Eyelid Surgery – Upper and Lower Eyelid Surgery – Orange County, CA*

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The eyes are the windows to the soul, but they’re also one of the first areas to show sign of aging. Even small imperfections, such as wrinkles, loose skin, or “bags” under the eyes, can give an impression of being tired, weary, or unhappy. The eyes are one of the first things we notice when meeting someone new. Most often, beautiful eyes can make up for other features that are less than desirable. Likewise, eyes that are tired, droopy, or swollen may not reflect the vibrant inner self that you would like to portray. For a large percentage of the population, the earliest signs of aging are around the eyes. Do people ask you, “Is something wrong?”, or “Did you not sleep well?” because your eyes are swollen with bags. 

As most people get older, their skin loses some of its flexibility and starts to sag and droop. When this happens to the skin of the face, it can immediately change a person’s appearance and is one of the first things others may notice about you. This change is particularly apparent with your eyes and eyelids, as this is often the place that most people will focus on when talking to you. As the skin at the edge of your eyelids starts to sag, it can give you a tired appearance and may even cause the skin below your eyes to swell, bulge out or called " Bag Under Eyes". Changes to your eyelids are a natural part of the aging process because your aging skin loses flexibility and succumbs to gravity. Although this aging process occurs all over your body, it is particularly apparent around your eyes – the place people focus when they are talking to you. Unfortunately, when the skin at the edge of your eyelids starts to sag, it can make you appear tired. 

In addition, there is a layer of natural fat located below the skin of the eyelids. This layer of fat makes the eyes appear youthful. As skin ages, it has less ability to support the fatty layer and this also makes you look older. Sagging skin around your eyelids can also cause the skin below your eyes to swell, which makes it appear as if you have under eye bags or bulges under your eyes. 

Eyelid surgery (technically known as a blepharoplasty) is designed to reverse the natural aging process by removing excess skin and fat. Depending on your goals, you can have surgery on your upper eyelids, your lower eyelids, or both. The result is a more rested, youthful appearance.

Patients contact Dr. Kevin Sadati, a prominent Orange County facial plastic surgeon, about eyelid surgery after being repeatedly told that they look tired, even though they feel well-rested.

He utilizes a wide range of techniques to achieve the desired results and will spend the time needed with each patient to make sure they understand their options and are satisfied with the outcome.

Dr. Sadati has been voted by his patients: “ The Best Cosmetic Surgeon” in OC register 3 years in a row, “ Top Plastic Surgeon in Orange County” in Locale magazine, The Rivera Magazine named him as one of the top beauty experts in Orange County. He has received “ Best Overall Facial Rejuvenation” award by his peers at the national Aesthetic Show. He also appeared on “The Doctors” TV show.

As a painter and sculptor, Dr. Kevin Sadati blends art and medical science to create beautiful, natural-looking results in his cosmetic surgery patients. Through his experience, surgical finesse and artistic talent, Dr. Kevin Sadati has become one of the most sought-after eyelid surgeons in Orange County.

Visit or call the Gallery of Cosmetic Surgery to schedule a one-on-one consultation with Dr. Sadati.

Eyelid Surgery Video


From 1997 to 2014 the American Society for Aesthetic Plastic Surgery (ASAPS) has compiled data from board plastic surgeons and otolaryngologists to compare what the national average is for each cosmetic procedure. 

Over the past ten years, Dr. Kevin Sadati himself has compiled averages, which reflect him to be well above these national averages. 

Surgical Technique

Upper Eyelid Surgery

Upper eyelid  procedure is performed using local anesthesia and twilight sedation, no general anesthesia is needed.  Prior to surgery, Dr. Sadati will measure and mark tissue laxity, so the exact amount of excess tissue is removed. 

During upper eyelid surgery, an incision is made within the natural fold of the lid. The incisions will not go outside the eye creases to prevent any scar and unwanted surgical signs. Dr. Sadati will then remove excess skin, tighten muscles, and remove or reposition fat deposits. The incision is closed with tiny sutures as thin as your eye lashes, these sutures are carefully run along the inside edges of the skin, so no sutures are seen on the outside, then Steristrip tapes are placed over the incision lines to further secure it.  In one week, once the sutures are removed, there is no signs of incision lines. This is the hallmark of Dr. Sadati's technique. 

