Permanent tired-looking or droopy eyes can age a person so eyelid surgery, or blepharoplasty, may help them look and feel younger by surgically removing excessive fat, skin, and muscle in the eye area. These issues can be caused by aging which can result in less volume in the upper eyelid over the years, which can be corrected with an upper blepharoplasty. In other cases, the eyelid can take on a droopy look due to a collection of extra skin or tissue, which is treated with a lower blepharoplasty. Denver plastic surgeon, Dr. Manish Shah, will carefully make incisions on the outside of the eyelid and/or inside the lid to remove extraneous skin, depending on the patient’s particular case. The result of the surgery is more alert eyes which gives a younger, softer, and more refreshed appearance.
Eyelid Surgery Reviews
"I Still Have Hanging Skin -Denver, CO - Dr. Shaw is a very talented doctor but I think he should have been a little more aggressive on the skin removal of my upper eye lids so I wouldn't have had to decide to go thru it again or just leave it the way it is. I guess I will just live with it."- C. / RealSelf / Jul 30, 2013
"I Wish I Did This Sooner!!! - Englewood, CO - I had Vaser liposuction three months ago by Dr. Shah. I can’t express enough how grateful I am not only to him for doing such a wonderfully detailed sculpting job on my body (flanks, back rolls, upper & lower abs), but also grateful that I gave myself the permission to finally do this for myself. I am in my mid 30’s and am not overweight but for 20 years have struggled with these areas that just never looked right to me and made me feel self-conscious & bad about myself most of the time. I became very good at hiding my ‘problem areas’ with larger clothes and/or always tied a sweater or sweatshirt around my waist, but that certainly didn’t make me feel good about myself and I felt like I had to guard these areas at all times. Other than my close friends and significant other most people would never have known that I was silently suffering with this insecurity because I am an extrovert, very outgoing, and ironically appeared very confident about myself. I avoided shopping for clothes because it became something that I dreaded (a burden!) rather than something to look forward to because it seemed that I would always end up in clothes that I felt like I had to wear versus what I really wanted to wear…and feel sexy & confident wearing. My eyes would immediately look at my mid-section as soon as I put any clothes on and most times I felt defeated before I even looked in the mirror. I highly recommend Dr. Shah! He was excellent in explaining & recommending my treatment plan and we were on the same page every step of the process. He is extremely meticulous about his work and I appreciate the time he took to make sure I was comfortable and happy with the results I was hoping to receive. He and his staff are caring, warm, & friendly and made me feel comfortable about asking questions (and I had a lot!). Now I have the confidence that I have always secretly longed for and the only regret I have is that I didn’t do this sooner!"- J. / RealSelf / Feb 28, 2015
"So I wanted to do something spectacular for myself. Yes, something that was really amazingly and wonderful just for me. So I decided to have my face look better, and I would find somebody who would do just that. Long bouts of illness, accompanied by numerous struggles had left the story written on my face. There were, of course, the normal signs of aging since I am pushing sixty, but more than anything I wanted to feel better about my appearance. I was determined the challenges and illness I"d experienced wasn't going to ravage my face anymore. I was taking back the ground I had lost to it. I had taken a year to decide to do this. It was a mammoth decision for me. I decided to go for it. So I had to pick somebody that I trusted to cut on my face. That sounded like a daunting task. I wanted somebody who could perform surgery on the Queen, possibly won a Nobel Peace Prize, and got the title of ??Most Congeniality??? in high school---or at least the equivalent there of. High standards? Well I was going to let this person rearrange my face so yes, I wanted the best. I interviewed several doctors. The first one was skilled. Check. He had excellent credentials. Check. However he made no eye contact with me, and was so clinical that I doubted he remembered my name by the end of our time. I'd prefer the person who chops around on me to know my name I concluded. Line through that name. The next doctor yielded good reports about her skills as a Face Arranger. Check. But a line went through that name when I had to pay an astronomical amount just to have a consultation with her. I was bit disgruntled. The assistants gave me many other non-surgical options, which I wasn???t interested in, as I stated many times. I felt if I was being screened to see how serious I was about doing the most expensive procedure. THEN I could have a costly consult with her. Ummm, not really impressive. One doctor had great reviews and testimonies, but talked down to her staff and treated them poorly. Nope, not that one. I wanted a doc with confidence, but displayed respect for others--- and wasn???t a jerk. After searching for a long time I went to Dr. Shaw. He was attentive to me, which seems to be a feature one wants in a doctor who would change your face. He took as much time as I needed to answer all my questions. (It was not surprising I had many.) His credentials were extraordinary, and his background was such that I knew he had to make my short list. . He was nice. I want a ??nice??? person. Yes that was on my checklist for sure. His vast experience gives him the knowledge to do things in a way that other doctors do not. His staff is quite pleasant as well. I hired him before I left his office. Relief rolled over me, as I knew he was the one