Blepharoplasty

Skin elasticity decreases as we age. When this begins to affect the skin around your eyes, it can cause you to look tired or sad.

Dr. Dustin Heringer performs blepharoplasty, or eyelid surgery, using precise techniques to provide beautiful, natural-looking results

So why should you consider blepharoplasty?

A woman with unwrinkled eyes holding up a photo of her eyes before surgery

Eyelid Surgery Can Offer Cosmetic and Practical Benefits

Feel More Confident

During a blepharoplasty, Dr. Heringer can remove eliminate bags and wrinkles to enhance the look of your eyes and help you feel more confident in your appearance.

Improve Your Field of Vision

If your upper eyelid droops and interferes with your vision, a blepharoplasty can improve your line of sight and reduce strain on the brow muscles.

A Versatile Treatment

At Arizona Ocular and Facial Plastic Surgery, we can combine blepharoplasty with another facial cosmetic surgery to provide dramatic enhancement.

Let's dive in to the blepharoplasty procedure...

Eyelid Surgery Is Popular in the U.S.

What can a blepharoplasty address?

Not sure if you qualify for surgery?

Basic Candidacy Requirements

Good Overall Health

Certain health problems, such as autoimmune disorders, can interfere with healing after surgery. Be sure to discuss your full medical history with Dr. Heringer during your consultation.

Tobacco Use

Smoking can compromise healing and increase your risk of complications. It is highly recommended to stop tobacco use several months before surgery.

Realistic Expectations

While blepharoplasty can have a significant effect on your appearance, it is important to have realistic expectations and fully discuss your goals with Dr. Heringer.

Choosing a qualified surgeon is crucial...

Why Choose Us 
for Your Eyelid Surgery?

Focusing exclusively on surgery for the face and eyes, Dr. Heringer has the necessary experience to provide truly outstanding results.

Under his care, comfort is a top priority. Our team will do everything possible to help you feel at ease. We also emphasize personalized care. Every treatment will begin with a detailed consultation. Dr. Heringer will discuss your goals for treatment, your budget, and your health history. Then he will plan a treatment with the goal of meeting or exceeding your expectations.

Let's explore eyelid surgery further...

Woman before and after blepharoplasty Woman before and after blepharoplasty

We Can Use Modern Techniques to Minimize Scarring

Dr. Heringer is a board-certified facial plastic surgeon who has studied extensively in ocular and facial plastic surgery.

During eyelid surgery, he uses advanced techniques to conceal scarring in the natural folds of your eye for a more natural-looking result.

With this method, most patients look rested and rejuvenated after surgery, rather than appearing as if they have had work done.

What actually happens during surgery?

Blepharoplasty Is an Outpatient Procedure

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Anesthesia

Before beginning, our team will administer local anesthesia and sedation to ensure you are comfortable throughout the procedure.
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Incisions

To perform upper blepharoplasty, Dr. Heringer will create a small incision hidden in the crease of your eyelid. During lower blepharoplasty, the incision is created along the lash line
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Tissue Removal

Dr. Heringer will tighten underlying muscles, remove excess skin, and eliminate or redistribute fatty tissue. He may also include fat grafting or laser skin resurfacing to enhance your results.

What is blepharoplasty recovery like?

Some Discomfort and Bruising Is Common during Recovery

Recovery from blepharoplasty typically takes about a week. After this time, you will return to the office, and your surgeon will remove your sutures. Patients can usually return to work at this time.

Initially, you may experience some slight bruising and swelling. You can typically control this discomfort with mild medication and cold compresses.

It may take several weeks for inflammation to subside completely. However, after one or two weeks, it is safe to wear makeup, and it is usually easy to conceal any bruises.

What can we achieve with blepharoplasty?

Eyelid Surgery Can Rejuvenate Your Appearance

before blepharoplasty
Before
after blepharoplasty
After

Results

You might need up to 10 days away from work or school. As you recover, swelling will subside an you will start to notice the benefits of your procedure. If you were experiencing obstructed vision as a result of sagging eyelids, you will probably notice an immediate improvement following surgery. As you heal, you can expect to look rejuvenated and alert, which can help you feel more confident in your appearance.

Upper Eyelid Surgery Can Help You  Achieve a Refreshed and Youthful Look

An image outlining the upper eyelid

Upper eyelid surgery can improve your appearance and, in come cases, improve vision.

Are You a Candidate for Upper Eyelid Surgery?

As you age, your body produces less collagen, and your skin begins to lose elasticity. Fat deposits may also become displaced, making your lids appear puffy. These effects can make you appear tired or older than you are. Drastically drooping lids can also hang over your pupils, blocking part of your field of vision. In any of these instances, you may be a great candidate for blepharoplasty. To qualify for treatment, you should:

  • Be in good health with no chronic diseases that could inhibit healing
  • Be a non-smoker
  • Not have any serious skin or eye conditions, such as macular degeneration or severe dry eye
  • Have realistic and specific goals for your surgery

What Happens during Upper Blepharoplasty?

