Eyelid Surgery

Eyelid Surgery in NJ

Eyelid surgery, also known as blepharoplasty, is a surgical procedure that eliminates excess hanging skin and fat of the upper and lower eyelids. As you age throughout your 40s and 50s, the area of the face where the lower eyelid and cheek meet (lid/cheek junction) tends to show dramatic age-related changes. Your eyelids begin to stretch, and the muscles supporting them become weak. Eyelid surgery can help improve loose or sagging skin, fatty deposits, bags under the eyes, drooping lower lids, and fine wrinkles that all appear in the lid cheek junction area due to aging.

Eyelid surgery is a highly customized procedure. To optimize every result, I tailor surgical plans for each patient’s unique facial anatomy. Our reputation has attracted people from more than 25 states and 17 different countries to our practice. We want every patient to remember us for having been a positive, life-changing influence. Schedule a consultation by calling (973) 736-5907 or complete our online form to learn more.

Real Patient Result
before and after blepharoplasty
Real Patient Result

Eyelid Surgery Gallery

Eyelid surgery provides long-lasting results! View our eyelid surgery before- and-after photographs to see our patients’ remarkable transformations.

What Happens to the Eyelids During Aging?

As you age, fat around the eyeball within the eye socket becomes more pronounced, creating eye bags. Cheek tissues loosen from the upper cheek and tend to fall downward, revealing a hollowness under the eyelids. Facial fat volume diminishes, further accentuating dark circles under the eyes, and the skin in this area tends to thin out and become loose and wrinkled. With an upper or lower blepharoplasty, I can provide you with a more natural, smoother, and youthful appearance around your eyes and upper cheeks!

Why You Might Consider Eyelid Surgery

If you’re unhappy with the appearance of your eyes because of the effects of aging, eyelid surgery may be the solution to restoring a younger, brighter, and more attractive look. 

Eyelid surgery can:

  • Raise droopy upper or lower eyelids
  • Remove excess fat from heavy upper eyelids
  • Eliminate puffy undereye bags
  • Improve your vision by lifting upper eyelids that block part of your field of view
  • Give your face a younger look and a more alert and engaged expression

Meet Scott SpiRo, M.D., F.A.C.S.


I am a board-certified plastic surgeon specializing in breast cancer reconstructive surgery and cosmetic procedures of the breast, body, and face. To me, every patient is unique and deserves results tailored to their concerns. You can understand my approach to care by reviewing the testimonials and before and after galleries on this site and learning about the many “Top Doctor” awards I have won.


Art is my other passion, and my artist’s vision guides my work as a surgeon. I have done technical illustrations for many journal articles, book chapters, and patient resource pamphlets for national societies. I am also an accomplished painter, sculptor, and photographer. When you visit our office, you’ll see a gallery of reproductions of many of my pieces in oil, graphite, and photography.

Who Is a Good Candidate for Eyelid Surgery?

Ideal candidates for an upper blepharoplasty have excess or sagging upper eyelid skin or extra skin folds. Candidates for a lower blepharoplasty often have eyelid bags, dark circles, and hollowness that may make you look tired. 

Drooping upper eyelids can be caused by stretched and sagging skin in the eyelids or by sagging eyebrows. In your consultation, I can tell you whether the most effective treatment for your drooping upper eyelids is upper blepharoplasty (eyelid surgery), a brow lift, or both. In many cases, I can correct what appears to be a problem with the upper eyelids by elevating your eyebrows.

Ideal candidates also:

  • Are in overall good general health 
  • Have no severe medical conditions that can impact healing 
  • Have realistic expectations for their results 

If you smoke, vape, or use any nicotine, cannabinoid, and/or ADHD medication, you must be willing to stop for several weeks before and after your surgery.

What to Expect During an Eyelid Surgery Consultation

During your consultation, I will talk to you about your previous medical treatments and surgeries, current medications, drug and alcohol use, drug allergies, and surgical goals. My team and I will also evaluate your general health status, take photographs, discuss surgery options, and recommend a plan of action, as well as discuss likely outcomes and potential risks.

Request a consultation with Dr. Spiro today!

How to Prepare for Eyelid Surger With Dr. Spiro

To prepare for eyelid surgery, you may need to adjust your current medications, stop smoking, and avoid taking aspirin or over-the-counter drugs that may increase bleeding or bruising. You should also arrange for someone to drive you to and from our outpatient surgical center. However, I do give patients the option to stay in the hospital overnight.

What Happens During Eyelid Surgery in New Jersey?

I perform eyelid surgery using general anesthesia or local anesthesia with sedation. 

In upper lid blepharoplasty, I remove and reposition only medial fat deposits and skin, keeping most eyelid volume to avoid the appearance of overdone lids. In lower eyelid blepharoplasty, I remove a modest amount of excess skin through a small subciliary (below the lash line) incision. I release fat from its attenuated membrane and spread it out to fill the hollow area below the eye bags and above the cheek. Then, I lift the released upper cheek over the top of the newly draped fat and secure it internally. For patients who have severe cheek volume loss, I add small amounts of filler (or fat harvested from other locations) to commingle with the other transposed fat. Each incision I make conceals the scars within the natural eyelid structure.

Eyelid surgery typically takes between 30 minutes and an hour.

What to Expect in Recovery

My team and I will give you specific instructions on how to care for yourself as you heal, medications to apply or take orally, specific concerns to look out for, and when to follow up. 

After eyelid surgery, you may initially experience some swelling, bruising, irritation, discomfort, and dry eyes. For optimal results, you should apply a lubricating ointment and cold compresses as needed during the healing process. It is also vital to practice routine sun protection and use darkly tinted glasses until you finish recovering. 

Most patients see results within 10 to 14 days in a brighter, more rested, and younger appearance. Those results improve over the following weeks as all residual swelling disappears.

Eyelid Surgery FAQs

The improvements made with eyelid surgery will make you look younger and more attractive for decades. It is among the longest-lasting cosmetic procedures I perform. Of course, your skin will continue to age, but these changes will begin from a younger-looking starting point. Good skin care, including protection from the sun and healthy nutrition and exercise, can prolong your results. At Spiro Plastic Surgery, we sell medical-grade skin care products, which can also contribute to longer-lasting outcomes.  

Yes. Either procedure pairs well with Botox® or dermal filler treatments to soften facial lines and wrinkles that are outside the areas improved with the surgery. You may choose to combine eyelid surgery with a brow lift and a facelift or neck lift for long-lasting, comprehensive improvements from your forehead to your collarbone.

All plastic surgery leaves scars, but I place incisions to make any resulting scars as invisible as possible. I make eyelid surgery incisions within natural skin folds and creases, or sometimes inside the eyelids.

Blepharoplasty Plastic Surgeon in New Jersey

Dr. Scott Spiro is a board-certified plastic surgeon at Spiro Plastic Surgery in West Orange, NJ, specializing in blepharoplasty procedures to help you feel more confident in your appearance. Schedule a consultation by calling (973) 736-5907 or complete our online form to learn more.


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Graphite/Pencil Hybrid-Painting by Dr. Scott Spiro