Eyelid Surgery (Blepharoplasty)

Perimeter Plastic Surgery offers upper and lower eyelid surgery (blepharoplasty) to remove excess skin, muscle, and fat from the eyelids. Performed by Dr. Mark F. Deutsch, MD, FACS as an outpatient procedure, blepharoplasty refreshes a tired or aged appearance around the eyes with minimal scarring and a recovery of approximately one to two weeks.

Blepharoplasty at Perimeter Plastic Surgery in Atlanta addresses sagging upper eyelid skin that hoods the eyes and creates a perpetually fatigued appearance, as well as lower eyelid bags and puffiness caused by herniated orbital fat. Dr. Mark F. Deutsch, MD, FACS performs both upper and lower blepharoplasty, individually or in combination, tailoring the approach to each patient's anatomy. For upper blepharoplasty, an incision is made within the natural eyelid crease, allowing removal of redundant skin and precise adjustment of the underlying orbicularis muscle and fat pads. The resulting scar is concealed within the lid fold and typically becomes imperceptible over several months. Lower blepharoplasty may use a transconjunctival approach (no external scar) for patients with fat herniation but good skin elasticity, or a subciliary incision for patients who also need skin removal. The procedure is performed on an outpatient basis, commonly under IV sedation or local anesthesia with sedation. Operative time is approximately one to two hours depending on whether one or both eyelids are treated. Patients experience bruising and swelling concentrated around the eyes for one to two weeks and are advised to avoid contact lenses and strenuous activity during that period. Blepharoplasty is frequently combined with a brow lift or facelift at Perimeter Plastic Surgery for patients seeking more comprehensive facial rejuvenation. The practice's location near Northside Hospital Atlanta and Emory St. Joseph's Hospital ensures access to hospital-level care if needed.