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Eyelid Surgery

Conveniently located to serve the areas of Maryland, Virginia, and Washington, D.C.

Whether you have always been dissatisfied with the shape or appearance of your eyes, or whether you have noticed changes as a result of the natural aging process, a blepharoplasty can improve the aesthetic appearance of the upper and/or lower eyelids. Our office is located just 11 minutes away from Potomac and 10 minutes away from North Bethesda & Rockville, Maryland.

What is Blepharoplasty?

This facial plastic surgery procedure can correct drooping upper lids and puffy bags below the eyes by removing the appropriate amount of fat and excess skin. This procedure usually takes approximately one to two hours.

Blepharoplasty, or eyelid surgery, is a surgical procedure designed to correct minor aesthetic defects of the eyes, improve facial symmetry and eyelid definition, and reverse unpleasant changes to the eyes as a result of the natural aging process.

Because of the central role the eyes play in the beauty and harmony of the face, as well as in our interactions and communications with the outside world, even the smallest changes to the eyes can dramatically improve our overall appearance.

Real Patient Results


Benefits of Eyelid Surgery

  • Removing excess fatty deposits that make the upper eyelids appear swollen
  • Correcting folds in the upper eyelids, created by loose or sagging skin, that can alter the natural contour of the upper eyelid, and even potentially impair one’s vision
  • Eliminating excess skin and wrinkles of the lower eyelid
  • Eliminating bags and puffiness under the eyes
  • Correcting lower eyelid droopiness that causes excess white to show below the iris of the eye

When performed by skilled plastic surgeons such as Dr. Franklin Richards, Dr. Dean Jabs, and Dr. Keshav Magge, blepharoplasty surgery will enhance the bright, youthful appearance of your eyes, restore a refreshed, rejuvenated look to your entire face, and give you a naturally alert, well-rested, and gorgeous appearance.

Some people choose to undergo blepharoplasty on its own, but eyelid surgery is also a natural part of facial rejuvenation through comprehensive plastic surgery techniques. When combines with procedures like a facelift, neck lift, or brow lift, the results of an upper or lower eyelid lift are compounded.

At Cosmetic Surgery Associates, located in Bethesda, MD, our board-certified plastic surgeons all have the artistic vision, surgical experience, and technical skills to ensure that your blepharoplasty will harmonize with your facial contours and subtly enhance your natural beauty!

Ideal Candidates

Candidates for a blepharoplasty procedure commonly experience drooping eyelid skin, bags under the eyes, or fat deposits.

While some want to undergo this surgery for physical hindrances such as blocked vision, others may simply wish for an aesthetic enhancement. These patients are generally 35 years or older and do not have any serious eye conditions. To find out if you are a good candidate for eyelid surgery, please schedule a consultation and one of our expert surgeons will gladly assess your candidacy.

Types of Blepharoplasty

  • Upper Eyelid Lift: Corrects drooping or sagging upper eyelids by gently repositioning or removing fatty tissue, and removing excess skin. This procedure utilizes an incision made within the natural crease of the upper eyelid.
  • Lower Eyelid Lift: Improves aesthetic problems of the lower eyelid by tightening excess skin and muscle with fat removal in the lower eyelid area, through an incision made just below the lower lash line.
  • Transconjunctival Lower Eyelid Surgery: This surgical technique improves lower eyelid cosmetic issues as well, but utilizes an incision behind the lower eyelid, leaving no visible scar.


At your initial consultation with either Dr. Jabs, Dr. Richards, or Dr. Magge, your doctor will conduct a thorough examination of your facial structure and discuss with you your specific concerns and aesthetic goals, in order to determine which type or combination of types, of eyelid surgery is most appropriate to achieve the results you are seeking. This consultation will enable them to develop a personalized surgical plan that is carefully tailored to ensure that the results of your surgery harmonize with and enhance your existing facial features. Any questions you may have will be gladly answered at this time.

