Name: Blepharoplasty Pittsburgh | Pittsburgh Center for Plastic Surgery
Brand: Pittsburgh Center for Plastic Surgery
Rating: 4.6 (105 reviews)

Youthful Eyes Rejuvenation

The eyes are often the first area to show signs of aging. Loose upper eyelid skin, puffiness, and under-eye bags can create a tired or heavy appearance—even if you feel well-rested and energetic. Blepharoplasty, or eyelid surgery, is a highly effective procedure that removes or repositions excess skin and fat to restore a smoother, more youthful contour to the eyes. At the Pittsburgh Center for Plastic Surgery, we offer both upper and lower eyelid surgery with techniques designed to minimize scarring, preserve natural anatomy, and enhance your unique features, not change them. If you would like to learn more about how we can rejuvenate your appearance with blepharoplasty, Pittsburgh patients are encouraged to contact our office and schedule a consultation.

Blepharoplasty Candidates

Blepharoplasty is an excellent option for healthy adults who want to improve the appearance of tired, drooping, or puffy eyelids. Ideal candidates are typically non-smokers in good general health who are bothered by excess eyelid skin, under-eye bags, or sagging tissue around the eyes. The procedure can enhance both aesthetic appearance and, in some cases, visual function if heavy upper lids obstruct the field of vision.

However, eyelid surgery is not right for everyone. Certain medical and eye-related conditions may increase surgical risks or impact healing. Patients with glaucoma, dry eye syndrome, or other ocular surface disorders may not be suitable candidates, as surgery could worsen symptoms. Similarly, individuals with uncontrolled hypertension, diabetes, cardiovascular disease, or hyperthyroidism may require additional evaluation or treatment before proceeding.

The best way to determine your candidacy is through a personal consultation at the Pittsburgh Center for Plastic Surgery. We’ll thoroughly review your medical history, examine your eyelid anatomy, and discuss your goals to ensure that blepharoplasty is safe, appropriate, and likely to meet your expectations.

Upper Eyelid Surgery

During upper eyelid surgery, a small incision is made within the natural crease of the upper eyelid, allowing it to remain well-hidden once healed. Through this incision, excess skin, fat, and sometimes muscle are carefully removed or repositioned. In some cases, underlying structures are tightened to improve contour and support. The result is a smoother, more defined eyelid fold and a more rested, alert appearance without changing your eye shape. This procedure is commonly performed for both cosmetic reasons and functional concerns, including vision obstruction from heavy upper lids.

Lower Eyelid Surgery

Lower eyelid surgery addresses common concerns such as under-eye bags, skin laxity, and volume loss beneath the eyes. The procedure typically involves a discreet incision either just beneath the lash line or inside the eyelid, depending on your anatomy and goals. Excess fat can be removed or repositioned to reduce puffiness, while loose skin may be trimmed or tightened for a smoother contour. In some cases, the procedure is combined with fat grafting or dermal fillers to improve hollowness and restore a gentle transition between the lower lid and the cheek.

Why Choose Eyelid Surgery?

Blepharoplasty is ideal for patients who want to:

Remove sagging skin that obscures the upper eyelid
Improve field of vision affected by heavy lids
Minimize under-eye bags or puffiness
Soften tired or aged expressions
Restore a smoother, more youthful eye contour

Two Approaches. One Goal: Natural, Rejuvenated Eyes.

Lower eyelid surgery is a nuanced procedure that can dramatically improve under-eye bags, puffiness, and tired appearance—but the surgical approach matters. At the Pittsburgh Center for Plastic Surgery, we offer both transconjunctival and subciliary (skin incision) techniques, each with distinct advantages depending on your anatomy and desired results.

Transconjunctival Approach

The transconjunctival technique involves making an incision on the inside of the lower eyelid, leaving no visible external scar. Through this incision, fat pads can be either removed or redistributed to smooth contour irregularities or bulges. This approach is often used for younger patients with good skin tone but prominent fat pads and patients who require minimal skin removal.

Skin Incision (Subciliary) Approach

The subciliary technique uses a discreet incision placed just beneath the lash line. This allows the surgeon to remove or reposition fat and trim excess skin if needed. The incision typically heals well and becomes almost invisible over time. This approach is often preferred when there is redundant or crepey skin under the eyes or a more comprehensive rejuvenation is required. However, it can require a longer recovery time, and there are small risks of lid malposition in some anatomies.

Which Technique Is Right for You?

During your consultation, the surgeons at Pittsburgh Center for Plastic Surgery will evaluate your eyes and goals and help select the most appropriate technique. In many cases, patients benefit from fat repositioning via a transconjunctival approach, followed by skin resurfacing (laser or chemical peel) instead of external skin removal. For others, a skin incision blepharoplasty with or without canthopexy offers the best result.

Each plan is customized for natural-looking, long-lasting outcomes that preserve the delicate anatomy of the lower lid and avoid a “hollowed” or overcorrected appearance.

Advanced Local Anesthesia (ALA) at The Pittsburgh Center for Plastic Surgery

Eyelid surgery is typically performed under local anesthesia with sedation or general anesthesia, depending on the extent of treatment. Most patients return to light activities within a week, with swelling and bruising improving significantly by 10 to 14 days. Final results continue to refine over several weeks.

By combining local anesthetic techniques with Enhanced Recovery After Surgery (ERAS) protocols, we can perform upper and lower eyelid surgery with minimal discomfort, faster recovery, and less disruption to your daily routine. This approach helps reduce swelling and downtime, allowing you to return to normal activities more quickly while enhancing the youthful, refreshed appearance of your eyes.

Schedule Consultation

Our state-of-the-art facility is equipped with the latest technology and amenities to ensure your comfort and privacy during your visit. We are located in the heart of Pittsburgh and serve patients from all over the world. When you are ready to take the next step, contact us to schedule your consultation with Dr. Davila or Dr. Turer. We look forward to helping you achieve your goals of looking and feeling your best.

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(412) 802-6100

Blepharoplasty in Pittsburgh, PA