See surgery Before and After Photos

Click here for Frequently Asked Questions's about blepharoplasty (eyelid surgery).

 Cosmetic eyelid surgery (technically called blepharoplasty) is a procedure to remove fat – usually along with excess skin and muscle – from the upper and lower eyelids. Eyelid surgery can correct dropping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles (see Botox and Fillers) or lift sagging eyebrows (see endoscopic brow lifts). While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

How eyelid surgery is done

As people age, the eyelid skin stretches, muscles weaken, and fat accumulates around the eyes, causing "bags" above and below.

Before surgery, Dr. Weiss marks the incision sites, following the natural lines and creases of the upper and lower eyelids.

Excess skin, muscle and/or underlying fat is then carefully removed, and the incisions are then closed with fine sutures, which will leave nearly invisible lines.

Removing the bags and dark circles (shadows) with no skin incision

In many cases, Dr. Weiss utilizes a procedure for improving the appearance of the lower eyelid that avoids a skin incision altogether, which he has been popularizing since 1986 when it was first introduced among oculoplastic surgeons. In a transconjunctival blepharoplasty (TCB), a tiny incision is made inside the lower eyelid and fat is removed from behind the eyelid without a skin incision. The incision is closed behind the eyelid with a single dissolving suture.

In appropriate patients this is absolutely the safest and most precise method for improving the appearance of the lower eyelids. Since there is no skin incision, the bruising is absent or minimal, with some patients able to return to work on the very first day without makeup (we recommend two days of cool compresses to decrease swelling no matter how good you look)! Dr. Weiss uses a special operating table for this procedure that briefly places the patient in an upright position during the procedure after the fat is removed. This allows him to account for the effect of gravity on the fat pads and adjust them accordingly which contributes to a high degree of surgical precision.

A note from Dr. Weiss about the use of lasers in blepharoplasty