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Our Birmingham, AL blepharoplasty (eyelid surgery) can correct sagging eyelids and provide a significantly more youthful, refreshed appearance. Blepharoplasty procedures may be performed alone, with another blepharoplasty, or with other facial rejuvenation surgeries to achieve optimal results.

Blepharoplasty with Dr. Rousso

Rousso Facial Plastic Surgery - Blepharoplasty
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What does Blepharoplasty treat?

Saggy Upper Eyelids

Excess upper eyelid skin can be caused by several conditions including dermatochalasis—an age-related reduction in skin elasticity and blepharochalasis—a rare genetic condition characterized by recurring edema in the upper eyelid and which can even affect younger adults. Both conditions can be corrected with a blepharoplasty procedure which will remove the excess skin and fat and reposition the upper eyelid tissues for a more youthful appearance.

Puffy, Baggy Lower Eyelids

Dermatochalasis and blepharochalasis can also affect the lower eyelids, causing excess skin and fat in the form of under-eye bags. This puffiness can make you appear constantly tired, worn-out, sad, or even angry. To create softer and smoother eyelids, blepharoplasty in Birmingham, AL removes excess tissue and repositions the displaced fat.

Blocked Visual Range

Sometimes excess upper eyelid skin can hood the eyes, limiting a person’s visual range. Blepharoplasty can correct this condition, providing both functional and cosmetic benefits.

Blepharoplasty Procedure

Our plastic surgeons use a strategic and artistic approach with every blepharoplasty procedure. Depending on your situation, Dr. Rousso or Dr. Adams may recommend and perform upper blepharoplasty, lower blepharoplasty, or both procedures in conjunction to rejuvenate and rehabilitate your eyelids. It’s important to clearly discuss your goals during your consultation for eyelid surgery in Birmingham, AL, to achieve the best results.

Upper Blepharoplasty

Before your procedure, anesthesia will be administered in the form of IV-monitored sedation. Incisions will be made in the natural upper eyelid creases to hide scarring. Excess skin and fat are removed to reverse any signs hooding, sagging and puffiness and the upper eyelid tissues are then repositioned to a more youthful position. The total procedure may take up to one hour, and the result will be smoother, tighter and younger-looking upper eyelids.

Lower Blepharoplasty

Lower blepharoplasty is performed on patients who need correction of saggy, baggy, and/or puffy lower eyelids. Before your procedure, anesthesia will be administered in the form of IV-monitored sedation. Incisions are then placed either right below the lower lash line or on the inside of the lower eyelids. Next, excess fat and skin are removed and the fat is relocated if necessary, to get rid of bags under the eyes. The total procedure may take up to an hour. This surgery can greatly reduce puffiness and results in a more youthful, awake and refreshed appearance.

How can I prepare for blepharoplasty?

  • Schedule a friend, family member or helper to drive you home from your appointment and assist you with basic tasks and childcare for the first 24 hours.
  • Avoid blood thinners, NSAIDs, vitamin E and any other medications specifically mentioned by the doctor for 2 weeks prior to surgery. It’s safe to take Tylenol.
  • Stop smoking several weeks before your surgery. Smoking can significantly increase your chances of surgical complications and lead to poor wound healing.
  • Avoid direct sun for several weeks leading up to your treatment. Wear a sunblock ointment of 30 SPF or higher.
  • Fill your prescriptions for pain medication and antibiotics early so that you don’t have to stress after your surgery.
  • Don’t eat or drink anything after midnight the day before your surgery. Water is okay.
  • Wear loose-fitting, comfortable clothes that open in the front or back. You don’t want to pull any items over your head after eyelid surgery.
  • Leave jewelry and other valuables at home.
  • Do not wear any lipstick, eye makeup, foundation or nail polish.
  • If you wear contact lenses, switch to glasses the day of your surgery.
  • Remember to bring your ID and your insurance card.

Candidate Qualifications

Blepharoplasty candidates may have puffy, saggy, or baggy eyelids and these issues may be present in either the upper or lower eyelid. Excess skin may appear to rest on the upper eyelid lash line, affecting your appearance and in some cases, your vision. Bulging fat pads beneath the eyes make you appear angry, sad, tired or aged. Candidates should be in good general health and should not have any major eye problems.

