Eyelid Surgery

Auker Eye Institute based in Pleasanton and Hayward, CA offers extensive experience in eyelid surgery (Blepharoplasty).

About Our Blepharoplasty (Eyelid Surgery) Services

What is Blepharoplasty or Eyelid Surgery?

Blepharoplasty is a cosmetic surgical procedure on the eyelids that can significantly improve the appearance of the upper or lower eyelid. Incisions are made either above the upper eyelid, below the lower eyelid or both, to allow for the surgeon to redistribute or remove fat deposits, tighten muscles and remove excess skin layers.

Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may interfere with vision. It is the most common eyelid procedure to restore a more alert, rested and youthful appearance of the eyes. Eyelid surgery can also improve your vision by opening up your field of view once the droopy eyelids are improved.

At Auker Eye Institute, we have extensive experience with Blepharoplasty and practice the surgery in our offices near Hayward and Pleasanton, California. Contact us for a blepharoplasty evaluation here.

What to Expect During Eyelid Surgery?

Dr. Auker will make incisions that follow the natural folds of the eyelids. He will then remove, tightens the excess skin, muscle and/or fat from the upper or lower eyelids. Next, the incisions will be sutured. Because Dr. Auker makes his incisions in very deliberate areas so as to be concealed by the natural folds of the eyelids, as a result, the incisions are barely noticeable or not noticeable at all.

The recovery after the procedure rarely involves more than some slight swelling and bruising, dry eyes and minor discomfort.

Post-Operative Instructions Eyelid Surgery

Congratulations! Everything went great, You’re on your way! But, we need your help to minimize bleeding and swelling. For the first 48 hours after surgery keep your head elevated as much as possible. When sleeping, prop yourself up with at least 3 pillows, or greater than 30 degrees.

Do not blow your nose. Do not strain, lift, or bend over. Apply direct pressure over the incision, blotting away any oozing, every 3O mins on the day of surgery.

Apply cold packs over the eyelids as much as possible for the first 24-48 hours. Do NOT apply ice directly to the skin. You will be most swollen the day or 2 after surgery. There will be bruising involved during the healing process. This will dissipate in one-two weeks.

Dr. Auker believes that Arnica (Pellet form is recommended) , a natural herbal preparation, speeds the resolution of bruising. You may purchase this at Whole Foods. It is best to start using this the day after your surgery.

Keep your steri-strip/suture areas dry until they are removed. Your sutures will be removed in one week, unless absorbable sutures are used. You may take Tylenol as needed for pain. DO NOT take aspirin. If you notice unexpected swelling, pain, or redness around the area, immediately call Dr. Auker at (925) 931-1090

Who is a good candidate for eyelid surgery?

As with all surgical procedures, the best candidates for eyelid surgery are non-smokers, who are in generally good health, and who have real expectation about their surgical outcome. Patients who have excessive drooping and sagging of skin around eyes, who are unhappy with “the bags” under the eyes will be benefit from eyelid surgery. Dr. Auker’s goal is to restore the rested, youthful appearance for you. Please call our office at 925-931-1090 to schedule an appointment for a consultation. If you are a good candidate, Dr. Auker will discuss with you regarding the surgical technique, amount of surgery, goal and expectation. He will also take measurements and “before” pictures to help him plan his treatment options. He will answer any questions you may have. You will be shown before and after pictures of our patients whom have had the procedure.

Eyelid Surgery Gallery (Before/Afters)

Treatment for patients with Ptosis or Ectropion

Most often, eyelid surgery is a cosmetic treatment. However, it is also done for functional reasons for patients with ptosis or ectropion.


Ectropion is the medical term used to describe a condition where the lower eyelid turns or rolls outward, exposing the inner surface of the eye. This condition interferes with normal distribution of tears on the eye surface, resulting in dry, painful eyes and chronic conjunctivitis. Ectropion is usually caused by the weakening of the connective tissue of the eyelid, due to aging.

It may also occur as a result of scar tissue or from facial nerve paralysis such as Bell’s Palsy. Eyelid surgery is usually effective to tighten the muscles that hold the eyelids in place, thereby, it can improve both the appearance and the function of the eye.


Ptosis is a condition where the upper eyelid droop over the pupil blocking vision. Ptosis is commonly caused when the levator muscle in the eyelid is stretched over time due to age. Some patients are simply born with droopy eyelids and are genetically predisposed to the condition.

The best treatment option for ptosis is usually eyelid lift surgery, which is designed to reattach the stretched muscle back to its normal location.

Will my insurance cover eyelid surgery?

The eyelid surgery procedure cost varies, depending on the extent of eyelid surgery you need. If it is a cosmetic procedure, it will not cover by your insurance. If it is a functional eyelid surgery procedure, then Medicare or your private health insurance likely will cover, however, a prior authorization may be required before you can proceed with the surgery. Please contact our office at 925-931-1090. We will be happy to answer any of your concerns.
We’re conveniently located in Pleasanton, California.

Our Mission

“To deliver the highest standard of care possible while providing the best clinical judgment, surgical skills and quality outcomes available anywhere.”

Our Services

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