Eyelid Surgery San Diego, La Jolla

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Eye Rejuvenation “Blepharoplasty”


Patients frequently present with the complaint that they look “tired”. Often this is the result of excess skin and fat around the eyes. This can be corrected with an Upper and Lower Blepharoplasty. Blepharoplasty involves removal of skin and fat through incisions that are easily hidden. With an Upper Bleph, the incision is hidden in the Supratarsal Crease which is located 4-5 mm above the lash line. With an Asian Blepharoplasty, it is often necessary to create a supratarsal crease. With a Lower Bleph, the fat is either removed from within the eyelid (Transconjuctival Approach) or from an external approach (Subcilliary Approach). Extra skin from the lower eyelid is removed with a Subcilliary Incision. Laser tightening alone may be sufficient to correct minimal skin laxity of the lower lid.

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Dr. Reagan can perform Upper and Lower Blepharoplasty under either local or general anesthesia. Recovery consists of bruising and swelling. Head elevation, icing, and dressing compression can help reduce these symptoms. Eye drops will often be recommend in the post-op period.
Complications can include excessive swelling or bruising, dry eyes, tearing eyes, blurred vision, temporary inability to completely close the eyes, and drooping of the lower eyelid (ectropian). These symptoms usually resolve within a few weeks. Rarely (<5%) a revision under local anesthesia will be necessary to remove more tissue or correct lower lid malposition.

Please see Dr. Reagan’s article “The Eyes Have It” for more information on Blepharoplasty

  • Procedure: Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance if used to correct visual field defects)
  • Length: 1 to 3 hours.
  • Anesthesia: Local for upper bleph only, general for lower lids.
  • In/Outpatient: Usually outpatient.
  • Side Effects: Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.
  • Recovery: Bruising/swelling for 2 weeks.
  • Duration of Results: Several years. Sometimes permanent.