Lower Eyelid Surgery

Lower eyelid surgery is performed using local anesthesia and twilight sedation, no general anesthesia is needed. There are two different techniques for removing the bags under eyes known as lower blepharoplasty. 

The first technique is called a transconjunctival blepharoplasty, which makes the incision on the inside of the eyelid. There is no visible scars on the outside. Then, the fatty pockets are removed, then the skin is tightened with fractionated Co2 laser. There is no risk of unnatural look to the eye with this technique. 

Advantages of the Transconjunctival Approach

The main benefit of making the lower eyelid incision on the inside of the lid is the prevention of injury to the muscle, which supports the lower eyelid function. This approach also helps to maintain the natural shape of the eyes and preventing a “stared look." Transconjuctival eyelid lift is Dr. Kevin Sadati’s favorite selection for lower eyelid surgery.

With the other technique, transcutaneous blepharoplasty, the incision is made below the eyelashes.  Excess fat is removed or repositioned, the orbicularis muscle is tightened, then the incisions are closed with sutures. There is a higher risk of droopy eyelids (ectropion) or too tight of eyelids with this technique.


After eyelid Surgery

Eyelid surgery is an out patient surgery. The first half and hour after surgery are spent in the recovery room where cold compresses are applied to minimize swelling. When you are fully alert, you will be able to return home in the care of a friend or family member.

You will be encouraged to keep your head elevated for several days, and to use cold compresses to reduce swelling and bruising. There is very little or if any pain following eyelid surgery. Pain medication is prescribed, although it is usually not necessary.

Some patients will experience tearing and irritation for the first several days after surgery. Eye ointment may be prescribed for use at night and eye drops for daytime use until the symptoms resolve. Blurred vision is experienced by some patients for a day after surgery, and the eyes may fatigue more easily during this time.

In most cases the bruising is minimal and resolves after the first week. The stitches are removed five to seven days following surgery. You may then resume wearing makeup and using contact lenses. The incisions may remain pink for a short period after surgery. They can be covered easily by makeup after the stitches are removed. They usually fade and become inconspicuous in four to six weeks.

Most patients return to work and social activities after one week. Strenuous physical exercise is avoided for two weeks following cosmetic eyelid surgery.

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Plan Your Procedure

Recovery Time  
1 week
Average Procedure Time  
1 -2 Hours
Post-op Follow-up  
1 week, 2 months
Procedure Recovery Location  
Out Patient
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Eyelid Surgery FAQs

candidates for eyelid surgery?

Men and women who have puffy bags under their eyes or droopy upper eyelids are good candidates for blepharoplasty. Some individuals have a family trait of early aging eyelids, In those instances many young people may consider having eyelid surgery in their late 20’s to early 30’s. But in general, many people begin to notice tired looking eyes especially upper lids in their early 40’s. Accumulation of excess skin and/or fat will lead to fullness or puffiness of the eyelids which lead to aging eyelids. The puffiness or fat herniation is not related to the body weight or fat. This fat should reside under or behind the eye (globe) and is held back by a structure called septum. Aging process causes laxity in this eyelid septum, therefore it can’t any longer hold the fat back in the eye socket. At this point, the fat will migrate forward and appears as bulging tissue. This aging process of eyelids can be corrected with cosmetic eyelid surgery. There are other conditions, however, such as allergy, fluid retention and thyroid disease, which must be ruled out before surgery because blepharoplasty will not significantly improve these conditions.

Those patients with specific eye problems such as dry eye syndrome, glaucoma or a detached retina may be surgical candidates but require additional evaluation by an ophthalmologist.

Crow's Feet?

