Many people develop the “tired eyes” look because of age or heredity. Most people refer to this condition as bags under the eyes, baggy eyelidssaggy eyelidsdroopy eyelids and/or puffy eyelids. Excess skin and bulges of the upper and/or lower eyelids can cause a person to look tired, angry, and/or old.


The medical term for the procedure that will improve puffy eyelidsdroopy eyelidseye bags or baggy eyelids is blepharoplasty. Non-medical individuals may call this procedure eyelid surgery, an eye lift, an eyelid lift, cosmetic eyelid surgery, surgery, or treatment for puffy eyelids.

Blepharoplasty and Eyebrow Lift

Dr. Langsdon performs blepharoplasty to make the eyelids look more youthful under local and/or twilight anesthesia, in which the patient does not require gas anesthesia in the hospital. In our clinic, the patient usually has no sensation or awareness during the blepharoplasty procedure. In fact, most of our patients tell us that blepharoplasty is a painless process, and that they have no pain after the procedure.

Blepharoplasty of the Upper and Lower Eyelids

Upper lid surgery (upper eyelid surgery or upper eyelid blepharoplasty) involves the simple removal of skin and/or fat from the upper eyelids. The doctor also uses the same method for blepharoplasty in the lower lid. Sometimes, Dr. Langsdon treats the lower eyelid with a hidden incision (but not always). Whether the upper, lower, or both eyelids need treatment, blepharoplasty has the potential to improve eyelids that sag, have loose skin, and excess fatty tissue that surrounds them.

The incisions of the upper and lower eyelids will be pink for a while after the blepharoplasty procedure. Eventually, they will begin to soften and lighten in color. Incision scars usually blend nicely with skin creases over time.

Generally, people, young and old, can have blepharoplasty.

The blepharoplasty procedure takes about an hour to complete. In addition, eyelid surgery is minimally invasive, requires little time off from work, and is easy to perform. Bruising and swelling are usually minimal when blepharoplasty patients follow the Langsdon Clinic post treatment instructions.

Blepharoplasty with Additional Treatments

Eyelid Surgery and Chemical Peel

A blepharoplasty cannot pull out fine lines or wrinkles. Further rejuvenation of the eyes may require neuromodulators, such as Botox® and skin creams like the FaceMD™ skin care systemlaser treatments or chemical peels. As we age, the skin thins so much that the removal of wrinkles around the lids becomes difficult. This is due to the lack of skin thickness, elasticity, or hydration left in the skin.

Age causes a groove to develop below the lower eyelid puffy region near where the eyelid skin abuts the upper cheek skin. This area, located just over the lower eyelid bone, can become sunken in. Doctors call this area the tear troughnasojugal groove, or the lid-cheek groove or deformity. It may also be referred to as sunken eyes, tired eyes, or dark circles. Dr. Langsdon can improve this area with “tear trough” injections of facial filler, in addition to a blepharoplasty. See our section on tear trough injections. Tear Trough fillers can raise the trough (deep groove) under the lower eyelid and improve the dark circles or shadowing below the lower eyelids.

Sometimes, drooping eyebrows can contribute to the excess upper eyelid skin, and a brow lift or eyebrow lift may help.

Blepharoplasty, Eyebrow Lift and Forehead Lift Before and Afters

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