Upper Blepharoplasty

Precision Skin Marking

Before any anesthesia is administered, while you are sitting upright, Dr. Gandhi uses specialized calipers to mathematically mark the exact millimeters of excess skin, ensuring absolute symmetry and protecting your ability to close your eyes.

Tissue Excision

Under local anesthesia, the redundant skin is delicately removed. If there is a bulging fat pad in the inner corner (the medial fat pad), it is gently contoured to eliminate puffiness.

Invisible Closure

The incision is closed using hyper-fine, hair-like sutures placed directly inside the natural fold of the eye. Once healed, the scar is completely hidden when your eyes are open, and virtually imperceptible when closed.

Is the procedure performed awake?

Yes, Upper Blepharoplasty is highly suited for our clinical suite. It is comfortably and painlessly performed under local anesthesia (similar to a dental procedure) with a light oral sedative to keep you completely relaxed. The surgery typically takes less than an hour.

Will insurance cover this?

If the excess skin is so severe that it hangs over your eyelashes and obstructs your superior vision, it may be deemed a medical necessity. We will perform a formal visual field test during your consultation to determine if insurance authorization is possible.

When can I wear eye makeup again?

You must keep the incisions completely clean and free of cosmetics while the sutures are in place. Once the sutures are removed at day 7, you can typically resume wearing eyeshadow and mascara by day 10 to 14.

Phase 1: Medication Review

The eyelids are highly vascular. You must cease all aspirin, ibuprofen, fish oils, vitamin E, and green tea extracts exactly two weeks prior to surgery to minimize surgical bleeding and prevent severe post-operative bruising.

Phase 2: Lash Extensions

If you wear false eyelash extensions, they must be completely removed prior to surgery to ensure the surgical field is pristine and to prevent the surgical drapes or ointments from pulling on them.

Phase 3: The Ice Station

Purchase gel ice masks or small bags of frozen peas. Aggressive icing during the first 48 hours is the single most important factor in ensuring a rapid, bruise-free recovery.

The First 72 Hours

Your eyelids will feel tight and slightly swollen, but sharp pain is incredibly rare. You must sleep with your head elevated on 2-3 pillows and apply ice continuously (20 minutes on, 20 minutes off). You will apply a prescribed antibiotic ointment to the incisions.

Days 4 to 7

Swelling begins to rapidly subside. Mild bruising may appear on the upper lids or migrate to the lower lids. You will return to the clinic around day 7 for the completely painless removal of your ultra-fine sutures.

Weeks 2 to 3

The incisions will appear as faint pink lines hidden in your crease. You are 'restaurant ready' and can return to normal social activities. The crisp, beautiful new contour of your upper eyelid is permanently revealed.