Preparing for your Eyelid Surgery

Prior to your blepharoplasty procedure, your doctor may ask you to complete other medical tests specific to your case. Refrain from smoking and taking anti-inflammatory medications 2-3 weeks leading up to your surgery date since these increase the amount of bleeding. Your doctor may prescribe you pain medication which you will need to pick up before your procedure so you have them readily available afterward. Patients generally take 3-5 days off from work to ensure ample rest for proper healing.

You will not be able to drive afterward, so please arrange for a friend or family member to take you home. We highly recommend having this person spend the first night of recovery with you. Eyelid surgery patients should have enough ice packs, gauze, and washcloths stocked to last them through the entirety of their recovery. On the day of surgery, you should wear something that wraps around you as opposed to a pullover; you do not want to accidentally brush against your eyes.

The Procedure

Depending on your specific aesthetic concerns and goals, your blepharoplasty will address the upper or lower eyelids or both.

During the procedure, which usually lasts between one and two hours, the surgeon will remove and/or carefully reposition select areas of fat and skin, while tightening the adjoining musculature surrounding the eyelids.

This is most commonly done under local anesthesia with oral sedation; however, it can be performed under general anesthesia if desired. The result of these precise adjustments will be to enhance eyelid definition and symmetry. Your surgeon will ensure that all incisions are well-concealed by the natural shape of the eye to avoid visible scarring.

Watch our video of Dr. Jabs preforming an upper and lower blepharoplasty. 


Some patients may benefit from alternative procedures that provide similar results to that of blepharoplasty.


While blepharoplasty can make your eyes appear more youthful, it does not address all eye wrinkles. Botox is an FDA-approved minimally invasive injectable that can be used to diminish frown lines and crow’s feet. Botox is injected into the facial muscles that lie below the wrinkled skin to temporarily paralyze them. By doing so, the muscles do not work as hard, hence not furrowing the skin which creates wrinkles.

Brow Lift

Also known as a forehead lift, a brow lift is a procedure that raises low sitting brows to a youthful position. When you raise the eyebrows, forehead wrinkles are reduced and the upper eyelids are raised as well, both improving vision and cosmetically enhancing the eyes. Blepharoplasty can raise the upper eyelids, but a brow lift procedure is a great alternative for those who have sagging upper eyelids as well as low-sitting eyebrows. A brow lift can be performed at the same time as blepharoplasty.

Laser Skin Resurfacing

Laser skin resurfacing is an excellent choice for those who do not need a surgical procedure, but rather a refreshed look. This non-surgical alternative addresses acne scars, wrinkles, dark circles, and blemishes by removing the damaged top layer of skin. Laser skin resurfacing acts as a pick-me-up to reveal glowing, radiant skin.

Patient Reviews

Literally the best practice ever. I chose Dr. Richards based on his reviews and him and his team did not disappoint: Joanne is amazing and will answer all your questions and make you feel comfortable and Tiffany is such a knowledgeable, sweet Nurse. She is so helpful with questions too, literally any time of day! I would give this practice more stars if I could, such a great team!

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Recovery from blepharoplasty usually requires a week of downtime. After surgery, it is critical to avoid exposure to the sun, wearing darkly-tinted sunglasses until healing is complete. Common side effects of eyelid surgery include bruising, irritation, swelling, and dry eyes; these side effects are usually mild and temporary and can be managed with over-the-counter pain medications, cold compresses, and ointments. You will most likely feel ready to go out in public and/or back to work in a week.


Click to download the information provided on our website in a PDF format.

Schedule an Eyelid Surgery Consultation

If you have been considering blepharoplasty, we encourage you to set up a one-on-one consultation with one of our board-certified plastic surgeons to determine if you would be a good candidate for the procedure. Our office is located just 2 miles away from North Bethesda and 5 miles away from Potomac & Rockville. Call or contact us online to get the conversation started today.

Frequently Asked Questions

Can you get rid of hooded eyelids?

Yes. This is usually done with a procedure called a blepharoplasty which removed the excess hooded skin.

How is eyelid surgery performed?

Upper eyelid surgery (blepharoplasty) is performed through an incision in the upper eyelid crease which removes the excess skin and fat. The lower eyelid surgery is performed through an incision just under the lower eyelashes to remove the excess lower skin and fat bags.

