Blepharoplasty (Eyelid Surgery)

Surgeon marking the upper eyelid before blepharoplasty eyelid surgery
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What is Blepharoplasty?

Blepharoplasty, also called eyelid surgery or an eyelid lift, removes excess skin and, when needed, small amounts of fat from the upper eyelids. The result is a brighter, more rested look that still looks like you.

At Arsenault Aesthetics in Lakewood Ranch, upper blepharoplasty is performed in our office under local anesthetic by Dr. Jennifer Brammeier, a double board-certified dermatologic surgeon. There is no hospital stay and no general anesthesia, and every patient starts with a complimentary consultation.

As we age, the skin of the eyelids stretches and loses elasticity, the muscles that support the lids weaken, and fat around the eyes can shift forward. Together, these changes create heavy, hooded upper lids and a tired look that makeup and creams cannot fix. Upper blepharoplasty corrects these changes at their source for natural, lasting results.

Blepharoplasty Fast Facts

Question Answer
Kybella benefits Benefits 1. Lifts droopy, hooded upper lids
2. Restores a defined eyelid crease
3. Brighter, more rested look
Kybella average cost AVG Cost Personalized quote given at your complimentary consultation
Kybella downtime Downtime About 7 to 10 days before most people return to work
topical anesthetic for Kybella Anesthetic Used? Yes - local anesthetic, performed in office
Kybella treatment areas on body Treatment Areas Upper eyelids
Kybella results duration Duration Long-lasting, often many years

Blepharoplasty FAQ

Blepharoplasty is the medical name for eyelid surgery. It removes excess skin, and sometimes fat, from the upper eyelids to correct droopy, heavy, or hooded lids. Many people call it an eyelid lift or simply "bleph" surgery. At Arsenault Aesthetics in Lakewood Ranch, upper eyelid surgery is performed in our office under local anesthetic by Dr. Jennifer Brammeier, a double board-certified dermatologic surgeon. The goal is a brighter, more rested look that still looks like you.

Eyelid surgery is called blepharoplasty. You may also hear it called an eyelid lift, eye lift, bleph, or eyelid reduction surgery. Upper blepharoplasty treats the upper lids, and lower blepharoplasty treats the area under the eyes. At Arsenault Aesthetics, Dr. Brammeier performs upper blepharoplasty to remove the extra skin that makes the eyes look heavy or tired.

Upper eyelid surgery removes excess skin, and sometimes a small amount of fat, from the upper lids to correct drooping and hooding. Lower eyelid surgery treats bags, puffiness, and loose skin under the eyes. At Arsenault Aesthetics, Dr. Brammeier performs upper eyelid surgery. It is often the right choice if your lids feel heavy, your eyeshadow disappears into the crease, or extra skin rests on your lashes. For under eye bags and hollows, our team offers non-surgical options such as PRF under eye treatment and dermal fillers.

Yes. An eyelid lift is the everyday name for blepharoplasty. The procedure does not literally lift the eyelid. Instead, it removes the extra skin and tissue that weighs the lid down, which makes the eye look more open. If your brows have dropped and are pushing down on your lids, a brow lift may be part of your plan as well.

You may be a good candidate if you have heavy or hooded upper lids, excess skin that touches your lashes, or a tired look that creams and makeup cannot fix. Good candidates are in generally good health, do not smoke, and have realistic goals. Some eye conditions, such as severe dry eye, need extra evaluation first. Dr. Brammeier reviews your health history and examines your eyelids, brows, and skin at your complimentary consultation to confirm whether blepharoplasty is right for you.

After the area is numbed with a local anesthetic, Dr. Brammeier makes a precise incision hidden in the natural crease of the upper eyelid. She removes or repositions excess skin, muscle, and fat, then closes the incisions with fine sutures. You go home the same day.

Eyelid surgery at Arsenault Aesthetics is performed by Dr. Jennifer Brammeier, DO, FAAD, FACMS, FASDS, a double board-certified dermatologic surgeon. She specializes in Mohs surgery and complex closures on the face, where precise, delicate work and discreet scars matter most. Choosing an experienced eyelid surgeon is one of the most important decisions you will make, because the eyelid skin is the thinnest on the body. Dr. Brammeier sees patients at our Lakewood Ranch office, serving Sarasota, Bradenton, and the surrounding area.

Dr. Jennifer Brammeier performs upper blepharoplasty at Arsenault Aesthetics in Lakewood Ranch, located at 9023 Town Center Pkwy, Lakewood Ranch, FL 34202. Our office is near University Park and an easy drive from Sarasota, Bradenton, and Parrish. Eyelid surgery is done right in our office under local anesthetic, so there is no hospital visit. Call (941) 264-1161 to schedule your complimentary consultation.

