Eyelid Surgery

Eyelid Surgery or Blepharoplasty corrects sagging eyelids and puffy bags that create a tired, older appearance. Our eyes are such a focal point of the face that it can be frustrating for individuals who are healthy to be asked if they are tired all the time when you are not.

If this sounds familiar, you’re not alone. Each year thousands of women and men choose eyelid surgery to help restore a more energetic and youthful appearance. Both mature and younger patients can be afflicted and for some even have excess skin obscuring vision. Younger patients usually have a genetic predisposition for puffy lower lid bags.

Eyelid lifts continue to be one of the top cosmetic procedures performed in the U.S. ranking 4th in 2018. It’s not surprising blepharoplasty’s are so popular considering there are limited options for correcting the problem other than surgery.

Eyelid Surgery Treats:

  •  Excessive skin and fat pads of the upper eyelids
  •  Protruding fat pads on the lower lids
  •  Loose skin on the lower lids
  •  Improves skin quality on the lower lids

Your Eyelid Surgery Consultation

A consultation with Dr. Michalak will help determine if eyelid surgery is right for you. Dr. Michalak will provide a detailed evaluation and explanation of your treatment answering any questions you may have. Often patients have questions about alternatives and if applicable other solutions will be provided.  A quote for the cost of the procedure will also be provided during the consultation. Before and after photos of actual patients can be viewed here in our photo gallery.

What to Expect During Eyelid Surgery

The process of upper lid blepharoplasty is different than lower lid blepharoplasty. For upper lids an incision is made in the crease of the eyelid, if protruding fat is present that is removed with any excess skin. Fine sutures are then used to complete the procedure. For lower lid blepharoplasty, Dr. Michalak uses what’s called a transconjunctival incision. This means there is no external incision that can be seen. The incision is placed on the inside of the lower lid, fat pads are reduced or removed, and the surgery is completed. For some patients that desire additional skin tightening, laser may be necessary to achieve this. This will be covered in the consultation.

Dr. Michalak performs all eyelid surgery on-sight in an accredited (AAAHC) surgery center on an outpatient basis. Patients can go home same day and do not need general anesthesia. These techniques allow for a quick recovery helping to minimize time off from busy schedules.

After Eyelid Surgery: Your Recovery and Results

Eyelid surgery is generally done under local anesthesia. The eyelid and surrounding area are bruised and swollen for one to two weeks. You will be given instruction with what to do post procedure and can expect to come back into the office for follow-up visits.

Patients that have eyelid surgery tend to be highly satisfied and can expect to look more rested yet natural without any obvious “change” to the way you look.


Do you have questions about eyelid surgery? Contact us to learn more about eyelid surgery in Issaquah.  or schedule your consultation.  Service areas include Issaquah, Seattle, Bellevue, Redmond, Kirkland, Sammamish, Renton, Everett, Kent, Mercer Island, Federal Way, Bothell, Tacoma, Maple Valley & Shoreline Washington.

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