EYELIDS

Like facelifts, this is an operation that hasn’t changed much.  There are several things that are important to a good outcome, though.  (1)The patient should be awake and sitting up at least 30 degrees.  This is not a problem since I do all my surgery using local anesthesia.  (2)   For the upper eylid, the incision needs to extend out into the “crow’s feet” area to be sure to produce adequate lift at the outside of the eyelid.  (4)  Closure should pick up the deeper tissue of the bottom edge of the incision in the upper lid to avoid rolling out of the lid.  (5) a gap of around 6 mm is appropriate in the upper incision before closure, whereas for the lower lid the edges should fall together.  (6)  Going through the inside of the lower lid, as is often done by opthalmologists, apparently makes it difficult to control fat removal below the eye.  I have had two patients who have had excessive fat removed by this route, leading to hollow-looking eye sockets.  I liposuctioned the cheek immediately below to reduce the hollow appearance, but it would be better to avoid this mistake in the first place. 
Upper or lower blepharoplasty $2000.  Both together, $4000.