Lower Blepharoplasty

(Local Anesthesia)


Lower Blepharoplasty

(General Anesthesia)


Upper Blepharoplasty

(Local Anesthesia)


Upper Blepharoplasty

(General Anesthesia)


Procedure Time: 1 Hr

Recovery Time: 3-5 Days


Blepharoplasty is a facial plastic surgery that corrects sagging and wrinkled skin on and around the eyelids. Also known as eyelid surgery, blepharoplasty is a procedure that produces dramatic results and can brighten up your face. Aging can make you look perpetually tired. But, with a blepharoplasty by Dr. Santos at Seattle Plastic Surgery, you can improve your overall face appearance. Dr. Santos offers blepharoplasty surgery to patients in the Seattle and Tacoma areas.

Upper vs. Lower Blepharoplasty:

While often performed together, an upper and lower blepharoplasty target different areas and it is possible to need one over the other. 

An upper blepharoplasty in Seattle focuses on the upper eyelids. The procedure tightens the skin between the eyes and brows while sometimes trimming away excess skin and fat. It can correct vision problems caused by this skin and fat. As well as provides an overall more youthful appearance.

A lower blepharoplasty procedure targets the lower eyelids. Like with the upper version of the surgery, this procedure tightens the area and cuts away extra skin and fat. This can revitalize under eye bags and darkness to make you look more awake.

Often, Dr. Santos will recommend combining these two procedures for the best results. Depending upon your needs, you may or may not need both an upper and lower blepharoplasty. During your consultation at Seattle Plastic Surgery, Dr. Santos can decide the right combination of procedures to fit your cosmetic goals.


Blepharoplasty is surgery of the upper or lower eyelids (often both) that removes sagging skin, fat, and wrinkles on and around the eyelids. The procedure requires a skilled and experienced surgeon, like Dr. Santos, to provide long-lasting results that take years off your age.

Blepharoplasty is excellent for: Dark eye circles, Vision problems caused from skin or fat on/around the eyelids, Constant tired look Under eye, bags Wrinkles and saggy skin on the upper/lower eyelids.

Our Expertise Gives you freedom to choose

Dr. Santos offers all of his surgical procedures under both local and general anesthesia.


The surgical method Dr. Santos will use to perform your Tacoma blepharoplasty will vary depending upon if it is an upper or lower blepharoplasty, as well as, on your unique eyelids and needs for the surgery. 

In general, during an upper blepharoplasty, Dr. Santos will begin by making a thin incision in the natural eye crease. This will ensure that your body naturally hides your incisions and any resulting scarring from the surgery. Dr. Santos will make sure that any scarring after your blepharoplasty is minimal and easily hidden. After the incision, Dr. Santos will cut away any excess skin and fat, tighten the surrounding muscles, and finally, lift the skin to create a natural and younger look.

Dr. Santos performs a lower blepharoplasty in a similar fashion. Using a small incision in the lower lash line, he will tighten the skin and muscles, remove any extra fat, and reposition the skin to get rid of dark circles and create a more pleasing under eye.

With both surgeries, Dr. Santos and his team will carefully stitch the incisions to reduce scarring. They will also place an eye guard to protect your eyes during the procedure. If performed together, the methods do not change, but you can reduce recovery time and gain your final results quicker.

Reasons Patients Seek Eyelid Surgery in Seattle:

A patient’s reason for seeking a Seattle blepharoplasty are personal and can vary from a medical need to improving their self image. Dr. Santos will discuss your reasons for seeking surgery and cater his technique to fit your needs and desires. A few reasons individuals seek blepharoplasty surgery include:

  • Dark eye circles
  • Vision problems caused from skin or fat on/around the eyelids
  • Constant tired look
  • Under eye bags
  • Wrinkles and saggy skin on the upper/lower eyelids
  • Hard time applying eye makeup 

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    What Kind Of Anesthesia Is Used For Tacoma Blepharoplasty?

    Dr. Santos offers all of his surgical procedures under both local and general anesthesia. Using local anesthesia lowers the risk of complications associated with general anesthesia. While not fully sedated, your comfort is ensured with a light oral sedative and you can expect to not be fully aware. 

    When seeking your Tacoma blepharoplasty, it is important to consider all of your options. Local anesthesia can significantly lower risk and is a lower cost option. You are less likely to experience uncomfortable side effects of general anesthetic like nausea, vomiting, and dizziness.

    For higher risk patients, older patients, and those with certain medical conditions, local anesthesia is a safer option for undergoing eyelid surgery. Anyone–even perfectly healthy patients who have had no prior complications from general anesthesia–can benefit from a surgery under local anesthesia.


    Because a blepharoplasty is a surgery on a sensitive area of the body, the recovery after a Seattle blepharoplasty is an important step in achieving the best results. For the few days after surgery you may notice symptoms such as: dry eye, sensitivity to light, excessive tearing, and blurred vision. These side effects should only last for the time immediately following your surgery, but it is important to avoid activities that can overexert your eyes or cause eye dryness. Some activities you should avoid following blepharoplasty surgery in Seattle are: watching TV, using a computer, crying, and wearing contacts. Dr. Santos will advise you on when you can begin these activities again. 

