Eyelid Surgery (Blepharoplasty)

Dr. Jacob Sedgh performs upper and lower blepharoplasty to address drooping upper eyelid skin (hooding), under-eye puffiness, tear trough hollowing, and under-eye bags. The procedure removes or redistributes excess skin and fat from the eyelid region to restore a rested, open-eyed appearance. A fat repositioning technique is used for lower lids to avoid a skeletonised look. Asian eyelid surgery and male blepharoplasty are also offered. Upper blepharoplasty may be covered by insurance when functional visual field obstruction is documented. Brow and forehead lift can be combined for patients with significant brow ptosis.

Eyelid surgery (blepharoplasty) at Sedgh Plastic Surgery in West Hollywood addresses the eyelid changes that produce a fatigued, aged, or heavy facial expression — including upper eyelid skin excess that creates hooding over the lashline, herniated periorbital fat that causes under-eye puffiness and bags, and tear trough depression that creates a hollow shadow beneath the lower lid. Dr. Sedgh, whose dual board certifications in facial plastic surgery and otolaryngology-head and neck surgery encompass detailed training in the periorbital anatomy, performs both upper and lower blepharoplasty as outpatient procedures under local anaesthesia with sedation. Upper blepharoplasty removes a precisely measured strip of redundant eyelid skin — and occasionally a small amount of underlying orbicularis oculi muscle and herniated medial fat — through an incision placed within the natural upper eyelid crease, making the resulting scar imperceptible once healed. When skin excess is advanced enough to obstruct the superior visual field, the procedure may qualify for medical insurance coverage under functional blepharoplasty criteria. A brow lift or forehead lift is available as a concurrent procedure for patients in whom significant brow ptosis is contributing to the upper-lid heaviness. Lower blepharoplasty at Sedgh Plastic Surgery uses a fat repositioning technique: rather than simply excising the herniated lower-lid fat pads — which can result in a sunken, skeletonised lower eyelid — the fat is mobilised and redistributed into the tear trough depression, restoring volume at the lid–cheek junction and achieving a smooth, youthful contour. This approach avoids the hallmark over-operated appearance of aggressive lower-lid fat removal. Incisions are placed either just below the lower lash margin (transcutaneous approach) or entirely inside the lower lid (transconjunctival approach, used when skin excision is not required), leaving no external scar in the latter case. The practice also offers Asian eyelid surgery, which creates or deepens the upper eyelid crease for patients who were born without a supratarsal fold, with careful attention to maintaining ethnic identity and natural-looking results. Male blepharoplasty protocols account for the differences in male periorbital anatomy and aesthetic goals. Swelling and bruising following blepharoplasty generally resolve within two weeks, and most patients are comfortable returning to social activities after ten to fourteen days. Final softening of the surgical result continues for several months as the periorbital tissue matures.