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Eyelid Surgery

Plastic Surgery in Atlanta, GA

Are you starting to notice that age is beginning to take a toll on your eyes, specifically your eyelids? If you are unhappy with the look of saggy or puffy upper or lower lids, eyelid surgery can help. This procedure is commonly performed on men and women alike to create a youthful, refreshed appearance. Blepharoplasty (eyelid surgery) is a type of surgery that repairs droopy eyelids, removes bags from the undereyes, and may involve removing excess skin and fat.

As you age, your eyelids stretch and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing droopy upper lids and bags under your eyes.

Besides making you look older or tired, severely sagging skin around your eyes can reduce your field of vision, particularly in the upper and outer corners. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert. Our Atlanta office is 12 minutes from Brookhaven and 15 minutes from Buckhead.

What is Eyelid Surgery?

Blepharoplasty, or eyelid surgery, is a procedure to refresh the eyelids to accentuate the natural beauty of your eyes. It can be performed on the upper eyelids, lower eyelids, or both to rejuvenate the eyes and reduce the appearance of tiredness. The changes are typically subtle yet can make a striking impact on your overall appearance. Upper and lower blepharoplasty in Atlanta is a popular cosmetic surgery that is performed on both men and women.

As the eyes are considered to be the most engaging and important part of your face, eyelid surgery can correct the aforementioned issues and give you a more youthful, refreshed, and awake look. Even though most blepharoplasty surgeries are considered cosmetic, upper eyelid surgery may be functional if the field of vision is impaired from heavy upper eyelids.

 

 

Types

What Types of Blepharoplasty are There?

Upper Blepharoplasty

Upper eyelid surgery focuses on removing skin redundancy with or without conservative fat removal or repositioning. Ptosis, or drooping of the upper eyelids, may be performed in conjunction with upper blepharoplasty.

Lower Blepharoplasty

This procedure has an excellent safety record, quick recovery, beautiful results, and minimal downtime. Through the endoscopic approach, a few short (approx. 2 cm) vertical incisions are made behind the hairline so that visible scars are avoided. Using an endoscope attached to a camera, the eyebrow attachments are released, and the muscles are treated to create a more favorable and elevated natural brow position as well as shape. Once released, the lifted eyebrows are typically suspended and secured. At the end of the procedure, the hidden incisions are closed, and a dressing is applied. After recovering from anesthesia and ensuring your comfort, you will be able to go home the day of surgery.

Cosmetic Blepharoplasty

Cosmetic Blepharoplasty addresses eyelid problems that affect the aesthetics of the eyes and face to create a more youthful look. There are several issues that can be corrected through cosmetic blepharoplasty, which can give you a more youthful and rested appearance. Normal aging can cause the skin to stretch and muscles to weaken in both the upper and lower eyelid areas.

Functional Blepharoplasty

Functional Blepharoplasty corrects eyelid issues that affect an individual’s field of vision. If the field of vision is diminished, the surgery would be considered functional surgery as opposed to cosmetic surgery and could be covered by your health insurance, depending on your insurance plan. An ophthalmologic evaluation is typically necessary to examine your field of vision prior to undergoing functional upper blepharoplasty.

What Are the Benefits of Eyelid Surgery?

For many patients, the procedure restores a more youthful, rested appearance and helps reduce puffiness, drooping skin, and fine lines around the eyes. Upper blepharoplasty can also improve peripheral vision when sagging eyelids block part of the visual field. With eyes being the focal point of most facial interactions, eyelid surgery can make you look more approachable, energized, and confident. Results are long‑lasting, and when combined with healthy habits and proper skincare, they can keep you looking refreshed for many years.

Who Are the Best Candidates for Eyelid Surgery?

Men or women who are unhappy with the look or function of their eyelids can often benefit from a blepharoplasty. Healthy individuals without serious eye conditions who have realistic expectations for the outcome of their procedure are ideal candidates.

What’s the First Step?

The first step toward eyelid surgery at WalkerMD is a one‑on‑one consultation with Dr. Walker.

He will perform an examination of your periorbital area, eyebrows, eyelids, and overall facial balance before recommending the most effective approach for you. He’ll also review your anesthesia options, explain what you can expect before and after surgery, and answer any questions you may have.

