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Katya H. Bailor, MD

Vero Beach, Florida (772) 569-7800

Eyelid Surgery

Dr. Bailor performs blepharoplasty to restore the appearance and function of the eyelids for her patients.

The eyes are a significant part of facial expressions and help us to communicate our emotions of happiness, curiosity, fatigue, anger, and perplexity. With the aging process, extra skin and herniating fat can change the way you are perceived by others regardless of your mood. Despite feeling happy and well-rested, you may appear tired or angry to a casual observer. It is no surprise that among the most desirable plastic surgery procedures for facial rejuvenation is eyelid surgery. Known for its dual ability to improve both the appearance and function of the eyelids, eyelid surgery corrects marks of facial aging such as sagging eyelid skin, loose tissues, and herniated fat pads. This surgical procedure, formally referred to as “blepharoplasty,” has the potential to significantly rejuvenate your eyelids and give you a more rested, refreshed, and naturally youthful and pleasant appearance.

Focusing on the orbital complex as a whole during a patient’s consultation, Dr. Bailor determines if upper blepharoplasty alone or in conjunction with other procedures is necessary. In some cases, addressing the brow position, lateral canthal ligaments, ptotic glands, and dehiscent levator muscle is necessary to achieve youthfully attractive and natural-looking results.

Am I a Candidate?

Women and men who wish to undergo blepharoplasty should have good physical, mental, and emotional health. Realistic expectations are also essential for facial rejuvenation surgery. Blepharoplasty is best for individuals with a natural amount of excess skin, possible excess fat, and sagging muscles and tissues around the eyes. If significant vision obstruction occurs by virtue of excess skin in the upper eyelids, the upper blepharoplasty procedure may be subject to insurance coverage.

Eyelid Surgery Can Correct:

  • Excess skin in the upper and lower eyelids
  • Displaced fat in the eyelids
  • Excess fat beneath the eyes
  • Drooping eyelid muscles that are responsible for elevating the upper lids
  • Lax ligaments and tissues
  • The lid-cheek junction

It is important to realize that not all patients who believe they need blepharoplasty are a good fit for the procedure. For instance, an individual who has excess skin in the upper eyelids combined with descending brows is likely a better match for brow lift surgery. During your consultation, Dr. Bailor will artistically and scientifically assess your facial tissues and devise a customized treatment plan that will meet your needs and lead to the most successful surgical outcome.


For patients who are a good fit for blepharoplasty, Dr. Bailor may recommend upper blepharoplasty, lower blepharoplasty, or both. Dr. Bailor can perform these procedures individually or simultaneously according to your needs. Some patients may also need an extended skin muscle blepharoplasty to correct the upper cheek bags known as malar festooning.

Upper Blepharoplasty

Upper blepharoplasty addresses the tissues above the eyes that are isolated to the orbital complexes. A fine incision is placed in the natural crease of each upper eyelid and, therefore, heals in an inconspicuous manner. Dr. Bailor will excise surplus upper eyelid skin as needed, thus improving the appearance of the upper eyelids and eliminating excess skin that may have previously interfered with your vision. In cases where the patient’s eyelid appears droopy despite minimal excess skin present, know as upper lid ptosis, the responsible muscle has to be reattached to the eyelid to achieve the necessary correction. Some patients may also require a small degree of fat removal to enhance the appearance and function of the upper lids. When suturing the tissues, Dr. Bailor places the sutures beneath the skin. In consequence, the skin edges approximate over the suture, and minimal scarring occurs. This produces the best aesthetic results after the tissues have fully healed from the procedure.

Lower Blepharoplasty

Lower blepharoplasty focuses on the tissues beneath the eyes that exist within the orbital complexes. The type of correction you will need depends on the lid and cheek junction, amount of protruding fat, amount of excess skin and muscle, as well as lower lid tone. Patients with deep-set eyes will likely benefit from conservative fat excision. Patients with big eyes and lack of cheek prominence will benefit from repositioning of the fat over the lid-cheek junction to achieve a natural and balanced look. This will eliminate hollows and restore a softer, more youthful appearance to the lower eyelids. Patients who have some degree of eyelid drooping may require ligament tightening at the time of blepharoplasty to maintain the lid position with its edge covering the colored portion of the eye. The vast majority of patients will have an incision on the inside of the lid. When only a small amount of excess skin is present, the skin-pinch technique can be used for its removal through this incision. However, when significant excess skin and muscle are present, an external incision is necessary. The outcome can be complemented with laser resurfacing of the lower lid, as it will help with skin tightening as well as removal of the fine lines and wrinkles that are not amenable to treatment with BOTOX® Cosmetic injections.

Extended Skin Muscle Blepharoplasty

During your preoperative assessment, Dr. Bailor will determine whether it may be necessary to perform an extended skin muscle blepharoplasty. When appropriate, this procedure addresses the lid-cheek junction in addition to the tear trough area. Puffy areas of the upper cheek, known as festoons, can be addressed via the extended skin muscle flap blepharoplasty technique. Essentially, Dr. Bailor will go through the muscle and disrupt the ligament to lift bulbous cheeks while also pinching the tissues to remove excess skin. With the extended skin muscle blepharoplasty, Dr. Bailor effectively creates a smoother lid-cheek junction for a more youthful and aesthetically pleasing appearance.


Dr. Bailor employs a careful and gentle surgical approach so that after the procedure, patients can appreciate an improved recovery experience with reduced swelling and bruising. Following the procedure, you will be released to rest at home. Sleeping in a reclined position, minimizing physical activity, and applying a cold compress to your eyes during the first day can further reduce swelling and bruising. Should you experience any minor discomfort during the first week, you may use pain medications as needed.

Upper blepharoplasty typically requires one week of recovery before patients feel well enough to resume social and work activities. Lower blepharoplasty may require two weeks of recovery, particularly for those who require an extended skin muscle blepharoplasty, before you will feel well enough to return to your normal work and social engagements. Healing should continue steadily as the days pass, with the final signs of minor bruising disappearing between one and three weeks after surgery. In the interim, tinted glasses or makeup can disguise any bruising until the tissues have completely healed.


Blepharoplasty with Dr. Bailor is designed to produce naturally youthful, long-lasting results. The benefits of your procedure can continue to enhance the appearance and functionality of your eyelids for many years. Dr. Bailor expends meticulous care to generate optimal surgical results and help you look your best.

Remember that when it comes to aesthetics, if it does not look natural, it does not look good.

Blepharoplasty with Dr. Bailor can give you the youthful, natural-looking results you seek. Call 954-442-5191 or fill out our online contact form to schedule your personal consultation with Dr. Bailor today.