Blepharoplasty/Eyelid Lift

In Scottsdale, AZ



Blepharoplasty, also called cosmetic eyelid surgery or eyelid lift, is a cosmetic procedure that eliminates sagging skin on the upper lids and bulges of fat on the lower lids to create a more refreshed, youthful appearance. Oftentimes, sagging skin and tissues on the upper lids are caused by loss of skin elasticity and age-related volume loss. Loss of skin elasticity and fat buildup on the lower lids can have a similar effect, either creating deep under-eye hollows and dark circles or the look of puffy under-eyes.

Excess skin and sagging tissue, especially on the upper lids, are both cosmetic and medical concerns. Severe amounts of sagging on the upper lids can block your field of vision and reduce peripheral vision (side vision). Blepharoplasty can significantly improve or eliminate these visual problems.

Before And After

Would You Benefit From Blepharoplasty?

Patients who are concerned about signs of aging and want to restore a brighter, alert appearance can benefit from blepharoplasty. Ideal candidates should be in overall good health, nonsmokers, and free from medical conditions like dry eye, glaucoma, diabetes, and thyroid disorders.

Blepharoplasty Can Be Used To Improve:

  • Hooded eyes
  • Droopy upper eyelids
  • Undereye bags

Upper Eyelid Surgery

For upper eyelid surgery, an incision is made along the natural eyelid crease at the top of the lid so that the scar can be easily concealed. Loose skin and excess fat are removed and then the remaining skin and muscles are tightened to lift and smooth the upper eyelids.

Lower Eyelid Surgery

During the lower eyelid surgery, an incision will be concealed along the lash line. Fat will be removed and repositioned to smooth the skin under the eyes and the muscles are tightened. If sagging skin is part of the concern, it will also be removed, and the remaining skin can be lifted. Patients with moderate to severe skin laxity may also need to have the suspensory ligaments tightened; this technique is known as canthoplasty.

Blepharoplasty Recovery

After any type of cosmetic surgery, you get a free pass to relax. In fact, we need you to. You should take about 4-5 days off work, and during the first two days, we need you to limit your activity as much as possible. Mild to moderate swelling and bruising peak during the first few days but will gradually improve within a few weeks. After two weeks, about 80% of the swelling and bruising will have disappeared.

Patients should avoid strenuous exercise and direct heat (including sun exposure and saunas) for about 12 to 14 days. Since eyelid skin is incredibly thin, even the smallest amount of increased blood flow will be evident, and it could worsen swelling and slow your recovery process. Make sure to follow all post-operative instructions from Dr. Ghafouri and attend your scheduled post-operative appointments so that he can monitor your recovery and answer any questions you might have.

Procedures To Combine With Blepharoplasty

Frequently Asked Questions About Blepharoplasty

Am I a good candidate for blepharoplasty?

In general, after age 40, people start to notice signs of aging around the eyes. The eyebrows and eyelids start to get heavy and begin to sag, bags develop under the eyes, and the surrounding skin becomes thin and crepe-like. If you have any of these signs of facial aging and are in good general health, you may consider eyelid surgery. A final determination is made after a full consultation and examination by your surgeon.

How long does the actual surgery take?

It varies depending on the surgical procedure as well as the number of procedures performed at the same time. On average, bilateral upper eyelid blepharoplasty takes about 20 to 30 minutes and bilateral lower eyelid blepharoplasty about 60 minutes. You need to arrive at the surgery center approximately one hour before the surgery. You will be discharged about 30 to 45 minutes after the surgery.

How long do the effects of blepharoplasty last?

Effects of the surgery will last for the rest of your life. The vast majority of patients undergo eyelid surgery only once in their lives.

Why should I have Dr. Ghafouri perform my eyelid surgery?

As an oculoplastic surgeon, Dr. Ghafouri specializes exclusively in cosmetic and reconstructive eye plastic surgery. Dr. Ghafouri's focus on this particular area of the face sets him apart from other plastic surgeons or cosmetic surgeons who operate on more broad areas of the face and body. The eyelids serve a physiological function. They are not just a piece of the skin. Eyelids are very complex and dynamic structures that protect and nurture the eyes. Because of Dr. Ghafouri's advanced training in ophthalmology and plastic surgery, he is best qualified to perform these types of surgeries. Dr. Ghafouri is well respected within the community and trusted among his peers. He frequently performs eyelid surgery on doctors and their families.

How much does blepharoplasty cost?

