Eyelid Surgery (Blepharoplasty)

Dr. Jacob Bloom performs upper and lower blepharoplasty at his Gold Coast Chicago practice, with five distinct lower eyelid technique options: transconjunctival, pinch blepharoplasty, transcutaneous, fat transfer, and AccuTite radiofrequency (no incision). Upper blepharoplasty removes excess skin and fat and restores the upper eyelid position. Recovery involves a minimum of three days downtime, with bruising resolving over approximately two weeks and final results seen at nine to twelve months. Financing is available through CareCredit and Cherry Financing.

Eyelid surgery (blepharoplasty) at Bloom Plastic Surgery in Chicago is performed by Dr. Jacob Bloom, a board-certified plastic surgeon whose training at the University of Rochester and Harvard Medical System encompassed the full anatomy of the periorbital region. The practice offers both upper and lower blepharoplasty, as well as the non-incisional AccuTite radiofrequency option for patients seeking lower eyelid improvement without surgical incisions. Upper blepharoplasty addresses the accumulation of excess skin on the upper eyelid that occurs with age, compounded by progressive brow descent. The procedure involves a precisely placed incision within the upper eyelid crease, conservative excision of the redundant skin and an orbicularis muscle strip where indicated, and removal or conservative repositioning of prolapsed medial and central fat compartments. In cases where the overhanging skin is sufficient to obstruct the upper visual field, the procedure may qualify for insurance coverage under a functional ptosis indication — a distinction that requires documentation of visual field impairment. Lower blepharoplasty at the Chicago Gold Coast practice is distinguished by the availability of five distinct technique options, allowing Dr. Bloom to select the most appropriate approach based on the patient's anatomy, degree of fat herniation, skin quality, and tone of the lower lid supporting structures. The transconjunctival approach places the incision entirely on the inner surface of the lower lid, avoiding any external scar, and is well suited to younger patients with good skin tone presenting primarily with fat compartment prolapse; fat is conservatively reduced or repositioned over the orbital rim to address any concurrent tear trough hollowing. The pinch blepharoplasty technique removes a small amount of lower eyelid skin through a subciliary approach while limiting the risk of lower lid malposition (ectropion) by avoiding disturbance of the deeper lid support structures. The transcutaneous approach allows more extensive skin resection where frank lower eyelid skin excess is present. Fat transfer to the periorbital region redistributes fat from the lower lid fat compartments into the adjacent tear trough hollow, treating both excess fat and volume deficiency in the same procedure. AccuTite, the fifth option, is a minimally invasive radiofrequency device that delivers bipolar RF energy from a fine subdermal probe to tighten lower eyelid and periorbital skin without any skin incision, representing a non-surgical alternative for patients with mild to moderate lower lid skin laxity who are not candidates for or prefer to avoid surgical blepharoplasty. Recovery for all blepharoplasty procedures involves a minimum of three days of reduced social activity, with bruising and swelling resolving over approximately two weeks and final refined results developing over nine to twelve months as residual periorbital oedema fully clears.