Blepharoplasty
In Atlanta, GA Dr. Alexandra Hart
The eyes are often the first place facial aging becomes noticeable. Heavy upper lids, under-eye puffiness, and excess skin can create a tired or stern appearance that doesn’t reflect how you feel.
At Dr. Alexandra Hart Plastic Surgery in Sandy Springs, blepharoplasty is approached with restraint, precision, and deep respect for facial harmony. Dr. Hart focuses on restoring openness and definition to the eyes while preserving their natural shape or character.
Dr. Hart approaches eyelid surgery as one of the most nuanced procedures in facial plastic surgery, where small misjudgments can dramatically affect expression. In her boutique Sandy Springs practice, every blepharoplasty is crafted to restore clarity to the eyes while preserving the features that make them uniquely yours. We invite you to schedule a private consultation to explore our upper and lower blepharoplasty and brow rejuvenation options.
Treatment Goal: Restore a refreshed, alert appearance by removing or repositioning excess eyelid skin and fat.
Upper & Lower Eyelid Options: Upper blepharoplasty, lower blepharoplasty, or a combination approach.
In-Office or Surgical Care: Upper eyelid blepharoplasty may be performed in-office for select patients.
Complementary Procedures: Often combined with brow lift techniques for optimal upper-face balance.
Natural Results: Refinement without an overdone or hollowed look.
Blepharoplasty, commonly called an eyelid lift, is a surgical procedure that improves the appearance of the upper eyelids, lower eyelids, or both.
The procedure addresses excess skin, muscle laxity, and protruding fat that contribute to a tired, heavy, or aged appearance.
Dr. Hart evaluates the eyelids as part of the entire upper face, considering brow position, skin quality, eye shape, and facial structure. This comprehensive approach ensures results that look natural, balanced, and harmonious.
Your consultation begins with a detailed assessment of eyelid anatomy, brow position, skin elasticity, and facial balance. Dr. Hart will determine whether upper eyelid surgery, lower eyelid surgery, a brow lift, or a combination approach will best achieve your goals.
Procedures may be performed in-office or off-site, depending on complexity. Incisions are meticulously placed to heal discreetly, and the focus is always on subtle refinement rather than dramatic change.
Upper Eyelid Blepharoplasty
Upper eyelid blepharoplasty removes excess skin that can cause hooding or heaviness over the eyes. In some patients, this excess skin may even interfere with vision. For appropriate candidates, upper eyelid blepharoplasty can be performed in the office under local anesthesia. The incision is carefully placed within the natural eyelid crease, allowing scars to heal discreetly.
Lower Eyelid Blepharoplasty
Lower eyelid blepharoplasty addresses puffiness, under-eye bags, lax skin, and creasing beneath the eyes. Rather than simply removing fat, Dr. Hart focuses on repositioning and refinement to avoid a hollow or overcorrected appearance. Depending on the anatomy and goals, lower eyelid surgery may be performed through an incision hidden just below the lash line or through an incision inside the eyelid.
In some cases, eyelid heaviness is caused not by excess eyelid skin alone, but by a descending brow. Treating the eyelids without addressing the brow can limit results.
Dr. Hart offers advanced brow lift techniques, often combined with blepharoplasty to create a smoother, more balanced upper face:
Blepharoplasty refines a delicate anatomical area to brighten and open the eyes, delivering natural-looking, long-lasting results.
Ideal candidates are healthy adults who are bothered by droopy upper lids, under-eye bags, or a tired-eye appearance. During your consultation, Dr. Hart will help determine whether blepharoplasty alone or a combined approach with a brow lift will best suit your anatomy and goals.
Recovery is typically well tolerated.
Initial Healing: Mild swelling and bruising are common and improve over the first 1 to 2 weeks.
Activity: Most patients return to normal daily activities within several days, avoiding strenuous exercise temporarily.
Aftercare: Detailed instructions are provided to support healing and minimize swelling.
Once healed, the eyes appear brighter, smoother, and more refreshed.
Results are long-lasting and age naturally with the face. Patients often report looking more rested and approachable—without looking like they’ve had surgery.
Eyelid surgery is one of the most nuanced procedures in facial plastic surgery, where small misjudgments can dramatically affect expression.
Dr. Alexandra Hart is a board-certified plastic surgeon who brings advanced anatomical knowledge to every blepharoplasty and brow lift she performs. In her boutique Sandy Springs plastic surgery practice, eyelid surgery is never rushed or standardized. Each procedure is crafted to restore clarity to the eyes while preserving the features that make them uniquely yours.
Blepharoplasty results are long-lasting. Most patients enjoy improvement for 10 years or longer, depending on skin quality, genetics, and lifestyle. While the eyes continue to age naturally, they do so from a more refreshed baseline.
When performed by an experienced plastic surgeon, blepharoplasty is designed to preserve your natural eye shape and expression. Dr. Hart focuses on refinement, not alteration, avoiding the hollowed or “overdone” look that can occur with aggressive techniques.
Upper eyelid blepharoplasty may be partially covered by insurance only if excess skin significantly obstructs vision and specific criteria are met. A visual field test is typically required. Cosmetic eyelid surgery is not covered, and as a cosmetic practice, Dr. Alexandra Hart does not accept insurance.
Incisions are placed in natural eyelid creases or inside the eyelid, where scars heal discreetly. Over time, scars usually fade significantly and are difficult to detect once fully healed.
Yes. Blepharoplasty is commonly combined with brow lift surgery, skin resurfacing, or other facial balancing or rejuvenation procedures to achieve more balanced, comprehensive results. Combination procedures are discussed during consultation.
Many patients return to work and normal daily activities within 7 to 10 days, depending on swelling and bruising. Upper blepharoplasty patients can sometimes return to work in a week, but more extensive procedures will require more downtime, typically within 10 days. Makeup can typically be worn after incisions have healed, helping camouflage any remaining discoloration.
