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Procedure Options

Upper Eyelid Surgery / Blepharoplasty

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Have you ever wondered why the phrase "old and tired" gets such widespread use? Is it universally true that as we age we simply get tired? We think not! Here in Oakland, Walnut Creek, and San Francisco, upper blepharoplasty (eyelid surgery) will reflect your inner vitality.

Featured Cases

Case 31

Background: Patricia is a middle-aged woman working in the San Francisco/ Bay Area as a marketing representative. She was starting to notice in photos and in the mirror that her heavy upper eyelids were making her appear angry.  She frequently found herself raising her eyebrows in the morning, when placing eye shadow and throughout the day in general. Dr. Mabrie's Assessment:  She has h...

Case 7

Background: This San Francisco woman in her early 40's was starting to notice a change in her face.  She was concerned about the heaviness of her eyes and some sagging skin along her jaw line. While many of her friends and colleagues told her she looked great and didn't need anything, she was able to notice a slow but steady change in her face.Dr. Mabrie's Assessment: "This is an example...

Case 241

Background: This young woman consulted with Dr. Mabrie about her eyes, which were slowly looking older. She was noticing more wrinkles above and below the eyes and met with Dr. Mabrie to discuss upper lid and lower lid blepharoplasty. Importantly, she wanted to preserve the general shape of her eyes and was concerned that surgery might change how her eyes looked. Dr. Mabrie's Assessment: "Th...

Case 52

Background: San Francisco real estate agent in her 60's interested in rejuvenation of her eyes. In particular the outside corners were obscured by the eyebrow skin. She consulted with Dr. Mabrie about surgical options for brow lifting or eyelid surgery.Dr. Mabrie's Assessment: "This is an attractive woman with early signs of aging around the eyes. Because her problems were mild to moderate, i...

Case 23

Background:  Bay Area professional woman who had slowly noticed a heavy appearance of her upper eyelids.  She also had started to develop bags under her eyes.  Being very professionally and socially active, she consulted with Dr. Mabrie about surgical options to rejuvenate her facial appearance. Dr. Mabrie's Assessment: There is heaviness of the upper eyelid, particularly on the ou...

Case 4

Background: This woman was brought in by her daughter because she was having increasing difficulty seeing. Her vision was good but her field of vision was being obstructed by loose skin hanging from her eyelids. Her primary care physician referred her to Dr. Mabrie for surgical options to improve her vision with possible blepharoplasty or browlift. Dr. Mabrie's Assessment: "This is an advanced ca...

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Considering Upper Eyelid Surgery?

Although some people are born with heavy upper eyelids, for most of us, dull, droopy eyes are a sign of aging. As the years pass, our skin stretches, muscles weaken and fat can accumulate and cause bags. In addition to making you look "old and tired," this process can make you appear depressed, angry or sad. Blepharoplasty surgery removes excess skin around the eyes, giving your eyes greater definition and getting rid of that "old and tired" appearance.

In severe cases, when the excess skin actually causes hooding of the skin, blepharoplasty surgery may even improve your field of vision. For many patients, puffy lower eyelids go hand-in-hand with the drooping of the upper eyelids. Dr. Mabrie addresses this concern with lower eyelid surgery, which can be performed independently or in conjunction with the upper eyelid surgery.

Upper eyelid surgery can be performed in an office-based facility, out-patient surgical center, or hospital. Depending on the complexity, your surgery may take 45 minutes to an hour. Many people who think they can benefit from upper eyelid blepharoplasty surgery also may consider brow lift surgery, which can relieve some of the "heaviness" in the upper eyelid area while also slightly elevating the position of the eyebrows and smoothing the forehead.

How Much Pain Is Involved?

Blepharoplasty is a nearly painless surgery performed under general anesthesia. A board-certified anesthesiologist will administer medication to ensure you feel no pain during surgery and minimal discomfort or nausea afterward. After surgery mild discomfort is normal, but most patients require only over-the-counter pain medication.

How Do I Prepare for Surgery?

To get ready for blepharoplasty surgery, think about the needs you'll have after surgery. If you are undergoing anesthesia, you will need to have someone pick you up and stay with you for a night, just until the effects of the anesthesia are completely gone. Dr. Mabrie's staff can help you make arrangements for assistance if you need extra help.

It's a good idea to have plenty of food in the house so you can stay home and relax for a few days. You'll also want to have a good pair of sunglasses on hand when you do go out, to both hide any residual bruising and protect your eyes from sun and wind. You may not be able to watch television for the first few days, so you may want to have plenty of music, books on tape and radio programs lined up to listen to.

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What Is the Recovery Like?

When your surgery is complete, you can go home to rest. You'll need to keep your head elevated while you sleep for a few days. You'll return to Dr. Mabrie's office to have your sutures removed within a week. Depending on the type of work you do, you may return to your job in as little as two days. Slight bruising may be evident, and you may therefore want to plan to be away from work for several days. Almost all bruising and swelling should be gone within ten days. You can resume your exercise routine within three weeks. Scars will be hidden in the creases of your eyelids and will typically fade very quickly.

Eyelid Surgery Recovery

Bandages Suture Removal restaurant ready* 75% 100%
None None-5 days 4-8 days 2-3 weeks 2-3 months

*restaurant ready means you are ready to debut the new you!

Your Perfect Face

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Dr. Mabrie uses his expertise to combine treatments that target each of your cosmetic concerns for total rejuvenation.

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Am I a Good Candidate?

If you are generally content with your face, but you're frustrated with increasingly droopy upper eyelids, you're probably a good candidate for upper blepharoplasty. It can also create an upper eyelid crease for Asians, opening up the eyes for a brighter look.

It is important to know the procedure doesn't remove "crow's feet" wrinkles and won't eliminate dark circles under the eyes. Dr. Mabrie does offer dermal filler treatments in San Francisco and BOTOX® Cosmetic to address these concerns. You should tell Dr. Mabrie about any medical conditions you may have that might affect your eyes, or eye problems such as glaucoma.

Dr. Mabrie has extensive experience and a deep interest in treating the eyes and face. He knows what an impact facial cosmetic surgery can have on a person's outlook on life, and he enjoys helping his patients look and feel better.

How Will I Look?

If you're like most patients, you'll be thrilled with your rejuvenated look. You'll still look like you, just more rested and more alert than you have in years. Best of all, you can expect the refreshed appearance of your eyes to last a long time. For many people, their bright new look is permanent.

Dr. Mabrie can also repair ptosis of the eyelid (droopy eyelid) caused by thinning or tearing of the eyelid levator muscle.

San Francisco Facial Plastic Surgeon David C. Mabrie M.D., F.A.C.S.

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The Surgeon

Dr. David Mabrie offers:

  • Double board certification
  • Excellent training & experience
  • Specialization in the face and neck
  • A trainer's skill in injectable filler techniques
Why Dr. Mabrie
Request a Consultation

Ready to find out more? Request a consultation online or call us at (415) 689-6634 to discuss upper blepharoplasty with San Francisco board-certified facial plastic surgeon Dr. David Mabrie.

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Mabrie Facial Cosmetic: David C. Mabrie, MD
166 Geary Street
13th Floor

San Francisco, CA 94108
Phone: (415) 445-9513
Monday–Friday 8:30 a.m.–6 p.m.