Upper and Lower Eyelid Surgery

49-year-old female 3 months following bilateral upper and lower blepharoplasty and fat grafting to bilateral cheeks.

Are you developing “bags” or puffy eyelids or straining to keep your eyes open? Then consider an upper and/or lower blepharoplasty. At Orange County Cosmetic Surgery, Dr. Mowlavi will customize your eyelid surgery to erase all of your eyelid aging signs. Contact us to see if you can qualify for insurance coverage for your eyelid tuck surgery.

Recent advances in upper and lower eyelid blepharoplasties have dictated modifications of traditional techniques. Upper eyelid surgery has traditionally involved the removal of fat pads in addition to the redundant skin. However, critical evaluation of the aging face has demonstrated a natural tendency for the upper eyelid fat to melt away with time.

As such, a recent modification of the upper blepharoplasty has dictated a more conservative removal of the upper eyelid fat. In fact, patients who have previously undergone upper blepharoplasty with aggressive fat removal may complain of a gaunt or cachectic look as early as ten years following their surgery. These patients can regain appropriate fullness and rejuvenation with the replacement of fat in their eyelids. This is a process wherein fat is harvested from another part of the body and then transferred in microscopic amounts into areas that have lost fat.

Lower blepharoplasty is an intricate surgery of the lower eyelids that have traditionally been vulnerable to undesirable side effects. The surgeon has to operate a fine line when removing redundant eyelid skin so that enough skin is removed to create a rejuvenated eyelid contour yet not to cause a lower eyelid deformity resulting from the excessive pull and downward drag of the lid margin called an ectropion.

This deformity can be quite disfiguring to a patient. As such, Dr. Mowlavi utilizes an oblique vector of pull on the redundant skin which allows for the tension on the resultant eyelid skin to be transferred from a vertical (more susceptible to ectropion) to a more horizontal plane.

This maneuver allows Dr. Mowlavi to remove appropriate redundant skin while minimizing the risk of unsightly ectropion, having the lower eyelid turn outward, subjecting it to constant irritation. In addition, the lower eyelid, similar to the upper eyelid is prone to losing fat volume with age. The loss of fat will result in the raccoon eye appearance the surgeons call festoons.

This look can be complicated by not only deep-set eyes but also bulging lower eyelid contour created by herniated fat pads. Traditional lower blepharoplasty advocated aggressive removal of the fat pad only. Today, advances in lower blepharoplasty advocate not only conservative removal of the herniated fat pad but also the replacement of the fat pads back into the medial orbital and nasojugal groove to avoid leaving eyelid deformities.

Cost of eyelid surgery

The cost of eyelid surgery is determined by multiple factors including specific surgical maneuvers required to achieve your eyelid goals.

If you are interested in completing an upper blepharoplasty (eye lift), you can have your surgery under local anesthetic only which will save you the facility and anesthesia fees.

If you are interested in undergoing a lower blepharoplasty, you will require general anesthesia as the incision linen used underneath the eyelid margin is too close to your globe and your direct vision.

In addition, lower blepharoplasty is more intricate than just an upper blepharoplasty and often requires more invasive measures. For example, if your lower lid margin is loose, it may require tightening and support of the lower eyelid margin to the orbital bone, called canthoplasty or canthopexy, which will add more time to your surgery.

In summary, the cost of eyelid surgery can range from as little as $3,000 to a higher cost of $10,000 depending on what you require to achieve your goals.

Book a Consultation for Eyelid Surgery

The only way to really know and understand the cost of eyelid surgery is to consult with the doctor.

Most people tend to think these surgeries are simple but any procedure around the eye area must be undertaken with the utmost care and the latest techniques. Your current and future appearance must be taken into account to give you a natural-looking result that lasts as you age.

Once you meet with Dr. Mowlavi, he sees your face, then he will be able to determine what needs to done and will determine the cost of your procedure.

54 year old female 3 months following upper and lower blepharoplasty, fat grafting to bilateral cheeks, and CO2 facial laser resurfacing.

34 year old female 2 weeks following bilateral upper eyelid tuck and bilateral ear tuck.

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