When it comes to eyelid surgery before and after, the results speak for themselves. Undergoing eyelid or eyebag surgery, properly known as blepharoplasty, corrects the most common signs of aging on the face – drooping and sagging of the upper eyelids and the dark circles and puffy bags under the eyes which make you look tired, older, and even unwell. Vision can even be improved when excess tissue from above the eyes is removed.

As an expert oculoplastic surgeon specializing in dark circle under eyes surgery, Dr Weiss has performed these specialist cosmetic surgery procedures on many thousands of patients over his career spanning more than three decades. If you’re considering having this procedure done to reveal a younger, fresher , more confident you, check out these blepharoplasty before and after photos of just a few of Dr Weiss’s clients, and see for yourself what a difference cosmetic eye surgery can make.

Upper and Lower Eyelid Surgery Photos

Female patient before upper and lower eyelid surgery.

BEFORE

Female patient after upper and lower eyelid surgery.

AFTER

1. Upper lid blepharoplasty, lower lid trans-conjunctival blepharaoplasty. Skin and fat was removed from the upper lids to create a more alert and youthful appearance. Fat that was causing fullness and shadows in the lower lid was removed from behind the eyelid without a skin incision. Note the position of the eyebrows, which are in a neutral position.

Female patient #15 before upper and lower eyelid surgery.

BEFORE

Female patient #15 after upper and lower eyelid surgery.

AFTER

2. Upper lid blepharoplasty, lower lid trans-conjunctival blepharoplasty. This is an example of what the same procedure can achieve in a patient with a lower eyebrow position. She preferred to avoid the general anesthesia needed for an endoscopic brow lift. The natural look was created by creating symmetry and a little more depth to the upper lids and by removing the shadow from below.

Female patient before upper and lower eyelid surgery.

BEFORE

Female patient after upper and lower eyelid surgery.

AFTER

3. Upper lid blepharoplasty, lower lid trans-conjunctival blepharoplasty. Here is a patient with a naturally high eyebrow position. Her desire was for the ‘biggest’ eyelid platform possible. Again, post-operative symmetry is the most important factor contributing to a pleasing result. The previous three patients demonstrate slightly different results because of different underlying anatomy and patient desires.

Male patient before upper and lower eyelid surgery.

BEFORE

Male patient after upper and lower eyelid surgery.

AFTER

4. Upper lid blepharoplasty, lower lid trans-cutaneous blepharoplasty. Men’s eyebrows are naturally lower and flatter than in women. In men I am always more conservative and try to simply ‘remove’ a negative, that is, remove the heaviness and fullness that contributes to a tired look. In this man, a small amount of lower eyelid skin was also removed.

Male patient before upper and lower eyelid surgery. Patient presents with significant upper lid "hooding".

BEFORE

Male patient after upper and lower eyelid surgery.

AFTER

5. Upper lid blepharoplasty, lower lid trans-cutaneous blepharoplasty. When the upper lid ‘hooding’ was removed, this man appeared much more awake and alert – but also very natural. At first glance he appears to have ptosis (upper eyelid droopiness where the eyelid tendon also needs to be shortened), but the eyelid levels were fine. Skin and fat only were removed.

Asian male patient #22 before upper and lower eyelid surgery.

BEFORE

Asian male patient #22 after upper and lower eyelid surgery.

AFTER

6. Asian upper lid blepharoplasty, lower lid trans-cutaneous blepharoplasty. This is an example of removing some upper lid skin and fat and also creating an eyelid crease and fold that did not previously exist. In men, and also in most (but not all) Asian eyelids, the preference is usually for a lower eyelid crease with some retained fullness above the crease. Skin and overactive muscle was removed in the lower lids, reducing the bulge and shadow.

Female patient before upper eyelid surgery to create upper eyelid crease on the right eyelid.

BEFORE

Female patient after upper eyelid surgery to create upper eyelid crease on right eyelid.

AFTER

7. Creation of right upper eyelid crease in an Asian woman. This doesn’t look like much, but I created an eyelid crease on the right to match the natural one that existed on the left. It is much more challenging to achieve symmetry when operating on just one eyelid.

Female patient before upper and lower eyelid surgery.

