- Overview
- Surgeon
- Q&A
About the treatment
Eyelid Surgery
Eyelid surgery, also known as blepharoplasty, is a surgical procedure that removes excess skin and fat from the eyelids. It can be performed on the upper eyelids, lower eyelids, or both.
Benefits of Eyelid Surgery
- Reduces excess skin and fat from the eyelids
- Improves vision
- Reduces puffiness and wrinkles
- Makes the eyes appear more youthful
Who is a Good Candidate for Eyelid Surgery?
Eyelid surgery is a good option for people who have:
- Excess skin and fat on the eyelids
- Droopy eyelids
- Puffy or wrinkled eyelids
- Vision problems caused by excess skin on the eyelids
What to Expect During Eyelid Surgery
Eyelid surgery is typically performed under local anesthesia. The incisions are made in the natural creases of the eyelids, so they are well-hidden. The excess skin and fat are then removed, and the incisions are closed with sutures.
Recovery from Eyelid Surgery
Most people experience some swelling and bruising after eyelid surgery. This typically resolves within a few days. You will need to wear ice packs on your eyelids for the first few days to reduce swelling. You should also avoid strenuous activity for the first week or two after surgery.
Results of Eyelid Surgery
The results of eyelid surgery are typically long-lasting. Most people enjoy a more youthful appearance for many years after surgery.
Risks of Eyelid Surgery
As with any surgical procedure, there are some risks associated with eyelid surgery. These include:- Bleeding
- Infection
- Scarring
- Vision problems
However, these risks are rare. Eyelid surgery is a safe and effective procedure when performed by a qualified plastic surgeon.
Candidate
Eyelid surgery, also known as blepharoplasty, is a surgical procedure that removes excess skin and fat from the eyelids. It can be performed on the upper eyelids, lower eyelids, or both.
Eyelid surgery is typically performed to improve the appearance of the eyelids. It can also be performed to correct vision problems caused by sagging eyelids.
There are a number of general health and wellness practices that can help to improve the outcome of eyelid surgery. These practices include:
- Getting enough sleep
- Eating a healthy diet
- Exercising regularly
- Quitting smoking
- Avoiding alcohol
By following these practices, you can help to ensure that your eyelid surgery is successful and that you experience the best possible results.
Side & After Effects
Risks
- Bleeding
- Infection
- Scarring
- Double vision
- Dry eyes
- Ectropion (outward turning of the eyelid)
- Entropion (inward turning of the eyelid)
After Effects
- Bruising
- Swelling
- Pain
- Numbness
- Temporary blurred vision
- Light sensitivity
- Watering eyes
It is important to note that these risks and after effects are relatively rare. However, it is important to be aware of them before undergoing eyelid surgery.
Things to Know
Procedure Time
3 Hours
Overnight Stay
No
Recovery Time
1-2 days
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
ASPS Ambassador Appointment 2005-Present
America's Top Plastic Surgeon Award 2004-Present
America's Top Physicians Award 2005-Present
America's Top Surgeon Award 2008-Present
Board Certification(s)
American Board of Plastic Surgery (ABPS)
Fellow of the American College of Surgeons (FACS)
Location
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2100 Webster St unit 520, San Francisco, CA 94115, USA
Questions and Answers
Dr. Horton does not have any Q&A at this time.
Schedule a consultation
Eyelid Surgery

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
High Patient Satisfaction
Minimally Invasive
Natural Results
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both t...
Eyelid Surgery by Karen M. Horton, MD, MSc, FACS.
About the Procedure
Introduction
Introduction
Eyelid Surgery Procedure Overview Eyelid Surgery Procedure Overview
Eyelid surgery, also known as blepharoplasty, is a surgical procedure that removes excess skin and fat from the eyelids. It can be performed on the upper eyelids, lower eyelids, or both.
Benefits of Eyelid Surgery
- Reduces excess skin and fat from the eyelids
- Improves vision
- Reduces puffiness and wrinkles
- Makes the eyes appear more youthful
Who is a Good Candidate for Eyelid Surgery?
Eyelid surgery is a good option for people who have:
- Excess skin and fat on the eyelids
- Droopy eyelids
- Puffy or wrinkled eyelids
- Vision problems caused by excess skin on the eyelids
What to Expect During Eyelid Surgery
Eyelid surgery is typically performed under local anesthesia. The incisions are made in the natural creases of the eyelids, so they are well-hidden. The excess skin and fat are then removed, and the incisions are closed with sutures.