What to Expect on the Day of Eyelid Surgery

Upper Blepharoplasty

Upper eyelid surgery may be safely and comfortably performed under local anesthesia or twilight sleep, either in the office or operating room, depending on your preference. Upper eyelid surgery is performed through a small, hidden incision in the natural upper eyelid skin crease. This allows for the removal of loose and excess skin, removal of fatty tissue as necessary, repositioning of the lacrimal gland (tear-producing gland) if needed, and correction of eyelid position. The procedure takes approximately one hour. Sutures are placed on the outside and removed 5-7 days after surgery.

Lower Blepharoplasty

Lower eyelid surgery is performed under deeper sedation, typically in the operating room. Under sedation, you are considered to be awake but unaware of the procedure. In most instances, lower blepharoplasty is performed under general anesthesia with you fully asleep and unaware of the procedure (usually done in conjunction with other procedures such as brow lift, rhinoplasty, or deep plane facelift). Dr. Walker will discuss the anesthetic options with you and recommend the most appropriate method of anesthesia in your specific case.

  • Anesthesia — Lower eyelid surgery may be performed through a carefully planned small incision inside your eyelid, a small incision just below your lash line, or both. Incisions just below the lash line (“subciliary”) are typically used to address and treat excess skin to lift the skin to achieve a softer look subtly. Internal incisions (“transconjunctival”) through the inside of the lower eyelid may be utilized if fat protrusion is the sole problem without skin redundancy/excess. This approach is commonly utilized in younger patients or patients with puffy eyelids only. In older patients with excess skin and lower eyelid laxity, Dr. Walker still typically uses the transconjunctival approach plus an adjunct procedure to tighten the lower eyelid and possibly remove excess skin via a so-called skin-pinch procedure. The advantage of the transconjunctival approach is that it is associated with a lower rate of lower eyelid malposition postoperatively and is therefore Dr. Walker’s most commonly performed and preferred method. In some cases, a laser resurfacing treatment may be incorporated to assist with skin tightening or discoloration, while fillers may be used to achieve smoother and softer results.

Eyelid Surgery Recovery

Eyelid surgery is an outpatient procedure. Once eyelid surgery has been completed on both sides, ointment and cool compresses are applied. After recovering from the twilight or general anesthesia and ensuring your comfort, you will be able to go home the same day.

After upper eyelid surgery, some bruising and swelling are to be expected, which typically lasts for one week. It is recommended that you rest at home and do not go to work for one week after surgery. A cold compress can help reduce discomfort, swelling, and bruising. Sutures are removed after 5-7 days. Mild blurry vision is not unusual after eyelid surgery and usually lasts one week, rarely longer. After 2-3 weeks, you may wear contact lenses again or apply eye makeup. If lower eyelid surgery is performed, whether with or without upper eyelid surgery, the recovery time takes slightly longer, with the lower eyelid surgery being the rate-limiting step in your recovery associated with a two-week downtime.

How Much Does Eyelid Surgery Cost in Atlanta, GA?

The cost of blepharoplasty varies and depends on multiple factors, including prior surgery, upper vs. lower eyelid surgery, location of surgery (office vs. operating room), and type of anesthesia, among other factors. When your treatment plan has been decided during your consultation, Dr. Walker’s team will go over estimated costs with you. Although finances are important, you should focus on finding a skilled and caring surgeon you trust rather than on the cost associated with your procedure. Dr. Walker’s team will be happy to go over financing options with you.

Why Choose Dr. Walker?

Choosing the right surgeon for eyelid surgery is crucial, and Dr. Thomas Walker stands out as one of Atlanta’s and the Southeastern United States’ leading Facial Plastic Surgeons. Double board‑certified and affiliated with top organizations such as the AAFPRS, ACS, AAO‑HNS, and AMA, Dr. Walker combines technical expertise with a personalized, artistic approach. He focuses exclusively on facial procedures, allowing him to deliver precise, natural‑looking results.

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Schedule Your
Consultation

If droopy eyelids or under-eye bags are making you look tired or older than you feel, it might be time to explore eyelid surgery. At WalkerMD in Atlanta, Dr. Walker offers a personalized approach designed to refresh your eyes and reveal a brighter, more youthful appearance to help you look as energized as you feel inside.

WalkerMD Facial Plastic Surgery is conveniently located 10 minutes from Buckhead, 12 minutes from Brookhaven, 20 minutes from downtown Atlanta, and 30 minutes from Atlanta’s Hartsfield-Jackson International Airport – the world’s busiest airport by passenger count.

Eyelid Surgery FAQ’S

Schedule a Consultation

To discuss your facial plastic surgery options with Dr. Walker, please schedule a consultation. For your comfort and safety, if you are unable to meet in out Atlanta office, we are currently offering secure telehealth appointments.