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Home » Plastic Surgery Results » Eye LIft » Upper Blepharoplasty

Upper Blepharoplasty (Upper Eyelid Surgery)

Information About Upper Blepharoplasty Procedures with Dr. Andrew Jacono in New York

What Is Upper Eyelid Blepharoplasty?

upper blepharoplasty
Upper Blepharoplasty Incision. The Eyelid Incision is placed in the natural upper eyelid fold called the supra-tarsal crease that heals seamlessly and is hidden when the eyes are open. It often needs to come out past the corner of the eye to catch extra loose skin that develops with advancing age.

Many of Dr. Jacono’s patients find that they constantly look tired. Their family, friends, and colleagues say that they look stressed and exhausted, even if they aren’t. Usually, tired appearances are caused by drooping upper eyelids. In some cases, the upper eyelids sag so much that they obstruct vision.

To treat these patients, Dr. Jacono performs an upper blepharoplasty or upper eyelid surgery. This upper eye blepharoplasty procedure tightens and removes excess, hanging eyelid skin. It also removes fat pockets in the upper lids that weigh down the eyelids.

For some patients, the brow and forehead also droop. In these cases, Dr. Jacono performs an endoscopic brow lift. In some cases, it may be necessary to do both the upper lid blepharoplasty and lower eyelids.

Aging of the Upper Eyelids

Usually, the upper eyelids sag because of a combination of age-related factors. These include, but are not limited to:

  • Dermatochalasis, or the growth of extra, crepey eyelid skin. This is often referred to as hooded upper eyelids.
  • Fat development in the corners of the eyes. These pockets of fat are called the medial or nasal fat pads. They look like pea-sized bulges.
  • Descending brow and forehead tissue. This is generally caused by gravity’s constant pull on the face.

How Is Upper Blepharoplasty Performed?

During upper eyelid surgery, Dr. Jacono makes small incisions in the upper eyelids’ natural folds. These folds are called supra-tarsal creases. Incisions are virtually invisible once fully healed. If patients have hooding under the brow, the incisions must come out beyond the eyes’ outer corners.

Dr. Jacono believes that removing too much fat and muscle from the upper eyelids creates hollowness. This changes the natural character of the lids.

To prevent this, Dr. Jacono asks all patients to bring in photos of their younger selves. This allows him to recreate youthful upper eyelids. Once he understands the proportions of patients’ younger eyes, he makes operational plans.

Sometimes, excess fat in the eyes’ inner corners must be removed. In other cases, the brows require lifting in a procedure called a mini brow lift. This is performed with an endoscope through a small incision in the scalp.

Finally, Dr. Jacono may use a carbon dioxide (CO2) laser to enhance results. Lasers smooth wrinkles and resurface surrounding skin.

Upper eyelid surgery is a simple operation that can be performed with a local injection of novocaine. There is minimal discomfort, and the procedure usually takes about half an hour to perform.

How to Rejuvenate Hollow Upper Eyelids

Some patients’ upper eyelids become hollow with age. As extra volume is lost, their eyes appear more deep-set. The surrounding skin also looks crepey as the upper eyelids shrivel. In some cases, this hollowness can occur after an overly aggressive upper eyelid lift.

The best way to rejuvenate hollow upper eyelids is not to cut away the skin, but to restore volume. This can be done with a fat graft harvest from other parts of the body. Dr. Jacono usually harvests fat from the waist or thighs before injecting it into the eyelids.

What Is a Functional Upper Blepharoplasty?

If the eyelids begin to sag and hinder vision, a functional blepharoplasty may be medically necessary. This procedure corrects drooping upper eyelids using the same technique as cosmetic blepharoplasty. Functional blepharoplasty can be life-changing, as it corrects impaired vision that may cause daily difficulties.

In summary, functional blepharoplasty can help if patients:

  • Have discomfort in the forehead region. This is often caused by the overuse of eyelid-lifting muscles
  • Experience irritation because of excess skin friction
  • Have impaired vision

What Is the Recovery Time for Upper Eyelid Surgery?

Upper blepharoplasty recovery is quick compared to other cosmetic surgeries. Most bruising resolves in just 4 days. By a week after surgery, camouflaging makeup can be used to get back to work.

The final results will be visible after the swelling resolves. The healing process usually takes a few weeks.

What is the Cost of Upper Blepharoplasty?

Upper blepharoplasty’s cost can range between $3500 to $8000 depending on the patient and the circumstances. Surgery cost is always subject to change when the board-certified plastic surgeon begins work and sees how difficult or easy the surgery will be. If there are side effects that require more work and time, the cost will be higher.

