Eyelid Surgery

Eyelid Surgery

Since the eyes are often referred to as “the window to the soul,” and are typically the very first thing we notice when we meet someone, it is important that your eyes reflect how you truly feel. If your eyes have a tired and droopy appearance they may not reflect your vibrant inner self or, in fact, your true age. It is noted that the earliest signs of visible aging are seen around the eyes.

Blepharoplasty (BLEF-uh-ro-plas-tee), also known as eyelid surgery, is a surgical correction of the upper and lower eyelids, which helps men and women address issues associated with the natural aging process. As you age, the skin around the eyelids stretches, muscles weaken, and fat gathers over and under the eyes. This may cause sagging eyebrows, drooping upper lids, under-eye puffiness or bags, and dark circles. Eyelid surgery is an excellent procedure that Dr. Thomas Leach has used to help thousands of patients eliminate the “hooded or drooping” appearance in the upper eyelids or the “saggy-baggy” puffy skin of the lower eyes.

Eyelid surgery is not just a purely cosmetic surgical procedure as many younger people are affected with sagging eyelids. Drooping upper eyelids can have a number of causes, including heredity, sun exposure and chronic eye rubbing. For those individuals whose vision is affected by the drooping of the upper eyelid, blepharoplasty can help restore the patients’ visual field. The professional staff at Princeton Center for Plastic Surgery, under the direct supervision of Dr. Thomas Leach, Medical Director, can help you with any questions.

Eyelid surgery performed at Princeton Center for Plastic Surgery can remove some of the signs of aging leaving your facial appearance enhanced and refreshed.


You may feel that the eyes looking back at you in the mirror seem tired looking, or perhaps co-workers and family members are asking whether or not you had a good night’s sleep because your eyes are swollen with bags and you have dark circles. Aging in this area can have a detrimental effect on your appearance. Fortunately, under the expert hands of Dr. Thomas Leach, Princeton Center for Plastic Surgery’s Medical Director and a board certified plastic surgeon, you can attain dramatically younger eyes and improve your facial appearance with cosmetic procedures.

Dr. Thomas Leach can help you determine if you are a candidate for eyelid surgery and which procedure(s) will enhance your eyes. Also, Dr. Leach can advise you on the benefits of combining procedures to maximize your desired results. Blepharoplasty can be done as a solo procedure or, if Dr. Leach advises, with other facial surgery procedures such as a brow lift and facelift.



As you age, the brow line begins to fall and the skin on the upper eyelids tends to crowd and bunch up. Also, excess upper lid skin develops due to the decrease in the eyelid skin elasticity. Eyelid surgery removes excess skin and is often performed in conjunction with a brow lift so that the brow is elevated giving you a more “open” and youthful appearance.

If upper eyelid surgery is performed in conjunction with a brow lift, Dr. Leach performs the brow lift first so that the brow is placed in the correct position. The brow lift will actually tighten up some of the excess eyelid skin. The remaining loose upper lid skin is removed and the skin edges are finely sutured together. Dr. Leach exercises extreme care so that the correct amount of loose skin and tightening is done so that your eyes look natural and can comfortably close after surgery.


Dependent upon the nature of your lower eyelid problem and desired cosmetic enhancement, there are a few surgical options. If you have excess lower eyelid skin, wrinkles, and/or a fatty bag, lower eyelid skin can be tucked to decrease skin excess and wrinkles. If you have eyelid bags or swelling caused by fat, this excess fat can be easily removed.

A minimally invasive lower eyelid surgery is often referred to as a “pinch blepharoplasty.” This procedure will reduce excess, lax, or wrinkled lower eyelid skin with minimal tissue disruption within the lid In those individuals who desire to significantly reduce lower eyelid fatty bulges (bags), Dr. Leach performs a “transconjunctival blepharoplasty.” With this advanced surgical technique, an incision is made through the lower lid, resulting in no obvious scar. This procedure effectively reduces lower eyelid fatty bulges by removing some of the fat around the lower eyeball.

It should be noted that a transconjunctival blepharoplasty can be performed in conjunction with a pinch blepahroplasty when excess and lax skin and fatty bags are both present. Dr. Leach will thoroughly review the recommended procedure(s) with you.


Eyelid lifts can either be done alone or together with face and neck lifts or eyebrow and brow lift. Eyelid surgery is done in an outpatient surgical facility and is performed under local sedation or under general anesthesia. If done alone, the operation takes about one and a half hours for all four eyelids (both upper and both lower eyelids). Blepharoplasty of the upper eyelids alone typically takes approximately 1 to 2 hours and may be performed under local anesthesia only.

Recovery from eyelid surgery is complete within seven to ten days. Minimal blurry vision quickly resolves. Dr. Thomas Leach will provide specific recommended procedures to follow to insure successful end results.

Blepharoplasty is one of the most commonly performed cosmetic surgical procedures. It is a challenging procedure that requires a thorough understanding of the anatomy of the eye and eyelids and a skilled experienced plastic surgeon. Dr. Thomas Leach has performed hundreds of eyelid surgeries with remarkable results.

If the eyes that are looking back at you in the mirror are not what you want to see, we recommend you contact our office today to schedule a personalized consultation with Dr. Leach to see if you are a good candidate for this procedure.

Call 609.921.7161 today.

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