Recovery from Eyelid Surgery
Most people experience some swelling and bruising after eyelid surgery. This typically resolves within a few days. You will need to wear ice packs on your eyelids for the first few days to reduce swelling. You should also avoid strenuous activity for the first week or two after surgery.
Results of Eyelid Surgery
The results of eyelid surgery are typically long-lasting. Most people enjoy a more youthful appearance for many years after surgery.
Risks of Eyelid Surgery
As with any surgical procedure, there are some risks associated with eyelid surgery. These include:- Bleeding
- Infection
- Scarring
- Vision problems
However, these risks are rare. Eyelid surgery is a safe and effective procedure when performed by a qualified plastic surgeon.
Duration
3 Hours
Overnight Stay
No
Recovery Time
1-2 Weeks
Effective Period
10 years
Eyelid surgery, also known as blepharoplasty, is a surgical procedure that removes excess skin and fat from the eyelids. It can be performed on the upper eyelids, lower eyelids, or both.
Eyelid surgery is typically performed to improve the appearance of the eyelids. It can also be performed to correct vision problems caused by sagging eyelids.
There are a number of general health and wellness practices that can help to improve the outcome of eyelid surgery. These practices include:
- Getting enough sleep
- Eating a healthy diet
- Exercising regularly
- Quitting smoking
- Avoiding alcohol
By following these practices, you can help to ensure that your eyelid surgery is successful and that you experience the best possible results.
- Improved vision: Eyelid surgery can remove excess skin and tissue that hangs over the eyes, creating a more open field of vision. This can be especially beneficial for people who have difficulty seeing due to sagging eyelids.
- Younger appearance: Eyelid surgery can help to reduce the appearance of wrinkles, fine lines, and other signs of aging around the eyes. This can result in a more youthful and refreshed appearance.
- Boosted confidence: Eyelid surgery can help to improve a person's self-confidence by giving them a more youthful and attractive appearance. This can lead to a more positive outlook on life and improved relationships.
- Reduced discomfort: Eyelid surgery can also help to reduce discomfort caused by sagging eyelids. This can include irritation, redness, and pain.
- Increased safety: Eyelid surgery can help to improve safety by reducing the risk of falls and other accidents caused by impaired vision.
Risks of Eyelid Surgery
General Risks:
- Bleeding: Excessive bleeding can occur during or after surgery.
- Infection: Surgery can introduce bacteria into the wound, leading to infection.
- Scarring: Visible scars may form on the eyelids.
- Numbness: Temporary or permanent numbness of the eyelid area is possible.
- Dry eyes: Surgery can disrupt tear production, resulting in dry eyes.
Specific Risks:
- Asymmetry: The eyelids may not be perfectly symmetrical after surgery.
- Overcorrection or undercorrection: The eyelids may be lifted too much or too little, affecting vision and aesthetics.
- Lagophthalmos: The eyelids may not close completely, exposing the cornea to drying and damage.
- Ectropion: The lower eyelid turns outward, causing dryness and tearing.
- Entropion: The lower eyelid turns inward, irritating the cornea.
- Ptosis: The upper eyelid droops, obstructing vision.
Safety of Eyelid Surgery
When performed by a qualified and experienced cosmetic surgeon, eyelid surgery is generally considered a safe procedure. However, it is essential to understand the potential risks and take steps to minimize them.
Safety Measures:
- Consultation: Meet with the surgeon to discuss goals, risks, and alternative options.
- Medical evaluation: Undergo a physical exam and blood tests to ensure fitness for surgery.
- Preoperative care: Follow instructions regarding fasting, smoking, and medications.
- Anesthesia: Eyelid surgery is typically performed under local anesthesia with sedation or general anesthesia.
- Surgical technique: The surgeon uses precise techniques to ensure optimal results.
- Postoperative care: Follow surgeon's instructions for wound care, pain management, and follow-up appointments.
Choosing a Qualified Surgeon:
- Look for a surgeon who is board-certified in cosmetic surgery or ophthalmic plastic surgery.
- Check for experience and patient reviews.
- Consider before-and-after photos of the surgeon's work.
- Ask questions and feel comfortable with the surgeon's expertise and approach.
By following these safety measures and choosing a qualified surgeon, you can increase the chances of a successful and safe outcome from eyelid surgery.
