Eyelid Surgery (Blepharoplasty)

Dr. Egrari performs upper, lower, or combined blepharoplasty at the AAAASF-accredited Bellevue surgical centre under monitored anaesthesia care. Upper eyelid surgery removes excess skin that can obstruct peripheral vision or create a heavy appearance; lower eyelid surgery addresses under-eye bags and hollowing. Sutures are either absorbable or removed at a follow-up visit. Most patients experience swelling and bruising for one to two weeks before results become clearly visible.

Eyelid surgery (blepharoplasty) at Egrari Plastic Surgery Center in Bellevue, Washington, addresses functional and cosmetic concerns of the upper and lower eyelids with precision and minimal recovery time. Dr. Sepehr Egrari, board-certified by the American Board of Plastic Surgery, tailors each blepharoplasty procedure to the patient's anatomy and goals — whether addressing ptosis-related visual field obstruction in the upper lids, puffiness and fat herniation in the lower lids, or both simultaneously. Upper blepharoplasty removes redundant skin and, where indicated, a small amount of underlying fat to create a defined, refreshed lid crease. When excess skin significantly impairs the superior visual field, upper blepharoplasty may qualify for medical insurance coverage. Lower blepharoplasty can be performed via a transconjunctival approach (inside the lid, leaving no visible scar) for patients with good skin tone and primarily fat-driven puffiness, or a subciliary approach just beneath the lash line when skin removal is also needed. Fat is either excised or repositioned to smooth the tear-trough transition between the lower lid and cheek. Procedures are performed under monitored anaesthesia care (MAC sedation) at the practice's fully accredited on-site surgical suite. Operative time is typically one to two hours depending on scope. Sutures are either absorbable or removed at a follow-up appointment within five to seven days. Swelling and bruising peak in the first 48 to 72 hours and resolve over one to two weeks. Patients generally return to office work within seven to ten days and resume full activity within three weeks. Final results — a more alert, rested eye appearance — are stable and long-lasting. Serving patients across Seattle, Bellevue, Kirkland, Redmond, Mercer Island, and the broader Puget Sound and Pacific Northwest region.