Eyelid Surgery

What is Blepharoplasty?

Blepharoplasty, commonly known as eyelid surgery, is a precise surgical procedure that rejuvenates the eye area by addressing excess skin, weakened muscles, and protruding fat deposits that cause a tired, aged appearance. The eyes are often the first facial feature to show signs of aging, the delicate periorbital skin is among the thinnest in the body and lacks the structural support found elsewhere on the face. Over time, this leads to hooding of the upper eyelids, under-eye bags, and a perpetually fatigued look regardless of how rested you actually feel. Dr. Kurtzman approaches each blepharoplasty with an artist's eye, understanding that successful eyelid surgery isn't simply about removing tissue, it's about restoring the natural, youthful contour of the eye while preserving the unique characteristics that make your eyes distinctly yours. Results typically last 5-10 years for upper lids and even longer for lower lid surgery, making blepharoplasty one of the most long-lasting facial rejuvenation procedures available.

Ideal Candidates

Blepharoplasty delivers the most satisfying results for patients who meet certain criteria. During your consultation, Dr. Kurtzman will carefully evaluate your eyelid anatomy, tear trough area, and overall facial structure:

• Drooping or hooded upper eyelids that create a tired appearance or obstruct peripheral vision
• Puffy bags or dark hollows under the eyes that persist despite adequate rest
• Excess skin creating folds that hide the natural upper eyelid crease or interfere with makeup application
• Herniated fat pads causing visible bulges in the upper or lower eyelids
• Good skin elasticity, eyelid skin should still have reasonable tone and texture
• No underlying eye conditions such as dry eye syndrome, glaucoma, or thyroid eye disease (or these must be well-controlled)
• Non-smoker or willing to quit 4 weeks before and after surgery to support proper healing
• Realistic expectations, understanding that eyelid surgery refreshes but works within your natural anatomy

The Procedure

Dr. Kurtzman customizes each blepharoplasty based on your specific anatomy and concerns. Whether addressing upper lids, lower lids, or both, precision is paramount given the delicate structures involved:

Recovery & Results

Recovery from blepharoplasty is relatively quick compared to other facial surgeries. Days 1-2: Expect significant swelling and bruising; cold compresses and head elevation are essential. Keep the eyes lubricated with prescribed ointment. Days 3-5: Bruising peaks then begins to fade; swelling starts to subside. You may experience some dryness or eye sensitivity. Days 5-7: Sutures are removed; most patients can wear glasses comfortably. Week 2: Most visible bruising has faded and you'll feel comfortable returning to work and social activities. Many patients use concealer for residual discoloration. Weeks 3-4: Continue avoiding strenuous activity and anything that increases blood pressure to the head. The healing tissue is still delicate.

You'll notice improvement immediately, but your true results emerge over 2-3 months as all swelling resolves and tissues settle. Upper blepharoplasty results typically last 5-10 years, while lower lid results often last even longer since the underlying fat removal is lasting. Your eyes will continue to age naturally, but from a more youthful starting point. Many patients find that their refreshed eyes make them look more alert, approachable, and rested, often the most-noticed improvement by friends and family.