Blepharoplasty (Eyelid Surgery)

Upper and lower blepharoplasty at Dr. Cerrati's Park City practice removes excess skin, fat, and muscle from the eyelids to restore a rested, open appearance. Upper blepharoplasty uses incisions placed within the natural eyelid crease; lower blepharoplasty corrects under-eye bags through a subciliary incision, with fat repositioning where indicated to avoid a hollow outcome. Sutures are removed at four to five days; most patients return to work within five to seven days. Variants include Asian eyelid surgery, male blepharoplasty, ptosis repair, and fat repositioning lower blepharoplasty.

Blepharoplasty at Dr. Eric Cerrati's Park City and Salt Lake City, Utah practice addresses the most visible periorbital signs of ageing: hooded, heavy upper eyelids caused by excess skin, and under-eye puffiness caused by herniated orbital fat prolapsing through a weakened orbital septum. As a double board-certified facial plastic surgeon with subspecialty training in otolaryngology and head and neck surgery, Dr. Cerrati brings a detailed understanding of periorbital anatomy — the layered orbital septum, the three-compartment orbital fat system, and the relationship between the brow, eyelid, and cheek — that shapes both his surgical planning and his ability to avoid the complications that result from imprecise tissue handling. Upper blepharoplasty is performed through an incision placed precisely within the natural upper eyelid crease, which conceals the healing scar within existing anatomy. The procedure removes or repositions excess skin, a strip of orbicularis oculi muscle where indicated, and prolapsed fat from the medial and central fat compartments. Preservation of adequate upper eyelid skin and avoidance of over-resection are critical to prevent lagophthalmos — incomplete eye closure — which can cause corneal dryness and discomfort. In patients where hooding is caused partly by brow descent rather than primary eyelid skin excess, Dr. Cerrati may recommend combining blepharoplasty with endoscopic brow lift. Where the upper eyelid droops due to a weakened or disinserted levator muscle — a condition called ptosis — rather than skin excess alone, Dr. Cerrati performs ptosis repair through levator advancement as a standalone or combined procedure. Upper blepharoplasty may qualify for partial insurance coverage when formal visual field testing documents functional impairment from the overhanging skin. Lower blepharoplasty is technically more demanding and carries more anatomical risk than the upper procedure. The subciliary approach — incision placed just below the lower lash line — allows direct access to the three lower orbital fat compartments for conservative reduction or repositioning. Dr. Cerrati routinely performs fat repositioning blepharoplasty rather than aggressive fat excision: the herniated fat is released from its compartment and redraped over the orbital rim to fill the adjacent tear trough hollow, producing a smooth lid-cheek junction without the skeletonised appearance that can follow over-zealous fat removal. Specialty variants available at the Park City practice include Asian eyelid surgery (double eyelid procedure), which creates or refines the upper eyelid crease in patients with a single-fold anatomy while preserving the character of individual features, and male blepharoplasty, which maintains a natural, non-feminised periorbital appearance appropriate to male facial anatomy. Sutures are removed at four to five days post-surgery. Most patients are comfortable in professional and social settings within five to seven days, with full results visible at ten to twelve days.