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Blepharoplasty Overview

Blepharoplasty at Aesthetx

“Your eyes are the window to your soul;” It’s by far one of the most popular quotes in existence, and it reflects a very important idea—that so much of your character is reflected through your eyes. For those who suffer from sagging and puffy eyelids, it might seem as if their character isn’t being properly reflected by eyes that look perpetually tired and old. As you age, the layer of muscle and connective tissue behind your eyes start to sag, causing the fatty tissue behind it to shift and making the eyelids droop and look puffy. The proteins in your skin responsible for youthful firmness, collagen and elastin, also decrease, further contributing to wrinkling and sagging eyelids.  If you're considering eyelid surgery in San Jose, Aesthetx offers expert care to help you restore a more youthful and vibrant appearance.

Blepharoplasty Topics

What a Blepharoplasty Can Do How Blepharoplasty Is Done PRP for Blepharoplasty Recovery from Blepharoplasty

What Eyelid Surgery Can Do

Eyelid surgery is more than a cosmetic enhancement. In many cases, it can also improve function and overall comfort.

Blepharoplasty can:

  • Restore a more youthful, alert appearance
  • Reduce puffiness and under-eye bags
  • Smooth excess skin and wrinkles
  • Improve peripheral vision when upper eyelids droop significantly

Upper eyelid surgery addresses loose, sagging skin that can create a heavy or tired look. Lower eyelid surgery focuses on under-eye bags and puffiness that contribute to a fatigued appearance.

Depending on your goals, eyelid surgery in San Jose can be performed on the upper eyelids, lower eyelids, or both for comprehensive rejuvenation.

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Who Is a Candidate for Eyelid Surgery in San Jose?

If your eyes appear tired, heavy, or aged despite feeling energetic, you may be a strong candidate for eyelid surgery. Blepharoplasty is ideal for individuals experiencing:

  • Loose or sagging skin on the upper eyelids
  • Puffiness or under-eye bags
  • Drooping eyelids that may impair vision
  • Fine lines and creases around the eyes

Candidates for eyelid surgery in San Jose should be in good overall health and looking for natural-looking rejuvenation rather than dramatic change. During your consultation at Aesthetx, your provider will assess your anatomy and goals to determine the most effective treatment plan.

Blepharoplasty Before & After

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Types of Eyelid Surgery in San Jose

At Aesthetx, each blepharoplasty procedure is customized to match your unique anatomy and desired outcome.

Upper Eyelid Surgery

Upper eyelid surgery removes excess skin and refines the eyelid contour, helping you look more rested while improving vision in some cases.

Lower Eyelid Surgery

Lower eyelid surgery addresses under-eye bags, puffiness, and shadowing. Rather than simply removing fat, advanced techniques often reposition it to create a smoother, more natural transition.

Combination Eyelid Surgery

For more comprehensive results, both upper and lower eyelids can be treated together, restoring balance and harmony to the entire eye area.

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Benefits of Blepharoplasty

Blepharoplasty offers both aesthetic and functional benefits, making it one of the most impactful facial rejuvenation procedures.

  • A brighter, more youthful appearance
  • Reduction of under-eye bags and puffiness
  • Improved eyelid contour and symmetry
  • Enhanced vision when excess skin obstructs sight
  • Long-lasting, natural-looking results

With a personalized approach, eyelid surgery in San Jose at Aesthetx enhances your features while maintaining your natural expression.

How Eyelid Surgery Is Performed

Eyelid surgery is a precise, highly customized procedure designed to restore both form and function.

For upper eyelid surgery, a small incision is made within the natural crease of the eyelid. Excess skin is carefully removed, and underlying tissue may be adjusted to create a smoother, more defined contour. The incision is then meticulously closed for minimal visible scarring.

Lower eyelid surgery can be performed using two techniques:

  • Transcutaneous approach: Incision placed along the lower lash line
  • Transconjunctival approach: Incision placed inside the eyelid, leaving no visible scar

Rather than removing fat entirely, Aesthetx surgeons often reposition it to create a more natural, youthful contour while avoiding a hollowed appearance.

This advanced approach to eyelid surgery in San Jose allows for refined, long-lasting results.

For enhanced outcomes, blepharoplasty may also be combined with facial fat transfer or skin resurfacing treatments such as erbium laser to improve skin quality and restore volume.

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How Blepharoplasty Is Done

Upper eyelid surgery is performed by creating an incision along the eyelid, then trimming excess skin, and possibly even removing muscle and fat if needed. The incisions will then be closed, tightening the eyelid. For the upper eyelid blepharoplasty, the incision will be hidden in the natural crease of the eyelid.

There are actually two variations of lower eyelid surgery; an outer eyelid surgery (transcutaneous lower blepharoplasty) and an inner eyelid surgery (transconjunctival blepharoplasty). The outer eyelid surgery hides the incision along the lower lash line, while the inner eyelid surgery hides the incision on the inside of the lower eyelid.

