Eyelid Surgery/Blepharoplasty

Make Your Face Happy Again, Remove Those Droopy Lids
And Bags Below Your Eyes

Eyelid Surgery Video

Do you have droopy eyelids or unsightly bags beneath your eyes?

Are they making you look older than you are?

Now you can refresh your look and your face with a Blepharoplasty or Eyelid Surgery.

Eyelid surgery (technical term blepharoplasty) is a procedure to remove redundant fat, skin and sometimes muscle from the upper and lower eyelids.

Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – the unwanted aesthetic appearance that make you look older and more tired than you feel. Sometimes the severity may even interfere with your vision.

However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Eyelid Surgery (Blepharoplasty) can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

If you’re considering eyelid surgery, having a formal consultation with Dr.Vu will provide you with thorough understandings about the procedure and for you to communicate with her about your expectations.

Schedule Your Blepharoplasy/Eyelid Surgery Consultation With Dr. Vu Today By Calling 503.601.2910 or Toll Free 866.297.8522.

This is a procedure covered by CosmetAssure. Learn how Dr. Vu protects you from any potential financial burden from complications by visiting our Complications Assurance page.


Eyelid Surgery – A Quick Glance

Who Is An Eyelid Surgery Candidate?

  • If you have excessive, sagging or wrinkled upper or lower eyelid skin. If you have excess upper eyelid skin that interferes with vision.
  • If you have lost your natural upper eyelid crease.
  • If you have puffy pouches of fat in the upper or lower lids that create a tired or aged appearance.

Eyelid Surgery Intended Results

  • A more youthful and rested appearance of the eyes.
  • Widening of visual fields if excessive upper lid skin has partially blocked vision.
  • It will not remove or erase all wrinkle lines.
  • It will soften wrinkle lines.

Eyelid Surgery Procedure

The operation is done on an outpatient basis under sedation and local or general anesthesia. The incisions are made where the natural crease should be in the upper lids and below the lash line in the lower lids. Excess fat and skin are removed. If only excess fat is present in the lower lids, it may be removed through an incision inside the lower lids with no external incision or scar (transconjunctival blepharoplasty).

Eyelid Surgery Recuperation and Healing

  • All sutures are usually removed within 7-10 days.
  • Initial mild discomfort is easily controlled with oral medication.
  • Bruising and sensitivity to light last at least a week or two.
  • Swelling progressively disappears over several weeks.
  • Eye makeup can be used shortly after sutures are removed.
  • Contact lenses can be worn when comfortable — usually within 3-7 days.

Eyelid Surgery Other Options

Additional procedures that would enhance the result are: Forehead Lift, Face Lift, Chemical Peel or Laser Skin Resurfacing.

Eyelid Surgery Insurance Guidelines

  • Occasionally, if surgery is being done to improve the field of vision, insurance may cover upper lid surgery.
  • Otherwise, these procedures are considered cosmetic and the patient is responsible for payment.


  • The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation.
  • All surgical procedures have some degree of risk.
  • Minor complications that do not affect the outcome occur occasionally.
  • Major complications are rare.

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Eyelid Surgery Potential Risks

No surgeries are performed without risks. Dr. Vu’s goal is to perform the planned procedure, take extra precaution during surgery, and most important of all is to be safe and yet achieve utmost optimal outcomes. Following are some of the potential risks that are commonly discussed about regarding eyelid surgery.

A. Eyelids

Temporary or long-term loss of the nerve supply to the muscle that supports the lower eyelid can allow sagging of the margin of the eyelid. The muscle usually regains its innervation within several days to weeks

B. Milia (microcysts along the incisional lines)

Tiny cysts often form along the incision line during the healing phase. These will either clear up with time or Dr. Vu can “pick them out” with a needle tip during a postoperative visit.

C. Retraction or extropion (eversion of the lower eyelid)

Rarely, scarring within the eyelid or excessive skin excision can cause eversion of the margin of the eyelid or a downward pull of the eyelid. Taping with adhesive strips (steri-strips) and upward massage usually solve the problem, but some patients require further surgery.

D. Inability to close upper eyelids

This occurs because of excessive skin excision or postoperative muscle weakness.

Although we want to remove as much skin as possible in order to obtain the “best result,” we will operate conservatively and use our best judgment and experience to avoid such problems. In an extremely rare case, you may require a replacement of skin with a graft.

E. Sagging of the upper eyelids

Surgery may damage the mechanism that supports and lifts the upper eyelid. Should this unlikely event occur, you may need further surgery.

F. Dry Eyes

After eyelid surgery, your eyes will probably feel drier than usual. We suggest using artificial tears. If you have a problem with dry eyes before surgery, you must discuss this with your surgeon before the operation.

G. Asymmetry

One eyelid can heal slightly differently than the other. Very minor differences are common in normal people and are common after surgery as well. Following surgery, patients examine themselves much more critically and have more concerns. Almost all minor differences disappear with the completion of healing.

H. Internal Eyelid Damage

Eye muscles and nerves are rarely injured during blepharoplasty. Should such injury occur, secondary surgery could be required (usually by an Ophthalmologist) and permanent damage could remain.

I. Unsatisfactory results

If the result of your blepharoplasty surgery is unsatisfactory, either time and healing or a secondary surgical procedure will usually correct the problem.

J. Blindness

This is an extremely rare complication. Bleeding deep within the orbit, around the eye, appears to be the underlying reason. Avoiding deep orbital injections and employing meticulous hemostasis (control of small bleeders) during the procedure avoids the potential for this horrible complication. Most plastic surgeons do not even know another surgeon who has seen this problem.

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Eyelid Surgery Postoperative Care

Special attentions are placed during your postoperative period. Dr. Vu’s goal is to make sure that you are comfortable after you leave the surgery center, and have proper instructions how to take care of yourself in order for you to have a pleasant surgical experience.

A. Ice

Ice packs or iced sponges help tremendously after eyelid surgery. A bowl of ice cubes and several sponges at the bedside can soothe sore areas during the first day or so. It is more important to sleep than to have ice on your eyelids, so don’t “stay up” in order to ice. When you do awaken, apply some ice for a few minutes before going back to

B. Bleeding and clotted blood

Keeping the head elevated will help reduce swelling. If you bleed from one of the suture lines, apply pressure with a sponge for 10-20
minutes, and it will almost certainly stop. If dried or clotted blood is stuck in the sutures or along the suture line, we advise gentle cleansing with peroxide or soap and water.

C. Sutures

Dr. Vu will remove the steristrips or bandages 2-4 days after surgery. Any sutures may be removed 4-6 days after surgery, and will place adhesive strips (steri-strips) over the part of the incisions that extends outward from your eyelids. These remain in place for several days.

D. Sunscreen and Makeup

After the sutures have been removed, use a sunscreen with a skin-protection factor (SPF) of at least 15 on your eyelids when outside, and continue to do so for at least 6 months after surgery. You may apply makeup in addition to sunscreen on your eyelids the day after the sutures are removed.

E. Activities

Most people feel nearly normal within a day or two after eyelid surgery (except for the eyelid itself). You can return to work as desired, provided your job does not involve any heavy lifting or straining. Do not do aerobic or heavy exercise for at least 3 weeks after surgery in order to avoid excessive swelling or bleeding.

F. Dryness

After surgery you may notice that your eyes feel dryer than normal. This usually subsides in a matter of days to weeks. Until then, use artificial tears to comfort and protect the eye surface.

G. Sensitivity and vision

Your eyes may feel sensitive to light for several days, and your vision may blur for a week to 10 days. These are common occurrences and should not alarm you.

H. Swelling

All swelling will not disappear for several months. During this period, the eyelids will feel heavier and thicker than normal.

I. Scars

The scars usually along the upper eyelid crease and/or along the lower lid margin, which may not be visible. However, any visible scars will become almost invisible when they turn white. This usually happens 4-12 months after surgery.

View Eyelid Surgery Photos

Schedule Your Eyelid Surgery Consultation With Dr. Vu Today By Calling 503.601.2910 or Toll Free 866.297.8522.

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