Eyelid Surgery in Beverly Hills, Los Angeles


Eyelid lift surgery, also known as blepharoplasty, can create a more youthful, refreshed, and rested appearance. The operation allows your surgeon to remove unwanted excess skin and fatty tissue that creates the inflated and heavy appearance. The procedure can make you appear years younger, which can improve your appearance and self-confidence. The eyes are one of our most expressive features and greatly contribute to our sense of beauty. Unfortunately, the eyes are also one of the first areas to demonstrate signs of facial aging. Excess eyelid skin, heavy or droopy upper eyes, puffy or bulging lower bags can give us the appearance of being tired, sad, or angry. These conditions typically present when one approaches the late thirties to early forties. Fine wrinkles around the sides of the eyes can develop as early as our twenties and thirties.

Blepharoplasty procedure is often performed in conjunction with other complimentary cosmetic procedures, such as a forehead or brow lift, facial fat grafting, or laser skin resurfacing to enhance your overall aesthetic result.

During your consultation, Dr. Hoefflin will determine if you are, in fact, a good candidate for blepharoplasty. Customized literature that discusses the procedure, along with pre- and post-operative instructions are provided. Before and after photographs of similar blepharoplasty patients who have had the procedure with Dr. Hoefflin will be reviewed. ABOUT THE PROCEDURE

Dr. Hoefflin typically performs the procedure as an outpatient procedure under local anesthesia with deep sedation, administered by a board-certified anesthesiologist. The procedure usually takes about an hour. All operations are performed in fully credentialed and state-of-the-art surgical facilities.

Upper  blepharoplasty incisions are placed within the normal lid crease. Excessive skin, muscle folds, puffiness, and fatty “bags” are then removed. In time, the incisions become nearly undetectable.

Lower blepharoplasty incisions are made just beneath the eyelashes, where eyeliner is normally applied, and excessive skin, muscle folds, puffiness, and fatty “bags” are removed.

When neither skin nor muscle fold removal is required, puffiness and “bags” can be removed with an incision made inside the lower lid without any visible external incision, a procedure termed transconjunctival blepharoplasty.


Both head elevation and ice-cold compresses are used in the first day or two after the procedure to help decrease potential bruising. Our patients are surprisingly free of discomfort due to Dr. Hoefflin’s long-acting local anesthetic and nerve blocks. Most bruising and swelling usually resolves by seven days. Incisions are closed with very fine specialized plastic surgery stitches, which are typically removed after 5 to 7 days. Once the stitches are removed, hypoallergenic make-up may be used as a camouflage any swelling.

The duration of the results is based on your own individual aging process, which is affected by age, heredity, health, sun exposure, diet, exercise, smoking, and other habits. While individual results may vary, the results of blepharoplasty typically last 5-10 years.


When performed by an experienced, qualified plastic surgeon, the risk of serious problems after the procedure is rare. Most complications are minor, temporary, and either resolve on their own or can be easily treated. Specific risks and the suitability of the procedure for a given individual can be determined at the time of consultation. You can reduce your risk of complications by closely following your surgeon’s instructions both before and after treatment.


Excessive upper eyelid skin can sometimes cause irritation to the upper eyelashes and even obstruct the visual field. In such cases, health insurance may cover surgical correction. In this case, a visual field exam documenting the condition, photographs, and authorization from your insurance company will be required before the procedure.

To learn if you are a candidate, contact board-certified Plastic Surgeon Dr. Hoefflin for a complimentary consultation.


Blepharoplasty: Frequently Asked Questions




Above set: Upper and lower blepharoplasty. Excess skin has been smoothed out and appears appear more youthful and attractive.


Above (2 sets): Dr. Hoefflin performed upper eyelid rejuvenation. Excess skin has been smoothed out, excess fat removed, and now appears more youthful, well rested, and attractive.

Beverly Hills facelift

Above (3 Sets): Facelift, necklift, upper and lower eyelid lift, and Carbon-Dioxide fractionated laser skin resurfacing. Postop photographs were taken three months after the procedure.

Above (2 Sets): Lower facelift, necklift, upper and lower eyelid lift. Postop photographs were taken three months after surgery.

Above (3 sets): Upper and lower blepharoplasty (Eyelid rejuvenation). Excess skin has been smoothed out and appears appear more youthful and attractive.

Above sets: Los Angeles blepharoplasty (Eyelid Enhancement) to remove the lower eyelid bags and smooth out out the excess skin.

Above Set: This 55 year old female underwent the Los Angeles blepharoplasty procedure. Excess skin and fat has been removed from both her upper and lower eyes to smooth out these areas. Note her more refreshed and well rested eyelid appearance. Postoperative photographs were taken four months after surgery.

Above set: Upper and lower blepharoplasty (Eyelid rejuvenation). Upper and Lower excess skin has been removed smoothed out and appears appear more youthful and attractive.

Above set: Lower transconjuctival (incision on the inside of the eyelid) and skin pinch blepharoplasty. Excess skin and fat removed. Eyelid area appears more awake and well rested.

Above set: Dr. Hoefflin performed a facelift, forehead/browlift, necklift, laser skin resurfacing and upper and lower blepharoplasty rejuvenation procedures.

Above set: Dr. Hoefflin performed his Los Angeles upper and lower blepharoplasty surgery. Excess eyelid skin and lower eyelid fat has been removed.

Above set: This patient demonstrates excess lower eyelid bulging fat pockets. Dr. Hoefflin performed upper and lower eyelid blepharoplasty.

Above (3 sets): Dr. Hoefflin performed a transconjunctival lower blepharoplasty (no external visible incisions). Notice the improvement in the herniated lower eyelid fat bags.

These before & after photographs are patients of Los Angeles plastic surgeon Dr. Hoefflin, who have given permission to have their photos published. They are for illustrative purposes only. While these photos depict actual patients, they are not a guarantee of results. Individual results may vary.




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