Eyelid Surgery (Blepharoplasty)

Eyelid surgery (blepharoplasty) performed by Dr. Jeffrey J. Roth MD FACS to remove excess upper eyelid skin that may impair vision, reduce under-eye bags, and correct puffiness or hollowing around the eyes. Upper or lower blepharoplasty starts at $6,700; combined upper and lower ranges from $8,000 to $13,000. Minimal visible scarring — incisions are placed in natural eyelid creases. Recovery involves bruising and swelling for approximately two weeks.

Blepharoplasty at Las Vegas Plastic Surgery addresses the functional and aesthetic concerns of ageing around the eyes — one of the earliest and most noticeable facial regions to show signs of time. Dr. Jeffrey J. Roth performs both upper and lower blepharoplasty as standalone procedures or in combination, and frequently pairs the procedure with facelift surgery for comprehensive facial rejuvenation. Upper blepharoplasty removes the excess or redundant skin that accumulates on the upper eyelids with age, causing the characteristic heavy, hooded appearance and, in advanced cases, physical obstruction of the superior visual field. The incision is placed precisely in the natural upper eyelid crease, allowing scar concealment within the lid fold when the eye is open. Along with skin, a small amount of underlying orbicularis oculi muscle and prolapsed orbital fat may be removed or repositioned to restore the definition of the upper lid fold. Lower blepharoplasty addresses under-eye bags — caused by prolapsed orbital fat herniated forward through a weakened orbital septum — and may also address skin excess or fine crepey wrinkles in the lower lid area. Depending on the patient's anatomy, lower blepharoplasty is performed via a transconjunctival approach (incision inside the lower lid, no external scar) when skin excess is minimal, or an external subciliary approach when skin removal is also needed. Both upper and lower eyelid surgery are associated with relatively short recovery compared to facelifts: most bruising and swelling resolves in ten to fourteen days. Transient lagophthalmos (incomplete eye closure) and chemosis (conjunctival swelling) are temporary and resolve spontaneously. Upper or lower blepharoplasty starts at $6,700; combined upper and lower ranges from $8,000 to $13,000. When combined with facelift surgery, the combination is priced at approximately $23,500.