a grandmaster and set up a reconstructive rhinoplasty surgery in august of 2018, then as my surgery day came up he told my parents that he’s going to graft rib cartilage and reshape my nose the best he can along with his son and that it will take ten hours to fix both inside and out. As my surgery was done I was sent to Lakeview hospital and the price for staying there was awesome, so after staying at that Lakeview hospital for three days the cost was five hundred dollars a night making it a total of thousand five hundred dollars for three nights unlike other hospitals they cost an arm a leg and a tooth just for a few days. After the surgery was done I didn’t at the mirror after a few weeks of healing I wanted to surprise myself so I looked at my mirror at home for the first time and I balled my eyes out seeing my normal nose again and when I decided to jog/run my whole block I couldn’t believe how far I could go without dying for oxygen. So for five years with a fixed nose I smile seeing my fixed nose in the mirror and can confidently talk to people without being embarrassed so if I were you reading this and are thinking of getting something fixed or improved or someone you know that needs it I highly recommend you do so cause you’ll never find someone like Grandmaster plastic/reconstructive surgeon Dr. Grant R. Fairbanks who can fix anything or improve the human structure better than any other plastic surgeon in the world. Now if your wondering why my left nostril is higher then my right one and the bridge of my nose is crooked it’s because of Dr.Riddle’s who damaged my nose and not Dr.Fairbanks and that there was nothing he could do to fix Dr.Riddle’s mistake so if you ever go to Dr.Fairbanks for the first time you’ll look like how you were originally when not injured.
Conner Russon on Grant R. Fairbanks, Dr via Google Reviews
Dr Fairbanks is an amazing plastic surgeon! I am six months post-deep plane face lift and my results continue to improve. Dr Fairbanks’ skill as a sculptor and artist are evident in the dramatic yet natural results of his patients. It’s scary entrusting your face to a surgeon and I’m glad I chose the right one!
melinda anderson on Grant R. Fairbanks, Dr via Google Reviews
My testimony to what a great surgeon Dr. Grant Fairbanks is, is based on the many years I have known him (+20), I trust him with my life (as a seasoned RN,...
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