Eyelid Surgery (Blepharoplasty)

Upper and lower eyelid surgery to remove excess skin, reposition herniated fat, and restore a more rested, youthful appearance around the eyes. Upper blepharoplasty addresses skin hooding and heaviness, including cases where overhang impairs peripheral vision. Lower blepharoplasty targets under-eye bags, hollowness, and the shadow created by prolapsed orbital fat. Performed under local anaesthesia with sedation in the practice's certified in-office surgical suite.

Eyelid surgery (blepharoplasty) is a frequently requested procedure at Bellevue Plastic Surgeons, reflecting strong demand across the Seattle-Bellevue and Eastside Washington market for periorbital rejuvenation. The eyes are often the first area to show visible ageing, and blepharoplasty addresses this by removing or redistributing excess tissue — skin, muscle, and fat — that accumulates around the upper and lower eyelids over time. Upper blepharoplasty involves an incision placed within the natural eyelid crease to excise a calculated ellipse of redundant skin and, where indicated, a thin strip of orbicularis muscle. In advanced cases where the skin overhang impairs the superior visual field, the procedure may qualify for insurance coverage — the clinical team can advise on documentation requirements. Recovery involves mild bruising and swelling, with most patients presentable within ten to fourteen days. Lower blepharoplasty addresses the fat compartments of the lower eyelid that herniate through the orbital septum with age, creating the bulging appearance commonly described as under-eye bags. The transconjunctival approach (incision inside the lid, no external scar) is preferred for younger patients with good skin tone who present primarily with fat prolapse. Fat repositioning — redistributing prolapsed orbital fat into the tear-trough groove rather than simply excising it — corrects the sunken, shadowed look that develops under the eye with age. Lower blepharoplasty is frequently combined with upper blepharoplasty, facelift, or brow lift for comprehensive upper-face rejuvenation. Dr. Marosan performs all eyelid surgery personally in the practice's Bellevue surgical suite, serving patients from Seattle, Kirkland, Redmond, and across the Pacific Northwest.