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Whether it’s from aging, sun damage, genetics, or a variety of others reasons, excess upper and/or lower eyelid skin can be a nuisance. Excess skin of the upper eyelids can hang over the eyes, hooding the lids, and even sometimes obstructing the vision. This can interfere with daily activities, including driving. This excess skin can also be a problem from a cosmetic perspective, whether giving a “constantly tired” appearance or causing difficulty with make-up application.

Besides excess skin, the eyelids can take on a “puffy” appearance due to herniation of orbital fat (fat that normally sits inside the eye socket but slowly protrudes out as the eyelid tissues weaken).

By removing some of the excess skin and/or fat, this can give the eyes a more youthful, restored, and rested appearance.


Surgery to remove excess skin of the upper eyelids is performed through an incision hidden in the crease of the upper lid. Fine sutures are placed during surgery and will be removed 5-7 days afterward. Surgery on the lower eyelid is either done through an incision on the inside of the lower eyelid (no external incisions) or an incision on the outside of the lower eyelid (external incision). Dr. Obourn will discuss incision placement with you in great detail at your consult. This is partially dependent on whether or not it is necessary to remove skin from the lower lid.

On the appropriate patient, surgery to remove excess upper eyelid skin can be done with some sedating-type medications and local anesthesia in the office.


  • Bleeding

  • Infection

  • Scarring

  • Asymmetry

  • Dry eyes

  • Vision changes

  • Hematoma (collection of blood around the eye) requiring emergency treatment

Click here for Pre and Post Procedure Instructions: Blepharoplasty

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