Do you look in the mirror and see puffy, sagging skin around your eyes? Genetics, aging, and variations in weight can all play a role in what we see. For some, sagging skin can become a burden by beginning to impede vision. At times the excess skin can be so substantial that we unsuspectingly begin to compensate by constantly raising our brows (which in turn contributes to the formation of lines and creases along the forehead). If you are experiencing any of these symptoms, then Lavinia K. Chong, MD in Newport Beach might be able to help you through a blepharoplasty procedure.

A Blepharoplasty, also known as eyelid surgery, revitalizes the upper and lower areas by treating the following conditions:

  • Puffy eyes created by excess fatty deposits of upper eyelids.
  • Droopiness of the lower eyelids exposing white of the eye below the iris.
  • Impaired vision is caused by loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid.
  • Fatigued appearance due to excess skin.
  • Bags under the eyes.

“Dr. Chong explains all procedures carefully and thoroughly to you and tells you what exactly to expect.” – B.H. (Patient since 2014)

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The Procedure

An upper blepharoplasty can be performed under local anesthesia or with IV sedation. Most often a lower blepharoplasty is performed under MAC (monitored anesthesia care). Dependent upon the procedure and your anatomy, muscles around the eye may be reset, fat deposits contoured and excess skin re-draped. Fine sutures are used to repair the incisions.


Most patients experience relatively little pain or discomfort following their procedure and are pleasantly surprised at how little pain they experience. You will be instructed on any recommended activity restrictions based upon the type of procedure and your current work duties. The immediate after-effects of surgery can range from mild swelling to moderate bruising or dark circles (“raccoon eyes”). To reduce the incidence of bruising and swelling, you will be instructed to apply ice and keep your blood pressure at a normal level (limited activity, no heavy cardio exercises).

Any itchiness or dryness of eyes is temporary and will subside. Dryness can be relieved by preservative-free saline drops. To assist with any itchiness at the incision site during the wound healing process, Aquaphor may be gently used to moisturize the incision area and we may suggest the use of antihistamines. If at any time you have questions or concerns, please feel free to contact the office at your convenience.

Blepharoplasty FAQs

How do I know if I am a good candidate for this type of surgery?

The ideal candidate for a blepharoplasty is someone who is in good overall health, has healthy facial tissue and muscles, and has realistic goals for the improvement of their upper and/or lower eyelids and the surrounding area.

Will I be able to wear my contacts?

You will be asked to go back to wearing your glasses for at least a week after the procedure.

Is there anything I can do to reduce the amount of bruising?

Please remember to suspend the use of the following items no less than 10 days prior to surgery: aspirin, Vitamin E, fish oil, and non-steroidal anti-inflammatories (Advil, Naproxen, and Motrin).

Will my eyes be open during surgery?

During an upper eyelid lift, the eyes are closed, so the eyeball is automatically protected. By contrast, when the lower lid is operated on, a corneal shield (plastic contact lens) is temporarily used.

Revitalize the appearance of your eyes with eyelid surgery. Female plastic surgeon, Dr. Chong is deeply committed to providing quality patient-centric care that will help you achieve your goals to look and feel more youthful and full of vitality. She will be happy to consult with you personally to explore the options that are the best-suited to your individual case.

Contact our office in Newport to schedule your consultation with Dr. Chong at (949) 644-1400.