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Blepharoplasty (Eyelid Surgery)

Excess skin under the eyes can cause bags and dark circles, and heavy or hooded upper eyelids can obstruct vision and cause a tired or angry appearance. Eyelid surgery, or blepharoplasty, addresses concerns with drooping eyelids and puffiness to achieve a well-rested and refreshed appearance. Board Certified Plastic Surgeon Dr. Sarah Mess specializes in Blepharoplasty at her Columbia, Maryland practice. She offers upper or lower eyelid surgery, or a combination of both, depending on your cosmetic goals.

Why Blepharoplasty? The Benefits of Eyelid Surgery

As we age, the skin loses elasticity and the muscles that support your eyelids can weaken, resulting in sagging skin or under eye bags.1 Eyelid surgery can provide rejuvenation for patients who feel that their eyes make them look tired or prematurely aged, as well as correct functional eyelid issues.2
Blepharoplasty can treat:
  • Sagging upper eyelids
  • Wrinkles underneath or around the eyes
  • Puffiness and dark spots beneath the eyelids
  • Excess skin in the lower eyelids

Ideal Candidates for Eyelid Surgery

Blepharoplasty is typically performed on men and women over the age of 35, but may be performed on younger patients who have hereditary under eye bags or dropping lids. Candidates for eyelid surgery should be in general good health without any eye diseases, conditions, or allergies that would impede proper healing. During your consultation appointment with Dr. Mess, she will evaluate your eyes, review your medical history, and discuss your aesthetic goals to determine if you are a candidate for blepharoplasty.

Preparing for Eyelid Surgery

At your consultation appointment with Dr. Mess, it is important to be clear about your goals and discuss realistic expectations for your surgical outcome. You also need to disclose your complete medical history including any medications you take. If you smoke you will need to stop prior to surgery and also discontinue the use of anti-inflammatory drugs such as aspirin.

The Blepharoplasty Procedure

There are many eyelid surgery techniques that can be performed to improve the upper and lower eyelids. During your consultation with Dr. Mess in Columbia, you will discuss which aspects of the eyes you wish to improve and she will determine which technique(s) will provide you with the best results.

Upper eyelid surgery cases are typically scheduled for 2 hours and performed under local anesthesia. Lower eyelid surgery is often performed under general anesthesia. Patients often combine upper eyelid surgery with laser resurfacing for under eye area or around the mouth. Dr. Mess will help you determine the best options to achieve your aesthetic goals.

Lower Eyelids

The goal of lower eyelid surgery is to reduce puffiness and the appearance of eye bags. When performing surgery on the lower lids, Dr. Mess will make a small incision just below the lower eyelashes. She will then remove excess fat and skin for a smoother, more taut appearance. Some patients may only need fat removal, in which case Dr. Mess may be able to place the incision in the lower eyelid where it will be undetectable.

Upper Eyelids

Blepharoplasty can refresh the upper lids for a more youthful appearance. For upper eyelid surgery, Dr. Mess will create a strategically placed incision in the natural fold of the lid, located to minimize the visibility of any scarring. She will remove excess fat tissue and reposition the skin. Occasionally, some fat may be added back into certain areas of the eyelid to form a more attractive contour.

Best Candidates for CoolSculpting ®

Before & After Photos

Procedures: Upper eyelid surgery (blepharoplasty) Photos taken 6 weeks post procedure.

Procedures: Upper eyelid surgery (blepharoplasty) Photos taken 6 weeks post procedure.

Recovery: What to Expect after Your Eyelid Surgery

Eyelid surgery recovery requires patients to keep their head elevated for the first few days to minimize swelling and bruising. A special lubricating ointment as well as cold compresses should be applied to the eye area to speed recovery. Your vision may be somewhat blurry and your eyes may feel sensitive to light for a couple of days, but eye drops can help alleviate these symptoms. Patients usually return to work about a week after surgery, once the sutures are removed. To maintain the results of eyelid surgery, sunscreen and sunglasses should be worn to protect against over-exposure to the sun or wind.

Is Blepharoplasty Safe? The Risks of Eyelid Surgery

Blepharoplasty is widely regarded as a successful and effective procedure when performed by an experienced surgeon.3 There is some risk of side effects with any surgical procedure, but complications from blepharoplasty are rare.4 Dr. Mess will discuss all possible outcomes with you during your consultation appointment to ensure that you are well-informed to weigh the benefits of eyelid surgery with any potential risks.

How much does Eyelid Surgery cost

We believe patients make better decisions when they understand the options and cost ranges for aesthetic surgery. We are happy to provide a basic price range for eyelid surgery, but final costs cannot be determined prior to your consult with Dr. Mess.

The best way to determine your procedure pricing is to come in for a consult with Dr. Mess. Our Columbia office is conveniently located and easily accessible from both Washington, D.C. and Baltimore.

Our surgical estimates are comprehensive. Your eyelid lift surgery quote will include:

  • Surgeon’s fee
  • Surgical facility costs
  • Anesthesia fees
  • Post-surgery garments
  • Medical tests

Price Range for upper eyelid surgery: $3500-$4500

Price Range for combined upper and lower eyelid surgery: $7500 – $8500 (Your costs may fall outside of this range.)

Results after Eyelid Surgery

The results of eyelid surgery will not be immediately noticeable once the surgery is complete. As swelling subsides over the next 5 to10 days and as the eyes adjust to their new contour, patients are usually thrilled with the results of the procedure. By providing a youthful and more alert appearance to the eye area, patients also tend to feel more confident knowing that their eyes appear more attractive.

Dr. Mess specializes in eyelid surgery at her Columbia, Maryland practice and frequently attracts patients from the Washington DC, Baltimore areas that desire eyelid surgery. To see actual results of Dr. Mess’ surgical expertise, please feel free to view eyelid surgery before and after pictures in our photo gallery. You can also see additional photos during your consultation.

Dr. Sarah Mess is a board certified plastic surgeon. She is a member of The American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS). She is dedicated to providing each of her patients with the results they desire while making sure that they are cared for with the utmost safety. To schedule a consultation with Dr. Mess, please call (410) 910-2350 today.


1Mayo Clinic. Blepharoplasty. Available: https://www.mayoclinic.org/tests-procedures/blepharoplasty/about/pac-20385174 Accessed November 5, 2019.
2 American Society of Plastic Surgeons. Eyelid Surgery. Available: https://www.plasticsurgery.org/cosmetic-procedures/eyelid-surgery Accessed November 5, 2019.
3Oestreicher J, Mehta S. Complications of Blepharoplasty: Prevention and Management. Plast Surg Int. 2012; 2012: 252368. Published online 2012 May 8. doi: 10.1155/2012/252368.
4Cleveland Clinic. Eyelid Surgery (Blepharoplasty): Risks / Benefits. Available: https://my.clevelandclinic.org/health/treatments/8409-eyelid-surgery-blepharoplasty/risks–benefits Accessed November 5, 2019.

View eyelid surgery before and after photos

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Get In Touch

If you have any questions, please call us at (410) 910-2350 or fill out our contact form and someone will contact you as soon as possible.

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Dr Sarah Mess
9821 Broken Land Pkwy #102
Columbia, MD 21046

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