What is the cost for blepharoplasty?

Fees for blepharoplasty will vary, depending on the areas treated and on whether any other procedures are undergone simultaneously, such as a brow lift or facelift. A procedure treating just the lower or upper eyelids starts at $5,700, and for both starts at $8,500. At your consultation, you will receive a detailed quote tailored to your goals for improvement.


Patients do not typically experience significant pain after eyelid surgery and a mild pain reliever is usually sufficient to control any discomfort. Patients may experience light sensitivity during the first week or two and should avoid bright lights to reduce discomfort until light-sensitivity levels return to normal.


Blepharoplasty recovery is generally mild, but patients should try to rest their eyes as much as possible for several days. During this time, it is common for patients to experience some blurred vision, temporary swelling, bruising, dryness, and/or tearing. Recovery takes about five to seven days before most people can return to work.


There will be some initial bruising and swelling and as they subside and the tissues begin to heal you will start seeing the results of your procedure. This is usually a few days to a few weeks after your procedure. The baggy and puffy appearance will be gone and you will be able to enjoy your newly refreshed and youthful appearance.

The Benefits of Eyelid Surgery

Eyelid surgery has many benefits for patients who would like to achieve a refreshed, more youthful appearance. 

  • Reduced or eliminated eye bags and puffiness
  • Improved line of sight 
  • Reduced skin rubbing and irritation 
  • A more rested appearance
  • Reduced dark circles under the eyes
  • A more full under-eye area 
  • Eliminated forehead discomfort from muscle straining
  • Lifted, younger-looking skin around the eyes and eyelids
  • Fewer fine lines 

Dr. Rousso: The Blepharoplasty Procedure 

Blepharoplasty - Eyelid Surgery in Birmingham

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What issues does blepharoplasty correct?

Blepharoplasty can correct sagging eyelids and puffiness caused by excess skin and displaced fat. It also corrects eyelid hooding that may block your visual field. Blepharoplasty cannot correct dark circles, lift sagging brows, or directly address fine lines or wrinkles around the eyes—however, the removal of excess skin often reduces the number of wrinkles around the eyes.

What procedures can be combined with blepharoplasty?

Blepharoplasty may be performed with facial procedures such as a brow lift, facelift, rhinoplasty, cheek and/or chin augmentation, laser skin resurfacing and lip enhancement to achieve your desired results.

Will insurance cover my blepharoplasty?

Cosmetic blepharoplasty is not covered by insurance, but functional blepharoplasty may be. If your vision is severely affected due to a redundancy of skin, functional blepharoplasty may be covered by insurance.

Will I have any scars after blepharoplasty?

The incisions for blepharoplasty are small and inconspicuous. Any potential scarring is hidden below the lower lashes, inside the eyelids, or within the natural upper eyelid creases. Once the eyelids have healed, no noticeable scarring is expected.

How long do the results of blepharoplasty last?

The results of eyelid surgery tend to be long-lasting, especially when patients use eye protection and skincare. Because the tissues will continue to age, a regular skin care routine is recommended to keep the skin healthy and to slow the rate of aging.

Why Choose Rousso Adams Facial Plastic Surgery Clinic?

As a world-renowned plastic surgeon specializing in the face and neck, Dr. Rousso has more than 30 years of experience and has gained worldwide recognition for his contributions to the fields of plastic surgery and hair restoration. Dr. Adams is double board-certified in facial plastic surgery and otolaryngology-head and neck surgery, making him an expert in facial anatomy. 

Dr. Rousso and Dr. Adams will never give you a result that looks artificial; your results will always look subtle, natural, and inherent. Our facility uses state-of-the-art medical equipment and many of our staff have been with Dr. Rousso for more than 20 years. We offer a patient experience above and beyond what you will find elsewhere, including concierge services on par with the best five-star hotels. Our friendly staff can help you arrange travel and hotel accommodations, lab appointments, sitters, aftercare, and many other services from start to finish. If you are considering eyelid surgery in Birmingham, Montgomery, or surrounding areas, contact us today.

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