Eyelid Surgery

Conveniently located to serve the areas of Santa Ana, San Clemente and Orange County, CA

Blepharoplasty is a general surgical term that includes many different procedures all aiming to improve and rejuvenate the eyes. Eye surgery or blepharoplasty, offered at our Orange County Cosmetic & Plastic Surgery office, is one of the most common cosmetic surgery procedures performed today.

Before and After Photos

What is Eyelid Surgery?

You use your eyes to communicate all the time, and you don’t want them to make you look tired or old. Eyelid surgery can be used to address droopy upper eyelids or puffy lower eyelids. By removing the excess tissue and correcting wrinkles, the eyes can be returned to their more youthful appearance making you look happier and well-rested and giving you the confidence you desire.

Ideal Candidates

If you are considering eyelid surgery, you will first consult with Dr. Roham, who will go into detail about what qualifies a person for this surgery. The following may be characteristics of good candidates for eyelid surgery:

Good health: Blepharoplasty candidates should enjoy good health, free from eye disease, such as glaucoma, as well as other medical conditions, like hypothyroidism and diabetes. Additionally, it is best that candidates are non-smokers. Smoking and tobacco use can have significant effects on health, but when it comes to surgery, this bad habit can drag out your recovery and slow down the healing process. If you do smoke, consider quitting before your procedure.

Realistic goals and expectations: Blepharoplasty is an excellent solution for enhancing your appearance and allowing you to feel more comfortable with the way you look. However, this procedure will not make you look like a totally different person or drastically change the structure of your face. Instead, you may find that you look like a younger, more refreshed version of your current self, which is a great improvement on its own. If you are looking for more dramatic results, speak with our experts about other procedures that may be performed in addition to or instead of blepharoplasty.

Significant eyelid sagging: Sagging eyelids can significantly change the way you look. In some cases, the extent of sagging is such that it causes the eyelids to droop into your field of vision; it can lead to issues with your seeing clearly. Eyelid surgery removes this excess sagging skin, allowing you to enjoy clear vision and a younger appearance once again.


The techniques used in your blepharoplasty procedure will be tailored to your individual concerns and needs. If excess drooping upper eyelids are your concern, incisions will be used in the upper eyelids for lifting and tightening. If puffy lower eyelids and under-eyes are a concern, liposuction techniques may be used in this area. During your consultation with Dr. Roham, he will assess your concerns and help create a plan to make you look your best.


Eyelid surgery is performed in our Orange County office under local anesthesia or I.V. sedation and generally takes between 1-2 hours. You will be able to go home after your procedure. Dr. Roham makes tiny incisions in the natural creases of your eyelids to leave virtually no visible scarring. Excess skin is removed and the fatty deposits are excised or repositioned. The overall effect is a tightening of the lids to produce a youthful appearance. The results of upper and lower eyelid surgery are dramatic! Our patients look many years younger.

Upper Eyelid Blepharoplasty

During the upper eyelid lift procedure, excess skin, muscle, and fatty tissue are removed from the upper eyelids. Dr. Roham uses a CO2 laser to make his incision in order to minimize bleeding and optimize recovery.  The upper eyelid surgery incision is hidden in the natural creases above the eyelids. One fine stitch is used to close the incision which will be removed subsequently.

Lower Eyelid Blepharoplasty

The latest advances in Blepharoplasty or Eyelid Surgery involve conservative removal of herniated fat and skin with CO2 Laser resurfacing of the wrinkly skin. Most importantly Dr. Roham believes in the replenishment of the lost volume around the eyes using your own body fat or dermal fillers (Restylane, Juvederm). This combined approach for lower eyelid surgery that is used by Dr. Roham tends to avoid the operated look and creates a very natural youthful shape to the eye.

Puffy Eyes or Eye Bags Removal

Dr. Roham is an expert in treating puffy eyes and removing the bags under the eyes. This is also a very popular procedure in our office. The incisions are made in the natural creases under the eyes and are practically invisible. They are made in a crease about 1 mm underneath the lash line so that they can be completely hidden and camouflaged. The excess fat and skin can be removed through the incision and a tiny absorbable stitch is placed to close the incision. Recovery is generally between 5-6 days.


You may return to light activities the day after surgery eyelid surgery. There may be very mild discomfort and bruising after eyelid surgery that is easily managed with the medication prescribed to you by Dr. Roham. The recovery from this procedure is minimal, stitches are removed in 5-6 days and the patient can resume normal activity within one week.  As with all surgery at Advance Laser and Cosmetic Plastic Surgery in Orange County, you will be given detailed before and after surgery instructions, and Dr. Roham will be available to answer questions and guide you along the way.

Surgery Duration

The length of the procedure depends on the complexity and number of procedures performed. Dr. Roham will discuss the length of your treatment at the consultation.

How long until my eyelid surgery stitches dissolve?

The sutures dissolve or are removed within the first few weeks after the procedure.

How long should bruising last after eyelid surgery?

The bruising resolves within the first one to two weeks.

Results Duration

Your eyelids will appear naturally enhanced permanently. As the aging process continues, wrinkles and saggy skin will reappear. You may consider nonsurgical treatments to prolong a rejuvenated appearance after cosmetic surgery.

Frequently Asked Questions (FAQs)

What is the best age for blepharoplasty?

Although there are many factors that go into determining a patient’s candidacy for blepharoplasty, being a certain age is not necessarily one of them. Of course, as we get older, the effects of time become more apparent in our bodies, especially the face, where lines, wrinkles, volume loss, and sagging tend to set in. However, due to genetics and other factors, even younger patients can experience loose skin on the eyelids and may opt to have eyelid surgery to look their best. Blepharoplasty is recommended when the procedure can address the concerns of the patient safely and effectively. To determine if this procedure is right for you, schedule a consultation with Dr. Roham soon.

Can other procedures be combined with blepharoplasty?

Dr. Roham knows that patients often have an ideal result in their minds before visiting him. However, the wide range of available procedures can leave patients confused about which treatment or combination of treatments can give them the results they desire.

Blepharoplasty alone can certainly deliver excellent results, but Dr. Roham incorporates the specific needs and goals of the patient into a tailored treatment plan that can include additional procedures to provide even better results.

Will my results appear natural?

Some patients are hesitant to undergo this type of surgery due to fears that their results will not look natural. Fortunately, Dr. Roham has the technical expertise to create beautiful, natural-looking blepharoplasty results.

When can I resume exercise after surgery?

Blepharoplasty is associated with minimal recovery, and many individuals feel ready to resume their normal activities within one week of surgery. However, exercise and strenuous activity should be cleared by Dr. Roham first.

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Eyelid Surgery for only $285/mo

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Schedule your Free Orange County consultation

We are one of the top centers in Orange County specializing in Eyelid Surgery. Exceptional results of blepharoplasty bring patients from all over Southern California to our office. Besides removing the access skin that is usually performed in other offices, our doctors also perform the fat transfer, if needed, to achieve those amazing results that you can see on our Before and After photos. Schedule your complimentary consultation with Dr. Roham, your Santa Ana & San Clemente cosmetic plastic surgeon!