Preoperative Preparation for Eyelid Surgery
Before Surgery:
- Medical Evaluation: Have a thorough examination with your doctor to discuss your medical history, current medications, and any allergies or underlying conditions.
- Physical Exam: Your doctor will examine your eyelids, including their shape, position, and function. They may also take measurements to determine the extent of surgery needed.
- Eye Exam: An ophthalmologist will perform an eye exam to assess your vision, corneal health, and tear production.
- Discuss Expectations: Clearly communicate your goals and expectations for surgery with your doctor.
- Stop Smoking: Smoking can interfere with healing and increase the risk of complications. Quit smoking at least 6-8 weeks before surgery.
- Avoid Certain Medications: Your doctor may ask you to stop taking medications that can increase bleeding, such as aspirin, ibuprofen, and blood thinners.
- Plan for Recovery: Arrange for someone to drive you home after surgery and help you with daily activities during the recovery period.
Day of Surgery:
- Fasting: Avoid food and drink for at least 8 hours before surgery, or as instructed by your doctor.
- Remove Contact Lenses: If you wear contact lenses, remove them before surgery.
- Medications: Take any medications prescribed by your doctor as directed.
- Clothing: Wear loose-fitting, comfortable clothing.
- Arrive Early: Arrive at the surgical center or hospital on time for your scheduled appointment.
Postoperative Care:
- Eye Patch: You will likely have an eye patch over the treated eye for a few days after surgery.
- Pain Control: Take pain medication as prescribed by your doctor.
- Keep Wounds Clean: Gently clean the incision sites with a sterile solution as directed by your doctor.
- Avoid Strenuous Activity: Rest as much as possible for the first few days after surgery. Avoid bending over, lifting heavy objects, or doing strenuous exercise.
- Elevate Head: When sleeping or resting, elevate your head to reduce swelling.
- Protect the Eyes: Wear sunglasses to protect your eyes from sunlight and wind.
- Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your progress and ensure proper healing.
Immediate Postoperative Care:
- Rest comfortably with your head elevated.
- Apply cold compresses to reduce swelling and pain.
- Avoid straining or lifting heavy objects.
- Do not drive until advised by your surgeon.
Early Recovery (1-2 Weeks):
- Continue cold compresses and elevate your head when sleeping.
- Gently clean the incisions daily with sterile saline or mild soap and water.
- Avoid rubbing or touching the surgery site.
- Wear sunglasses to protect your eyes from the sun.
- Use lubricating eye drops to keep your eyes moist.
Middle Recovery (2-6 Weeks):
- Swelling and bruising should gradually decrease.
- Sutures may be removed within 1-2 weeks.
- You may experience blurred vision or double vision, which should resolve within a few weeks.
- Avoid strenuous exercise or bending over.
Later Recovery (6-12 Weeks):
- Most swelling and bruising will have resolved.
- You should be able to resume most activities, including exercise.
- Your eyelids will continue to settle and acquire their final shape over several months.
Other Recommendations:
- Take pain medication as prescribed by your surgeon.
- Avoid smoking or drinking alcohol, as they can interfere with healing.
- Get plenty of rest to allow your body to recover.
- Follow your surgeon's specific instructions for your case.
- Call your doctor if you experience any concerns, such as persistent pain, redness, or vision changes.
Additional Tips for Comfort:
- Use pillows to prop up your head and neck.
- Take warm baths or showers to help reduce swelling.
- Use a room humidifier to add moisture to the air.
- Avoid bright lights and windy conditions.
- Massage the eyelids gently to promote lymphatic drainage.
Things to know before start
Preoperative Preparation for Eyelid Surgery
Before Surgery:
- Medical Evaluation: Have a thorough examination with your doctor to discuss your medical history, current medications, and any allergies or underlying conditions.
- Physical Exam: Your doctor will examine your eyelids, including their shape, position, and function. They may also take measurements to determine the extent of surgery needed.
- Eye Exam: An ophthalmologist will perform an eye exam to assess your vision, corneal health, and tear production.
- Discuss Expectations: Clearly communicate your goals and expectations for surgery with your doctor.
- Stop Smoking: Smoking can interfere with healing and increase the risk of complications. Quit smoking at least 6-8 weeks before surgery.
- Avoid Certain Medications: Your doctor may ask you to stop taking medications that can increase bleeding, such as aspirin, ibuprofen, and blood thinners.
- Plan for Recovery: Arrange for someone to drive you home after surgery and help you with daily activities during the recovery period.