Dr. Heringer will work hard to ensure your safety and comfort. He will begin with a thorough preparatory process. During this time, he will thoroughly clean the area and administer local anesthesia. Once you are comfortable, he will create incisions in the crease of your lid or along your lash line. Either position results in scars that are virtually invisible.

Upper eyelid surgery can have important health benefits.

Through these incisions, Dr. Heringer can remove any drooping skin and excess fat deposits. He may reposition fat cells, as well. If needed, he will tighten the muscles, using small, dissolvable stitches to hold them in place. This process will have a noticeable effect on your appearance, but it will not impact your natural eyelid movement. When he is finished, he will use traditional or dissolvable stitches to close the incisions.

The Benefits of Upper Eyelid Surgery

Upper eyelid surgery offers a number of important advantages:

  • It can dramatically improve your appearance, helping you look much younger and more alert.
  • Blepharoplasty can improve your eyesight, especially your peripheral and upward vision.
  • Upper eyelid surgery usually requires only local anesthesia, so you will not be groggy afterwards.
  • Healing is very quick. You can usually return to work within a week. Swelling typically subsides within two weeks.
  • Side effects are minimal. They typically include minor swelling, bruising, and inflammation.

Lower Eyelid Surgery Can Reduce Puffiness  and Rejuvenate Your Look

An image outlining the lower eyelid

Lower eyelid surgery can eliminate undereye bags and dark circles.

Are You a Candidate for Lower Eyelid Surgery?

As you age, your skin and muscles around your eyes begin to slacken, causing your lower eyelids to droop. Additionally, your skin can lose elasticity, and fat deposits can accumulate beneath your eyes. As a result, puffy bags may appear. Dark circles can also be the result of displaced fat deposits. In some cases, your eyelids may droop so low that the pink skin beneath your eyes is visible. If you suffer from any of these cosmetic concerns, you may be a great candidate for lower eyelid surgery. To qualify for treatment, you should:

  • Not have any serious or chronic health conditions that could inhibit healing
  • Be a non-smoker (or be willing to quit several weeks before surgery)
  • Not suffer from any eye diseases or pronounced dry eye
  • Have achievable goals

The Lower Blepharoplasty Surgical Process

Your lower blepharoplasty procedure will begin with a thorough consultation. Dr. Heringer will discuss your goals, health history, and budget. That way, he can design a procedure that meets all of your needs. Just before the surgery itself, you will receive sedation. IV sedation is conservative and will wear off quickly. On the other hand, general anesthesia may be more appropriate if you are feeling particularly anxious. As always, we are completely committed to your comfort. We will do whatever is necessary to help you feel at ease.

Lower eyelid surgery can improve puffy under-eye bags and even brighten dark circles. In this way, it can help you look younger, more rested, and more alert.

After these preparatory steps, Dr. Heringer will create small incisions. Usually, he will place them inside your lower lids, where scars will be invisible. In some cases, however, the incisions may be located just under your lash line. In these instances, scarring will still be virtually undetectable. Through these tiny openings, Dr. Heringer can remove damaged and sagging skin. Other times, he may simply need to eliminate or redistribute pockets of fat. In either case, he will use precise techniques to achieve a natural effect and avoid an overly hollow appearance. When he is finished, he will carefully close any incisions, often with dissolvable stitches. In some cases, he can augment the results of your blepharoplasty with a non-surgical treatment, such as laser skin resurfacing.

Recovering from Lower Eyelid Surgery

Because Dr. Heringer uses such careful methods, your blepharoplasty recovery should be relatively quick and easy. It is normal to experience some swelling and bruising. You can minimize these effects with ice packs and appropriate medications. After about two weeks, most side effects should subside, and you can resume your normal activities. All the same, you should not engage in strenuous exercise for several more weeks or until Dr. Heringer gives his approval. After approximately six weeks, you should begin to see the final results of your surgery. Residual and minimal swelling may persist for up to a year.

The Benefits of Lower Eyelid Surgery

Blepharoplasty offers a number of benefits. Eyelid surgery can erase years from your face, giving you a refreshed and more open appearance. You may feel significantly more confident, as well. It is important to note that, while upper eyelid surgery can have health benefits, we typically offer lower blepharoplasty only for its cosmetic effects. Therefore, the procedure is not usually covered by insurance. At the same time, most of our patients feel that the upfront financial investment is well worth the priceless results of their treatment.

Understanding the Benefits of Blepharoplasty

Close up of woman's blue eyes

Blepharoplasty can boost your confidence and help you look refreshed.

Aesthetic Outcome

The cosmetic benefits are a primary concern for many patients interested in blepharoplasty. Loose, excess skin on the upper eyelids and bags under the eyes are often some of the first signs of aging. Many patients feel these concerns also make them look unhappy or tired. An upper or lower eyelid surgery can help reduce or eliminate wrinkles or bags, removing excess skin and fat deposits to enhance the overall shape of the eyes and leaving patients looking younger and healthier.