BEFORE

Female patient after upper and lower eyelid surgery

AFTER

8. Upper lid blepharoplasty, lower lid trans-conjunctival blepharoplasty. This patient had pretty much the same upper lid fullness in her teens. An endoscopic brow lift was suggested, but she desired to avoid general anesthesia. A small amount of fat was removed below. The result has lasted over 18 years. Join us on Facebook to see the 18 year post-operative photos!

Female patient before upper eyelid surgery.

BEFORE

Female patient after upper eyelid surgery.

AFTER

9. Upper lid blepharoplasty. This patient simply desired to have a little more depth in the upper lids so that she could have a few more options in applying eye makeup. Check out our video testimonial section to hear and see her on the first day and first week after the procedure!

Female patient #23 before upper and lower eyelid surgery. The patient has heavy upper eyelids that rest on her eyelashes.

BEFORE

Female patient #23 after upper and lower eyelid surgery.

AFTER

10. Upper lid blepharoplasty. She not only looked less tired and was able to keep her eyelids open more easily, but she also felt about twenty years younger when she looked in the mirror.

Male patient before upper and lower eyelid surgery.

BEFORE

Male patient after upper and lower eyelid surgery.

AFTER

11: Upper lid blepharoplasty, lower lid trans-conjunctival blepharoplasty. This is an example of how the brow can slightly descend after upper eyelid surgery only. However, the overall result is still quite an acceptable improvement.

Patient 41 had upper lid blepharoplasty to create a lid platform. The fat in lower eyelids was removed from behind the lower lid with no skin incision. A very nice result was achieved.

BEFORE

Patient 42 had the excess upper eyelid skin, fat and browfat removed. She also had the lower lid fat removed from behind the lower eyelids with no skin incision this ws done with local anesthetic in our ofice surgical suite.The end is result is a beautiful natural open eyes, very refreshed appearance.

AFTER

12. Upper lid blepharoplasty

Female patient 39 has very full upper and lower eyelids.

BEFORE

Patient 39 has had upper and lower cosmetic eyelid surgery, under local anesthesia in our office surgical suite. After removing the skin and fullness of the upper eyelids, and removing the fat of the lower eyelids from behind the eyelid with no skin incision. She looks more alert and welll rested.

AFTER

13. Upper lid blepharoplasty, lower lid trans-conjunctival blepharoplasty

Female patient before upper eyelid surgery.

BEFORE

Female patient after upper eyelid surgery.

AFTER

14. Upper lid blepharoplasty

Female patient before upper and lower eyelid surgery.

BEFORE

Female patient after upper and lower eyelid surgery

AFTER

15. Upper lid blepharoplasty, lower lid trans-conjunctival blepharoplasty. The small amount of bulging and shadow of the lower lids remaining after surgery is due to excess tone of the orbicularis muscle. If desired, this can be easily treated with dilute Botox injections to flatten the muscle in this area.

Male patient 38 appears to have small puffy eyes.

BEFORE

Patient 38 had upper lid blepharoplasty to remove the heavy lid appearance. The excess skin, fat and brow fat were excised the lower lid fat was also removed from behind the eyelid approach. His appearance is now rejuvenated and more alert.

AFTER

16. Upper and lower lid blepharoplasty

Female patient 52 has heavy full upper eyelids.

BEFORE

Patient 52 had cosmetic upper eyelid blepharoplasty to remove the excess skin and fullness of her upper eyelids. She appears more youthful and refreshed after surgery.

AFTER

17. Upper lid blepharoplasty. The small amount of bulging and shadow of the lower lids remaining after surgery is due to excess tone of the orbicularis muscle. If desired, this can be easily treated with dilute Botox injections to flatten the muscle in this area.

Lower Eyelid Only

Male patient before lower eyelid surgery.

BEFORE

Male patient after lower eyelid surgery to remove fat from behind lower lids. This procedure was done with no skin incision.

AFTER

18. Lower lid fat removal without a skin incision (transconjuctival blepharoplasty or TCB) When the fat is bulging in the lower eyelid (baggy eyelids) there is often a dark area just beneath it (the so-called dark circles). Since most light comes from above, it hits the bulges and forms a shadow below. No amount of make-up can remove a shadow. Fortunately, as can be seen in these photos, the correct amount of extra fat can be precisely removed through an incision behind the eyelid, avoiding a skin incision entirely. The appearance of the skin will remain the same.

BEFORE

AFTER

19. Lower lid skin and fat removal. When there is excess skin present, it is removed with lower eyelid incisional surgery.

Patient Healing – Day by Day