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The eyes are considered by many to be the most prominent and attractive feature on a person. Even the slightest alteration to the eyelids can dramatically change how you look. Eyelid surgery results in a more eye-catching appearance that better reflects how you feel—happy, youthful, and confident.

Eyelid surgery has become more sophisticated in the past several decades; the procedures are much less invasive and have incorporated additional techniques such as fillers, micro fat grafting and muscle relaxants. These advancements have decreased complications greatly, accelerated healing times and offer improved results. Eyelid surgery can refresh and renew the facial appearance of women and men of all ages.

How it works

Upper Eyelids

Dr. Romita will place the incision line at the natural eyelid crease through which he will remove excess skin, muscle, and fat. Lasers may be used to remove this excess tissue to reduce swelling and bruising. 

Lower Eyelids

There are a number of options for performing lower eyelid surgery:

  • The traditional approach places the incision just below the eyelashes, trimming and/or repositioning excess skin and fat, and tightening the lower eyelid muscle.

  • In the transconjunctival approach, effective in improving lower eyelid bags and puffiness, the incision is placed inside the eyelid. Your surgeon can remove excess fat through a transconjunctival incision, but not excess skin.

  • The ‘skin pinch’ blepharoplasty removes only a bit of skin. This is effective if you have strong lower eyelid support and only a little extra skin. In some patients laser resurfacing can both tighten excess skin and remove wrinkles.

How long will it take?

Cosmetic eyelid surgery is performed as an outpatient procedure and typically lasts from 45 minutes to 2 hours, depending upon whether or not you are having another procedure performed at the same time. Depending on the extent of your eyelid surgery, you will be given general anesthesia or local anesthesia with IV sedation.


In advance of your procedure, your surgeon will ask you to:

  • Stop smoking six weeks before your surgery to promote good wound healing and to reduce scarring. Smoking also increases your risk of serious complications.

  • Avoid taking aspirin, nonsteroidal anti-inflammatory medications (NSAIDs: Advil, Motrin, Aleve) and vitamins/homeopathic regimens. These can increase bleeding

  • Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.



Eyelid surgery is an outpatient procedure that allows you to return home after surgery. After surgery, eyelids may feel tight and sore. The head should be elevated for several days with cold compresses used for bruising and swelling. For the first few weeks, there may temporary changes in your eyesight, sensitivity to light, and tearing, but normal activities can usually be resumed within a few days of surgery.


Many people express satisfaction with the results of eyelid surgery, such as a more rested and youthful appearance and more self-confidence. Your eyelid surgery results should be long-lasting and may last a lifetime.  

For the most part, the removal of hooding and upper eyelid skin is a procedure that is performed only once. As aging continues, your brow can drop or descend, causing excess skin to reappear on the upper eyelid, but in this case, the solution is a brow lift, not a second upper eyelid surgery. Lower eyelid surgery is usually performed to remove eye bags and puffiness around the eyes, and it too should only need to be performed once.

Before & After

Click photo to enlarge

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