Blepharoplasty for San Francisco

Learn more about eyelid surgery

Each year, 100,000 men and women tired of looking older, suffering from impaired vision, or both choose to correct the source of their problem—droopy eyelids—with a blepharoplasty. San Francisco facial cosmetic surgeon Dr. Stanley Jacobs provides the eyelid surgery for patients in the Bay Area, restoring proper visual function and helping them to regain a younger appearance.

There are generally two types of blepharoplasty: upper lid and lower lid. They may be performed separately or together, depending on the patient's preference and needs. While the upper eyelid surgery tends to address droopiness, lower lid work frequently serves to remove puffiness and bags found under the eyes that make you look worn and tired. A lower lid blepharoplasty can also eliminate fine lines and drooping there.

Dr. Stanley W. Jacobs

Triple board certified facial cosmetic surgeon Dr. Stanley Jacobs sees over 1,000 patients per year.

Understanding blepharoplasty

If you're wondering how blepharoplasty can change the way you look, you need to know how eyelid surgery is performed and what you can expect from it.

Blepharoplasty removes excess fat, muscle, and skin from both upper and lower lids. Too much of any of this tissue cause problems, especially if it is lax and hangs a bit.

The drooping skin on the UPPER lid creates a look associated with tiredness, disinterest, and sadness. In certain cases, the skin can intrude into the field of vision, causing a distraction or even partial obstruction of a clear field of view.

Drooping skin on the LOWER lid can reveal more of the white of the eye, exposing the area below the iris.

The results of a blepharoplasty can yield a refreshed appearance, with a younger, firmer eye area. Patients feeling alert and happy will actually look alert and happy, and in some cases, visual impediments due to drooping skin will be eliminated.

The eyelid surgery steps

Each blepharoplasty surgery begins with the administration of an anesthetic to reduce sensation in the area and maximize the patient's comfort.

Since the eyes are such a focal point, Dr. Jacobs begins each eyelid surgery session by marking where the incisions will go, taking care to place them in the creases and folds of the upper eye so that any faintly visible scars will be hidden. Once the blepharoplasty incisions are made, he will use them to remove excess tissue, as well as reposition fat and muscle as necessary to better show off the natural contours of the eye. He will also cut away excess skin. Though the incisions will be camouflaged by natural lines in the skin, Dr. Jacobs still uses fine sutures that lead to better healing and less visible permanent marks in the eyelid surgery area.

LOWER eyelid blepharoplasty surgery is based on the same idea, with expertly hidden incisions, though these will be located in the creases beneath the eye. Dr. Jacobs will remove skin and fat, reposition fat, and tighten tendons as necessary to keep the lower lid from pulling toward the ground, before closing the incision with fine sutures.

A transconjunctival blepharoplasty, which addresses a puffy look due to fat deposits beneath the eye, involves an incision made on the inside of the lower lid. After removing and redistributing the problem fat, he will close the incision with dissolving sutures that leave no trace. This technique leaves no visible scars.

The typical blepharoplasty surgery can take one or two hours.

Dr. Stanley Jacobs is published in the Archives of Facial Plastic Surgery (Volume 5, May/June 2003, Page 276) for an eyelid surgery suturing technique in which internal stitching tightens the outer corners of the eyelid tendon to prevent a "pulled lower eyelid" appearance. This is a significant improvement because, as we age, our lower eyelids begin to sag naturally (sometimes as much as 1 to 2 mm), distorting the attractive almond shape of the eyes and sometimes leading to dry eyes. In addition to tightening the lids and removing fat, Dr. Jacobs has performed this technique in more than 1,000 blepharoplasty cases and has been able to dramatically reduce instances of lower eyelid droopiness.

What to expect after blepharoplasty

Any incisions on the outside of the eyelids may need to be covered by small strips of tape while they heal. You might feel comfortable concealing the area with sunglasses, since it will likely be bruised and swollen for a few days after your blepharoplasty, and your eyes themselves may be itchy and dry. Know that covering your eyes is not necessary from a medical perspective. Non-dissolving stitches will be removed between five and seven days after your eyelid surgery.

