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Upper and Lower Blepharoplasty

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About Upper and Lower Blepharoplasty

The eyelids are one of the first locations to begin showing signs of aging. Loose and sagging skin around the eyes can make you appear tired or form dark semi-circles under the eye. At Thomas Dermatology, located in Henderson and Las Vegas, Nevada, Dr. Matthew Hand performs some of the most rejuvenating procedures on the upper and lower eyelids to restore that youthful, refreshed look you’re after. 


For more information or to request a consultation please call our dedicated cosmetic line at (702) 505-4327
This was my first visit at Thomas Dermatology and I’m so grateful with the genuine kindness by the staff! I was quite nervous for my appointment but was given some words of encouragement and calmed down quickly! I’m so grateful for them!
Kathryn D.
Dr. Hand was kind, compassionate and honest. I am thrilled and grateful that after one month of having the procedure the deep incision on my cheek is healing beyond my expectations.
Dawn W.
Vanessa Benes is the best! Caring, listens, down to earth, just all around great person & PA. I’m usually in and out within 30 minutes yet never feel rushed. Office is very organized and timely. I see Vanessa and so do my kids absolutely recommend.
Leray A.
Susie Smith has treated me for 10 years. I cannot express enough what excellent care she gives. Very thorough yearly skin checks. She has put my eczema in remission. Cleared up my acne and keeps my face and skin beautiful.
Annie T.
I always have great results with Christine Crovetti. Christine is a perfectionist. She takes her time and is very informative to what you request. I highly recommend her services.
Lorry M.
I got there right on time for my appointment and was called back immediately. Everyone from the nurse to the doctor was exceptional! Very patient, informative, and friendly!
Danny S.
Dr. Lieberman is personable, caring and very thorough. He’s been my dermatologist for over 10 years and he always takes time to discuss issues with me and answer any questions I might have. I never feel rushed and always believe I get the best medical care from him.
Patricia C.
Jordan Spoon was very professional and related really well to my 11 year old who was very nervous to be there. I would highly recommend her.
Marv H.
This is the third dermatology practice I have visited and the first one that treated me with professionalism and skill. I would definitely recommend this practice.
Joanne B.
Reylina was warm yet knowledgeable and professional, and delightful to visit with during my facial. I didn’t feel like she was trying to sell me on any products or services that wouldn’t benefit me and my specific skin type. Would 100% recommend!
Jennie T.
We love Dr. Michaels and Thomas Dermatology. They have been taking care of us for over 25 years, they have helped our whole family.
Annie B.
I took my 7 year old granddaughter to Thomas Dermatology and everyone there was very helpful, professional. Kylee was very patient with my granddaughter. Highly recommend!
Jeanette M.
Great experience as a first time patient. The check in was easy and the receptionist was very professional and friendly. Dr. Corbett was very friendly and easy to talk to about my concerns. She has a great disposition and is a good listener.
Andrew H.
I have been going to Thomas Dermatology for many years, starting at Post Road and now at the Centennial office. I have always been treated with kindness and with utmost professionalism.
Linda O.
It was amazing experience. The staff at the front desk were very friendly. I was taking back on time with no extra wait time. Terry Davis is amazing and very good at what he does. I was in out from the moment I walked in to back in car within 30 minutes.
Dan K.

Upper and Lower Blepharoplasty Q & A

What is upper and lower blepharoplasty?

Upper and lower blepharoplasty, also known as upper and lower eyelid surgery, is a procedure in which your surgeon lifts and tightens eyelid tissue to restore a more youthful and rested look. 

Why would I consider blepharoplasty? 

As you age, the appearance of your eye changes due to the involution of fat pads and bone resorption around the orbit. In the upper eye, these changes manifest as a hollow upper orbit (skeletonized look) or redundant sagging eyelid skin. In the lower eyelid, fat pads can protrude forward, causing bags to form. 

View Before & After Gallery

The loss of volume in the midface (cheeks below the eyelid) further accentuates the herniation of the eye bags. As a result, eyes that once looked open, relaxed, inviting, and youthful can become droopy, wrinkled, and tired-looking. Surgery can help address these changes and restore youthfulness to the eyes. 

What are the benefits of upper blepharoplasty?

Some of the many benefits of upper and lower blepharoplasty at Thomas Dermatology include:

  • Younger-looking eyelids
  • Improved line of vision
  • Reduce eye bags
  • Tighter eyelids
  • Less eyelid sagging
  • No more excess skin
  • Softened wrinkles around the eyes

Is an upper or lower blepharoplasty right for me?

Dr. Matthew Hand will meet with you to discuss your treatment goals and examine your upper and lower eyelids to ensure you’re a good candidate for surgery. He will review the various treatment options designed to address the different components of aging and discuss the merits of combination therapy.

You may be a candidate for blepharoplasty if you experience:

  • Extra tissue above your eyes
  • Fatty deposits 
  • Impaired vision
  • Wrinkly skin
  • Bulging skin
  • A tired, haggard appearance

How should I prepare for upper and lower blepharoplasty?

Prior to your procedure, your surgeon will review your operative plan, including all adjunct procedures, and answer any questions you may have. Comprehensive pre-and post-operative instructions will also be provided. Follow your surgeon’s instructions prior to undergoing blepharoplasty. This could include asking you to stop taking certain medications. Arrange for someone to drive you home after the procedure, protect your eyelids from the sun, and avoid smoking.

What happens during upper and lower blepharoplasty?

Blepharoplasty surgery is performed in the office under local anesthesia with light sedation. After you’re comfortable and numb, your surgeon makes tiny incisions along the folds of your eyelids. Dr. Matthew Hand may perform additional procedures through your upper eyelid incision if indicated. Adjunct procedures include medial fat pad transposition to re-volumize a hollow upper orbit, brow lifting and fixation, and volumizing sutures. 

Lower eyelid procedures are generally performed through the conjunctiva on the inside of the eye to provide a scarless result. During your lower blepharoplasty, Dr. Matthew Hand will free the bulging fat pads and reposition them to soften the contour of the under eye. Complimenting procedures may be performed, including tightening of the lower eyelid or periorbital resurfacing with a laser in order to tighten the skin and soften wrinkles. 

What should I expect after the procedure?

You will be discharged home the same day as the procedure. Be sure to have a friend or family member drive you home, as you will not be allowed to drive after sedation. A comprehensive list of medications and instructions are provided to ensure you take optimal care and get the best results possible.

Downtime after surgery depends on what procedures you’ve had performed and typically ranges from 1-2 weeks with minimal exertional activity. 

During the healing process, you can expect:

  • Blurry vision
  • Watery eyes
  • Double vision
  • Light sensitivity
  • Puffy eyelids
  • Numb eyelids
  • Swelling
  • Bruising
  • Eyelid tenderness

To enhance your comfort, ice the treatment area, take over-the-counter pain relievers if needed, keep your eyelids clean, use eye drops or ointments if your doctor says to, and avoid strenuous activities. You should also sleep with your head in an elevated position for the first week after surgery.

Avoid smoking, rubbing your eyes, and wearing contact lenses until given the okay. Protect your eyelids from the sun and return for follow-up visits with Thomas Dermatology as directed. Sutures are typically removed 5-6 days after the procedure. 

To learn more about upper and lower blepharoplasty and find out if it’s right for you, call the Thomas Dermatology office or schedule an appointment online today.

Thomas Dermatology