that was right for me. There wasn???t a doubt that crept into my mind as I made the necessary preparations for the procedure. Yes-sir-re I was courageous and strong all right. Yep that was me! That was of course until the actual day arrived and I found myself surrounded by lots of people in white coats. They were asking lots of questions, sticking me with an I.V.??? and scurried around like Santa???s busy elves. Oh my! bWonder if this is the right thing to do? I wonder if I???m going to have a displaced face and only find employment at old timy circus freak shows? Wonder if he is really a mad scientist that is experimenting on unknowing subjects? Wonder if he hates his job but in it just for the money? After all, he has that perfect Indian skin and I have blue jeans older than he looks. What does he care? Ugh! I am going to rip off my attractive, tied in the back, fashionable hospital attire. I would tell them I just remembered an important meeting I must attend noe with the FBI, the governor, or maybe the space program peopllr Then Dr. Shaw came bounding in with a bounce in his step that slightly resembled ??Tigger???. His excitement was displayed in his smile that lit up like a kid at Christmas! You could see he was quite delighted to be doing this, and he seemed quite jolly. I remembered the reasons I liked him in the first place...right before they tell you to do the proverbial countdown from 100--99, and by then I was completely out. The FBI will have to wait. During post surgery he remained available to me at all time. I didn???t know what my face looked like since swathed with bandages and draped in gauze. It felt like I had a nose and eyes but lacked a face. His vast experience was exemplified when he told me exactly what would occur next. When the ??freak show employment question arose again, my husband called Dr. Shaw's cell phone that he graciously provided for us. I was reassured wouldn???t remain clad in bandages and I could indeed be employed in another field. Any question or concerns was answered expeditiously. He really did care. My face seemed to get better and better every day. In fact, when I was conformable in going out afterwards, I started receiving compliments on how nice I looked. The good Dr. had told me that people would do that very thing. Although they couldn???t put their finger on what was so different, they would indeed respond the he way he predicted. When he originally told me this would occur I responded ??Sure Dr. Shaw...that???s nice...(yeah right I thought, with placating thoughts galloping through my mind). I But that is EXACTLY what happened ---and it happened frequently! I was getting compliments from the most unlikely people. Ok so he was right. But I may not even tell him he was right. I enjoyed my placating thoughts. Since then my face has continued to get better and better as new collagen grows, and all the other things occur that is supposed to happen after such a procedure. I continue to get compliments on how good I look, and I still have time in which it will continue to improve. Would I recommend him? That is like asking if Gundi is a peaceful person. Assuredly I would tell anyone who wants to improve his or her look, feel more confident, and wants the best doctor to make that happen, then visit Dr. Shaw. Nobel peace prize??? Well maybe not, but certainly he is by far of the very best plastic surgeon you can find. And maybe he didn???t get the ??Most Congeniality??? award but its obvious he really cares about his patients, and is stupendous at what he does. I guess I won???t have to research the freak show industry. (Not that their bad people, I just had other career choices in mind). Go ahead, ask me how I look...Oh gee ok, since you insist----I LOOK GREAT! SGW Denver, Co"- S. / Vitals / Nov 14, 2015
"I would like to tell botox clients of Dr. Shahs' my experience with botox injections. I have deep creases (11's) between my eyes from frowning and Dr. Shah suggested botox treatments. I have closely followed Dr. Shah's medical protocol of getting my injections as soon as the injection starts to wear off and I am able to frown. By following Dr Shah's medical protocol I am receiving botox injections once every six months and well on my way to only a yearly injection. My creases are less visible and the comfort I feel by not frowning so deeply are wonderful. If you are receiving botox injections my recommendation is to strictly follow Dr Shah's medical protocol as I have and you will experience the same results."- D.T. / Google / Feb 16, 2016
"Sent from my iPad Begin forwarded message: From: CaroleinDenver@aol.com Date: August 23, 2016 at 4:52:32 PM MDT To: email@example.com Subject: (no subject) Dr. Shah did surgery on my neck and eyes and now my neck is totally numb and looks absolutely disgusting - HORRIBLE! I am so embarrassed to be seen in public because of what he did. Right after surgery my one eyelid had a lump on it which has never gone away. Every time I pointed out something that did not look right that he had done (and there were many things), he always had an excuse but he could never remember from appointment to appointment what excuse he had given to me the time before - they were always different. He offered to do the procedures over again but I would not let him come near me ever again! I look like a totally deformed freak thanks to Dr. Shah. Please look into many doctors before selecting one - you will thank me!"- Anonymous / Vitals / Aug 23, 2016
The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.
Upper Eyelid Surgery
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.
Lower Eyelid Surgery
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
Plan Your Procedure
- Recovery Time
- 1-2 weeks
- Average Procedure Time
- 1-3 hours
- Post-op Follow-up
- 1-4 weeks
- Procedure Recovery Location
Eyelid Surgery FAQs
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.