What is Blepharoplasty?
Blepharoplasty removes excess skin and fat from the upper or lower eyelids to reduce puffiness, sagging, and signs of fatigue. It’s commonly performed to address drooping lids, under-eye bags, or a tired appearance. Depending on your goals, it can be combined with a facelift or brow lift for broader facial rejuvenation.
Who Is a Candidate for Eyelid Surgery?
Eyelid surgery may be right if you’re bothered by signs of aging around the eyes or experiencing functional concerns related to drooping skin. Ideal candidates generally meet the following criteria:
- Have sagging upper eyelids, under-eye bags, or puffiness
- Notice a tired, aged, or hollowed appearance around the eyes
- Are in good general health and free of conditions that impair healing
- Do not smoke or are willing to stop before and after surgery
- Have realistic expectations and a clear understanding of the procedure
- May experience visual obstruction due to excess upper eyelid skin
During your consultation, Dr. Kirn or Dr. Al Bayati will evaluate your anatomy and recommend the most effective surgical plan.
Upper vs. Lower Eyelid Surgery
At Kirn Plastic Surgery Center, every blepharoplasty is customized to your goals. Dr. Kirn or Dr. Al Bayati will determine whether upper eyelid surgery, lower eyelid surgery, or both are right for your needs.
Upper Eyelid Surgery
This procedure removes excess skin and fat using an incision hidden in the natural lid crease. It smooths the eyelid, restoring a more open, rested look while keeping scars discreet.
Lower Eyelid Surgery
Lower eyelid surgery addresses puffiness, under-eye bags, or a hollowed appearance below the eyes. Depending on your anatomy and treatment goals, your surgeon will use one of two incision techniques:
- If excess fat and loose skin need to be addressed, a subciliary incision is made below the lash line. This approach removes fat and skin, providing access for gentle tightening.
- If your skin is smooth and does not require removal, a transconjunctival incision may be used instead. This technique places the incision inside the lower eyelid, allowing fat to be removed without leaving an external scar.
What to Expect During Eyelid Surgery
Eyelid surgery is performed at our Quad A-accredited VIP Surgery Center in Lexington. It typically takes one to two hours under local anesthesia with sedation or general anesthesia. Incisions are placed in the natural lid crease (upper eyelids), below the lashes, or inside the lid (lower eyelids).
Fat grafting may be added to soften contours. After a brief recovery in a private room, you’ll return home with aftercare instructions and a follow-up plan.
Before & After Gallery
Dr. Kirn and Dr. Al Bayati are Plastic Surgeons devoted to advanced techniques in Cosmetic Surgery of the Face, Breast, and Body.
What to Expect During Recovery
Eyelid surgery is performed at our VIP Surgery Center in Lexington, KY. Most patients return home the same day and recover comfortably with minimal downtime.
Here’s what to expect:
- Ice is used during the first few days to reduce swelling and bruising
- Sutures are typically removed within three to five days
- Makeup can usually be resumed after suture removal
- Contact lenses may be worn again after about a week
- Most people return to social activities within one to two weeks
Healing varies from individual to individual, but patients are generally surprised by how quickly they feel and look better. Following post-op instructions closely can improve your results and comfort.
Benefits of Eyelid Surgery
Eyelid surgery can restore a more rested appearance without changing the character of your eyes. For many patients, the procedure offers both cosmetic and functional improvements.
Benefits may include:
- Smoother, tighter upper eyelids
- Reduced puffiness or under-eye bags
- A more natural transition between the eyelid and cheek
- Improved symmetry and facial balance
- Enhanced peripheral vision (when excess upper lid skin obstructs sight)
- Subtle, natural-looking results that don’t appear “overdone”
- Boosted confidence and comfort in social settings
Most patients see results within a few weeks and enjoy long-term improvement with minimal maintenance.
How Much Does Eyelid Surgery Cost?
The cost of eyelid surgery depends on your treatment plan and whether fat grafting is included. A personalized quote will be provided at your consultation.
While this is considered a cosmetic procedure and not covered by insurance, financing options are available through CareCredit and Cherry. Our team can help you explore payment plans that align with your goals.
Why Choose Kirn Plastic Surgery Center?
Kirn Plastic Surgery Center is recognized throughout Lexington and Central Kentucky for delivering refined, natural-looking results, with a strong focus on patient safety, privacy, and personalized care. Every eyelid surgery is performed with precision by board-certified and fellowship-trained plastic surgeons using proven techniques in a fully accredited surgical setting.
Dr. David Kirn is certified by the American Board of Plastic Surgery and has led a trusted cosmetic practice in Lexington since 1998. In addition to his clinical experience, he serves as Managing Medical Director of the VIP Surgery Center and as an assistant professor of Plastic Surgery at the University of Kentucky. His work blends technical skill with a deep understanding of facial aesthetics.
Dr. Ahmed Al Bayati completed his plastic surgery residency at the University of Kentucky, where he served as Chief Resident. His approach to eyelid surgery is shaped by advanced surgical training, ongoing research, and a strong commitment to personalized care.
Dr. Kirn and Dr. Al Bayati offer patients a high level of surgical expertise backed by experience, compassion, and results you can trust.
Blepharoplasty
Eyelid Surgery FAQs
Does eyelid surgery hurt?
Most patients report only mild discomfort after surgery. Swelling and bruising are expected for the first few days, but pain is typically minimal and well-controlled with cold compresses and prescribed medication.
When will I look normal again?
Initial swelling and bruising usually improve within the first week. Most patients feel comfortable returning to work or social settings in 10 to 14 days.
Will my eyes be symmetrical after surgery?
Perfect symmetry is rare in any part of the face, but your surgeon will aim for natural balance. Minor anatomical differences between the eyes are common and generally not noticeable after healing.
When can I wear makeup or contact lenses again?
Makeup can usually be worn after removing the sutures, typically between days three and five. Once the swelling has gone down and the eyes feel comfortable, contact lenses may be resumed after about one week.
Will there be visible scars?
Scars are discreet and tend to fade with time. The upper lid incision is hidden in the natural crease, while the lower lid incision is either just below the lashes or inside the lid, leaving no visible external scar.
Schedule Your Eyelid Surgery Consultation in Lexington, KY
If you’re ready to look more rested and refreshed, schedule a consultation with Dr. David Kirn or Dr. Ahmed Al Bayati at Kirn Plastic Surgery Center in Lexington, KY. Our team will walk you through every step of the process and help determine if eyelid surgery is right for you.
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Meet Dr. David Kirn
Dr. David Kirn is an American Board of Plastic Surgery Certified Plastic Surgeon who is devoted to advanced techniques in Cosmetic Surgery of the Face, Breast, and Body. In private practice since 1998, he is located in a state-of-the-art facility which includes a full service skin care center. The practice is focused on personalized patient care and attention to detail. Where possible, Dr. Kirn utilizes minimally invasive procedures. See Our VIP Surgery Center.
Meet Dr. Ahmed Al Bayati
Having completed his training in plastic surgery and serving as Chief Resident at the University of Kentucky, Dr. Al Bayati brings a wealth of expertise and dedication to his practice. His commitment to advancing patient care and achieving exceptional outcomes reflects his unwavering passion for plastic surgery.
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