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Restore a Brighter, More Rested Look

The eyes are often the first area to show signs of fatigue or aging, even when you feel well-rested. Excess skin, puffiness, or changes in volume can create a heavier appearance that doesn’t reflect how you feel. Eyelid surgery offers a focused, highly effective way to restore clarity and balance to the eye area.

Rather than dramatically altering your appearance, the goal is to refine what’s already there, removing distractions and allowing your natural expression to come through. At Aesthetic Facial Plastic Surgery, eyelid surgery in Bellevue is made with restraint, guided by facial proportion and long-term harmony.

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What Is Eyelid Surgery?

Eyelid surgery, or blepharoplasty, is a procedure that removes or repositions excess skin, muscle, and fat in the upper and/or lower eyelids. Upper eyelid surgery typically addresses loose or hooded skin that can create a tired or heavy appearance, and in some cases, may even affect vision.

Lower eyelid surgery focuses on under-eye bags, puffiness, or contour irregularities that contribute to a worn or aged look. A key part of this procedure is determining whether fullness or hollowness is the primary concern. In many cases, restoring volume—rather than simply removing tissue—leads to a more natural and balanced result.

For upper eyelid surgery, the incision is conveniently hidden within the natural eyelid crease. Depending on your anatomy, skin alone or both skin and orbicularis muscle may be removed. For lower eyelid surgery, the incision can be placed inside the eyelid when only fat removal is needed, or on the outside when skin and muscle removal is also required.

Before & After Blepharoplasty

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The Benefits of Eyelid Surgery

  • More Rested Appearance: Removing excess skin and refining contours helps the eyes appear brighter and less fatigued.
  • Improved Upper Eyelid Definition: Upper blepharoplasty restores a cleaner, more defined eyelid shape.
  • Reduction of Under-Eye Puffiness: Lower eyelid surgery addresses prominent fat pads and smooths the transition to the cheek.
  • Enhanced Facial Balance: Subtle refinement of the eye area improves overall harmony without altering your natural expression.
  • Long-Lasting Results: Results are durable and continue to look natural over time.
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Am I a Candidate for Eyelid Surgery?

Blepharoplasty in Bellevue is ideal for patients who notice excess skin, puffiness, or contour changes around the eyes that make them appear tired or aged. Candidates often include individuals who:

  • Have hooded or drooping upper eyelids
  • Notice under-eye bags or persistent puffiness
  • Experience shadowing or heaviness around the eyes

Patients should be in good overall health and have realistic expectations focused on refinement rather than dramatic change.

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The Eyelid Surgery Process What to Expect

Private Consultation

We evaluate your eyelid structure, facial proportions, and underlying causes of aging—whether skin, fat, or volume loss.

Personalized Surgical Plan

Your procedure is designed to address your specific concerns while maintaining natural balance and avoiding overcorrection.

Procedure Day

Eyelid surgery is typically performed under local anesthesia with or without light sedation, depending on the complexity.

Initial Healing Phase

Mild swelling and bruising are expected, with gradual improvement over the first one to two weeks.

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Results and Recovery

Most patients experience swelling and bruising in the first several days, with noticeable improvement within one to two weeks. Many feel comfortable returning to work and social activities during this time. As healing progresses, the eye area appears smoother, more open, and more refreshed. Final results continue to refine over several weeks as residual swelling resolves.

A conservative approach is especially important in eyelid surgery. Removing too much skin or tissue can lead to an unnatural appearance, so careful planning ensures the result remains balanced and appropriate for your face. Results are long-lasting, with improvements that maintain a natural, “undone” look over time.

Why Choose Aesthetic Facial Plastic Surgery?

Upper eyelid surgery in Bellevue requires both technical precision and a deep understanding of facial balance. Dr. Young is a double board-certified facial plastic surgeon trained at USC alongside some of Beverly Hills' most accomplished surgeons, with extensive experience in both upper and lower blepharoplasty.

  • A Structural Approach to the Eyes: Every decision—whether to remove or restore volume—is guided by proportion and harmony.
  • Conservative, Natural Results: The focus is on refinement that looks appropriate and never overdone.
  • Experience Across Surgical and Non-Surgical Options: We evaluate all options, including volume restoration and adjunct procedures, to achieve the most natural outcome.
  • Personalized, High-Touch Care: Each treatment plan is carefully tailored to your anatomy, concerns, and long-term goals.
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Frequently Asked Questions Eyelid Surgery

How much does eyelid surgery cost?

Upper or lower eyelid surgery typically ranges from $1,500 to $6,000 per area, which includes the surgeon fee, anesthesia, and facility fees. Final pricing depends on the complexity of your procedure and will be confirmed during your consultation.

Is eyelid surgery painful?

Most patients experience mild discomfort, which is typically well-managed with medication.

How long is the recovery?

Most patients return to normal activities within one to two weeks, with continued healing over several weeks.

Will I have visible scars?

Incisions are placed within natural creases or along the lash line, making them discreet once healed.

How long do results last?

Results are long-lasting, with many patients enjoying improvements for years.

Can eyelid surgery fix dark circles?

In many cases, yes. Dark circles often result from tissue loss beneath the lower eyelid, which thins the skin and allows the underlying orbicularis muscle to show through. Volume restoration along the inferior orbital rim using fat injections, fillers, or implants can address this shadowing effect. Laser resurfacing can also help by building collagen in the area.

Can this be combined with other procedures?

Yes, eyelid surgery is often combined with brow lift, fat grafting, or laser treatments for more comprehensive results.

What are the risks?

As with any surgery, there are risks, but they are uncommon and will be reviewed in detail during your consultation.

Should I consider a brow lift instead of eyelid surgery?

Sometimes what appears to be excess eyelid skin is actually caused by a low or descended brow. Based on Dr. Young's Circles of Prominence research, the ideal brow height is approximately one iris width above the eyelid margin. If your brow sits below this point, a brow lift may provide a more effective result — or both procedures may be recommended together.

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