How is upper eyelid surgery done?

Upper eyelid surgery (blepharoplasty) is performed through an incision in the upper eyelid crease which removes the excess skin and fat.

How is upper eyelid surgery performed?

Upper eyelid surgery (blepharoplasty) is performed through an incision in the upper eyelid crease which removes the excess skin and fat.

How do you fix droopy eyelids?

Upper eyelid surgery (blepharoplasty) is performed through an incision in the upper eyelid crease which removes the excess skin and fat. The lower eyelid surgery is performed through an incision just under the lower eyelashes to remove the excess lower skin and fat bags.

Is drooping eyelid surgery covered by insurance?

Eyelid surgery is covered by insurance only when the excess skin obstructs vision.

How long does droopy eyelid surgery last?

Eyelid surgery usually gives a beneficial result for several years to decades after the procedure.

How long after blepharoplasty do you see results?

You see results immediately after eyelid surgery. There is, however, bruising and swelling that usually resolves after 2 weeks.

How long are eyes blurry after blepharoplasty?

Blurring after eyelid surgery usually resolves after a few days.

How can I reduce eyelids?

Upper eyelid surgery (blepharoplasty) is performed through an incision in the upper eyelid crease which removes the excess skin and fat. The lower eyelid surgery is performed through an incision just under the lower eyelashes to remove the excess lower skin and fat bags.

Does eyelid surgery leave scars?

The scars after eyelid surgery are minimal.

How long does eyelid surgery take?

Eyelid surgery usually takes one hour to perform for the upper eyelids and one additional hour for the lower eyelids.

Is eyelid surgery painful?

There is discomfort after eyelid surgery that usually lasts one to two days.

Can Botox lift droopy eyelids?

Botox can achieve minor correction when used for sagging or hooded eyes, but it may not be noticeable depending on the severity of your concerns. It also only produces results when a sagging brow is the cause - if droopy eyelids are the result of excess skin, surgery will be needed.

Can droopy eyelids cause blurred vision?

Yes - upper eyelids can sometimes sag over the field of vision, causing difficulties. In these cases, eyelid surgery is sometimes covered by insurance.

Can I sleep on my side after eyelid surgery?

No. You should make sure to sleep in an elevated position on a couch or reclining chair after surgery. Sleeping on your side can put pressure on your

How do you reduce bruising after eyelid surgery?

You can reduce bruising by taking your prescribed medications and icing the area regularly. Additionally, make sure to follow pre-operative instructions like avoiding certain medications that can cause bruising.

How long does it take for lower blepharoplasty scars to heal?

In general, eyelid surgery scars will heal completely within one to two weeks.

How long does it take to heal from upper eyelid surgery?

Most patients are able to return to their regular schedules within a week or two, although this can depend on your unique surgical procedure.

How long does plasma skin tightening last?

You can expect plasma skin tightening results to last for 9-18 months - you can extend these results by practicing good skincare and returning for touch-up appoingments.

How long does upper eyelid surgery take?

Upper eyelid surgery can take one to two hours and is usually performed in-office using a local anesthetic.

Is plasma skin tightening painful?

Plasma skin tightening is usually performed using a topical anesthetic so theres no pain or discomfort.

What are the risks of eyelid surgery?

The risks of eyelid surgery include bleeding, blurry vision, dryness, numbness, photosensitivity, and swelling.

What can I expect after eyelid surgery?

After eyelid surgery, you can expect some swelling and sensitivity. Any discomfort can usually be managed with over-the-counter pain relievers.

Why are my eyelids hooded?

Hooded eyes are usually genetic in nature, but they can also be the result of excess, aging skin.

Can you go blind from blepharoplasty?

There are risks with blepharoplasty as with any other surgery. The best way to mitigate the risks is by selecting a board-certified plastic surgeon.

Is eyelid surgery safe?

Eyelid surgery is safe and effective when performed by a board-certified plastic surgeon. During your consultation, youll discuss the risks and how you can mitigate them.

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Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers