Eyelid Surgery

Blepharoplasty is a surgical procedure that addresses excess skin, fat, and muscle around the upper and lower eyelids. It may be performed to correct drooping upper eyelids that can interfere with vision, reduce under-eye puffiness caused by herniated fat pads, or smooth hooded upper lids that contribute to a tired or aged appearance. At Allure MD Plastic Surgery & Dermatology in Newport Beach, Dr. James Rosing, MD, FACS evaluates each patient individually to determine whether upper blepharoplasty, lower blepharoplasty, or a combination approach is most appropriate for their anatomy and goals.

Ideal candidates for blepharoplasty are generally adults in good overall health who have realistic expectations about outcomes. Common reasons patients seek a consultation include excess upper eyelid skin that creates a hooded appearance, persistent under-eye bags that do not respond to rest or skincare, or a fatigued look that does not reflect how they feel. Certain medical conditions — such as dry eye syndrome, glaucoma, thyroid eye disease, or cardiovascular issues — may affect candidacy and will be carefully reviewed during a consultation with Dr. Rosing. A thorough evaluation at our Newport Beach practice helps determine whether surgery, a non-surgical alternative, or a combination approach is the right path.

Upper blepharoplasty focuses on removing or redistributing excess skin and occasionally fat from the upper eyelid, which can restore a more open, refreshed appearance and, in some cases, improve peripheral vision when significant ptosis is present. Lower blepharoplasty addresses puffiness, hollowness, or loose skin beneath the eyes, often by repositioning or removing herniated fat pads and tightening the lower lid tissues. Some patients benefit from both procedures performed during the same surgical session. Dr. Rosing will recommend the approach that best aligns with your anatomy and aesthetic goals.

In some cases, upper eyelid surgery may improve functional vision when significantly drooping skin obstructs the upper visual field. When vision impairment is documented, a portion of the procedure may qualify for insurance coverage — though this varies by insurer and requires specific pre-authorization criteria to be met. Patients from across Orange County, including Irvine and Costa Mesa, often inquire about the functional benefits of upper blepharoplasty during their consultations at Allure MD. Dr. Rosing can refer patients for a visual field test to determine whether a functional component applies to their situation.

Preparation for blepharoplasty typically involves a pre-operative medical evaluation, a review of all current medications, and laboratory testing if indicated. Patients are generally advised to discontinue blood-thinning medications, aspirin, certain herbal supplements, and NSAIDs for a period specified by Dr. Rosing prior to surgery. Smoking should be stopped at least several weeks before and after the procedure, as nicotine can impair healing and increase complication risk. Patients are asked to arrange transportation home and to have a responsible adult available to assist during the first day of recovery. A detailed pre-operative checklist is provided at your consultation at our Newport Beach office.

Yes. Patients who wear contact lenses are typically advised to discontinue use for a period before and after surgery — often at least two weeks post-operatively — as the eyes may be sensitive, swollen, or dry during healing. It is important to bring your eyeglasses to wear during recovery. Dr. Rosing's team will provide specific guidance based on your individual eye health and the extent of your procedure.

Recovery from blepharoplasty is generally more manageable than many patients expect, though timelines vary by individual and by the scope of the procedure. Most patients experience noticeable swelling and bruising during the first one to two weeks. Many patients feel comfortable returning to desk work or light activities within seven to ten days, though strenuous exercise and heavy lifting are typically restricted for three to four weeks. Final results continue to refine over several months as residual swelling fully resolves. Following all post-operative instructions provided by Dr. Rosing is important for a smooth recovery.

In the hours following blepharoplasty, patients typically experience tightness, mild discomfort, and sensitivity around the eyes. Cool compresses and prescribed medications help manage swelling and discomfort during the first few days. The eyes may feel dry or irritated, and temporary blurring of vision can occur, which generally resolves quickly. Sutures are usually removed within five to seven days. It is important to keep the head elevated, avoid rubbing the eyes, and protect the area from sun exposure during the initial recovery period. Dr. Rosing's care team in Newport Beach is available to answer questions and monitor healing at scheduled follow-up appointments.

Eyelid surgery results are considered long-lasting, and many patients report satisfaction with their outcome for a decade or more. However, the natural aging process continues after surgery, and factors such as genetics, sun exposure, skincare habits, and lifestyle choices may influence how long results are maintained. Upper eyelid results tend to be particularly durable because the skin in that area is not subject to the same degree of repetitive movement as other facial areas. Some patients may choose to complement their surgical results with non-surgical treatments such as injectables or skin resurfacing over time. Results vary from patient to patient.

Blepharoplasty incisions are typically placed in areas that allow scars to be well-concealed. Upper eyelid incisions are positioned within the natural crease of the eyelid, where they generally become difficult to detect once healed. Lower eyelid incisions may be placed just below the lash line or, in transconjunctival approaches, on the inner surface of the lower lid where no external scar is created at all. Most patients find that any residual scarring fades significantly over several months and is minimally noticeable. Proper wound care and sun protection during healing support optimal scar maturation.

The cost of blepharoplasty varies depending on whether upper eyelids, lower eyelids, or both are addressed, as well as anesthesia fees, surgical facility fees, and any associated pre- and post-operative care. When a functional vision component is documented, partial insurance coverage may apply for the upper eyelid portion, subject to your insurer's criteria. Allure MD Plastic Surgery & Dermatology offers financing options to help make treatment accessible. Contact our Newport Beach office directly for current pricing and to schedule a consultation with Dr. Rosing.

Blepharoplasty is one of the more commonly performed facial procedures and is generally considered safe when performed by a qualified, board-certified plastic surgeon. As with any surgical procedure, potential risks exist and may include temporary or prolonged dry eyes, asymmetry, infection, bleeding, changes in sensation, difficulty fully closing the eyes, or — in rare cases — changes in vision. Choosing a surgeon with appropriate credentials and experience is an important factor in minimizing risk. Dr. James Rosing, MD, FACS is a Stanford-trained, board-certified plastic surgeon with over 14 years of experience who carefully screens candidates and follows evidence-based surgical protocols to support patient safety at Allure MD in Newport Beach.