Upper Blepharoplasty Procedure

Upper blepharoplasty is cosmetic surgery of the upper eyelid. This procedure is indicated when there is excess skin in the upper eyelid fold drooping over the lash line and obscuring the crease and the eye-shadow space. This redundant skin, or hooding, results in a tired look and hides the upper lid crease, which is an important sign of beauty. As the skin droops over the lash line at an advanced stage it can also obstruct the field of vision. In other words, patients start complaining that they cannot see objects that lie above them or to their sides.

Top-Rated Chicago Eyelid Surgeon Dr. Alghoul Explains Upper Blepharoplasty Surgery

Upper blepharoplasty restores the youthful contour of the upper eyelid and creates a refined crease. The excess skin is removed along with some fat, and the crease is sometimes repositioned. The procedure is designed differently and personalized to each individual depending on their features and goals. For example, the procedure varies from trimming skin only, to removing skin and some muscle and fat, to removing skin and adding fat. A brow lift can be combined with upper blepharoplasty in certain cases. Lifting the tail of the brow helps improve the skin hooding on the outer side of the upper lid area (also known as temporal hooding).

What does the procedure involve?

It involves removal of the excess skin in the upper eyelid and sometimes contouring of the fat. This is done through carefully designed incisions to create a well-placed and symmetrical crease. Excess fat is removed when present, or re-arranged in patients with hollowed upper eyelids. Fat grafting (fat injection) can be added to the procedure when hollowing is present and it can also help add volume to the brows.

Where is the incision placed?

During an upper blepharoplasty the incision is designed so that the resulting scar falls over or forms the new crease. The scar heals very well in the upper lid and is hidden in a natural line.

Are there any non-surgical options?

There are no other effective treatments for excess skin of the upper eyelids; surgical removal remains the best treatment option.

Is a brow lift needed with upper blepharoplasty?

Not necessarily. You can always have upper blepharoplasty done alone with excellent results. Lifting the tail of the brow can complement the results. The degree of droopiness of the tail of the brow varies among patients, therefore a brow lift is not recommended for everybody.

Is upper blepharoplasty the treatment of choice for a droopy eye?

It depends on what is causing the upper lid to droop. There are three components to this problem: a droopy brow, excess skin in the upper lid, and a droopy upper lid. Those factors can occur alone or in combination. Upper blepharoplasty only treats the excess skin component. A droopy upper eyelid (ptosis) requires repair of the upper lid; this, if present, can be treated at the same time (see ptosis repair).

What is the recovery time?

Upper blepharoplasty is performed as an outpatient procedure under local anesthesia and sedation. Minimal bruising is common after surgery and usually resolves within a week. Swelling is also common and causes heaviness in the upper lids but resolves gradually over one to two weeks. Skin sutures are removed in the office after seven days. You may engage in light activity the day after surgery. Return to normal activity and going back to work, may take up to a week. Abstaining from exercise is recommended for the first two weeks after the procedure. To shorten your recovery time, you are advised to avoid your usual intensity exercise for four weeks from the time of surgery. Lighter exercise can be performed starting at two weeks from surgery.

Where is the procedure performed?

If Dr. Alghoul is only doing your upper eyelids, then the procedure can be performed in the procedure room in the Chicago office. If you are having other surgery performed in addition to upper blepharoplasty (lower blepharoplasty, brow lift, or facelift), then the procedure is done in the operating room at Prentice Women’s Hospital or 900 N Michigan Surgery Center.

Is upper blepharoplasty covered by insurance?

Upper blepharoplasty may be covered by your insurance if you have significant hooding obstructing your field of vision. A visual field test and a letter dictated by your doctor are usually required. Our staff will help you through this precertification process.

What is the cost of upper blepharoplasty?

The cost of the upper blepharoplasty starts at $2,500. The procedure is performed under local anesthesia and moderate sedation.

Contact Dr. Alghoul

If you’d like to schedule a consultation with Dr. Alghoul to discuss your upper eyelid surgery treatment options, please call (312) 695-3654 or contact us via email.