They say your eyes are the windows to your soul. If your eyes are weighed down by heavy eyelids, lines or wrinkles, and loose skin, your eyes may be saying more about your appearance than you may want.

If this is the case for you, eyelid surgery (also known as blepharoplasty) may be your answer. Eyelid surgery is a popular cosmetic procedure that restores a more alert and rested appearance. Your surgeon can address upper eyelids that are puffy with fatty deposits or droopy because of sagging skin.

With eyelid surgery, Dr. Goesel Anson, Dr. Terrence Higgins, or Dr. Andrew G. Silver can also improve the appearance of lower eyelids that are wrinkled or baggy.

Our patients are often surprised at how little down time is required for such a significant change to their appearance. We often hear patients reporting compliments from friends saying they look great and “well-rested” afterward — without knowing why.

If you’re looking for an eyelid surgeon in Las Vegas to perform your blepharoplastyrequest a consultation online to meet personally with one of our plastic 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 right for you. Because of how relatively simple the procedure is, it is typically one of the first cosmetic surgical procedures that many patients undergo in their early 40s.

How Is Eyelid Surgery Performed?

Upper and lower eyelid surgeries are both outpatient procedures. Patients may have surgery on just their upper or lower eyelids. Some patients may choose to have surgery performed on both depending on their needs. Dr. Anson, Dr. Higgins and Dr. Silver have extensive experience performing eyelid surgery and can carefully assess your appearance during your consultation. Eyelid surgery is often combined with other facial or body surgical procedures like: facelift, brow lift, or a mommy makeovers.

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.


We advise that you spend some time looking through our online photo gallery of actual blepharoplasty patients and their before and after surgery results.

The 48-year-old patient shown in the before-and-after photos below underwent upper and lower blepharoplasty. In addition, Dr. Anson injected the patient with her own fat to fine-tune the results.

Click this link to 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.

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 plastic 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 recovery process following eyelid surgery is different for everyone, most patients’ experiences are fairly similar. During the first few days after surgery, your eyelids will likely be a little swollen. You’ll also see some bruising. Take this time to rest at home, and avoid activities that could impact the healing process. Our surgeons recommend avoiding strenuous exercise and unprotected or unnecessary sun exposure. It is also recommended to apply icepacks while keeping your head elevated as much as possible to reduce 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, we will evaluate your healing 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. You may still 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. Even though eyelid surgery 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. Many patients find that maintaining the results of your surgery can be as easy as combining your surgery with an injectable treatment plan that may include fillers or a neuromodulator.