Day of Surgery:
- Fasting: Avoid food and drink for at least 8 hours before surgery, or as instructed by your doctor.
- Remove Contact Lenses: If you wear contact lenses, remove them before surgery.
- Medications: Take any medications prescribed by your doctor as directed.
- Clothing: Wear loose-fitting, comfortable clothing.
- Arrive Early: Arrive at the surgical center or hospital on time for your scheduled appointment.
Postoperative Care:
- Eye Patch: You will likely have an eye patch over the treated eye for a few days after surgery.
- Pain Control: Take pain medication as prescribed by your doctor.
- Keep Wounds Clean: Gently clean the incision sites with a sterile solution as directed by your doctor.
- Avoid Strenuous Activity: Rest as much as possible for the first few days after surgery. Avoid bending over, lifting heavy objects, or doing strenuous exercise.
- Elevate Head: When sleeping or resting, elevate your head to reduce swelling.
- Protect the Eyes: Wear sunglasses to protect your eyes from sunlight and wind.
- Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your progress and ensure proper healing.
Immediate Postoperative Care:
- Rest comfortably with your head elevated.
- Apply cold compresses to reduce swelling and pain.
- Avoid straining or lifting heavy objects.
- Do not drive until advised by your surgeon.
Early Recovery (1-2 Weeks):
- Continue cold compresses and elevate your head when sleeping.
- Gently clean the incisions daily with sterile saline or mild soap and water.
- Avoid rubbing or touching the surgery site.
- Wear sunglasses to protect your eyes from the sun.
- Use lubricating eye drops to keep your eyes moist.
Middle Recovery (2-6 Weeks):
- Swelling and bruising should gradually decrease.
- Sutures may be removed within 1-2 weeks.
- You may experience blurred vision or double vision, which should resolve within a few weeks.
- Avoid strenuous exercise or bending over.
Later Recovery (6-12 Weeks):
- Most swelling and bruising will have resolved.
- You should be able to resume most activities, including exercise.
- Your eyelids will continue to settle and acquire their final shape over several months.
Other Recommendations:
- Take pain medication as prescribed by your surgeon.
- Avoid smoking or drinking alcohol, as they can interfere with healing.
- Get plenty of rest to allow your body to recover.
- Follow your surgeon's specific instructions for your case.
- Call your doctor if you experience any concerns, such as persistent pain, redness, or vision changes.
Additional Tips for Comfort:
- Use pillows to prop up your head and neck.
- Take warm baths or showers to help reduce swelling.
- Use a room humidifier to add moisture to the air.
- Avoid bright lights and windy conditions.
- Massage the eyelids gently to promote lymphatic drainage.
Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Speaks: English, French
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Surgeon

Karen M. Horton, MD, MSc, FACS
Board Certified Plastic Surgeon
Owner at San Francisco Plastic Surgery
San Francisco County, California
50 views today
Dr. Karen Horton is Internationally Board Certified in Plastic Surgery by both the American Board of Plastic Surgery and the Royal College of Surgeons of Canada, specializing in cosmetic and reconstructive surgery for women. Since 2006, Dr. Horton’s boutique Pacific Heights San Francisco Plastic Surgery private practice focuses on providing personalized care with meticulous attention to detail in a warm, welcoming and unintimidating environment. Regardless of whether surgery is cosmetic or reconstructive, Dr. Horton’s practice is centered on providing BEAUTIFUL, NATURAL looking and long-lasting results. “Dr. Karen” is also a Plastic Surgery patient herself! Learn all about her own Mommy Makeover experience in her blog series.
Education & Training
- 1996 - 2000 University of Toronto Faculty of Medicine Doctor of Medicine, First Class Honours
- 2000 - 2005 University of Manitoba - Canada Residency in Plastic and Reconstructive Surger
- 2005 - 2006 Buncke Clinic, California Pacific Medical Center Senior Clinical Fellowship in Hand and Microsurgery
Awards & Academic Achievements
- ASPS Ambassador Appointment 2005-Present
- America's Top Plastic Surgeon Award 2004-Present
- America's Top Physicians Award 2005-Present
- America's Top Surgeon Award 2008-Present
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
- Fellow of the American College of Surgeons (FACS)
2100 Webster St unit 520, San Francisco, CA 94115, USA
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Questions and Answers
Q&A
Dr. Karen M. Horton does not have any Q&A at this time.
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