The cost of blepharoplasty (or “eyelid lift”) depends on exactly what type of procedure is done. All the surgical procedures are individualized according to the patient's needs. It may include excision of the loose skin only, or combined with fat removal or fat positioning. Tightening of the eyelid muscles (ptosis repair) may be performed at the same time. The upper eyelid surgeries are usually performed at our surgical suite at the office. The average cost is $4900-$5600.

How is blepharoplasty performed?

Blepharoplasty can be performed on the upper eyelids or lower eyelids. Many patients elect to have both surgeries combined to achieve more dramatic facial rejuvenation.nnIn upper eyelid blepharoplasty, fine incisions are made along the natural individual eyelid creases and folds in order to keep the scars as invisible as possible. The loose skin is excised, the excess fat is removed or repositioned, and the muscles are tightened if indicated. Fine dissolvable sutures are used to close the incisions.nnBlepharoplasty MesaIn lower eyelid blepharoplasty, fine incisions are made inconspicuously along the lash line, extending to the natural laugh line of the lower eyelids. The loose fatty compartments are trimmed and repositioned, the muscle is tightened and a small amount of skin is excised. In patients with significant skin laxity on the lower eyelids, the suspensory ligaments are tightened as well (a technique known as cathoplasty). If the puffiness or bags under the eyes are primarily caused by excess fat, then the incision is made inside the lower eyelid (no skin incision) to access and remove the fatty compartments (trans-conjunctival blepharoplasty).nnIn addition to blepharoplasty, some patients may require a cheek lift in order to smooth out the hollowness and contour deformities in the mid-face area. The above procedures may be combined with endoscopic forehead lift, laser skin resurfacing, dermal fillers or Botox injections. During your consultation with Dr. Ghafouri, the above options and techniques are discussed in detail and a treatment plan is tailored to meet your expectations and goals.

What type of anesthesia is used for eyelid surgery?

The procedure is performed under local anesthesia with IV (intravenous) sedation. When you arrive at the surgery center, appropriate monitoring devices will be applied to monitor your heart, blood pressure, breathing, etc. A board certified anesthesiologist will administer an IV sedation that puts you into a “twilight” sleep. Local anesthetic will be injected into the eyelid skin to numb and “freeze” the surgical area. Most patients do not feel or even remember the injections. It should be noted that local anesthesia is much safer than general anesthesia and is also associated with a faster recovery. However, sometimes oral sedation is given instead of IV sedation. For maximal patient safety, most surgeries are performed in a State- and Medicare-certified ambulatory surgical center. Level of sedation can be measured and adjusted depending on the nature of the surgery and the patient's needs.

How much does lower eyelid blepharoplasty cost?

Lower eyelid blepharoplasty entails the removal of bags below the eyes, and correction tear trough from the lower eyelids and cheek doesn't have a fixed price. It depends on exactly what type of procedure is used and the extent of the surgery. Different options include trans-conjunctival lower eyelid blepharoplasty, trans-cutaneous lower eyelid blepharoplasty with fat removal or repositioning. Additional procedures may be required to be performed at the same time such as canthoplasty and tightening lifting of the cheek. The average cost is $5950-$7300.

Is eyelid surgery painful?

Eyelid surgery is associated with minimal discomfort. You may just need to take some Tylenol after surgery. Applying ice right after the surgery also helps with any pain or discomfort. Pain medications usually are not prescribed. Following the post-operative instructions is very important in reducing discomfort after the surgery.

Do I need to have a consultation with surgeon before considering surgery?

Yes, it is extremely important that you meet with the surgeon face-to-face before surgery. After a thorough examination, your doctor will determine if you are a good candidate for surgery. He will explain how the surgery can help you, listen to your concerns and answer all your questions. The risks, benefits and alternatives will be explained. It is important that we understand your goals and meet your expectations. Together, we will determine which procedure is right for you. At Arizona Oculoplastic Specialists, we believe wholeheartedly in patient education. We will do our best to meet the patient's realistic expectations.

What is an appropriate age for cosmetic eyelid surgery?

The first signs of aging start around eyes because the skin in this area is the thinnest skin of the body and goes unprotected by sunscreen. Exposure to the sun, skin type, ethnicity and hereditary factors all factor in. Most patients start to notice signs of aging around their eyes in their 40s. Due to the minimally invasive nature of cosmetic eyelid surgery and its long-lasting effects, many patients undergo eyelid surgery before or instead of having full face or neck lift.

