Eyelid Surgery (Blepharoplasty)

Dr. Adam Tattelbaum performs upper blepharoplasty, lower blepharoplasty, and combined eyelid surgery at his Rockville, Maryland practice, serving Washington DC and the surrounding metro area. All-inclusive pricing is $5,900 for upper or lower blepharoplasty individually, or $11,000 for combined upper and lower treatment. Procedures address excess upper eyelid skin, herniated lower eyelid fat (under-eye bags), and related periorbital aging concerns, and are commonly combined with facelift or brow lift for comprehensive facial rejuvenation.

Eyelid surgery (blepharoplasty) at AT Cosmetics is performed by Dr. Adam G. Tattelbaum, a double board-certified plastic surgeon whose extensive experience in facial surgery — recognised by Washingtonian Magazine's Top Plastic Surgeons designation across multiple years — extends to the delicate periorbital region where blepharoplasty demands a precise understanding of eyelid anatomy and the consequences of over- or under-resection. The all-inclusive fee structure ($5,900 per lid pair, $11,000 combined) provides a clear cost benchmark for Washington DC-area patients. Upper blepharoplasty corrects the excess upper eyelid skin (dermatochalasis) that accumulates with age as the brow descends and upper eyelid skin elasticity declines. In significant cases, the overhanging skin hood can obstruct the lateral visual field — a functional impairment that may support partial insurance coverage with documentation. Surgically, an incision is placed precisely within the natural upper eyelid crease, and the calculated excess skin (and orbicularis muscle strip where appropriate) is excised with millimetre precision to restore an open, youthful upper eyelid without risk of lagophthalmos. Medial and central orbital fat compartments can be conservatively reduced or repositioned where prolapse contributes to upper eyelid fullness or hollowing. Lower blepharoplasty targets the three orbital fat compartments of the lower eyelid — medial, central, and lateral — that herniate through the weakened orbital septum and create the puffy under-eye bag appearance. The transconjunctival approach, with incisions entirely inside the lower eyelid, is preferred for patients with adequate lower eyelid skin tone; it allows fat reduction or repositioning over the orbital rim to address concurrent tear trough hollowing without an external scar. Where skin excess or fine crinkling requires simultaneous treatment, an external subciliary incision allows skin resection in the same sitting. Combined upper and lower blepharoplasty ($11,000 all-inclusive) efficiently addresses both zones in a single anesthetic event. Blepharoplasty is frequently combined with facelift and brow lift at AT Cosmetics for comprehensive periorbital and facial rejuvenation. Free consultations are available at the Rockville practice Monday through Friday.