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Eyelid Surgery (Blepharoplasty)

The skin around the eyes is one of the first areas of the face to show signs of aging. It’s not unusual to see hooded upper eyelids or saggy, puffy lower lids appearing when you are in your 30′s. Heredity plays a big part. Droopy, down-turned eyes, overhanging upper lids, puffy, baggy lower lids often run in families. Droopy upper eyelid skin can make you look older, tired and can sometimes even impair your vision. An eyelid lift or blepharoplasty can correct these issues and remove the puffiness and bags under the eyes that make you look older and more tired than you are. Blepharoplasty can deliver a refreshed, rested appearance, with a younger, firmer eye area. The eyelid surgery can address:

  • Drooping upper lids
  • Unequal or different shaped upper lids
  • Impaired vision from excess skin
  • Puffy lower lids


In the initial consultation, Dr. Crabtree will use the time to get to know you, learn about your expectations and discuss a plan to achieve your goals. During your consultation Dr. Crabtree will assess which of the four eyelids (top and bottom for both eyes) require the procedure. Prior to surgery you will have a good understanding of the procedure, plan and recovery. If you decide you are ready to proceed you will set a date for surgery and be given instructions on how to prepare. You will also schedule a pre-operative appointment to review your medical history, take pre-operative photographs, and confirm the details of your surgery.


Typically, your eyelid lift surgery is performed under local anesthesia. For the upper eyelid, Dr. Crabtree makes incisions following the natural lines of your eyelids. Dr. Crabtree will generally conceal the incision within the natural fold of your upper eyelid. He then removes any excess skin and fatty tissue.

For a lower eyelid cosmetic procedure, Dr. Crabtree often conceals an incision below your lower lashes. Through this incision, he removes any excess skin, muscle, and fat. In some cases, Dr. Crabtree may redistribute this fat to eliminate puffiness or bulges around your eyes.

Upper Eyelid Surgery
Upper Eyelid Surgery

Lower Eyelid Surgery
Lower Eyelid Surgery


Eyelid incisions typically are closed with sutures. Sutures are removed within one week. This is a relatively easy surgery to recover from. Patient’s typically have the surgery at the end of the week and allow the weekend to recover, returning back to most normal activities by Monday.


  • Clinic Procedure or Operating Room: Clinic for upper lid only; Operating Room for four lid surgery
  • Hospital Status: Outpatient
  • Length of Surgery: 5 hours for upper lid only; 2 hours for four lid surgery
  • Anesthesia: Local anesthesia for upper lid only; General Anesthesia performed under the care of a board certified Anesthesiologist for four lid surgery
  • Post-Operative: Small stitches will be placed in the crease of the lid. Mild soreness, swelling, and bruising are all normal
  • Recovery Time: Return to normal daily routine in one week, two to three weeks avoiding strenuous activity. The scars usually fade very quickly and normal sensation returns in a few weeks.
  • Results: The results will be evident immediately but will continue to improve over the course of several weeks.


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