Rucker MD on Facebook

Eyelid Surgery (blepharoplasty)

Rucker MD Plastic Surgery Clinic

Sometimes, even after a great night's sleep, it can be hard to feel alive and vibrant when you see those tired, drooping eyes looking back at you from the mirror. The loose skin over your eyes and the fat bags below make you look more tired and older than you feel inside. If this sounds familiar, you're not alone. Blepharoplasty, or eyelid surgery, is the third most popular cosmetic procedure (after liposuction and breast augmentation).

As we age, the skin around our eyes loses its elasticity. You may develop loose folds of skin on the upper eyelids and deep creases on the lower lids. At the same time, your muscles in this area may slacken so that any fat bulges forward producing a baggy appearance. It is important to note that one can develop baggy eyes in one's twenties before your skin changes. This would be an inherited family trait.

Upper Eyelid Surgery (Blepharoplasty)

Your Consultation

During your initial consultation we would discuss your condition, your expectations, and the probable outcome from the procedure selected. You often will be given several conservative treatment options including chemical peels or laser treatments. If however, the physical findings are excessive skin and an actual bulging of the tissues, then blepharoplasty is probably the treatment of choice.

What about insurance? Eyelid problems are common, even in younger people. Correcting eyelid problems that interfere with your vision may be covered by your insurance. When eyelid surgery is performed for cosmetic reasons, however, it may not be covered in part or in whole by your health insurance.

The Procedure

Blepharoplasty is usually performed in our office surgical suite. It is generally performed under a local anesthetic with mild I.V. sedation. We place the incisions in the crease above each eye to correct problems of the upper eyelids. Then a thin crescent of excess skin is removed. The incisions are closed with very fine sutures. To remove the fatty deposits beneath the eyes, the incisions are placed just under the eyelash. The procedure can take between one to two hours, depending on the extent of the surgery.

Recovery time:

The eye area is bruised and swollen for about two weeks. Most people can be socially presentable within 8 to 10 days. The eyes are usually never swollen shut and pain is rated a 3 on a scale of 1 to 10. The areas around the eyes are very forgiving and no cover makeup is needed to conceal the scars after the normal healing process has passed.


Upper Eyelid Skin Reduction Before and After

Above: 36 y/o requesting reduction in the amount of skin of the upper eyelid.  Bilateral upper lid blepharoplasty performed in office under local I.V. Sedation. Operative time 1 hour. Post operative photos at 4 months. 

Lower Eyelid Surgery Before and After

Above: 24 y/o with complaint of bulging of lower eyelids.  Patient under went a lower eyelid blepharoplasty, performed in the office under a local I.V. sedation.  Post-operative photos at 3 months. 

Upper eyelid Blepharoplasty before and after pictures

Above: 55 y/o female with complaint of excessive skin of the upper lids.  Under went bilateral upper lid blepharoplasty in office.  Post-operative photos after 4 months. 


Upper Blepharoplasty

Lower Blepharoplasty


Call us at 800.456.8222 or email us at! Our staff is happy to help you! 

Ask Dr. Rucker a Question