Since an inner eyelid surgery only affects fat, it’s best for people who have excellent skin elasticity but still experiences puffiness. Dr. Zeidler has a preferred method for lower blepharoplasty; instead of a simple fat removal that could lead to more complications, they tighten the membrane that holds the fatty tissue in the eyelids in order to reposition the fat. This leads to a more natural look than outright fat removal.

For the ultimate facial rejuvenation outcomes, the blepharoplasty is commonly combined with a facial fat transfer that can restore youthful volume to the face, or a skin resurfacing procedure like the gentle erbium laser to rejuvenate the skin on the eyelids.

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PRP for Blepharoplasty

Aesthetx utilizes Platelet Rich Plasma (PRP), the latest in regenerative technology for all of its facial surgeries. PRP is a concentrated serum full of the healing factors found in your own blood, and several studies have shown its efficacy on reducing recovery times and increasing the comfort of the procedure. PRP is added to the blepharoplasty to jumpstart the healing process and reduce the severity of bleeding and bruising. By using PRP, Aesthetx offers one of the most state-of-the-art blepharoplasty procedures available.

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Recovery from Blepharoplasty

You and your Aesthetx surgeon will discuss a recovery plan for your blepharoplasty procedure. Your blepharoplasty procedure will only take a quick 45 minutes to 2 hours to complete depending on which combination of procedures is chosen. Upper blepharoplasty alone can be performed with mild sedation and lower blepharoplasty requires general anesthesia. Sutures used to close the incision can be removed after 5 to 7 days. While it can take a few months to see the final results, most patients return to their regular activities within a couple of weeks. For the best results, it’s essential that you abstain from strenuous activity during your initial recovery. Because bruising and soreness is a common part of recovery, using ice packs or pain medication can help ease your recovery.

Aesthetx is renowned for extremely informative and in-depth consultations. To schedule your private consultation for an eyelid surgery in San Jose or to learn more about the procedure, contact Aesthetx by visiting HERE or calling (408) 559-7177.

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Eyelid Surgery FAQ

Are the results of eyelid surgery permanent?

How long does a Blepharoplasty take?

When can I wear makeup after eyelid surgery?

Can eyelid surgery fix asymmetry between my eyes?

What is the difference between fat removal and fat repositioning in lower eyelid surgery?

Will eyelid surgery change the shape of my eyes?

How do I know if I need upper eyelid surgery, lower eyelid surgery, or both?

Is eyelid surgery worth it compared to ongoing non-surgical treatments?

Are the results of eyelid surgery permanent?

While eyelid surgery provides long-lasting results, it cannot stop the natural aging process. Over time, skin and tissues may begin to sag again due to aging. However, most patients enjoy the benefits of a more youthful and rested appearance for many years after the procedure. Maintaining a healthy lifestyle and protecting your skin from sun damage can help prolong results.

How long does a Blepharoplasty take?

Eyelid surgery usually takes 1-2 hours, depending on whether you are having upper eyelid surgery, lower eyelid surgery, or both. It’s typically performed as an outpatient procedure under local anesthesia with sedation or general anesthesia, so you can go home the same day.

When can I wear makeup after eyelid surgery?

Most surgeons recommend waiting at least 10-14 days before applying eye makeup to allow the incisions to heal properly and to minimize the risk of infection or irritation. Always consult your surgeon before resuming makeup use.

Can eyelid surgery fix asymmetry between my eyes?

Yes, blepharoplasty can be customized to address asymmetry between the eyes. Your surgeon can adjust skin, fat, and tissue differently on each side to create a more balanced and harmonious appearance while maintaining natural proportions.

What is the difference between fat removal and fat repositioning in lower eyelid surgery?

Traditional lower eyelid surgery often involved removing fat, which could sometimes lead to a hollow or sunken look. Modern techniques focus on repositioning fat to create a smoother, more natural transition between the lower eyelid and cheek.

Will eyelid surgery change the shape of my eyes?

When performed correctly, eyelid surgery enhances your natural eye shape rather than changing it. The goal is to create a more refreshed, rested appearance without altering your unique facial characteristics.

How do I know if I need upper eyelid surgery, lower eyelid surgery, or both?

This depends on your specific concerns. Upper eyelid surgery is ideal for sagging skin and heaviness, while lower eyelid surgery targets puffiness and under-eye bags. Many patients benefit from a combination approach for more complete rejuvenation.

Is eyelid surgery worth it compared to ongoing non-surgical treatments?

While non-surgical treatments can provide temporary improvements, eyelid surgery offers a more definitive and long-lasting solution for excess skin and fat. For patients with moderate to severe aging around the eyes, blepharoplasty is often more effective and cost-efficient over time.

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