Eyelid surgery will reduce puffy bags and excess skin and may help contribute to some minimization of Crow’s feet. However, to truly treat Crow's feet, one will need a different approach. BOTOX® injections and procedures such as a brow lift are better options to help reduce those lines.

consultation for eyelid Surger

During your initial consultation, Doctor Sadati will ask you to articulate your concerns about your eyes. You and he will discuss your goals and expectations in details. Your medical history will be reviewed and a physical examination will be conducted. Dr. Sadati will determine if there are any eye conditions that might exclude surgery. He will check your vision and make sure that your tear production is normal and there is no dry eye syndrome. He will determine if there is excessive laxity of the lower eyelids, which if present may warrant a canthopexy procedure.

Dr. Kevin Sadati will advise you if cosmetic eyelid surgery is best for you. He will help you decide whether to have surgery on all four eyelids or just the upper or lower ones. Furthermore, he will discuss whether any additional procedures are appropriate. At times, for example, a patient may request eyelid surgery when, in fact, another procedure such as a brow lift or laser resurfacing may be more appropriate.

He may request that you visit your private medical doctor and/or your eye doctor for a check-up. Precise preoperative instructions are provided, and all necessary prescriptions are given to you in advance of the surgery. All aspirin, aspirin-containing products, and anti-inflammatory products must be stopped at least ten days before and for ten days after surgery. You will be provided with a complete list of which medications to avoid. Tylenol may be taken during this time. Also, you will be given a list of vitamins and homeopathic preparations to take prior to and after the surgery. This is done to promote healing and limit bruising.

Anesthesia for eyelid surgery?

In most eyelid surgeries in our surgical center in Orange County, local anesthesia is used. However, in some cases, intravenous sedation may be used. Dr. Sadati will help you make the decision of which type of anesthesia is best for you.

Cosmetic eyelid surgery is generally performed as an outpatient procedure. It may be combined with other procedures, such as brow lift and/or a facelift.

Before the procedure, a detailed "drawing" of the skin and/or fat to be removed is drawn on your skin using a special marking pen. The surgery is planned and marked while you are awake to preserve your natural expression and eye shape as well as the mechanical function of your eyelids.

The procedure involves an incision made along the natural lines of your eyelids. Doctor Kevin Sadati then separates the skin from underlying tissue, removes excess fat, and then trims sagging skin and muscle. In some instances, surgery of the lower eyelids can be performed without an external scar. Fat is removed using an incision within the internal portion of the lower eyelid (transconjunctival blepharoplasty), correcting the bagginess. Skin tightening is then performed using a laser or chemical peel.

For the upper eyelid, an incision is made in the curved eyelid crease of the upper eyelid. This placement assures that the scar will be well hidden when it heals. Dr. Sadati removes the previously determined amount of excess skin and fat, and the incision is then closed with small sutures.

In the lower eyelid, the fat is removed through a small incision on the inside of the eyelid (this is known as the transconjunctival approach). Great care is taken to remove and/or reposition the precise amount of fat. If after fat removal there is excess skin, it may then be trimmed by making an incision immediately below the eyelashes. When it heals, this incision is virtually imperceptible. Laser or a TCA peel may also be used to resurface the lower eyelid, causing a mild contraction or shrinkage of the excess skin. The operation takes one hour.

results of Eyelid Surgery?

The goal and the result of cosmetic eyelid surgery are a more youthful and well-rested appearance without a change in the shape or expression of the eyes. For many people, these results are permanent. At very least, you can expect the improvement to last many years. If, after the passage of time a small amount of excess skin is noted, it can easily be removed. It is uncommon for excess fat to reappear until many years later. If this occurs, the fat can be removed safely and easily as in the original procedure

Cost of Eyelid Surgery?

We understand that cost is an important part of your decision to have eyelid surgery. If your vision is impaired by sagging upper eyelids, your upper eyelid surgery may be covered by medical insurance. Otherwise, eyelid surgery is considered to be cosmetic surgery and an investment in your self-confidence. Our office is happy to discuss the cost of eyelid surgery and to answer your questions. A personalized cost estimate will be provided as part of your consultation with Dr. Sadati. 

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*Individual results are not guaranteed and may vary from person to person. All "Before and After" Images are patients of Dr. Sadati. Other Images may contain models. This website is designed for general information only. The information presented at this site should not be construed to be formal medical advice nor the formation of a doctor/patient relationship.