Now accepting Telehealth appointments. Schedule a virtual visit.

Blepharoplasty (Eyelid Surgery): Why It Remains Among the Most Popular Cosmetic Surgeries

Blepharoplasty (Eyelid Surgery): Why It Remains Among the Most Popular Cosmetic Surgeries

If you’re bothered by sagging or bagginess around one or both eyes, you may want to consider blepharoplasty. The eyes are the area of the face which usually show the earliest signs of aging.

Also known as an eyelid lift, this popular procedure creates a more pleasant appearance while resolving related vision problems. 

At Koch Facial Plastic Surgery in San Mateo, California, R. James Koch, MD, applies his extensive experience performing both upper and lower blepharoplasties to help you achieve the eyelid and vision results you desire. 

Take a few moments to learn more about eyelid sagging, including several benefits that make blepharoplasty so popular. 

Why eyelids sag

It is a natural part of the aging process to develop loose upper eyelid skin due to the effects of gravity and because it is the thinnest skin of the face.  This sagging tissue can make you look older than your age and, if severe enough, can interfere with your vision.  The upper eyelids can also show protruding fat pockets which look like peas under the skin and are considered unattractive.  Similarly, the lower eyelid can develop loose or crepey skin, and fat pads which are commonly referred to as “lower eyelid bags”.

Although the vast majority of eyelid sagging and fat bulges are caused by the normal aging process, these medical conditions may contribute to droopy eyelids:

Once eyelid sagging happens, it can affect one or both eyes and cover a portion of your upper eye or your entire pupil. 

Complications of sagging eyelids 

Depending on the specifics of your eyelid drooping, you may experience several complications. For example, functional problems include superior visual field defects that are caused by overhanging redundant skin which may block some of your vision. You can also experience achiness and tiredness around your eyes especially towards the end of the day.

Self-consciousness is also common when these eyelid issues unfold. You might feel embarrassed about your appearance in photos or at social events.

Why blepharoplasty is a popular solution

Blepharoplasty remains a popular cosmetic surgery for good reason. The procedure can lead to valuable benefits, such as:

While many cosmetic products promise firmer, tighter skin around your eyes, no topical product or cream can change the physical structure of your eyelids. Blepharoplasty, however, can.

What to expect during blepharoplasty

Dr. Koch and his team provide upper and lower eyelid blepharoplasties in-office. You lie awake in a “twilight” state during the procedure, meaning you’ll stay comfortable and relaxed. 

Once the skin in the area is completely numb, Dr. Koch makes an incision in your eyelid crease or below your lower lashes, then removes excess skin and protruding fat pockets. He then closes the incision with sutures, in the case of an upper eyelid lift, which are hidden within the crease to minimize visible scarring. 

Dr. Koch may recommend adding laser skin resurfacing or a “skin pinch” for additional skin-smoothing or tightening benefits. 

A loved one can drive you home afterward, where you’ll recover. Within 48 hours, you’ll be able to shower. And 10 days after your surgery, you can likely wear contact lenses again. Most of your swelling should diminish within two weeks, and your eyes should appear normal within six weeks.

To learn more about blepharoplasty eyelid surgery or to get started with the treatment you desire, call 669-279-3663 or book an appointment online today.

You Might Also Enjoy...

5 Reasons to Consider a Rhinoplasty

The choice to have a rhinoplasty is often a deeply personal decision, whether you’re hoping to address a health concern or improve your appearance. Learn more about “nose jobs,” including common motivations.

Koch Facial Plastic Surgery- Happy New Year Specials (2023)!

Specials on the In-Office Facelift and Upper Eyelift. Prices will increase in March so make an appointment today and reserve your spot! Also, Dr Koch is one of the few in the country to have the new Sofwave device ( for non-invasive lifting!

What's the Best Age to Have a Facelift?

Facelift surgery is a popular option for women and men who want to combat signs of aging while still looking natural — like a younger version of themselves. If you’re wondering what’s the best age to have a facelift, read on.

Benefits of in-office facial plastic surgery (facelifts)

In-office facial plastic surgery (including in-office facelifts) are generally less invasive than a traditional facelift because of the anesthetic techniques used. Dr. Koch believes that a “breathing tube” and general anesthesia are unnecessary in the vas