Eyelid (Blepharoplasty)

Changes to the upper and lower eyelids are common with aging. These changes can often be addressed with surgery to create a more youthful look. Eyelid rejuvenation is frequently performed using outpatient surgical procedures, under local anesthesia. Although usually considered cosmetic in nature, eyelid surgery can be covered by insurance if the visual fields are impaired by extra skin or low-riding lids.


Changes to the upper lid can include:
  • Dermatochalasis (redundant skin)
  • Ptosis (drooping lid)
  • Periorbital fat herniation (bags)


Changes to the lower lid can include:
  • Dermatochalasis (redundant skin)
  • Scleral show (lowering of the lower lid, revealing white sclera under the iris)
  • Periorbital fat herniation (bags)
  • Lateral canthus lowering (lower position of the outer eye corner)


Surgical procedures to address these changes include:

Removal of unwanted skin from the upper and/or lower lids; can be accompanied by the removal or repositioning of orbital fat

Ptosis Repair:

Repositioning of the upper lids into the correct, youthful position


Repositioning of the corner of the eye into a higher, youthful position



The following images are an artistic representation of procedure results and are intended for educational purposes only. These are not actual patients and are not intended to guarantee results that may be obtained with surgery. Out of respect for patient privacy, Dr. Vial does not publish patient photos on the internet.


Image of upper lid ptosis and redundant lid skin (notice that the upper lid is at the pupil, an abnormally low position). The lower lid has redundant skin and bags. There is also brow ptosis (lowering of the eye brow), which often accompanies changes in the eyelids .


Image following upper and lower lid blepharoplasty with a brow lift (see facelift information).