There are many factors that affect the appearance of our eyes. Familial or ethnic traits and tendencies account for how our eyes look as a child. As we grow older, the aging process, exposure to sun, gravity, and our own personal expressiveness play a part in how our eyes appear to others. Often patients complain that they look tired, angry, or sad, even when they feel perfectly fine! At his plastic surgery office, Dr. Ronald Schuster performs eyelid surgery to help reduce the look of wrinkles and excess sagging skin and help his patients enjoy a more youthful and refreshed appearance.*

Purpose of Eyelid Surgery:

  • To remove excess skin and wrinkles from upper eyelids
  • To remove fatty “bags” from lower eyelids
  • To improve the appearance of wrinkles or lines in and around the eyelids
  • To improve an excessively deep or hollow appearance of the eyes
  • To improve appearance and help patients look younger, rested, and more awake
eyelid surgery before and after

Eyelid Surgery Techniques:

  • The transconjunctival approach removes lower eyelid bulges without any external scars. This technique is performed from within the inside of the eyelid, but is not appropriate when excessive skin needs to be removed.
  • The transcutaneous approach may be necessary to remove excess skin of upper or lower eyelids.
    • Lower eyelids – Transcutaneous eyelid surgery can be used to correct “grooves” and “bags” of the lower eyelids. Dr. Schuster is careful to avoid or correct “over resection” of fat, which creates a hollow, older appearance. Incisions are made below lower eyelashes and heal exceptionally well.
    • Upper eyelids – Excess skin and puffy fat are removed with the transcutaneous eyelid surgery technique. An incision is made in the natural crease, so scarring is extremely discreet. Sometimes a condition called ptosis is also corrected. This condition causes the eyelid to look sleepy or droopy, and is the result of a weakening of the upper eyelid muscles
  • These eyelid surgery techniques may be combined with face lift or brow lift depending on each person’s needs.

Recuperation After Eyelid Surgery:

  • At our plastic surgery center in Baltimore, eyelid surgery is typically performed as an outpatient procedure
  • Fast recovery with minimal discomfort
  • Recommend four to seven days off school/work
  • Bruising may last one to two weeks but can be covered by makeup after just a few days *

Eyelid Surgery Alternatives:

  • BOTOX® Cosmetic – Excellent for treating the wrinkles and lines in the frown, forehead and crow’s feet areas. Can produce a “non-surgical” brow lift, which helps to make your eyes more open and vibrant.*
  • Chemical Peels – Can improve skin texture and reduce the look of fine lines, especially on the lower eyelids.
  • Restylane® and other Fillers – Used for filling in fine lines and reducing the hollow look in the lower eyelid area.
  • Laser Resurfacing – Excellent for smoothing the skin, tightening the skin and reducing lines and wrinkles.

Learn more about Blepharoplasty care

Contact plastic surgeon Ronald Schuster, MD, serving patients in Baltimore and surrounding areas, to learn more about eyelid surgery or non-surgical alternatives for treating lines, wrinkles, puffiness, and other concerns.

Who is an Ideal Candidate for Eyelid Surgery?

Most people who want to rejuvenate or modify the appearance of the area around their eyes are good candidates for this procedure. Blepharoplasty addresses bulging, excess upper eyelid skin and fat, as well as lower eyelid bags, and wrinkles surrounding or on the eyelids. 

Ideal candidates may:

  • Have noticed that their eye area is making them look tired, haggard, old, angry, or generally unapproachable
  • Express a desire for a more open, light, youthful facial appearance
  • Have a genetically inherited eye shape or eyelid characteristics that they’d like to modify
  • Find that excess upper eyelid tissue is making it difficult to read or enjoy an unobstructed field of view
  • Have trouble applying eyeshadow and other eye cosmetics because of puffy upper eyelids
  • Want to restore a well-defined eyelid contour

Additionally, you should be in generally good health and a non-smoker if you plan to undergo this procedure. Good candidates also have realistic expectations of the results. Dr. Schuster will make sure that your goals and expectations align with what is possible.

Eyelid Surgery Recovery Process

Recuperation after eyelid surgery is generally fast and involves minimal discomfort. The vast majority of procedures are performed as outpatient procedures, which means you will be able to return home the same day, shortly after the surgery is completed. We provide you with aftercare instructions related to showering, physical activity, cleaning the surgical site, and more. You will need to take 4-7 days off from work or school. It’s normal to experience bruising for 1-2 weeks, but it’s okay to cover up the bruises with cosmetics after a few days. Swelling should be largely subsided by 4-6 weeks, at which point your results should be apparent.

Eyelid Surgery Pre- and Post-Operative Instructions

Can This be Combined with Other Cosmetic Procedures?

Eyelid surgery can be combined with other cosmetic procedures in certain cases. The combined procedures may be completed in one appointment, or they may be spaced some time apart. Upper and lower eyelid surgery can be performed together. Blepharoplasty is also commonly combined with other facial rejuvenation procedures, such as facelifts and brow lifts.

Rely on Dr. Schuster to recommend the treatments that will best accomplish your goals. As an extensively experienced plastic surgeon, he has performed many types of blepharoplasties, including combinations and standalone procedures. The first step in the process is to schedule a consultation to discuss your goals. Dr. Schuster will listen to what you would like to change, and then he can help you choose surgeries that allow you to look and feel your best.


To learn more about eye lid surgery, or to determine whether you are a candidate for the procedure, be sure to schedule a consultation with board-certified plastic surgeon Dr. Ronald Schuster. Call 410-902-9800 today or go to our contact page and fill out an appointment request form. We serve in Baltimore, Owings Mills, Towson and nearby Maryland areas.

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