Plastic Surgery


Otherwise known as the excess “baggy” skin of the eyelids, the medical term is dermatochasasis. Eyelids provide a vital part of a person’s overall facial appearance.


During the aging process, the amount of excess skin and quality of skin changes, leading to a sagging or baggy quality.


Apart from age, heredity and sun exposure can alter the skin of the eyelids.

Treatment Options

The procedure that removes excess skin is described as blepharoplasty. This procedure can be performed for medical necessity when it affects one’s peripheral vision. In order to define medical necessity, a full consultation with an oculoplastic surgeon is helpful. This procedure also can be performed for cosmetic purposes to attain a more rejuvenated appearance of the eyelids. Cosmetic blepharoplasty is the third most common plastic surgery procedure performed in this country.

Upper Blepharoplasty

For the upper eyelids, excess skin and puffiness can be eliminated by a surgical procedure that “hides” the incision line by placing it in an area where the skin naturally creases. It is an outpatient procedure requiring local anesthetic and mild sedation. It normally takes 20 minutes for each eyelid. This procedure can be performed for medical or cosmetic purposes and is one of the most common procedures performed in the world.

Lower Blepharoplasty

The puffiness and sagging skin of the lower eyelids can be eliminated by a surgical procedure that involves no external incision, called a transconjunctival blepharoplasty. It can also be performed externally through the skin where the incision is hidden by the lower eyelid lashes. Both procedures are an excellent approach to rejuvenating the appearance of the lower eyelids. This procedure is not covered by medical insurance as it is a purely cosmetic procedure. Similar to the upper blepharoplasty, this procedure is performed on an outpatient basis.

Commonly, a lower blepharoplasty and upper blepharoplasty are performed at the same surgical setting.

Additional Information

During the initial consultation with Dr. Pak, a visual field test and photography will be performed. These are vital elements to the examination and help facilitate the appropriate approach for your care.

View patient education videos to learn more