Our eyes are the most intriguing and revealing facial feature we have. They draw attention and convey expression. Through them, we not only see others, but others see us as well. Our interests and how we feel physically or emotionally is reflected in our eyes. Unfortunately, hereditary factors and the signs of aging can greatly impact the appearance of our eyes, so that what they reflect is not really how we feel.

If you are bothered by upper eyelids with excess, drooping skin that makes you appear sad or angry, or by eyes that look tired due to puffiness or bags, cosmetic eye surgery may be right for you. In general, eyelid surgery corrects the excess skin, tissue and fat that contributes to puffiness and bags in both the upper and lower eyelids, revealing a more youthful and energetic appearance.

What is eyelid surgery?

Cosmetic eyelid surgery, technically called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both.

What does eyelid surgery do?

Specifically, eyelid surgery can treat:

  • Loose or sagging skin that creates folds or hides the natural contour of the upper eyelid
  • Excess skin that hangs down from the upper eyelid, sometimes impairing vision – Excess fatty deposits that appear as puffiness in the upper eyelids
  • Bags under the eyes
  • Droopiness of the lower eyelids, showing white below the iris
  • Excess skin and fine wrinkles of the lower eyelid

These conditions typically appear as part of the natural aging process or due to heredity. Where they are the result of heredity, individuals as young as their 20s and 30s may achieve a marked improvement in the appearance of their eyes through eyelid surgery. Eyelid surgery removes excess skin, eliminates bags and restores firmness to the area of surrounding the eye, making you look more rested and alert.

Who are good candidates?

Most commonly, eyelid surgery is performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area. Good candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical condition that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals for improvement through eyelid surgery

In addition, the following medical conditions are essential to disclose if you are considering eyelid surgery:

  • Eye disease such as glaucoma, dry eye or detached retina
  • Thyroid disorders such as Graves’ disease and under or over-active thyroid
  • Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

Where do i begin?

A consultation with your plastic surgeon is the first step to learn how eyelid surgery can improve the appearance of your eyelids. A consultation is designed to fully educate you about the eyelid surgery in a relaxed environment. We do not pressure you into surgery. If you are interested in surgery for cosmetic reasons, your consultation is free.

What will a consultation be like?

Like any cosmetic procedure, eyelid surgery requires an individualized approach. We will determine what is causing your dissatisfaction and establish realistic goals for improvement. From there, we can recommend a treatment plan and provide accurate pricing information for your surgical options.

What happens during surgery?

Eyelid surgery can offer dramatic improvement in the upper and lower eyelids and surrounding regions. This degree of correction can only be achieved surgically by repositioning muscle, redistributing fat that has settled into contours and when necessary, by removing excess skin. Learn more by watching this video.

Are other procedures done at the same time?

A midface lift, one that corrects sagging in the cheek region and pronounced nasolabial folds (creases from the nose to the outer corner of the mouth) may be performed through the same incisions as blepharoplasty. A facelift and a neck lift can also be performed at the same time as the eyelid surgery.

Skin resurfacing techniques may be recommended by our surgeons to further improve the tone and surface appearance of skin surrounding the eye, and in some cases as a substitute for excision of minimal excess lower eyelid skin. Where a low positioned brow or crow’s feet at the outer corner of the eyes contribute to the aging appearance of the eyes, a brow lift may be more appropriate in conjunction with eyelid surgery. In addition, a brow lift can also smooth a lined or furrowed forehead.

If you are interested in other surgical options, please discuss them during your consultation.


  • Dr. Miller and his team at Dreams Med Spa did a wonderful job from pre-op to surgery and follow up examinations. Takes the time to listen and finds exactly what works for you. Clean office and pre-op rooms, private and professional staff as well as on time appts. and follow up cares. I will be using them for any future needs I may have

  • Because I was treated for breast cancer at 32, I was fairly certain I would opt for reconstructive surgery. I didn't know which doc to go with. I'm so thankful someone steered me towards Dr. Miller. The process is a little lengthy in nature and getting "fills" to stretch the tissue to accommodate the new breast implants was not my favorite. But, cancer treatment is not a sprint...It's a marathon and this was just part of the treatment and recovery process. The discomfort was worth it, without a doubt. I'd do it again.

  • Since i was younger i knew i always wanted bigger breast. Once i was able to afford it i knew i had to do it and i’m soooo glad i did! This process was smooth and easier then i thought. If you are even questioning the procedure i suggest at least going in for a free consultation!!