Let The World See The Beauty in Your Eyes

Eyelid surgery is a popular cosmetic procedure that restores a more alert and rested appearance. We can address upper eyelids that are puffy with fatty deposits or droopy because of sagging skin. With eyelid surgery (blepharoplasty) at our Las Vegas surgical center, Dr. Goesel Anson, Dr. Terrence Higgins, and Dr. Andrew Silver can also improve the appearance of lower eyelids that are wrinkled or baggy.

Many of our patients are surprised to find the major difference they can achieve with this relatively simple procedure that requires little downtime. Patients often report that their friends say they look great and “well-rested” afterward — without knowing why.

If you’re looking for a plastic surgeon in Las Vegas to perform blepharoplasty, request a consultation online to meet personally with one of our surgeons, or call our office at 702-822-2100 to schedule an appointment.

Is Eyelid Surgery Right For Me?

If people often ask whether you feel tired even when you’re rested, eyelid surgery may be a good option. Because of how relatively simple the procedure is, it is typically one of the first cosmetic surgical procedures that men and women undergo, with many of our patients in their early 40s. It’s important to let your surgeon know if you have any serious eye conditions that might make you an inappropriate candidate for blepharoplasty.

How Is Eyelid Surgery Performed?

Upper and lower eyelid surgeries are distinct outpatient procedures. Patients who come to our Las Vegas practice may have surgery on just their upper or lower eyelids or both, depending on their specific needs. Dr. Anson, Dr. Higgins and Dr. Silver have extensive experience in blepharoplasty and they carefully assess your appearance during your consultation before recommending a treatment plan. Blepharoplasty sometimes is best combined with other surgical or non-surgical procedures to provide an overall facial rejuvenation.

I am in absolute awe of the surgeon my son has become. The level of care and service I received as a patient within the office was astonishing. As his mother I was more than cautious to allow a knife anywhere near my face, but he quickly calmed any nerves I had. All of his years of training and dedication is seen throughout the spirit of excellence this practice emanates.


Our extensive online photo gallery of actual patients is supplemented by additional digital photos patients can browse at our office. The 48-year-old patient shown in the before-and-after photos above underwent upper and lower blepharoplasty. In addition, Dr. Anson injected the patient’s own fat to fine-tune the results. View our photo gallery.


Upper Blepharoplasty

Before recommending upper blepharoplasty, your surgeon first makes sure that you don’t actually need a brow lift. If excess skin is the reason for your droopy eyelids, then upper blepharoplasty is a good option. Incisions are hidden in the folds of your eyelids to disguise scars, while allowing the surgeon to remove excess skin and modify fatty deposits to eliminate puffiness.

Lower Blepharoplasty

Surgery on your lower eyelids is more complicated than upper blepharoplasty. As the lower eyelid ages, excess skin, muscle, and fat cause an unattractive bulge to develop below the eye. Different types of surgery are possible to improve the appearance of your lower eyelids. Dr. Anson, Dr. Higgins, and Dr. Silver recommend the best approach based on your specific needs.

Standard Lower Blepharoplasty

This is considered the traditional lower blepharoplasty procedure, and it is the option that’s most commonly performed. Incisions are made on the outside of the lower eyelids, just below the lash lines, providing access to fat pads. Once the fat is removed, excess skin is trimmed away before the incisions are closed.

Transconjunctival Blepharoplasty

This alternative technique is useful in younger patients with isolated fat excess and no need to remove extra skin. Incisions are actually made on the inside of the lower eyelids, which eliminates external scarring. This is a procedure that’s useful for patients who are genetically predisposed to bulging lower eyelids caused by fat deposits.

Fat Transposition

Our surgeons use this newer technique for patients who would benefit from having fat repositioned, or transposed, over the orbital bone to fill in where thin skin is responsible for permanent dark circles. This is not the same thing as fat transfer, which involves removing fat from another part of the body and re-injecting it. Because the fat in this procedure remains attached to its blood supply the fat is more stable and predictable.


What Can I Expect During Recovery?

Blepharoplasty is an outpatient procedure, so you’ll be able to return home the same day. You’ll need a trusted friend or family member to drive you home and help you around the house for at least the remainder of the day.

Although the recuperation process following eyelid surgery is different for everyone, most patients’ experiences follow a similar timeline. During the first few days after surgery, your eyelids will likely be quite swollen. You’ll also see some bruising. It’s a good idea to use this time to rest at home, taking care to avoid activities that could impact the healing process, such as too much exercise or unprotected sun exposure. Applying icepacks and keeping your head elevated as much as possible reduces discomfort. If you wear contact lenses, be prepared to switch to glasses for at least a couple of weeks while your eyelids heal.

After about a week, you’ll be scheduled for a follow-up appointment with your surgeon. During this visit, your surgeon evaluates your progress and typically removes your sutures. You’ll also notice a significant improvement in both swelling and bruising, although you may notice residual discoloration for up to 2 weeks. This can typically be covered with makeup. Most patients feel comfortable enough to return to work within 1 to 2 weeks, although you may need to use special eye drops to keep your eyes comfortable.

Your results will continue to develop and improve over the coming weeks as swelling gradually reduces. Although blepharoplasty doesn’t completely stop the aging process, you can maintain your results for many years by avoiding smoking, unprotected sun exposure, and significant weight fluctuations. All of these factors can have an effect on your skin quality and cause sagging. Nonetheless, our eyelid surgery patients find the long-lasting results of this simple procedure to be very rewarding.