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 KS
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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 KS, 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 KS.
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 KS, 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 Wichita, KS.
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Patient Testimonials
Read real reviews from the Anzolo community
I went to Dr Poggi for a revision on my lip due to an injury. He asked me if I was “ready to stop looking like a boy”. I was only nine years old when this injury happened so it was incredibly hurtful to hear a doctor speak to me so disrespectfully. I would NEVER recommend him to anyone due to his disrespectful nature. He belittles his patients into believing they need additional cosmetic help. 0/5 stars.
Cassie Drendel on Joseph Poggi, Dr via Google Reviews
Cannot recommend Dr. Poggi highly enough. I had two procedures by him and I'm thrilled with my results. His skills as a surgeon are unparalleled in Wichita. His bedside manner and great sense of humor made me feel like I could trust him and that he really cared about me as a patient. I never thought I could be so completely comfortable with a male doctor, but he's a perfect balance of professional and personable. His staff are also perfectly professional and friendly. I'd have him as my GP and go to him for all my medical needs if I could.
Christine Bradshaw on Joseph Poggi, Dr via Google Reviews
I went to Dr Poggi after years of being uncomfortable and self conscious with my body. Even before kids I had a lot of insecurities. Dr Poggi and his team were welcoming from the beginning. This was a very new experience for me but not new to Dr. Poggi and his team. They answered my questions with patience and compassion and quelled my fears with knowledge and experience. Dr Poggi is honest and straightforward and has a way of disarming the nerves. He is good at what he does and he knows it but in a way that is reassuring and comforting. That kind of confidence is what you want in a plastic surgeon. I liked how I could be honest and upfront with him. From the before pictures to the after pictures I felt taken care of, respected and understood. Celeste and Carly are amazing. Celeste is his right hand Woman and together they saw me through my recovery. They reassured me and answered soooo many questions. At 9 weeks post op my incision looks amazing and I am beyond happy with the results. It is so much better than I could have imagined. I knew he was good but damn…good is an understatement. I love my body and I am so glad that I chose Dr Poggi and his team for this. When you are going into surgery and recovery you want to be confident in your choice for a Dr and there is no better in Wichita. Recovery is tough and there were times I second guessed myself but never once did I second guess him, his ability or his team.
Jil Whitfield on Joseph Poggi, Dr via Google Reviews
I have 184 Google reviews. This is the first one star I have EVER left. So trust me when I say that it took a lot to post this. I had my surgery here in January 2024 and my personal experience with Dr. Poggi has been absolutely terrible. He has only what I can describe as a very sensitive ego. The women working here are incredible though.
During my first consultation Poggi had zero regard or care for what I was saying to him. He continuously interrupted me any time that I attempted to get a word in and talked over me rather than listened. A couple of years later I come back to Poggi as I had saved up more money for this surgery. Poggi’s immediate comment to me was “Wow you got fat, man”. I had gained 15-20 pounds by that point due to a medication and it was humiliating to hear a doctor say that, especially in his field of plastic surgery. He later claimed to be joking, but why would you joke like that when your patients come to you with physical insecurities that they are wanting fixed?
Surgery day I bring in example photos of what I am wanting as I was worried he had ignored what I asked for previously (he did) and he shoos away the photos and says “We’re making your chest more masculine. I don’t need to see those.” Again ignoring any of my concerns.
Five months after my surgery was over with I regrettably scheduled an appointment with Poggi as I felt that he didn’t take enough of the gland or fat out of my chest. If he had listened to what I was asking for from day one then this wouldn’t have been a problem.
This is where his sensitive ego really came to light. He walked into the room immediately on the defensive and clearly angry demanding that I be honest with him and tell him what the problem is. I try explaining my concerns to him but he continues to interrupt and talk over me with a negative attitude. He is raising his voice at me so much that his nurse had to intervene and tell him to stop. I was trying to show him photos on my phone and he’s forcibly tapping and grabbing at my phone clearly angry at the situation and practically yelling that he doesn’t know what I’m talking about. And remember at this point I simply came in to have a conversation with them. After the surgery was over I was told that I could come in at any point if I had any concerns at all. While trying to explain my concerns he is very loudly and aggressively speaking over me. I told him that he’s being difficult to talk to at one point and he responds “Well maybe you just don’t know how to talk”. I have a slight stutter naturally and freeze up when nervous and I can only assume that this was his way of teasing me about it. His nurse had to tell him to stop again. For the rest of this meeting he became completely obsessed with my comment about him being hard to talk to that he would not stop prying. He wanted exact and specific examples. At this moment he was more worried about his hurt ego during this meeting than he has ever been over my procedure or concerns. I gave him examples of how he hasn’t been the best listener in hopes that we could move on from this fixation but rather than respond he just sits there and stares at me. Concerned I asked what was going on and he sarcastically responds “Well I’m listening like you wanted now aren’t I?”
I scheduled the revision today while he sat there and berated me in front of his nurse, but I’ve decided to cancel it and potentially pay the $6,000 again to another plastic surgeon that is more experienced as I just want to put this entire situation behind me and move on from this awful surgeon. I can’t imagine this man going anywhere near me with a sharp object after his tantrum today.
I also later found out that my sister went here when she was 9 years old for reconstructive surgery on her lip. He asked her if she was “ready to stop looking like a boy”.
I wouldn’t recommend Poggi Plastic Surgery to anyone. Poggi does not stand behind his work and uses what I can only describe as intimidation tactics to avoid any sort of revision surgery.
Daniel on Joseph Poggi, Dr via Google Reviews