There’s no doubt that our eyes are our most expressive facial feature. Yet, they are often the first part of the face to reveal our age, making us look tired or even sad when we’re not – and long before our time. That’s where an eyelid lift, or blepharoplasty, at Roseville Facial Plastic Surgery can help.
With eyelid surgery on the upper lids (upper blepharoplasty), lower lids (lower blepharoplasty), or both, our board-certified plastic surgeon can restore your eyelids to a youthful appearance, improve the appearance of fine wrinkles, dark circles, and sagging skin, and take 10 to 15 years off your face. The procedure is usually performed on patients aged thirty-five and older. Still, younger women and men who have inherited drooping upper lids or bags under the eyes may also seek an eyelid lift in Roseville, California.
We will spend time with you in consultation, answering all of your questions so that you can decide if blepharoplasty is an intelligent choice for you. Our philosophy is to provide you with a natural improvement that does not look “operated on.”
Note that upper and lower eyelid surgery does not correct drooping eyebrows or forehead wrinkles. For this reason, some patients combine blepharoplasty with a brow lift.
If you have signs of aging, including dark circles, bags under the eyes, fine wrinkles, or excess or sagging skin on the middle or lower portions of the face, a cheek lift, facelift, or neck lift are often combined with blepharoplasty to enhance your results. If aging is not significant, fat transfer, Botox®, or dermal filler injectables may be sufficient.

While these surgeries are performed regularly by plastic surgeons, there’s nothing cookie cutter about them. Every patient is an individual, and we treat you and your surgery as such. We look at the shape of your eyes, the muscles involved, and take into account how you want to look.
Dr. David J. Kiener, M.D.
Upper Eyelid Lift in Roseville, CA
Our surgeons perform upper eyelid surgery, or upper blepharoplasty, primarily to correct sagging upper eyelid skin that hangs over the eyes. It is also designed to improve lines and wrinkles around the eyes. Small pockets of fat beneath the upper lids’ skin appearing in bulges can be removed during the operation. This approach may be beneficial for patients whose vision or visual field has been affected by excess skin on the upper lids.
View Blepharoplasty Before & After Gallery
Lower Eyelid Surgery in Sacramento, CA
Lower eyelid surgery, or lower blepharoplasty, helps reduce puffiness or bags under the eyes. It also is effective in smoothing unsightly lines and fine wrinkles under the eyes. Bulging fatty tissue under the lower eyelid skin can be removed during a lower blepharoplasty. Undereye hollows can be treated with dermal fillers or fat transfer if necessary.
Our Approach for Eyelid Lift in Roseville, CA
Upper eyelid surgery is often performed in our office under local anesthesia with oral sedation. We place the incisions within the crease of the eyelid, where scarring is effectively hidden. Your surgeon will remove excess fat and drooping skin over the eyes to tighten the area appropriately. But not too tight, so the outcome is natural-looking for a younger appearance. This surgery often brings the eyes out of hiding so that they are more readily seen.
Lower eyelid surgery that requires more intricate care is typically done under general anesthesia at the surgery center. The most common technique employed is the subsidiary, which places the incisions right below the lower eyelashes where the scar will be practically invisible. However, your surgeon may use a transconjunctival incision positioned on the inside of the lower eyelid to remove excess fat and skin below the lashes simultaneously.
Doing either upper or lower blepharoplasty takes about an hour while combining the surgeries takes about an hour and a half.