Dr. Heringer can also combine a blepharoplasty with a number of other cosmetic procedures to enhance patient results. 

In addition, the incisions needed to perform the surgery are minimal. For upper lid surgery, the incisions are hidden in the natural creases of the skin, while lower lid surgery can be performed through an incision placed along the lash line. In both cases, the resulting scar is either completely camouflaged or slight enough that it does not detract from the overall result. 

Functional Improvement

While the primary focus of some patients' blepharoplasty is aesthetic, the surgery can enhance vision and comfort, as well. In some cases, the upper lid may droop enough that it impairs or even blocks a person’s vision. As a result, these patients often need to raise their lids even higher than normal to compensate for the reduced vision, which can put additional strain on the brow muscles. Removing excess skin or heavy deposits, and lifting the lid can help to expand the line of sight and allow patients to relax their forehead.

Minimally Invasive

While a substantial part of blepharoplasty’s popularity is its high rate of success, a significant portion is also tied to its minimally invasive nature. Conducted through small incisions, the procedure typically requires only a local anesthetic and patients can remain conscious and responsive throughout. While you can expect some swelling and discomfort during your recovery, the side effects are typically minor and do not interfere with your daily life. Although the full effects of the procedure can take anywhere from several weeks to months to become apparent, patients recover from the surgery much faster than other types of plastic surgeries.

Improved Confidence

Accepting the physical effects of aging can be trying, particularly when you feel as if your appearance does not match how you feel. Some patients feel particularly self-conscious about how their face changes as they age. No treatment can stop the aging process completely, but a blepharoplasty can go a long way towards helping you feel more comfortable with your appearance and, consequently, improving your self-esteem.

Blepharoplasty Cost Will Vary Based on a Number of Factors

The cost of eyelid surgery, or blepharoplasty, will depend a variety of factors. These typically include your choice of surgeon, the scope of the surgery, the type of surgical facility utilized, the use of sedation, and if you also receive any additional treatments. Dr. Heringer and Dr. McLeish are experienced in all aspects of this procedure and can explain blepharoplasty cost during a private consultation at our Scottsdale practice. 

Insurance companies generally do not cover the cost of a blepharoplasty done for cosmetic purposes, but they may if the surgery is done to improve your vision.

Factors that Contribute to Blepharoplasty Cost

  • Surgeon’s Expertise and Experience: The cost of blepharoplasty will depend on the training, experience, and skill set of the plastic surgeon. Choosing a surgeon with extensive experience and who is known for delivering satisfying results will increase your overall cost but ensure a more predictable outcome compared to a surgeon just starting out. Dr. Heringer is board certified and an expert in ophthalmic plastic and facial cosmetic surgery. Both he and Dr. McLeish use precise surgical techniques to create natural looking, successful results.
  • Type of Facility: Whether your procedure is performed at an outpatient facility or a hospital with an overnight stay can also affect the final cost.
  • Anesthesia: The total cost will also depend on your choice of anesthesia. With a blepharoplasty, you have the choice between local or general anesthesia when undergoing this procedure. In most cases, local anesthesia is more cost-effective.
  • Scope of Surgery: A blepharoplasty can consist of an upper eyelid reconstruction, lower eyelid reconstruction, or a complete eyelid reconstruction. The complexity of your procedure can affect the overall cost. The patient's individual anatomy may also factor into the scope.
  • Additional Treatments: The final treatment cost will increase if you choose to combine your blepharoplasty with skin rejuvenating procedures, such as dermal fillers and laser skin resurfacing, to reduce the appearance of crow’s feet and lines around the eyes.

Planning Your Procedure

Although a blepharoplasty is generally not as costly as other facial cosmetic surgery, it is still considered a major expense. During your consultation, Dr. Heringer will spend time with you discussing the overall procedure, costs involved, and what to expect during recovery. He will then create a customized treatment plan based on your needs and goals before beginning treatment.

Insurance companies generally do not cover the cost of a blepharoplasty done for cosmetic purposes, but they may if the surgery is done to improve your vision. At Arizona Ocular and Facial Plastic Surgery, we understand that cost can play a significant factor in whether you undergo this procedure. Because the benefits of blepharoplasty can be significant, our office staff is committed to providing you with caring assistance in any way they can. This includes helping you with insurance paperwork to ensure you receive the best possible coverage for your treatment. We also accept cash, check, and most major credit cards.

Dr. Dustin Heringer

Dr. Heringer

Dr. Heringer is a board-certified plastic surgeon who has practiced since 2013. He strives to achieve the most natural-looking results using the most conservative treatment methods. He is proud to be affiliated with several prestigious organizations, including:

  • American Society of Ophthalmic Plastic and Reconstructive Surgery
  • American Board of Cosmetic Surgery
  • American Board of Ophthalmology

For more information about our services, contact Arizona Ocular and Facial Plastic Surgery online or call (480) 949-5990 today.

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It's hard to find a great ocular plastic surgeon; Dr Heringer is one of them.

Wanda C.

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