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Procedures Face Eyelid Surgery in San Diego

Blepharoplasty (Eyelid Surgery)

Procedures Face Eyelid Surgery in San Diego

The eyes are often the first feature others notice, and sagging or puffy eyelids can make you look tired, older, or even affect your peripheral vision. Eyelid surgery offers a solution for patients seeking to reclaim a more vibrant, refreshed appearance without looking “done.” Whether excess upper eyelid skin has begun drooping toward your lash line or under-eye bags have become increasingly prominent, this procedure can make a significant difference in how rested and youthful you appear.

At Umansky Plastic Surgery in La Jolla, board-certified plastic surgeons Dr. William Umansky and Dr. Jeffrey Umansky bring decades of combined experience to every blepharoplasty procedure. Recognized by Vitals MD as America’s Most Compassionate Surgeons, they combine technical precision with a patient-centered approach that prioritizes natural-looking results.

Before & After
Gallery

What Is a Blepharoplasty?

Eyelid surgery, clinically known as blepharoplasty, is a plastic surgery procedure designed to address excess skin and fat around the eyelids. The surgery removes or repositions tissue that contributes to a heavy, aged, or fatigued appearance. It can be performed on the upper eyelids, lower eyelids or combined as a comprehensive eyelid rejuvenation procedure.

Upper blepharoplasty targets the sagging skin that creates hooding over the eyelid, while lower blepharoplasty addresses the puffiness and bags that form beneath the lower eyelid lashes. When performed by a skilled plastic surgeon, the results provide a refreshed rather than altered appearance, allowing patients to look like a more rested version of themselves.

“The goal of blepharoplasty is never to change who you are. It is about restoring the energy and youthfulness to your eyes that may have faded over time. When done correctly, patients should look naturally refreshed, and friends may simply think they’ve returned from a relaxing vacation.”
— Dr. William Umansky

Common Reasons for Considering Eyelid Surgery

Excess Upper Eyelid Skin and Hooding

As we age, the skin on our upper eyelids loses elasticity and begins to droop. This redundant tissue can create a “hooded” appearance that makes eyes look smaller and more fatigued. The natural eyelid crease can start to disappear, and applying makeup can be impaired. In some cases, the excess skin becomes significant enough to rest on the lashes or impair peripheral vision.

Under-Eye Bags and Puffiness

The delicate, thin skin beneath the eyes is prone to developing pockets of fat that bulge forward, creating noticeable bags. These changes occur as the membrane holding orbital fat weakens with age. Under-eye bags can make patients appear tired regardless of how well-rested they actually feel.

Fine Lines and Wrinkles Around the Eyes

The constant movement of muscles around our eyes, combined with sun exposure and natural aging, can lead to crepey skin and fine wrinkles. Blepharoplasty can tighten this tissue, smoothing the contours around the eye area. Often, laser treatments are recommended to further treat fine lines.

Asymmetry or Genetic Concerns

Some patients develop uneven eyelids over time, while others are simply predisposed to heavy lids or prominent bags due to genetics. Blepharoplasty can restore symmetry and address hereditary concerns that have made patients self-conscious for years.

“Many of my patients tell me they’re tired of looking tired. They get plenty of sleep, but their eyes don’t reflect that. Blepharoplasty allows us to correct what aging and genetics have done, giving the face a more accurate representation of how the patient actually feels inside.”
— Dr. Jeffrey Umansky

Am I a Candidate for Blepharoplasty in La Jolla?

Ideal candidates for eyelid surgery typically share certain characteristics. You may be a good candidate if you:

Have excess, drooping skin on your upper eyelids that creates folds or impairs vision
Notice persistent puffiness or bags beneath your lower eyes
Are in good overall health without conditions that impair healing
Do not smoke or are willing to quit before and after surgery
Have realistic expectations about what blepharoplasty can achieve

Those with certain eye conditions, such as dry eye syndrome, glaucoma, or thyroid-related eye problems, should discuss their medical history thoroughly during their consultation. While these conditions do not automatically disqualify someone from surgery, they require careful evaluation and may influence the surgical approach.

“During consultations, I look at the whole picture. We evaluate skin quality, fat positioning, brow position, and overall facial harmony. Sometimes a patient thinks they need eyelid surgery when a brow lift would actually address their concerns more effectively. This thorough assessment allows us to recommend the right procedure for each individual.”

— Dr. William Umansky

Blepharoplasty Techniques at Umansky Plastic Surgery

Upper Blepharoplasty

Upper eyelid surgery addresses the excess skin that creates hooding over the eye. Your surgeon makes an incision within the natural crease of your upper eyelid, allowing access to remove redundant skin and, when necessary, reposition or remove small amounts of fat. Because the incision follows your natural fold, the resulting scar becomes virtually invisible once healed.

