Eyelid Surgery

In St. George, UT & Mesquite, NV

The skin on our eyelids and surrounding our eyes is among the thinnest on the entire human body. This enables subtle movement that can be important for forming expressions, but it is a detriment when it comes to aging. Because our eyes are constantly exposed to the sun, wind, and elements, the skin is prone to damage. When you add in the continuing decline of collagen production (collagen is the protein that provides the structural framework for our skin) as we age, you have the perfect formula for sagging eyelids, puffy skin under our eyes, and an overall older, more tired appearance.

Both Dr. Richens and Dr. Tarbet are board-certified plastic surgeons and they perform eyelid surgery to rejuvenate the eyelids and surrounding skin for our patients in St. George, UT, and Mesquite, NV. Dr. Tarbet is also the owner of Amara Med Spa in St. George.

What Is Blepharoplasty?

Eyelid surgery, clinically known as blepharoplasty, has the goal of reducing the age of the patient’s eyes. It can be done on either the upper or lower eyelids or on both. Dr. Richens and Dr. Tarbet remove excess skin and tighten underlying support muscles. Fat is usually repositioned rather than removed. This keeps the patient from acquiring a hollow appearance. Bags beneath the lower eyelids are improved. This procedure is very satisfying for our patients. It is believed that blepharoplasty takes about a decade off a person’s facial age.

What Is Transconjunctival Blepharoplasty?

We also perform what is known as transconjunctival blepharoplasty on the lower eyelids. Surgery on the lower eyelid can be performed through an incision made along the eyelash line, or through an incision made within the inner eyelid. This method is called transconjunctival blepharoplasty.

Transconjunctival blepharoplasty leaves no outer scars, and it can involve less trauma and bruises around the eyes. This can make for a faster recovery but It isn’t right for all patient scenarios, however.

Candidates For Eyelid Surgery

Eyelid surgery is one of the top five most performed cosmetic surgeries every year for a simple reason — it delivers dramatic, but subtle, improvements to the patient’s facial age. Eyes that were tired now look refreshed. The person looks more alert. Blepharoplasty is also popular with both women and men, as eyelid aging shows no preference for gender.

What Is A Good Age For Blepharoplasty?

Most people over the age of 40 could benefit from eyelid surgery. This is especially true in sunny, dry locales such as St. George and Mesquite, where the sun is a constant source of skin aging. If you’ve spent a good deal of time outdoors, it’s likely that eyelid surgery would be a good procedure to reverse the effects of the sun on your eyelids. Other people have a genetic disposition toward forming under-eye bags.

What Our Patients Have To Say

“Excellent! Great atmosphere very neat and tidy office everyone is very friendly and very helpful I haven’t had my eyes checked in a long time and I’m glad I did because I got what I needed. Great experience!” – Rachelle O. 

The Blepharoplasty Procedure

Drs. Richens and Tarbet both have extensive experience with this delicate surgery. Patients can opt to have surgery done on either the upper or lower eyelid, or both. For that reason, the surgery can take from 45 minutes to two hours.

Upper Eyelids

On the upper eyelid, a small incision is made in the natural crease of the eyelid. This conceals any visible scarring. Muscles are tightened as needed, fat is repositioned, and excess skin is trimmed. Unless there is an abundance of fat, the fat is repositioned rather than removed. This avoids the hollow look that you may have seen from other botched procedures. Repositioning the fat creates the natural look that we seek with these procedures.

Lower Eyelids

On the lower eyelid, we place the incision just below the lower eyelash or sometimes within the inside of the eyelid (transconjunctival method). This depends on the

patient’s eyelid characteristics. Additional excess skin may be removed on the lower eyelid if it is causing puffiness and excessive wrinkling beneath the eye.

Recovery From Eyelid Surgery

Close up of a young womans eyes

Another great thing about eyelid surgery is that the recovery is not overly difficult. After your procedure, you’ll return home with a cold compress that we provide and some lubricating eye drops. If you are diligent with the application of your cold compress you can minimize swelling and bruising. This is not a painful recovery, either. Pain is usually manageable with over-the-counter medication.

After one week, your stitches will be removed and your eyelid recovery is usually mostly complete. You may have some on-again, off-again slight swelling, but this resolves in a few weeks. You can usually return to work in just 3-5 days.

Risks Of Eyelid Surgery

Blepharoplasty is one of the most popular cosmetic surgeries every year because it delivers great results and the risks are very low. Still, there are the usual risks with any surgery: excessive bleeding, poor wound healing, reaction to anesthesia, and the like. Specific to this surgery, risks involve injury to the eye muscles, difficulty closing your eyelids, and potential dry eye. These are all very rare; this is an effective, safe procedure.

How Long Will My Blepharoplasty Results Last

While the changes made in your surgery with Dr. Richens or Dr. Tarbet are permanent, of course, they won’t stop the march of time. Your eyes will continue to age and tissues will sag to a degree. But, they will begin aging from a much younger starting point. The excess skin removed and the tightening of the muscles involved will deliver results that last the rest of your life.

A great thing about eyelid surgery with the Richens team is that it delivers dramatic improvements to your facial aging, yet people won’t have any idea you’ve had surgery. Unlike other cosmetic surgeries, such a facelift, eyelid surgery is very subtle. People will notice that you look refreshed, more alert, and younger, but they won’t have any idea why. How great is that?!

Schedule a Consultation

To schedule a consultation or to learn more information about Eyelid surgery, contact us today. We serve St. George, UT, Mesquite, NV, and the surrounding areas, and are proud to associate with Dr. Tarbet's Amara Med Spa.

Call or Text

Get Directions

latest blog posts

What is the difference between Lasik and ICL?

Many of the patients who visit Richens Eye Center have questions about ways in which they can improve their vision. For most, prescription eyeglasses and contacts are the way to go. However, some patients want freedom from eyewear and are interested in learning about surgical procedures that can help them see better. For some patients, …

What is the difference between Lasik and ICL? Read More »

Am I a candidate for iLASIK?

Patients who struggle with refractive errors such as nearsightedness and farsightedness, including problems such as astigmatism, may be tired of dealing with contact lenses and eyeglasses to maintain proper vision. In situations such as this, patients in the areas of Mesquite, NV and St. George, UT may want to ask an eye doctor about the …

Am I a candidate for iLASIK? Read More »



Scroll to Top