Eyelid Surgery (Blepharoplasty)

Treatments for both Upper and Lower Eyelids

Blepharoplasty is a 1-hour procedure, depending on the extent of the surgery, and can be performed under local anesthesia. If upper and lower eyelids are to be worked upon, the upper lids will be treated first followed by the lower ones.

During a single procedure, Dr. Lesavoy creates incisions based on the natural lines of your eyelids. This includes the creases of your upper lids or just below the lashes in the lower lids. The incisions can be extended to the crow’s feet or lines at the ends of the eyes. The skin will be separated from underlying fatty tissue and muscle, removing excess fat and trimming sagging skin and muscle. The incisions will be closed with fine sutures.


Dr. Malcolm Lesavoy performs eyelid surgery using local anesthesia and some oral Valium sedation. (No IVs.) 

The procedure is done in our office certified surgery center, and you can go to your home the same day of surgery. You usually are presentable in public in 10 days.


Male Blepharoplasty Procedure Before Photo
Male Blepharoplasty Procedure After Photo
Female Blepharoplasty Procedure Before Photo
Female Blepharoplasty Procedure After Photo

Before (left) and After (right) Photos of Male and Female Blepharoplasty (Eyelid Surgery) Procedure by Dr. Malcolm Lesavoy, Board Certified Beverly Hills Plastic Surgeon.

Blepharoplasty, commonly referred to as eyelid surgery, is a cosmetic surgical procedure that aims to improve the appearance of the eyelids. It can be performed on the upper lids, lower lids, or both. The surgery can rejuvenate the area surrounding the eyes, making an individual look more rested and alert. It can address issues like sagging or droopy eyelids, puffiness, bags under the eyes, and excess skin or wrinkles.

Top 5 Things to Consider If You Are Contemplating Blepharoplasty:

1. Purpose of the Surgery:
Cosmetic vs. Functional: While many people opt for blepharoplasty for cosmetic reasons, such as achieving a more youthful appearance, others may need it for functional reasons. Excess skin from the upper eyelid can droop low enough to impair vision, and a functional blepharoplasty can help restore a clear line of sight.

2. Surgeon’s Expertise and Experience:
It’s crucial to choose a board-certified plastic surgeon or oculoplastic surgeon with extensive experience in eyelid surgeries. Reviewing before-and-after photos, patient reviews, and verifying the surgeon’s credentials can provide insight into their expertise.

3. Potential Risks and Complications:
As with any surgery, blepharoplasty comes with potential risks. These can include infection, scarring, dry eyes, difficulty closing the eyes, and asymmetry. It’s essential to discuss these risks with your surgeon and understand the measures taken to minimize them.

4. Recovery Period:
Recovery from blepharoplasty typically takes a few weeks. Initially, there might be swelling, bruising, irritation, and dry eyes. It’s essential to follow post-operative care instructions, avoid strenuous activities, and use cold compresses to reduce swelling. Ensure you have a clear understanding of the recovery timeline and any restrictions.

5. Cost and Financing:
Blepharoplasty can be a significant investment. The cost can vary based on the surgeon’s experience, geographic location, and the complexity of the procedure. If the surgery is for functional reasons, insurance might cover a portion of the cost. However, cosmetic eyelid surgeries are typically not covered by insurance. It’s essential to get a clear estimate of the total cost and understand any available financing options.

Before surgery, the incision sites will be created along the natural lines and creases of the upper and lower eyelids. Underlying fat and excess skin and muscle are removed during the process. The incisions will be closed using fine sutures that do not result in highly noticeable scars and dissolve.

If pockets of fat are located beneath your lower eyelids and you do not need any skin removed, a transconjunctival blepharoplasty can be performed. This procedure results in an incision made on the inside of the lower eyelid, which means the scar will not be visible. It is generally performed on young patients who have more durable and elastic skin.

Transconjunctival blepharoplasty uses a tiny incision made on the inside of the lower eyelid, removing fat without removing skin. The site can be closed using dissolvable sutures.

Droopy conditions of the upper eyelid can be corrected through eyelid surgery. An incision within the natural crease of the upper eyelid allows repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin to create a firmer upper eyelid contour.

Lower eyelid conditions may be corrected be using a transconjunctival incision, which is hidden inside the lower eyelid. Through the transconjunctival incision, fat is then redistributed or removed, and sagging muscles are tightened. An alternative technique is an incision just below the lower lash line, which allows for correction of lower eyelid conditions and removal of excess skin in the lower lid.
Incision lines from eyelid surgery will be well concealed within the natural structures of the eyelid region. As the swelling and bruising subside, you’ll see a smooth, better-defined eyelid and surrounding region, and a more alert and rejuvenated appearance.
eyelid surgery
To learn about your eyelid lift options in Beverly Hills, please call us today at 310-248-5451.
and schedule an appointment.
The initial consultation with Dr. Lesavoy is very important. Dr. Lesavoy will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform Dr. Lesavoy if you have any allergies; if you’re taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.

In this consultation, Dr. Lesavoy or a nurse will test your vision and assess your tear production. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along.

You and Dr. Lesavoy will carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do upper and lower eyelids or both, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Dr. Lesavoy will explain the techniques and anesthesia he will use, the type of facility where the surgery will be performed, and the risks and costs involved. (Note: Most insurance policies don’t cover eyelid surgery, unless you can prove that drooping upper lids interfere with your vision. Check with your insurer.) Don’t hesitate to ask Dr. Lesavoy any questions you may have, especially those regarding your expectations and concerns about the results.

When eyelid surgery is performed by a qualified plastic surgeon such as Dr. Lesavoy, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection or a reaction to the anesthesia. You can reduce your risks by closely following Dr. Lesavoy’s instructions both before and after surgery.

The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; Dr. Lesavoy can remove them easily with a very fine needle.

Following surgery, some patients may have difficulty closing their eyes when they sleep; in rare cases, this condition may be permanent. Another very rare complication is ectropion, a pulling down of the lower lids. In this case, further surgery may be required.

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  • 9301 Wilshire Boulevard #410
  • Beverly Hills, CA 90210
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