Upper and Lower Eyelid Surgery

Eyelid surgery, also called blepharoplasty, can improve the appearance of the upper and lower eyelids. Because eyelid skin is the thinnest skin on your face, it is often first to show signs of aging. As we age, eyelid skin stretches, muscles weaken and fat pockets become more prominent. For some, it may be a hereditary condition that runs in their family.

Individuals typically seek eyelid surgery to remove and tighten excess eyelid skin for a more alert, youthful appearance. Good candidates are individuals who are experiencing any of the following concerns:

  • Loose or sagging skin of the upper eyelids (considerably droopy skin can sometimes interfere with vision)
  • Bags under the eyes
  • Droopiness of the lower eyelids
  • Excess skin and fine wrinkles of the lower eyelids

Ideal candidates are physically and emotionally healthy men and women with realistic expectations for their results. Most patients are age 40 or older, but some may decide to have eyelid surgery at a younger age—particularly if the condition is hereditary.

Approximately 4–6 weeks after the procedure, patients will notice more youthful-looking eyes and tighter eyelid skin. Sufficient protection from the sun will help maintain your results.

In-Office Eyelid Surgery

Upper eyelid surgery is a low-risk and typically low-pain procedure. Because local anesthesia is a safe and comfortable way to perform upper blepharoplasty, many patients choose to have the procedure performed in the clinic, rather than at the plastic surgery center (under general anesthesia in an operating room). The procedure generally takes 30–60 minutes to complete. Choosing to have the procedure done in the clinic using local anesthesia and an oral sedative results in significant cost savings.

While a majority of patients are eligible for the in-office procedure, it's important to discuss your options with Dr. Larson and his team to determine what's right for you. A personalized plan is developed based on your unique eye structure, aging process and goals. 

Expert Care

Get to know board-certified Plastic and Reconstructive Surgeon Dr. Jeffrey Larson practicing at the Monona Clinic and UnityPoint Health - Meriter hospital in Madison.


If eyelid surgery is being performed for cosmetic reasons, insurance will not cover the costs. If the surgery is necessary for medical reasons, it may be partially or fully covered by insurance. As each insurance varies, check with your provider.