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Upper & Lower
Eyelid Surgery
Plastic Surgery and Medspa Practice Serving Maryland, Washington DC & Virginia

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.

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Recovery:

10-14 days

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Cost:

Starts at 5K

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Results:

3-6 months

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Benefits of Eyelid Surgery

    • Removing excess fatty deposits that make the upper eyelids appear swollen

  • Correcting folds in the upper eyelids, created by loose, sagging, or drooping skin, that can alter the natural contour of the upper eyelid, and even potentially impair one’s vision

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 eyelid surgery on its own, but eyelid surgery is also a natural part of facial rejuvenation through comprehensive plastic surgery techniques. When combined with procedures like a faceliftneck 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!

  • Eliminating excess skin and wrinkles of the upper and lower eyelids
  • 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 (Upper Blepharoplasty): Corrects drooping or sagging upper eyelids by gently repositioning or removing excess fat, and removing excess eyelid skin. This procedure utilizes an incision made within the natural eyelid crease of the upper eyelid.
  • Lower Eyelid Lift (Lower Blepharoplasty): Improves aesthetic problems of the lower eyelid by tightening excess skin and muscle and removing fat 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.

Consultation

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, medical history, and aesthetic goals in order to determine which type or 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 gladly be 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. Bethesda 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 Blepharoplasty Procedure in Bethesda

Depending on your specific aesthetic concerns and goals, your blepharoplasty will address the upper lid, 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 performing an upper and lower blepharoplasty. 

Recovery

Recovery from blepharoplasty usually requires a week of downtime. After surgery, it is critical to avoid exposure to the sun. You’ll want to wear 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.

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.

Eyelid Surgery FAQs

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

Can you get rid of hooded eyelids?

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

Does eyelid surgery leave scars?

The scars after eyelid surgery are minimal.

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.

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.

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 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 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 long does droopy eyelid surgery last?

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

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.

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 drooping eyelid surgery covered by insurance?

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

Is eyelid surgery painful?

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

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.

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.

Experts at Patient Care

Top-Rated Doctors

Keshav Magge, MD, FACS

Keshav Magge, MD, FACS

Board-Certified Plastic Surgeon

Honored as a Top Doctor by Bethesda Magazine and Washingtonian in both 2024 and 2025, Dr. Magge is recognized for his exceptional surgical skill, artistic precision, and patient-centered approach. A leading plastic surgeon in Bethesda, Maryland, he completed a fellowship in Craniofacial and Pediatric Plastic Surgery at Children’s National Medical Center in Washington, D.C., where he gained advanced expertise in facial rejuvenation and aesthetic surgery innovations.

Meet Dr. Magge
A. Dean Jabs, MD, PhD, FACS

A. Dean Jabs, MD, PhD, FACS

Board-Certified Plastic Surgeon

Dr. Jabs is an award-winning, board-certified plastic surgeon recognized nationally for his expertise in creating natural-looking results and his warm, compassionate approach to patient care. Trained in NY at Columbia University, he served in the US Army and has special expertise in facial rejuvenation. He has over 35 years of experience and has consistently been voted a top plastic surgeon by Washingtonian and Bethesda magazine.

 

Meet Dr. Jabs
Franklin D. Richards, MD, FACS

Franklin D. Richards, MD, FACS

Board-Certified Plastic Surgeon

Dr. Richards has been recognized as a Top Doctor by several prestigious organizations, including Castle Connolly, Consumers’ Research Council of America, and Washingtonian magazine. A leading plastic surgeon in Bethesda, Maryland, Dr. Richards is the past Chief of Plastic Surgery at Johns Hopkins Suburban Hospital. His expertise is in achieving natural results in facelift and eyelid surgery, with additional interests in cosmetic surgery of the breast and abdomen.

Meet Dr. Richards

Complementary Procedures

Botox®

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 contract and wrinkles are diminished, leading to a smoother appearance.

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 a blepharoplasty.

Laser Skin Resurfacing

Laser skin resurfacing is an excellent choice for those who do not need a surgical procedure, but rather a more 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.

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The staff was amazing and made me feel comfortable every step of the way.

after-qoutation

Get it DONE! The staff was amazing and made me feel comfortable every step of the way. My results are amazing, and I conquered the biggest hurdle in this journey - picking the correct Doctor and team. No regrets. Thank you, CSA.

– verified patient
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I have been going to CSA for over a year, and it’s always such a nice visit.

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I have been going to CSA for over a year, and it's always such a nice visit. Super professional, and I always feel taken care of.

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I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES.

after-qoutation

I had such an amazing overall experience at Cosmetic Surgery Associates. The staff is very pleasant. I had my first invasive cosmetic procedure done back in September, and the final results are amazing. I LOVE IT. I'm so much happier with my body now. HIGHLY RECOMMEND. Prior to my surgery, I had been thinking about this for a while, and I'm so happy I made the decision to go through with it. I AM SO HAPPY I FOUND COSMETIC SURGERY ASSOCIATES. HIGHLY HIGHLY RECOMMEND!!

– verified patient
before-qoutation

Their equipment, skill level, and expertise are superb.

after-qoutation

This practice is truly outstanding! Their equipment, skill level, and expertise are superb. The staff is extremely friendly, kind, and professional; they make you feel comfortable as soon as you walk in the door.

– verified patient
before-qoutation

Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office.

after-qoutation

Every single person in their office makes you feel so welcomed and comfortable the moment you step into the office. The day of my surgery, the staff took amazing care of me and went above and beyond to calm my nerves, talk me through it, and made it such a great experience. I highly recommend this office. I can't thank them enough for all that they did for me!

– verified patient
before-qoutation

My experience there was beyond 5 stars.

after-qoutation

My experience there was beyond 5 stars. From taking the appointment to post surgery. Even now after 10 months, the follow ups are outstanding. The whole staff took great care of me and the results are what I expected. Thank you for everything. Don't think twice and use this clinic if you want best in class service and the best result.

– verified patient
before-qoutation

All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff.

after-qoutation

Literally every staff member I interacted with from the front desk down to the surgical team gave stellar customer service and truly made me feel comfortable. My sister even felt the warm energy from the staff after meeting them the morning of surgery. All of the staff were highly knowledgeable, and I received consistent direction and guidance from all of the staff. I would highly recommend Cosmetic Surgery Associates to anyone seeking a cosmetic procedure!

– verified patient
before-qoutation

I can’t stress enough how great this whole experience has been.

after-qoutation

I can't stress enough how great this whole experience has been. Not only did he make me feel comfortable in my body, but 10x more confident. His work is truly beautiful. 100% recommend!!

– verified patient
before-qoutation

I feel very comfortable and look better in my clothes.

after-qoutation

The staff are professional, caring, and pay attention to detail. Almost 10 months post op. The results exceeded my expectations. I feel very comfortable and look better in my clothes. I'm so grateful. I highly recommend this practice.

– verified patient
before-qoutation

The staff was wonderful, respectful, accommodating, and very knowledgeable!

after-qoutation

The staff was wonderful, respectful, accommodating, and very knowledgeable! The facility was very clean and one of the staff members helped me work the coffee machine for a fresh cup of coffee!

– verified patient

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