Blepharoplasty Specialist

Aesthetic Surgery Center

Michael R. Macdonald, M.D.

Facial Plastic Surgeon located in San Francisco, CA

Droopy eyelids and saggy, fatty deposits under the eyes can make men and women look tired, worn out and older than they really are. Dr. Michael Macdonald is a skilled provider of blepharoplasty techniques aimed at reducing eyelid issues affecting men and women at the Aesthetic Surgery Center in San Francisco, CA.

Blepharoplasty Q & A

What Issues Do Eyelid Surgeries Address?

Eyelid surgery or blepharoplasty uses special techniques to address age-related changes in both the upper and lower eyelids, including:

  • Droopy lids (also called ptosis)
  • Fatty deposits around the lids
  • Lid abnormalities that cause the lids to turn inward (entropion) or outward (ectropion)

Laser resurfacing can be performed at the same time to reduce wrinkles, creases and textural changes in the skin around the eye area. Blepharoplasty also may be combined with brow lift surgery or facelift and neck lift procedures.

What Happens During the Blepharoplasty Procedure?

Blepharoplasty procedures can be performed on just the upper or lower lids or both during the same procedure. During the upper lid surgery, incisions are hidden in the creases of the eyelids. Excess tissue is carefully removed and the lids are sutured using very tiny stitches. In lower lid surgery, incisions typically are hidden inside the lower lid using what's called a transconjunctival approach. Excess fatty deposits are removed to eliminate droopiness and “bags” under the eyes, and dissolvable sutures are used to close the incisions. Some lower lid procedures require no sutures. When appropriate, a special technique called arcus marginalis release is used to reposition fat tissue in the lower lids and upper cheeks instead of removing fat, creating a smooth, natural-looking contour between the lower lid and cheek and addressing the “hollowed out” appearance that often occurs with age. Most blepharoplasty procedures take from one to two hours to perform.

How Will I Feel After the Procedure?

Most patients report no to very minimal discomfort following their surgery. Ointments may be prescribed to address dryness that can occur for the first few days after blepharoplasty surgery. Bruising and swelling are minor and resolve after about a week, and upper lid sutures are removed at about the same time. Most men and women return to work and non-strenuous activities in about four to seven days after their surgery. Scars can be treated with a special gel and sunglasses and a protective hat should be worn for at least two months to prevent scar tissue from darkening.