Eyelid Surgery in Beverly Hills by Dr. Richard Fleming

At the Beverly Hills Institute of Aesthetic and Reconstructive Surgery, patients can choose from an extensive array of facial rejuvenation procedures, such as facelift, brow lift and eyelid surgery. The latter procedure is often requested by individuals who desire to achieve a more alert, rested facial appearance. In the paragraphs below, we explain the blepharoplasty procedure and the results patients can achieve with this surgery.

The eyelids are frequently the first to show the signs of aging, resulting in a tired, sad appearance. This is very apparent because the eyes are the first thing that we notice in a person’s face. The problems we confront in the eyes are really two-fold.

Excess skin: There may be excess skin of the upper and/or lower eyelids. The excess skin of the upper lids may also be caused by sagging of the forehead and eyebrows. A brow lift should always be considered when evaluating the upper eyelids excess fat..

There may also be excess fat in the eyelids which causes “baggy” eye lids. This is frequently present in both the upper and lower eyelids. Initially they are noticeable only on awakening in the morning. As the problem becomes more severe, this puffy look persists throughout the day. This tendency is inherited and may appear very early in life (even in the teens and ’20s) before the aging process becomes obvious.

With eyelid surgery, the removal of excess skin and fat pads will give a rested, youthful appearance, but does very little to change the fine lines and the crow’s feet. If the skin is pulled tightly in attempt to eliminate these fine lines, the lower lid will be pulled down and a deformity created. The normal almond shape of the eyes may be distorted, resulting in a “hound dog” appearance. We use other techniques, such as Botox®, the chemical peel or laser resurfacing, to improve or remove these fine lines.


In the upper eyelids, we make the incision in the fold of the lid (see diagram above). In the lower eyelid, we make the incision in a natural crease immediately below the eyelashes. In cases where only fat has to be removed from the lower eyelids, we make the incisions on the inner surface of the eyelid. In this way the patient avoids the temporary inconvenience caused by the healing of a skin incision. Some bruising and swelling occurs in the upper and lower eyelids and continues for seven to ten days. No bandages are required. After one week, our eye surgery patients can use makeup to camouflage any residual bruising. Strenuous activities are restricted for a short time after surgery. The patient is not able to wear contact lenses for two or three days after the operation. If your job does not involve strenuous labor, you may return to work with sunglasses in one or two days.