Eyelid Surgery (Blepharoplasty)

One of the most common concerns of patients seeking facial plastic surgery is puffiness and drooping of the eyelids which cause an aged and tired appearance. Because the eyes express so much about a person’s state of being and youthfulness, even early drooping of the lids can disproportionately create an illusion of aging and fatigue. Women and men from Fresno, Santa Maria, and San Luis Obispo County choose eyelid surgery (blepharoplasty) with Dr. Paul Stallman to treat excess sagging skin or “hooding” and under eye puffiness or “bags.” These procedures have evolved significantly over time and can provide tremendous impact on one’s overall appearance.

If you’re considering eyelid surgery or another type of facial cosmetic surgery, we invite you to call (805) 481-3733 or request a cosmetic consultation with Dr. Paul Stallman. During your appointment, Dr. Stallman will take the time to answer all of your questions about eyelid surgery and review additional before and after photos that are not available online. Before your visit, be sure to watch videos featuring Dr. Stallman to learn more about his most popular treatments.

Blepharoplasty Before and After Photos

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Case: 1 of 17
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Before & After Blepharoplasty for Women Case 8 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 1 of 16

Case #8

Upper and lower lid blepharoplasty
Before & After Blepharoplasty for Women Case 157 Front View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 2 of 16

Case #157

This woman was bothered by heaviness of the lids and a redundant skin fold resting on her lashes. Upper lid blepharoplasty was performed to reduce the excess skin while hiding the incision in her natural skin crease.
Before & After Blepharoplasty for Women Case 2 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 3 of 16

Case #2

Endoscopic brow lift, upper and lower blepharoplasty
Before & After Blepharoplasty for Women Case 18 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 4 of 16

Case #18

Upper lid surgery (blepharoplasty)
Before & After Blepharoplasty for Women Case 177 Front View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 5 of 16

Case #177

Many people seek improvement of the upper lid but don't want to appear too different. This patient stated that she always had "full" lids. She sought improvement and not a dramatic change from her  natural younger appearance.  Therefore the goal was to reduce the extent of skin overhang, expose her lashes and the platform of her lid... Read More
Before & After Blepharoplasty for Women Case 174 Left Oblique View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 6 of 16

Case #174

An endocopsic brow lift along with upper and lower lid eyelid surgery (blepharoplasty) was performed with attention to re-establishing her lid crease and diminishing her lower lid puffiness. She was very pleased and felt she looked more youthful and rested. Read More
Before & After Blepharoplasty for Women Case 179 Front View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 7 of 16

Case #179

This patient was concerned with drooping of her lids, creating a sleepy appearance and interfering with her line of sight.  Muscle tightening (ptosis repair) was perfomed to elevate her upper lids, alleviating both issues.
Before & After Blepharoplasty for Women Case 166 Front View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 8 of 16

Case #166

Transconjunctival or hidden incision lower lid blepharoplasty was customized for this patient.  It reduced the appearance of the lower lid bulges and softened the dark shadows and hollows.
Before & After Blepharoplasty for Men Case 49 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 9 of 16

Case #49

Upper lid surgery (blepharoplasty)
Before & After Blepharoplasty for Men Case 41 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 10 of 16

Case #41

Lower lid blepharoplasty
Before & After Blepharoplasty for Men Case 46 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 11 of 16

Case #46

Lower lid blepharoplasty
Before & After Blepharoplasty for Men Case 51 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 12 of 16

Case #51

Upper eyelid blepharoplasty
Before & After Blepharoplasty for Men Case 42 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 13 of 16

Case #42

Upper eyelid blepharoplasty
Before & After Blepharoplasty for Men Case 178 Front View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 14 of 16

Case #178

Heaviness and drooping of the lids is not always due to excess skin. Here ptosis surgery was performed rather than traditional blepharoplasty.  This is a procedure which tightens a muscle within the eyelid so as to open the lid further, creating a brighter eyed appearance and improving vision. Read More
Before & After Blepharoplasty for Men Case 40 View #1 View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 15 of 16

Case #40

Brow lift with upper blepharoplasty
Before & After Blepharoplasty for Men Case 181 Front View in Fresno, Santa Maria, San Luis Obispo, CA
Before & After
Case: 16 of 16

Case #181

Pronounced bulging of this patients orbital fat created puffiness of his lower lids and dark circles.  The preop photo also highlights bulging of the fat onto the upper/outer quadrant of the eye which is a more unusual problem.  Both the lower lid and and eye fat bulges were treated with hidden incision approaches.  This normal... Read More

Keep in mind that each patient is unique and your results may vary.

The Blepharoplasty Procedure

Dr. Stallman performs eyelid surgery for patients from Fresno, Santa Maria, and San Luis Obispo County as an outpatient procedure. Blepharoplasty usually causes just minimal discomfort. Often, a laser method is utilized. Laser eyelid surgery usually results in less swelling and bruising than with older scalpel methods. The laser seals blood vessels as the procedure is performed and often results in a near bloodless surgery. This is a significant advantage over the older procedures.

The upper eyelid is addressed by placing an incision into the natural crease of the lid where it is very well camouflaged. There, excess skin folds and prominent fat are removed. Fine sutures are placed into the crease incision and are left in position for about one week. The procedure reveals a more youthful, rested appearing eye and does not create an artificial “surprised look.” It may even improve peripheral vision by reducing the upper lid skin fold. Sometimes excess lid skin may be a sign of a drooping brow. If this is the case, a brow lift may be needed to achieve a good outcome.

Dr. Paul Stallman

Get to Know Dr. Stallman

An oculofacial plastic surgeon, he specializes in cosmetic eyelid surgery and other facial rejuvenation procedures.

Meet the Doctor

A hidden incision inside the lower lid is used to address lower lid puffiness. Prominent fat pockets are reduced and re-contoured to smooth the appearance of the lids. In contrast to older procedures, this hidden approach does not leave any visible scars and generally does not alter the overall shape of the lids. Wrinkled, redundant skin of the lower lid is often improved with chemical peels or laser skin resurfacing. Large amounts of excess skin may require some skin excision. platelet-rich plasma (PRP) therapy can also accelerate the healing process after facial plastic surgery.

For patients seeking even less invasive procedures, injectable fillers such as Restylane®, JUVÉDERM®, and RADIESSE® can be used to treat the area around the eyes. Lower lid puffiness can be significantly camouflaged, cheek volume enhanced and wrinkles filled. BOTOX® Cosmetic treatments may also be performed to limit frown creasing, “crow’s feet” and elevate the brows. This can be performed in the office with minimal downtime!

Dr. Stallman offers both non-invasive procedures and additional plastic surgery to complement their blepharoplasty. Call him at (805) 481-3733 or request a cosmetic consultation today to find out more.

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