BlepharoplastyEyelid surgery or blepharoplasty is a surgical procedure designed to improve the appearance of the eyelids, both upper and lower.

What can eyelid surgery treat?

  • Extra or sagging skin that creates unwanted folds or disturbs the natural shape of the upper eyelid, sometimes affecting your vision
  • Puffiness in the upper eyelids as a result of excess fatty deposits
  • Puffiness or bags under the eyelids
  • Drooping upper eyelids that covers more of the upper part of the iris or the color of your eye
  • Drooping lower eyelids that reveal white below the iris or the color of your eye
  • Extra skin, folds and fine wrinkles of the lower eyelid

What to Expect During Blepharoplasty Surgery

Blepharoplasty at Rehoboth Plastic, Derm Center, & Medispa is performed as an outpatient procedure under local anesthesia or intravenous sedation and typically takes about an hour to complete. Before surgery begins, Dr. Chang carefully places surgical markings on the eyelids to precisely plan incision placement and ensure symmetrical, natural-looking results.

For upper eyelid correction, incisions are made within the natural crease, allowing Dr. Chang to remove excess skin, reduce unwanted fat deposits, and tighten the underlying tissue. For lower eyelid treatment, incisions are placed just below the lash line or inside the lower lid to address puffiness, bags, and excess skin. Because incisions follow the eyelid’s natural contours, resulting scars are discreet and well-concealed once healed.

Blepharoplasty FAQs

There are patients with concerns for aging around the eyes with either unwanted wrinkles and skin folds or puffy eyelids from extra fat deposits but are not willing to undergo a surgical procedure. There are nonsurgical options that might delay the time when a surgical eyelid surgery is needed or complement the results of an eyelid surgery. These devices will deliver at best 30-50% of the results seen with surgery but with less predictability. The nonsurgical options for eyelid rejuvenation are either noninvasive devices (e.g. Exilis Ultra, Pelleve) or minimally invasive devices (e.g. Accutite, Morpheus, CO2 laser, Subnovii plasma pen, Virtue). There are many different energy sources used to stimulate collagen, elastin fiber production and even reduce unwanted fat deposits which include radiofrequency, CO2 laser, plasma gas comprised of nitrogen and oxygen gas. These devices will deliver energy either to the skin surface (e.g. Exilis Ultra, Pelleve), through the skin surface (e.g. Morpheus, CO2 laser, Subnovii plasma pen) or beneath skin surface directing upward to dermis (e.g. Accutite).
  • You have concerns about aging around your eyes with excess wrinkles and skin folds, unwanted fat deposits or drooping upper or lower eyelids or drooping upper eyelids
  • You have no serious eye conditions
  • Healthy individuals with no medical conditions that may impair healing
  • Nonsmoker
  • Realistic expectations
  • Excess or sagging skin of upper or lower eyelids causing wrinkles and unwanted folds
  • Drooping eyebrows from relaxation of the forehead skin and eyebrow
  • Stretching out of the upper eyelid muscle causing drooping eyelids
  • Listening to your specific concerns about your aging eyes: 1. Wrinkles, folds, fat deposits of eyelids 2. Drooping eyebrows 3. Drooping eyelids
  • Evaluation of general medical conditions, medications, allergies, other eye conditions, previous surgeries, exposure to smoking
  • Examination of face and eyelids both at rest and with animation/smiling. Assess amount of excess skin, eyelid margin tone or unwanted fat deposits of upper or lower eyelids. Assess upper eyelid position at rest and with motion. Assess eyebrow position.
  • Photographs are taken
  • Outline all options of treatment both surgical and nonsurgical
  • Discussion of a surgical treatment plan
  • Discussion of details, risks, recovery and expected outcomes of the procedure
  • Scars
  • Bleeding, bruising
  • Asymmetry
  • Numbness, altered sensation
  • Poor healing of incision
  • Abnormal shape of eyelids
  • Corneal abrasion
  • Ectropion (sagging of outside part lower eyelid)
  • Prolonged swelling
  • Pain
  • Revision surgery
  • Anesthesia risks
  • Blindness
  • Expect swelling and bruising up to one week at which time may apply makeup
  • Need to apply ice packs 20 minutes on and 20 minutes off first 48 hours
  • Light activity including car driving and lifting under 10 lbs in 3-5 days
  • Full activity including exercise and unrestricted lifting in 3 weeks
  • Scar management after good healing of incisions approximately 3 weeks out

 

How Much Does Eyelid Surgery Cost?

The cost of blepharoplasty depends on which eyelids are being treated, as well as the method of anesthesia used, the exact techniques involved, and other patient-specific details. We can calculate the total price of your treatment plan during your initial consultation.

Why Patients Choose Dr. Lawrence D. Chang for Blepharoplasty in Delaware

When it comes to eyelid surgery, the skill and experience of your surgeon make all the difference. Dr. Lawrence Chang is a double board-certified plastic surgeon with over two decades of experience delivering results that are both highly satisfying and naturally beautiful. His rigorous training at the University of Rochester, John Hopkins Hospital, University of Maryland Shock Trauma, and Union Memorial Hospital has equipped him with the precision and artistry that delicate procedures like blepharoplasty demand.

Dr. Chang has earned consistent recognition as a Top Doctor in plastic surgery since 1996, and he is the only plastic surgeon to hold the distinction of Top Doc in Reconstructive, Cosmetic, and Dermatologic Surgery since 2009. This breadth of expertise is particularly valuable for eyelid surgery, where cosmetic and functional considerations often intersect — from improving appearance to addressing drooping that can affect vision.

At Rehoboth Plastic, Derm Center, & Medispa, Dr. Chang takes a personalized approach with every patient, taking the time to understand your specific concerns and outline all available options before recommending a treatment plan. His commitment to patient satisfaction and natural-looking outcomes makes him the trusted choice for eyelid surgery in Rehoboth Beach, Delaware.

Reveal Brighter, More Refreshed Eyes

If drooping eyelids, under-eye bags, or a tired appearance are affecting your confidence, blepharoplasty can help restore a more youthful, rested look. Dr. Lawrence D. Chang provides personalized eyelid surgery for patients throughout Rehoboth Beach and Coastal Delaware, delivering natural-looking results that enhance your appearance without changing what makes you unique. Schedule your consultation today to learn how blepharoplasty can help you look refreshed, rejuvenated, and more confident.

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