Upper and Lower Eyelid Blepharoplasty

One of the first aging changes is the appearance of “puffiness” or extra fullness in the upper eyelids, and “bags”, dark circles, or eye hollows in the lower eyelids. Eyelid blepharoplasty can restore youthful contours by removing excess skin, repositioning the eyelid fat, and smoothing the eyelid-cheek junction. Lower eyelid blepharoplasty often includes laser skin resurfacing to rejuvenate the skin.

upper-blepharoplasty-womanCandidates for Blepharoplasty

You may be a candidate for the surgery if you have any or all of the following conditions:

  • Hooded upper eyelids
  • Tired, sleepy appearance
  • Under eye bags
  • Low eyebrows
  • Vision obstruction

About the Procedure

Dr. Neimkin places the incision in the natural crease that is already present above the eyelid, making it imperceptible when the eye is open. This allows the skin to be separated from the underlying fatty tissue, and excess fat and loose skin to be removed. Very fine sutures close the incision and the eyes are lubricated with an ointment. Depending on the extent of tissue removal, the eyes may be bandaged.

Procedure Preparation

Prior to a blepharoplasty procedure, Dr. Neimkin recommends that patients adhere to standard pre-op guidelines to allow for patient safety and maximum post-op results:

  • Eat a healthy diet rich in nutrients.
  • DO NOT smoke in the weeks surrounding the procedure.
  • DO NOT take pain medication containing aspirin or ibuprofen.
  • Provide a list of any medications that are taken regularly.
  • DO NOT eat or drink after midnight the night before the procedure.
  • DO NOT wear makeup or contact lenses to surgery.
  • Patients must have a friend or relative drive them to and from the procedure.

Aftercare and Recovery

Blepharoplasty is considered a non-invasive outpatient procedure. Patients can begin recovery in the comfort of their home the same day as surgery. After the procedure, a loose-fitting dressing is applied. Typically, there is little to no discomfort; however, if the pain is present, it can easily be controlled with over-the-counter medication. Discoloration, bruising and swelling is a normal part of the recovery process and generally fades and subsides within 10 to 14 days.

To aid the recovery process:

  • Recline in a face-up position at a 45-degree angle for at least one week
  • Avoid strenuous activities for 2 to 3 weeks
  • Keep scheduled follow-up appointments following surgery
  • It’s important to take care to protect delicate eyelid skin from too much sun exposure after the surgery.

Each patient is unique; therefore, results of treatment may vary.


To determine if you are a candidate for blepharoplasty, call (404)-946-8323 or complete our contact form to schedule a consultation with Dr. Michael Neimkin. He uses innovative, state-of-the-art techniques and instruments to perform blepharoplasty as well as other procedures. At the Ophthalmic Plastic and Cosmetic Surgery Center, Dr. Neimkin and his staff take pride in only offering patients the highest level of care in a family-like environment. The office serves patients in the metro Atlanta, GA area including the surrounding communities of Sandy Springs, Buckhead, Dunwoody and Roswell. Make an appointment today to get this transformative surgery.

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