Am I a Good Candidate for Upper Blepharoplasty?

Men and women with sagging eyelids may be good candidates for blepharoplasty. To best determine your needs, you should schedule a consultation with Dr. Jacono. He will offer you a platform to discuss your issues, concerns, and aesthetic goals.

To learn more about upper eyelid surgery, or to schedule your consultation with Dr. Jacono, please call his office. His New York City location can be reached at 212-570-2500. His Long Island location can be reached at 516-773-4646.

You can also complete an online consultation form to schedule your appointment. Our patient care coordinators will be happy to assist you.

Upper Blepharoplasty Before and After Photos


eye lift before and after photos

Upper Blepharoplasty Before and After:

This woman in her late forties wanted to lift her drooping cheeks and nasolabial folds and recreate a tighter jawline and get rid of her jowls. She had a mini facelift with a deep plane facelift of her fallen facial musculature.

A short scar facelift incision was used so the incisions are hidden on the inside and behind the ear so the hair can be worn up with a ponytail. She has her upper eyelid lift and lower eyelid lift with a fat transposition to fill her under eye circles performed at the same.


upper blepharoplasty before and after

Upper Blepharoplasty Before and After:

This patient in her late forties had heavy upper eyelid skin, an excessive medial fat pad, and lateral hooding that made her eyelids look tired. She underwent an upper eyelid surgery with preservation of her muscle and upper eyelid fat pads that make the eyelids look natural and not plastic. The incisions are not visible because of the tailored hidden incisions.


transcutaneous upper blepharoplasty before and after

Upper Eyelid Lift Before and After:

This patient in her late forties had excessive upper eyelid skin and wrinkling from excessive sun exposure. She underwent upper eyelid surgery to remove excess eyelid skin (called dermatochalasis) as well as laser resurfacing for eyelid skin wrinkles for complete upper eyelid rejuvenation.


fat transfer to upper blepharoplasty before and after

Fat Transfer to Upper Eyelids Before and After:

When eyelids become hollowed and sunken with age creating wrinkly skin, Doctor Jacono will perform a fat graft injecting fat from another part of the body. This creates smoother skin and restores a youthful look to the upper eyelids.


upper eyelid lift before and after

Functional Upper Blepharoplasty Before and After:

Due to the heaviness of the upper eyelid skin this patient had weighing down of her upper eyelids that limited her vision. She had removal of her upper eyelid skin that opened her eyes up and improved her vision.


Procedures for Eyes

  • Eyelid Lift
  • Upper Blepharoplasty
  • Lower Blepharoplasty
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Dr. Jacono was selected as one of the Top Ten Facial Plastic Surgeons in New York.
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Andrew Jacono, MD, FACS has been honored with the Patient’s Choice Award for the 7th year in a row. 2012 - 2018
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Mission Statement

Doctor Jacono’s desire to become a facial plastic surgeon was solidified in grade school. There was a girl on his school bus route who was born with a cleft lip and palate deformity. Unfortunately, whenever she spoke, air and words escaped through her nose. Kids teased her and were cruel, and nobody would sit next to her on the bus, so he decided to sit with her. One day, the girl had plastic surgery and returned to school with her face repaired. Suddenly, classmates saw her face instead of her deformity and immediately treated her normally. It was at that moment that Doctor Jacono knew he wanted to fix people’s faces and change their lives. This is why he has gone on over twenty plastic surgery missions to poor countries around the world and provided free cleft lip and surgery for birth defects to over 500 children.

Because of this experience in his childhood, Doctor Jacono understands that one of our basic needs as human beings is to feel confident about our appearance. It’s is Doctor Jacono’s passion to help his patients achieve their facial aesthetic goals, creating natural appearing results to either enhance their beauty and proportion or rejuvenate their aging appearance. He is a world-renowned leader in the field of facial plastic surgery and only performs surgery on the face, not the body. He has innovated many facelift, eyelid lift, and rhinoplasty surgical techniques, publishing in leading peer reviewed literature and lecturing at plastic surgery conferences all over the world. He is committed to sharing what he has learned teaching surgeons from around the world.

His approach is to maintain your uniqueness and facial identity; it is still you just better. To do this he uses a customized, bespoke approach to each patient employing the most minimally invasive, innovative, and cutting-edge technology. Doctor Jacono has never performed the same procedure on any two of the thousands of patients he has treated. He is committed to providing his surgical expertise in a caring, supportive environment with a professional staff that has you as their focus and concern.