Keeping your head elevated throughout your blepharoplasty recovery can minimize the bruising and swelling, and using cool cloths or compresses can reduce discomfort and shorten your recuperation period. During this time, you may also want to apply a product to keep your eyes and the surrounding skin and structures moist. Dr. Jacobs will prescribe medications as necessary to patients who need help managing their comfort levels.

You will also receive instructions from Dr. Jacobs and his team on how to care for your eye area in the weeks after your blepharoplasty. This will include how you can clean your eyes as necessary and manage any dryness or discomfort at home. The staff will also list places and activities to avoid throughout the initial weeks of your recovery.

Note that in the years after your eyelid surgery, the skin around your eyes will continue to age, but you'll have an advantage with a blepharoplasty. Not only will you be moving forward with a newly rejuvenated look, essentially setting the clock back years for your face, but the eliminated tissues will also no longer be dragging down the skin around them.

To best ensure that your new look continues well into the future, Dr. Jacobs recommends using sunscreen as protection against skin-damaging UV radiation, as well as moisturizing products to keep the skin pliant and healthy.

Dr. Stanley Jacobs has dedicated his practice strictly to facial plastic surgery, making him an expert at blepharoplasty surgeries and similar procedures. Contact him about eyelid surgery in the Bay Area by calling the San Francisco office (415) 433-0303 or Healdsburg office (707) 473-0220.

Is blepharoplasty right for me?

Eyelid surgery is a commonly performed procedure with a track record of safety and satisfying results. Adults who are dissatisfied with the look or functioning of their eyelids and who are in generally good health are the ideal candidates for a blepharoplasty.

People with circulatory, ophthalmological, or serious medical conditions must rely on the diagnostic skills of their own personal specialists to determine whether blepharoplasty is an option for them. Consultation with certified facial plastic surgeon Dr. Stanley Jacobs can help you decide whether any additional, complementary surgery would increase the success of the eyelid surgery.

Good candidates for blepharoplasty should be feeling well and the eyelid area should be free of any infections on the day of the surgery.

Procedures to complement blepharoplasty

Eyelid surgery obviously focuses on one very specific region of the face. While eliminating droopiness and bags can give the eye area a rejuvenated appearance, which impacts the face as a whole, it can also be used as one element of something more.

Since the blepharoplasty procedure can't alter aesthetic problems related to skin tone, including dark circles below the eyes and fine lines and wrinkles around the eyes, Dr. Jacobs may recommend a chemical peel to improve the skin's texture and color.

A blepharoplasty also will not lift sagging eyebrows. This problem can be addressed by a forehead lift, which most impacts the upper third of the face. For patients interested in addressing laxity on the lower half of the face, he frequently recommends a facelift to create tighter, more defined contours.

The minimally invasive injectable Botox® can be used to temporarily smooth out crow's feet that form to the side of either eye.

As a facial cosmetic surgeon, Dr. Jacobs approaches each patient's face as a whole. He works so that every procedure, treatment, or combination of services improves the look of the face, from a solitary blepharoplasty to a total face rejuvenation.

Making the decision for blepharoplasty

Whether you're considering eyelid surgery in the San Francisco area for functional or cosmetic reasons, your choice of a qualified facial plastic surgeon should be top priority.

During the pre-surgical consultation, Dr. Jacobs will examine you and ask you to answer questions about your vision, tear production, use of lenses, and desires for surgery. He'll explain what you can expect from blepharoplasty and take a complete medical history. Factors to be weighed include age, skin type, ethnic background, and degree of vision obstruction.

Ask any questions you might have about the procedure and its potential impact to your unique features. Dr. Jacobs and his team will provide answers.

Get more information about blepharoplasty by calling Dr. Stanley Jacobs’ office to set up a consultation. He’s available to talk to patients about double eyelid surgery in San Francisco and the surrounding Bay Area. Call the Healdsburg office at (707) 473-0220 or the San Francisco office at (415) 433-0303.