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Fine lines, wrinkles, bags, and droopy eyelids often make the entire face appear older and less energetic and can occur in patients as early as their twenties. Dr. Hessler offers several leading techniques for eyelid surgery in San Jose, Palo Alto, and the Bay Area to restore a more youthful and attractive appearance.

What is blepharoplasty? 

Blepharoplasty (eyelid surgery) is a procedure that refreshes and rejuvenates the eyes. There is both upper eyelid surgery and lower eyelid surgery. They can either be performed as separate surgeries, or together for patients who have a significant amount of excess skin and deep wrinkles in the eye area. Blepharoplasty can also address excess eyelid skin that may be impacting a patient’s vision. 

Woman sitting and smiling with her hands folded near her face

Key benefits of blepharoplasty

  • Removes drooping skin and puffiness of the eyelids
  • Corrects under-eye bags
  • Softens fine lines around the eyes
  • Gets rid of excess skin that is obstructing vision
  • Delivers a more youthful, alert, friendly appearance
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Why get eyelid surgery?

When drooping or puffy skin around the eyes occurs with age, it can do three things: it can partially obscure your eyes, which are a very important feature; it can make you appear angry, tired, or sad; and it can obstruct your vision.

For these reasons, many individuals choose to undergo blepharoplasty. If you’re experiencing any of these issues, we invite you to visit our practice, where Dr. Hessler will provide an in-depth examination and discuss the cause of your eye concerns. 

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Am I a candidate for blepharoplasty?

When drooping or puffy skin around the eyes occurs with age, it can do three things:

  • Partially obscure your eyes, which are a very important feature
  • Make you appear angry, tired, or sad
  • Obstruct your vision.


For these reasons, many individuals choose to undergo blepharoplasty. If you’re experiencing any of these issues, we invite you to visit our practice, where Dr. Hessler will provide an in-depth examination and discuss the cause of your eye concerns and how eyelid surgery can help you.

The best candidates for eyelid surgery are persons who:

  • Are in good general health.
  • Are nonsmokers (or are willing to cease smoking before and after the procedure).
  • Would like a refreshed, rejuvenated, and more youthful appearance to their eyes.
  • Are typically between the ages of about 45 and 65.


Blepharoplasty procedure details

Blepharoplasty is performed under general anesthesia or local anesthesia with mild sedation. It generally takes 1 to 2 hours. For upper eyelid surgery, Dr. Hessler will make incisions in the natural creases of the eyelids, through which she will either remove or re-adjust fat, excise excess skin, and tighten the muscles. The incisions will then be gently closed with sutures. For lower eyelid surgery, Dr. Hessler will make incisions under the eyelash line or inside the lower eyelids. With lower blepharoplasty, no skin is removed; however, some patients undergo a fat transfer to add volume here. This addresses under-eye bags. Upper and lower eyelid surgery can be done as stand-alone procedures respectively, or they can be done together for optimal results.

Eyelid Surgery Recovery

During recovery from eyelid surgery, patients may experience minimal pain, blurred vision, redness, tired eyes, swelling, dry eyes, and/or bruising. These side effects are not dangerous, and will subside quickly.

If you wear contact lenses, you will not be able to wear them for two weeks. We recommend a week off of work and regular activities. After one week, your sutures can be removed.

Blepharoplasty FAQ

What procedures can I combine with eyelid surgery?

For a more comprehensive approach to full facial rejuvenation, eyelid surgery can be done in combination with other facial plastic surgeries including a facelift or neck lift or even rhinoplasty. Patients who would like more improvement specifically in the upper face and forehead region will benefit from eyelid surgery in conjunction with a brow lift.

How much does blepharoplasty cost?

Blepharoplasty surgery is priced during a personal consultation with your plastic surgeon and we would be happy to provide you an exact cost. The exact cost will depend on the extent of surgical work required and whether the upper and lower eyelid are both being operated on.

Is blepharoplasty covered by insurance?

Blepharoplasty done for cosmetic reasons is not covered by insurance, but when the procedure is indicated for health reasons, some or all of the surgery may be covered. Since it is done purely for cosmetic reasons, lower eyelid surgery is rarely covered by insurance but upper eyelid surgery may be covered, providing it is deemed medically necessary. We can assist you in determining how likely coverage might be.

Hessler Plastic Surgery for blepharoplasty in Palo Alto, San Jose, and the Bay Area

If you’re interested in blepharoplasty in Palo Alto, San Jose, or the Bay Area, Hessler Plastic Surgery is the perfect place for you. Eyelid surgery is one of our top procedures, and is also one of Dr. Jill Hessler’s areas of focus. We are a comprehensive center of leaders in the industry, and a trusted resource nationally. Dr. Hessler is a double board-certified facial plastic surgeon with over a decade in practice, and she currently holds a position as Chair of the Women on the Facial Plastic Surgery committee at the American Academy of Facial Plastic and Reconstructive Surgery. Under her guidance at Hessler Plastic Surgery, you will experience a team of highly trained registered nurses and staff who make it their goal to take excellent care of you, from your first consultation to your last follow-up. To learn more or schedule a consultation, please contact us.

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