Lower Blepharoplasty

Lower eyelid surgery targets under-eye bags and loose skin. Two approaches are available depending on your concerns:

The transcutaneous approach places the incision just below the lower lash line, providing access to remove or reposition fat while also allowing excision of excess skin. Lateral canthopexy, used to tighten the lid and prevent post-operative drooping of the eyelid, is often performed at the same time.
The transconjunctival approach makes the incision inside the lower eyelid, leaving no visible external scar. This technique works well for younger patients with good skin elasticity who primarily need fat repositioning rather than skin removal.

Combined Upper and Lower Blepharoplasty

Many patients benefit from addressing the upper and lower eyelids simultaneously. This comprehensive approach creates balanced, harmonious rejuvenation of the entire eye area in a single surgical session and recovery period.

“I individualize every approach based on the patient’s anatomy and goals. Some patients need skin removal, others need fat repositioning, and many benefit from a combination of techniques. Selecting the correct technique makes all the difference in achieving natural results.”— Dr. Jeffrey Umansky

The Blepharoplasty Consultation Process

Your consultation at our La Jolla practice begins with a comprehensive evaluation of your eyelids, facial structure, and overall aesthetic goals. Dr. William Umansky or Dr. Jeffrey Umansky will examine your skin quality, evaluate the position of your brows and eyelids, assess the amount of excess skin and fat, and discuss how your eyes relate to your overall facial balance.

Bring photographs of yourself from your younger years if possible. These images help your surgeon understand your natural anatomy and what changes have occurred over time. You should also arrive with a list of questions and concerns to address during your consultation appointment.

After examining your eyelids and discussing your goals, your surgeon will explain which technique or combination of techniques will best achieve your desired outcome. You’ll receive detailed information about the procedure, recovery expectations, and eyelid surgery pricing during this visit. You will also be able to review blepharoplasty before-and-after photos to help you understand the kind of results we can achieve with this procedure.

What to Expect During Eyelid Surgery

Blepharoplasty is performed at our accredited surgical facility in La Jolla. The procedure typically takes one to three hours, depending on whether you’re having upper, lower or combined eyelid surgery.

Anesthesia

Most blepharoplasty procedures are performed with the patient under general anesthesia. Local anesthesia with intravenous sedation can also be used for upper eyelid surgery, keeping you comfortable and relaxed throughout the surgery.

The Surgical Process

For upper blepharoplasty, your surgeon marks the natural crease of your eyelid and carefully excises the predetermined amount of excess skin. Fat pockets may be removed or sculpted as needed. The incision is closed with fine sutures that promote optimal healing.

For lower blepharoplasty using the external approach, a thin incision is made just below the lash line. Your surgeon then removes or redistributes fat, addresses any eyelid laxity, and trims excess skin before closing the incision. The transconjunctival approach involves an incision inside the eyelid, through which fat can be repositioned or removed without an external scar.

Closure and Dressings

Incisions are closed using fine sutures, and you may have small tapes placed along the incision lines. Cold compresses are applied immediately after surgery to minimize swelling and bruising.

Eyelid Surgery Recovery and Aftercare

Immediately following your procedure, expect mild to moderate swelling and bruising around the eyes. This is completely normal and resolves gradually. During the first 48 to 72 hours, apply cold compresses as directed to reduce swelling. Keep your head elevated, even while sleeping. Your surgeon will recommend lubricating eye drops and provide ointment to prevent dryness. Most patients manage the discomfort with over-the-counter pain medication, though prescription options are available as needed.

Sutures are typically removed within five to seven days. At this point, most patients feel comfortable returning to non-strenuous daily activities and may camouflage any remaining bruising with makeup. Strenuous exercise and heavy lifting should be avoided for approximately two to three weeks.

The majority of visible swelling subsides within two to three weeks, though subtle residual swelling may persist for several months before your final results become fully apparent.

“I tell my patients that the first week requires patience. Bruising and swelling are expected, and you’ll want to rest and keep your head elevated. By week two, most patients are pleasantly surprised at how quickly they’re improving. The results just keep getting better from there.”

— Dr. Jeffrey Umansky

Blepharoplasty Results and Longevity

You will notice improvement in your appearance immediately following surgery, though initial swelling will partially obscure your final results. As swelling resolves over the following weeks and months, the refreshed contours of your eyelids become increasingly apparent. Most patients see their final results within three to six months after surgery.

Are Blepharoplasty Results Permanent?

Eyelid surgery produces long-lasting results. According to the American Society of Plastic Surgeons, blepharoplasty ranked among the top five cosmetic surgical procedures year after year, with more than a hundred thousand procedures performed yearly by ASPS member surgeons. The procedure’s enduring popularity reflects the reliable, lasting outcomes it delivers.