The cost of blepharoplasty depends on the amount of correction you need and whether it is combined with a brow lift. Because Dr. Brammeier performs eyelid surgery in our office under local anesthetic, you avoid the hospital, operating room, and general anesthesia fees that can add thousands of dollars in other settings. You will receive a personalized quote at your complimentary consultation.

No. Arsenault Aesthetics does not accept insurance, so eyelid surgery is self-pay. Insurance has sometimes covered upper eyelid surgery when sagging skin blocks your vision, but insurance requirements have become much stricter, and most patients no longer qualify. Because Dr. Brammeier performs the procedure in our office under local anesthetic, you avoid hospital and general anesthesia fees. You will receive a clear, upfront price at your complimentary consultation.

Yes. Every eyelid surgery patient starts with a complimentary consultation with Dr. Brammeier. She will talk with you about your goals, examine your eyelids and brows, explain which approach she recommends, and give you a clear plan and personalized quote. There is no obligation to book.

Yes. Your eyelids are numbed with a local anesthetic, so you are awake but comfortable. No sedation or general anesthesia is used. Most patients feel pressure or movement, not pain. Being awake means no general anesthesia, no breathing tube, and a quicker, easier recovery from the anesthesia itself. Many patients are surprised by how calm the experience feels.

Blepharoplasty should not hurt during the procedure, because the local anesthetic numbs the area. You will feel a quick pinch and sting from the numbing injection, then mostly pressure. Afterward, most patients describe mild soreness, tightness, or a gritty feeling rather than real pain. Cold compresses and over-the-counter pain relievers, such as Tylenol, usually keep you comfortable. Avoid ibuprofen and aspirin unless Dr. Brammeier approves them, because they can increase bruising.

Upper eyelid surgery usually takes about one to two hours. Because the procedure is done in our office, there is no hospital check-in or long wait in a recovery room. You go home the same day, but you will need someone to drive you.

Eyelid surgery is considered very safe when performed by a qualified, experienced surgeon. As with any surgery, there are possible risks, including bruising, swelling, dry or irritated eyes, temporary blurred vision, infection, uneven results, and scarring. Serious complications are rare. Performing the procedure under local anesthetic also avoids the risks that come with general anesthesia. Dr. Brammeier will review your health history and explain the risks in detail at your consultation.

There is no single best age for eyelid surgery. Most patients are in their 40s to 70s, when skin naturally loses elasticity and the lids begin to droop. Some younger patients with inherited heavy or hooded lids also benefit. The right time is when your eyelids bother you and you are in good overall health.

Most patients return to work and normal daily activities in about 7 to 10 days. Swelling and bruising are most noticeable in the first 48 hours and usually fade within two to three weeks. Your eyes may feel tight, dry, or watery for a short time. Scars continue to soften over several months, and your final result is visible once all the swelling settles.

Sutures are usually removed about 5 to 7 days after eyelid surgery during a short follow-up visit. Some techniques use dissolvable sutures that do not need removal. Dr. Brammeier will let you know which type she used and when to come back.

Apply cold compresses gently for the first 48 hours, keep your head elevated, and rest. Dr. Brammeier also recommends arnica and bromelain, natural supplements that can help reduce swelling and bruising. She will tell you when to start them and how much to take. Sleep on your back with extra pillows. Avoid alcohol, smoking, salty foods, and blood thinners such as aspirin, ibuprofen, fish oil, and vitamin E unless your doctor approves them. Following these steps can help you heal faster and look like yourself sooner.

Sleep on your back with your head elevated for at least the first week. Most patients can return to side sleeping after about one to two weeks, once Dr. Brammeier confirms you are healing well. Sleeping elevated helps fluid drain away from the eyes, which reduces swelling.

Most patients can return to contact lenses in about two weeks, and to eye makeup once the incisions have fully closed, usually around 10 to 14 days. Wear your glasses in the meantime. Starting too soon can irritate the incisions or introduce bacteria. Dr. Brammeier will clear you at your follow-up visit.

Light walking is encouraged in the first few days to support healing. Avoid strenuous exercise, heavy lifting, swimming, and bending over for about two weeks, because these can raise pressure in the face and increase swelling or bleeding. Most patients return to their full workout routine in two to three weeks.

Scars from eyelid surgery are usually very hard to see once healed. The incision is hidden in the natural crease of the upper eyelid. As a dermatologic surgeon who specializes in complex closures, Dr. Brammeier takes great care with every incision. Scars are pink at first and fade to a fine, barely noticeable line over several months. Wearing sunglasses and sunscreen helps them heal well in the Florida sun.

Blepharoplasty results are long-lasting. The skin and fat that are removed do not come back. Upper eyelid results often last 10 years or more. Natural aging continues, so some patients consider a touch-up years later, but most enjoy a more rested, youthful look for many years.