    Following surgery, you can expect to take around one to two weeks off work. You will need to refrain from fully exertional exercise and activity for at least two weeks. Any bruising and swelling should go away in about a week. By then, you can hide other symptoms with makeup. Dr. Santos will decide when you can return to work and resume certain activities on a case-by-case basis.

    During recovery, you can expect to do some at-home aftercare including: applying ointment to your incisions, elevating your head to a 30 degree angle, applying ice or cold compresses for the first 48 hours, and getting up a few times a day for healthy circulation.

    Upper Blepharoplasty

    A Before and after picture of a patient who received a Blepharoplasty plastic surgery treatment

    An upper blepharoplasty in Seattle focuses on the upper eyelids. It can correct vision problems caused by this skin and fat.

    Procedures Often Performed With A Blepharoplasty:

    While many patients choose to have Dr. Santos perform upper and lower eyelid surgeries at the same time, you can combine other facial procedures with your eyelid surgery. Having multiple procedures done at the same time allows for a shorter recovery time (as the recovery time for all procedures is combined), means you will not need to go under anesthesia more than once, or take extra time off work.

    Patients often combine a blepharoplasty with other procedures such as:

    Who is a good candidate?

    Nearly anyone with sagging skin, wrinkles, or other facial issues on or around the eyelids is a possible candidate for eyelid surgery in Tacoma. The ideal candidate is a non-smoking patient in good general health who has a good understanding of the procedure and their goals for it. While not being the ideal candidate doesn’t disqualify you from a blepharoplasty, it is important to discuss your full medical history and lifestyle with Dr. Santos.

    It is possible for patients of all ages to benefit from an upper or lower blepharoplasty. The average upper blepharoplasty patients range from 40 to 85 while the typical lower blepharoplasty patient is 30 to 85.

    Only a consultation with Dr. Santos at Seattle Plastic Surgery will decide if you are a good candidate for blepharoplasty surgery.

    Dr. Santos May Decide You Cannot Have Blepharoplasty Surgery In Tacoma If:

    While Dr. Santos has years of experience and lowers the risk of his surgeries using local anesthetic, he may determine you are not a good candidate for blepharoplasty surgery if you have:

    • Chronic dry eye
    • Cardiac or pulmonary disease
    • Thyroid disease
    • Blood disorders
    • Underlying eyelid malposition
    • Significant sagging of the brow
    • Any other major or untreated medical illness
    • Unrealistic expectations or goals for the procedure
    • Unwillingness to cease eyelash services such as lash lift and tint or lash extensions

    Lower Blepharoplasty

    A Before and after picture of a patient who received a Blepharoplasty plastic surgery treatment

    A lower blepharoplasty targets the lower eyelids. This can revitalize under eye bags and darkness to make you look more awake.


    Dr. Santos offers his blepharoplasty procedures under local or general anesthesia. An upper or lower blepharoplasty under local anesthesia costs $3995 and under general costs $4995 for upper or lower blepharoplasty.


    Dr. David Santos recently brought his skill and expertise to Seattle Plastic Surgery. Specializing in facial plastic surgeries, he is board-certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery. He has over twenty years of surgery experience and often spreads his knowledge in the field.

    Dr. Santos was one of the first to pioneer the use of local anesthesia for facial plastic surgeries. His care is patient centered and he aims to perform the safest procedures possible. Dr. Santos will individualize your surgery to fit your desires and needs, ensuring you good results with the best techniques for your body.

    Most Surgeons Require General Anesthesia, Dr. Santos is so Skilled at Facial Procedures He is Able To Perform Under Local Anesthesia, reducing Patient Risk and Cost

    About Seattle Plastic Surgery:

    Seattle Plastic Surgery has served Seattle area patients for over two decades. It is conveniently located on Capitol Hill across from Swedish Hospital. Connected by underground tunnels to Swedish, Seattle Plastic Surgery provides the utmost safety for your blepharoplasty procedure.

    Our friendly staff and medical professionals will immediately make you feel welcome and make your surgery day a breeze. We offer accommodations for local lodging and transportation if you are traveling from out of town. 


    During your consultation with Dr. Santos at Seattle Plastic Surgery, he will ask about your goals for surgery, take a thorough medical history, and examine your eyelids and surrounding area to determine if you are a candidate for a Seattle blepharoplasty.

    To schedule a consultation with Dr. Santos, call us at 206-324-1120. Chat by clicking the icon in the lower left hand corner of your screen or you can contact us by filling out the form above.

    Still Have Questions?

    Give us a call at 206-324-1120. Chat by clicking the icon in the lower left hand corner of your screen, or contact us by filling out the form above.