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Eye Lid Surgery (Blepharoplasty): Alexander Cosmetic Surgery San Diego, California (CA)
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Who Is a Candidate?

Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area. Occasionally younger patients, even in their late teens or early twenties, have significant excess of upper eyelid skin or lower eyelid fat that is an inherited, genetic condition and is not associated with the aging process.

An Eyelid Lift may be a good option for you if:

  • You are healthy and do not have a life-threatening illness or medical conditions that can impair healing
  • You have a positive outlook and specific goals in mind for eyelid surgery
  • You do not have serious eye conditions
  • You have droopy upper eyelids and/or bags under your eyes
  • You look tired or angry even when you are not

You must tell your doctor if you have any of the following medical conditions:

  • Glaucoma
  • Dry eyes
  • Detached retina
  • Graves’ disease or any other thyroid disorder
  • Cardiovascular disease, high blood pressure, or other circulatory disorders
  • Diabetes

Because every case is unique, the only way to accurately determine which procedure is best for you is to consult with Dr. Alexander. Keep in mind that many procedures exist which can rejuvenate the tissue around the eyes, making them look larger and more rested. Our goal is to find which procedure will best suit your facial structure and condition.

For more information about our eyelid surgery procedure, please contact us online or call us at We look forward to helping you look your best.


Prior to surgery, we will have you:

  • Take certain medications or adjust your current medications
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding
  • Stop smoking well in advance of surgery

During a preoperative appointment, usually 1-2 weeks before surgery, we will:

  • Get lab testing or a medical evaluation
  • Tell you what to do on the night before and morning of surgery
  • Discuss the use of anesthesia during your procedure
  • Explain post-operative care and follow-up and as well as what help you will need after the procedure


Pain from the eyelid surgery is usually minimal. Pain pills are provided but are usually not required after a couple of days.

The decision to have eyelid surgery is extremely personal, and you will have to decide if the benefits will achieve your goals and if the risks are acceptable. In general, the overall risks are very small this type of surgery.

We will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

Some of the risks with eye surgery are:

  • Temporarily blurred vision
  • Dry eyes
  • Bruising and swelling
  • Lid lag, a temporary pulling down of the lower eyelid
  • Temporary numbness or discoloration
  • Possibility of revisional surgery
  • Be sure to ask questions

It is very important to ask Dr. Alexander questions about your procedure. It is natural to feel some anxiety beforehand, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with us.


Cost is always an important consideration in elective surgery. However, when choosing a plastic surgeon for an eyelid lift, remember that the surgeon’s experience and your comfort are just as important as the final cost.

A quote will be provided to you after your consult with Dr. Alexander. Be sure to ask about our patient financing plans.

Cost may include:

  • Surgeon’s fee
  • Operating room and supplies
  • Prescriptions for medication
  • Medical tests
  • Anesthesia fees (if not done under local anesthesia)


  • Anesthesia—General: The patient is asleep, requiring that the airway be protected either by a standard breathing tube or by a laryngeal mask (LMA), an inflatable mask that is placed in the back of the throat but not down the trachea. An anesthesiologist releases gases through the airway which put the patient asleep. Drugs may also be given through the IV.
  • Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, such as Valium, to help with relaxation.
  • Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an IV. The level of sedation can be adjusted, from barely sleepy to very sleepy. Occasionally sedation is given by the surgeon, but most of the time it is administered by an M.D. Anesthesiologist.
  • Blepharoplasty: Eyelid surgery to improve the appearance of upper eyelids and/or lower eyelids.
  • Ectropion: A condition in which the lower eyelid is rolled outward after eyelid surgery; it is often temporary.
  • Skin Resurfacing: Treatment to improve the texture, clarity, and overall appearance of your skin, usually with a chemical or laser peel.
  • Tear Trough: A groove or depression below the lower eyelids extending from the nose across the upper cheek.
  • Transconjunctival Incision: Incision hidden inside the lower eyelid.

BEFORE AND AFTER Eyelid Lift: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA) Eyelid Lift: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA) Eyelid Lift: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA)

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