No. Dr. Brammeier performs upper eyelid surgery, which treats heavy, hooded, and droopy upper lids. Lower eyelid surgery, sometimes called eye bag surgery, is not offered at Arsenault Aesthetics. For under eye concerns, our team offers non-surgical treatments that can help. PRF under eye treatment and dermal fillers can soften hollows and dark circles, and CO2RE laser resurfacing can tighten thin, crepey skin. We can recommend the best option at your complimentary consultation.

Yes, when the hooding or drooping comes from excess eyelid skin. Upper blepharoplasty removes that skin to restore a visible crease, open the eye, and, in some cases, improve the upper field of vision. If the heaviness comes from a low brow, a brow lift may be the better choice. A drooping lid margin itself, called ptosis, is a different condition that needs a different repair. Dr. Brammeier looks at the whole upper face to find the true cause.

It depends on what is causing the heaviness. If extra eyelid skin is the main issue, blepharoplasty is the answer. If your brows have dropped and are pushing skin down onto your lids, a brow lift may help more. Many patients benefit from both, done together for a balanced, natural result. A simple test: gently lift your brows with your fingertips in the mirror. If your eyes look the way you want, a brow lift may be part of your plan.

For mild changes, non-surgical treatments can improve the eye area. Botox can soften crow's feet and give the brow a subtle lift. PRF under eye treatment and dermal fillers can improve hollowness and dark circles. CO2RE laser resurfacing can tighten crepey skin. These options cannot remove excess skin or fat the way surgery can, so heavy or hooded upper lids usually need blepharoplasty.

Yes. Blepharoplasty is often combined with a brow lift for a full upper face refresh. Once you have healed, treatments such as Botox, laser resurfacing, and medical-grade skin care can help maintain your results and improve the skin around your eyes. Our team can build a plan that fits your goals and timeline.

How Blepharoplasty Works

After the area is numbed with a local anesthetic, Dr. Brammeier makes precise incisions that follow the natural lines of the eyelid. She removes or repositions excess skin, muscle, and fat, then closes the incisions with fine sutures.

Because the incisions sit in the natural crease of the upper lid or just below the lash line, scars are designed to be hidden and typically fade to be barely visible.

Heavy upper lids are sometimes caused by a brow that has dropped over time, not only by extra eyelid skin. Dr. Brammeier looks at the whole upper face during your consultation and may recommend a brow lift, or a brow lift combined with blepharoplasty, for the most natural result.

What to Expect

Your consultation: Every blepharoplasty begins with a complimentary consultation. Dr. Brammeier will talk with you about your goals, review your health history, examine your eyelids, brows, and surrounding skin, and explain which approach she recommends. You will leave with a clear plan and personalized quote.

Before surgery: You will receive instructions to prepare. These typically include stopping certain medications and supplements that can increase bruising (only with your doctor’s approval), avoiding alcohol and smoking, and arranging for someone to drive you home.

The day of your procedure: Your procedure is performed in our Lakewood Ranch office, not a hospital. Dr. Brammeier numbs the area with a local anesthetic so you stay comfortable. You are awake but should feel only pressure, not pain. Upper blepharoplasty typically takes about one to two hours. You go home the same day.

Recovery: Swelling and bruising are most noticeable in the first 48 hours. Sutures are usually removed in 5 to 7 days, most people return to work in about 7 to 10 days, and most bruising fades within two to three weeks. Avoid strenuous exercise, heavy lifting, and bending over for about two weeks, wear sunglasses outdoors, and skip contact lenses and eye makeup until cleared.

Results: You will see an improvement as swelling settles, with your final result visible after a few months. Removed skin and fat do not come back, so most patients enjoy their results for many years.

Pricing: Cost depends on the amount of correction you need and whether it is combined with a brow lift. Because the procedure is performed in our office under local anesthetic, you avoid the hospital and general anesthesia fees that come with many surgical settings. You will receive a personalized quote at your complimentary consultation.

Types of Blepharoplasty

Blepharoplasty is tailored to your anatomy and goals. Dr. Brammeier will recommend the approach that fits you best at your complimentary consultation.

Upper eyelid surgery removes the extra skin that folds over the crease and makes the lids look heavy or hooded. For some patients, sagging upper lid skin rests on the lashes or blocks part of their side vision. Upper blepharoplasty opens the eyes, restores a defined crease, and can make it easier to see and apply makeup.

Dr. Brammeier focuses on upper eyelid surgery and does not perform lower eyelid surgery. For under eye bags, hollows, and dark circles, our team offers non-surgical treatments such as PRF under eye treatment, dermal fillers, and CO2RE laser resurfacing. These can refresh the under eye area with little or no downtime.

Blepharoplasty is a good option if you have droopy or hooded upper eyelids, or excess upper lid skin that touches the lashes or blocks your side vision. Good candidates are in good overall health, do not smoke (or are willing to stop before and after surgery), have no serious eye conditions, and have realistic expectations. It is popular with both women and men.