How is the recovery from eyelid surgery?

You should expect some swelling or bruising around your eyes right after the surgery. The amount of swelling and bruising is different from patient to patient. You will be given specific pre- and post-operative instructions in order to help reduce the amount of swelling and bruising. Eyelid skin is very vascular and it is actually the thinnest skin on your body, so even a small amount of blood will show under your skin. Approximately 80 percent of swelling and bruising will disappear after the first two weeks of surgery. You may apply makeup to hide the bruising two to three days after the surgery. The stitches self-dissolve after one to two weeks, so they do not need to be removed. We recommend that you take four to five days off work. This varies from patient to patient and depends on the nature of the surgery and actions are taken. The swelling usually peaks on the second day after the surgery. It is important to rest as much as possible (be a “couch potato”) for the first two days after the surgery. You may return to normal activity shortly thereafter. Heavy exercise and strenuous activity should be avoided for the first 10 days after the surgery. Please see our see pre- and post-operative instructions for additional guidelines.

Is there a noticeable scar?

The amount scarring varies from patient to patient. In general, the scarring is very minimal. In the upper eyelid, the scar is well hidden in the eyelid crease. In the lower eyelid, the scar is hidden just beneath the eyelash line or the inner surface of the eyelid, so it is not very visible. It takes several months for the scars to undergo remodeling, thinning and fading until the final outcome is achieved.

What is the difference between brow lift and eyelid lift?

With aging, the eyebrows migrate below their normal position. It often causes excessive eyelid folds and lateral hooding. Most patients who are good candidates for a blepharoplasty also have some increase of brow ptosis (droopiness). A brow or forehead lift can be performed simultaneously with the eyelid surgery. During the course of consultation with Dr. Ghafouri, he will determine if you are a good candidate for brow lift surgery.

How commonly is eyelid surgery performed?

More than 200,000 people underwent cosmetic eyelid surgery in 2010. Overall, it is the second most popular cosmetic surgery after liposuction. This is the most common surgical cosmetic procedure for all patients over the age of 40.

How can a “surgical” or “surprised” look be avoided after blepharoplasty?

Typically, a “surgical” or “surprised” look occurs when too much skin and fat are removed from the eyelids, rather than repositioning the tissue to provide a more youthful and natural appearance. At Arizona Oculoplastic Specialists, the surgery is tailored on an individual basis, taking into consideration the patient's gender, skin type and facial contouring. Experienced surgeons avoid performing the same standard procedure on every patient.

What are the possible risks and complications of the surgery?

As with any type of plastic surgery, general risks include: infection, poor healing, scarring and bleeding. The risks specifically associated with blepharoplasty include dry eye, photosensitivity, eye irritation and visual changes. Please read the informed consent form for a more detailed discussion. In the hands of an experienced and specialized surgeon, eyelid surgery is very safe with minimal risk of complications.

Meet Dr. Ali Ghafouri

Dr. Ghafouri MD, FACS, is a board-certified ophthalmologist with specialized training in oculoplastic and orbital surgery. His exclusive specialization in cosmetic and reconstructive eyelid and facial surgery sets him apart from other plastic surgeons who practice a larger range of facial and body surgeries. The eyes are a complex and dynamic structure that requires the trained eye of an eyelid surgeon like Dr. Ghafouri to achieve the best possible results. He has performed over 12,000 aesthetic and reconstructive surgeries, each with a personalized approach and commitment to exceptional results.

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“I give Dr. Ghafouri the highest rankings in all categories! He is kind, patient, compassionate and above all, a brilliant surgeon! I wish he could be my doctor for everything medical! Thank you Dr. Ghafouri! I have also used Kyle for injections and she is patient kind and so knowledgeable! Made the experience painless and comfortable!!!! Truly a wonderful office with a sweet staff all around!”

“Dr. Ghafouri and his team are very professional and knowledgeable. Very well-educated in his specialty and very helpful. His office environment is clean, bright and efficient.”

“Wonderful office. The whole staff and providers are fantastic.”



Dr. Ghafouri offers virtual consultations for out-of-town patients. We see patients from all across the country who trust Dr. Ghafouri’s unique skills and expertise for their facial or eyelid surgeries. If you choose to travel to Arizona for your surgery, we can also recommend hotels and other resources to make your stay comfortable.

To schedule a virtual consultation with Dr. Ghafouri Click here.

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