DR WILLIAM PORTUESE | 1101 MADISON ST #1280 SEATTLE, WASHINGTON 98104 | (206) 624-6200
Dr William Portuese - Board Certified Facial Plastic Surgeon in Seattle WA

Complete Guide To Blepharoplasty©

There are two kinds of blepharoplasties performed. There is the upper blepharoplasty for excess skin on the upper eyelids. The lower eyelid blepharoplasty is done with the primary goal of removing excess bags and sometimes trimming a little bit of skin at the lash line.

Many times, there are also preexisting asymmetries where one eyebrow and eyelid and orbital socket is lower than the opposite side. This is all taken into account when a blepharoplasty is performed. The goal of upper eyelid blepharoplasty is to reshape and sculpt the upper lids so that they look more well rested and the goal of lower eyelid blepharoplasty is to remove the excess bags on the lower lids to give a refreshed look.

The blepharoplasty operation is performed on people usually in their 40s or 50s when they eyelids start to sag or become puffy underneath. Other things that can cause puffiness on the lower lids are allergies, genetic predisposition, salt intake, fluid, and hormonal changes. Dark circles and lower eyelid pigmentation are not changed with lower eyelid surgery. The shadows that are created from the lower eyelid fat bags are improved when the preexisting fat is removed from the lower lids. A conservative pinch of lower lid skin taken at the eyelash line can also help with lower eyelid skin laxity.

Eyelid Surgery Cost and Recovery

The most common questions about eyelid surgery (blepharoplasty) is how much does it cost and what is the recovery like. This video explains what is involved in the cost.

    Upper and Lower Lid Blepharoplasty:

  • $6,050 (Surgeon & Operating Room) + $643 (Anesthesia)
    Upper or Lower Lid Blepharoplasty:

  • $3,850 (Surgeon & Operating Room) + $500 (Anesthesia)

The cost of eyelid surgery really depends on several factors. It costs more to do both upper and lower eyelids than it does just the uppers or just the lowers.

The real cost of any type of cosmetic surgery including eyelid surgery is dependent upon the amount of time it takes to perform the procedure in a formal operating room. Time monitored under general anesthesia by a physician anesthesiologist, and then the surgeon’s fees for performing the surgical procedure known as a blepharoplasty. Surgeon experience and geography does tend to play into the cost of any type of cosmetic surgery including eyelids. The recovery for eyelid surgery usually involves placing the patient under general anesthesia for approximately an hour and then the recovery time is usually another hour just kind of waking up from the anesthesia and then the patients go home with their caretaker. Patients are fully healed after eyelid surgery usually at about three to four months after the procedure. Anticipate visible swelling and bruising for the first two weeks. The incision itself on the upper lid tends to stay, what we call, red or lumpy bumpy for a series of several weeks, six to eight weeks and then the incision on the upper lid tends to turn into a very fine white line. But the process takes two to three months. Patients are certainly able to hide it because it’s in the natural crease and they put makeup on to cover that incision.

copywrited William Portuese MD, 2007/8

Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self