Heavy upper lids are sometimes caused by a drooping brow rather than extra eyelid skin. In that case, a brow lift, or a brow lift combined with blepharoplasty, may give a better result. Dr. Brammeier evaluates the whole upper face so you get the right procedure.

Dr. Jennifer Brammeier is a double board-certified, fellowship-trained Mohs surgeon who has performed thousands of skin cancer surgeries, many of them on the face, eyelids, nose, ears, and forehead. Repairing these delicate areas after skin cancer removal requires precise, complex closures that heal well and look natural. That same skill set is what makes for refined, natural-looking cosmetic results with discreet scars. Meet Dr. Brammeier.

What Our Clients Say

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Arsenault Aesthetics4.9
Based on 542 reviews
Brenda Keith
3 days ago
Great atmosphere. Very knowledgeable personnel. Friendly and helpful.
Nanette Ocana
1 month ago
I received Botox shots for pain and cosmetic, The doctor and staff were helpful, knowledgeable and professional. I highly recommend them.
Tracey Lockaby
1 month ago
I was able to get a same-day appointment with I can’t remember her name! Kayla? I was seen fairly quickly after I arrived, and the doctor was specific, knowledgeable, helpful, and kind.
Lois U
2 months ago
Best experience ever! From start to finish it was perfect. Everyone was so kind and welcoming and helpful. They listened to what I wanted and explained it all and made suggestions based on their expertise. Which i need to hear! A++
Autumn Rine
3 months ago
Nina is fantastic! She takes her time and listens to all your concerns and explains the procedure well. She's fantastic with the needle and a laser. I had PRP for hair restoration.
Kathryn Elise
4 months ago
I had a great experience. My esthetician was patient, knowledgeable, and a very helpful! I would definitely recommend.
Erin Clougherty
6 months ago
I an so grateful that my friends recommended Melissa after I had a horrible lip filler experience elsewhere. Melissa is the BEST and I will only go to her moving forward! Everyone at the office is so kind and helpful!
Beth Geoghagan
6 months ago
My experience with Lacy at Arsenault Aesthetics has been nothing short of exceptional. Her Microneedling treatments deliver real, visible rejuvenation, and her Hydrafacials feel like a luxurious reset for the skin. Lacy’s technique is precise, her touch is calming, and her results speak for themselves. I trust her completely with my skin and always leave feeling radiant and refreshed. Lacy is incredibly knowledgeable, gentle, and meticulous — she explains every step, customizes the treatment to your skin’s needs, and makes you feel completely cared for. A true professional.
Juliet J
6 months ago
I truly cannot recommend Melissa and her team at Arsenault enough. They are so genuinely kind and welcoming, you never feel like just another appointment. They take the time to talk to you, check in, and make sure you’re comfortable every step of the way. I’m someone who really struggles with a fear of needles, and that’s always been a huge barrier for me. But Melissa and her team are so patient and understanding about it. They never rush me, they explain everything, and they go out of their way to make the whole experience feel calm and manageable. It honestly makes such a difference. They’re also incredibly professional and knowledgeable, which just builds even more trust. I always feel like I’m in good hands and that they truly care about doing what’s best for me. I leave every appointment feeling taken care of and genuinely happy I went. Couldn’t ask for a better experience💗
Betty H
7 months ago
The office is bright, the staff is pleasant, knowledgeable and helpful. Dr. Kessler was wonderful. Took her time and explained everything. Great practice that I definitely recommend.
sean van vleet
8 months ago
Very helpful, honest, and professional staff. I feel very comfortable every time I go. Very pleased with how everything went, and I would highly recommend coming here for your cosmetic needs.
emma m
8 months ago
seriously the best. ive seen Melissa for VBeam twice and Lacy once for Microneedling & they were both amazing so sweet, knowledgeable, gentle and professional. they made me feel completely comfortable & explained everything really well. you can really tell they care about their patients and the results they deliver. the girls helping assist like Maya & Amanda are also the sweetest & always so helpful with everything. the entire team truly goes above and beyond. i would absolutely recommend Arsenault Aesthetics to anyone looking for high quality treatments and a genuinely kind, reputable, professional team!
CoachJoyce
12 months ago
Melissa puts the "P" in professional. She is warm, patient in answering questions, and the results of botox and filler are alwys excellent. The entire team is professional and experience is good. I would highly recommend Melissa.
Mandy Hruby
1 year ago
Melissa and every staff member take their time with me answering any questions. Not pushy. Straightforward. I walked in today looking tired and I know in a few weeks I will look refreshed and like the age I feel on the inside. I've been a client for a few years.I won't go anywhere else!
Carol Plant
1 year ago
I had the sofwave treatment on my face and neck. Jenny and Maya were great. They answered all my questions and made me feel at ease since this was my first experience with this.

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