The eyes are often the first area to show signs of aging—loose skin, puffiness and sagging can leave you looking tired, angry or older than you feel. Blepharoplasty, or eyelid surgery, is a highly effective procedure that rejuvenates the upper and/or lower eyelids by removing excess skin, redistributing fat and refining contours.
When combined with a brow lift, this approach provides comprehensive rejuvenation of the upper third of the face—restoring natural vibrancy, improving symmetry and opening up the eyes for a more refreshed and youthful appearance.
Upper Eyelid Surgery
Over time, excess skin and fat can gather on the upper lids, leading to heaviness, hooding or even visual obstruction. Upper eyelid surgery involves removing this excess tissue to:
- Brighten and open the eyes
- Improve upper eyelid definition
- Create a smoother, more alert appearance
- Restore symmetry between the eyes
Incisions are carefully placed in the eyelid’s natural crease, making them nearly invisible once healed.
Lower Eyelid Surgery
The lower lids often develop puffiness, sagging or deep under-eye hollows due to aging or genetics. Lower eyelid blepharoplasty addresses these concerns by:
- Reducing under-eye bags or bulges
- Repositioning or removing excess fat
- Tightening loose or wrinkled skin
- Improving the transition between the lower eyelid and cheek
Depending on the specific needs, the incision can be made just below the lash line or hidden on the inside of the eyelid (transconjunctival approach), leaving no visible scar.
Why Add a Brow Lift?
In some cases, drooping brows contribute to upper eyelid heaviness. If the brow position is low or asymmetrical, a brow lift may be recommended alongside blepharoplasty to elevate the brow, smooth forehead lines and restore natural balance to the upper face. This combination can enhance results and create a more harmonious, rested appearance.
What To Expect
- Procedure: Blepharoplasty can often be performed in the clinic under local anesthesia, especially for upper eyelid surgery. In other cases, or when combined with a brow lift, it may be performed at a surgical center with light sedation.
- Recovery: Most patients experience mild swelling and bruising for 7–10 days. Makeup can typically be worn again within 10–14 days.
- Results: Brighter, more open eyes and a smoother, more youthful upper face—with long-lasting, natural-looking results.
Why Choose Dr. Carolyn Montes
As a facial plastic surgeon with advanced training in cosmetic and reconstructive techniques, Dr. Carolyn Montes takes a thoughtful, individualized approach to facial rejuvenation. With a deep understanding of facial anatomy and balance, she ensures your results are natural, elegant and tailored to your features.
Interested In Refreshing Your Eyes and Upper Face?
Schedule a consultation with Dr. Montes to explore whether upper or lower blepharoplasty—with or without a brow lift—is right for you.
Call San Diego ENT at (858) 926-7010 for more information or to schedule an appointment.