While the natural aging process will continue, patients typically maintain their improvement for many years. So, while the skin and fat removed during blepharoplasty can slowly return, it is usually decades before one might get to the point of considering a secondary procedure. Protecting your skin from sun damage and maintaining a healthy lifestyle can help preserve your results.

“Patients often ask how long their results will last. I explain that while we can’t stop the clock entirely, we’re effectively setting it back. The improvements from blepharoplasty are permanent in the sense that you’ll always look better than if you hadn’t had surgery. Many of my patients from 10 or 15 years ago still look remarkably refreshed.”

— Dr. William Umansky

Why Choose Umansky Plastic Surgery for Blepharoplasty in San Diego?

Selecting the right surgeon for your eyelid surgery is one of the most important decisions you’ll make. At Umansky Plastic Surgery, patients benefit from:

Board-Certified Expertise: Dr. William Umansky and Dr. Jeffrey Umansky are certified by the American Board of Plastic Surgery, reflecting years of rigorous training and ongoing commitment to excellence.
Recognized Compassionate Care: The surgeons have been named America’s Most Compassionate Surgeons by Vitals MD, a recognition based on patient feedback and experiences.
Advanced Training: Both Dr. William Umansky and Dr. Jeffrey Umansky have completed advanced cosmetic and aesthetic fellowships, equipping them with refined surgical expertise and a deep understanding of the latest facial rejuvenation techniques.
Accredited Surgical Facility: Procedures are performed in our fully accredited facility in La Jolla, prioritizing patient safety and comfort.
Personalized Approach: The Umansky team conducts unhurried consultations, carefully evaluating each patient’s anatomy and goals to develop individualized surgical plans.

We welcome patients from throughout San Diego County and beyond, including out-of-town patients who travel for our expertise. Plastic surgery financing options are available to help make your procedure accessible.

Schedule Your Blepharoplasty Consultation in La Jolla

If drooping eyelids or under-eye bags have left you looking more tired than you feel, blepharoplasty may help you achieve the refreshed, alert appearance you desire. Dr. William Umansky and Dr. Jeffrey Umansky look forward to discussing your goals and explaining how eyelid surgery can benefit you.

Call 858-281-4560 or complete our online contact form to schedule your consultation at Umansky Plastic Surgery today.

Frequently asked questions

How Much Does Eyelid Surgery Cost in San Diego?

The cost of eyelid surgery varies based on several factors, including whether you’re having upper blepharoplasty, lower blepharoplasty or a combined procedure. The extent of correction needed and whether additional techniques are incorporated also influence pricing. During your consultation, you’ll receive detailed information about the costs associated with your specific surgical plan. Financing options are available through our La Jolla/San Diego practice to help patients achieve their aesthetic goals.

Does Insurance Cover Blepharoplasty?

Blepharoplasty performed for purely cosmetic reasons is not covered by insurance. However, if upper eyelid skin significantly obstructs your visual field and meets specific medical criteria, the procedure may qualify as medically necessary. Visual field testing can document functional impairment. Our staff can help you understand whether your situation might qualify for insurance consideration.

Will There Be Visible Scars After Blepharoplasty?

Upper blepharoplasty incisions are hidden within the natural crease of the eyelid, making them virtually invisible once healed. Lower blepharoplasty using the external approach places the incision just below the lash line, where it typically fades to become nearly imperceptible. The transconjunctival approach for lower blepharoplasty leaves no visible external scar at all. Following your surgeon’s post-operative instructions carefully will promote optimal scar healing.

How Much Downtime Is Needed After Blepharoplasty?

Most patients return to light activities and work within five to seven days following eyelid surgery. Intense workouts can be resumed after two to three weeks. Your blepharoplasty surgeon will provide specific guidelines about when you can resume specific exercises and other activities.

Can Blepharoplasty Be Combined With Other Procedures?

Yes, eyelid surgery is frequently combined with complementary facial rejuvenation procedures. A brow lift addresses sagging of the brow, which can add to a hooded eyelid appearance. A facelift rejuvenates the lower face, jowls, and neck. BOTOX and dermal fillers may also complement your results. Your surgeon can discuss which combination of treatments will best address your concerns.

At What Age Should I Consider Blepharoplasty?

There is no single ideal age for eyelid surgery. Patients typically begin noticing significant eyelid changes in their 40s, 50s and 60s, though genetics can cause these changes earlier or later. The right time for surgery depends on when the changes bother you enough to seek correction. Some patients in their 30s have hereditary concerns they wish to address, while others wait until their 40s or 50s. The surgeons at Umansky Plastic Surgery evaluate each patient individually to determine optimal surgery timing.