Tired eyes, hooded lids, and under‑eye bags can make you look more fatigued than you feel. Blepharoplasty (eyelid surgery) is a precise procedure that refreshes the eye area while keeping your natural expression intact. At Dr. Richard Peck’s practice in Northern New Jersey, we focus on subtle, balanced results—never “overdone.”
What Blepharoplasty Can (and Can’t) Do
Can help with:
- Heavy or hooded upper eyelids that hide the crease
- Puffy under‑eye bags from fat prolapse
- Mild to moderate skin laxity and fine lines around the lids
Won’t address on its own:
- Brow descent (often better treated with a brow lift)
- Pigment‑based dark circles
- Crow’s feet caused primarily by muscle activity (often treated with neuromodulators)
Dr. Peck will evaluate whether your concerns stem from eyelid skin, fat, muscle, or brow position—and recommend a plan that fits your features.
Upper vs. Lower: How the Procedures Differ
Upper Blepharoplasty
- Removes excess skin and carefully addresses muscle and fat if needed
- Incision rests in the natural upper lid crease for a discreet scar
- Goal: open the eyes, restore a natural crease, and reduce heaviness
Lower Blepharoplasty
- Improves under‑eye bags and crepey skin
- Techniques include transconjunctival (inside the lower lid, no external scar) for fat pockets and/or a conservative skin pinch for lax skin
- May be paired with laser resurfacing to smooth fine lines
Who’s a Good Candidate?
- Healthy adults with stable vision and realistic goals
- Persistent heaviness or bags not improved by skincare alone
- For some, a brow lift or non‑surgical option may be a better first step—your consultation will clarify this
Anesthesia Options
- Local anesthesia (often with oral sedation) for many upper eyelids
- IV sedation may be recommended for combined or lower eyelid procedures
Our priority is your comfort and safety while maintaining meticulous control for the most natural result.
Recovery: What to Expect
- Day 1–3: swelling and mild bruising; cold compresses and head elevation help
- Days 4–7: stitches (if used) are typically removed around a week
- About 1–2 weeks: many patients feel “public‑ready” with light concealer
- Weeks 2–6: residual swelling continues to settle; results refine
You’ll receive gentle aftercare guidance (eye lubrication, activity limits, makeup/contacts timelines) tailored to your procedure.
How Long Do Results Last?
While eyelids continue to age naturally, upper blepharoplasty improvements often last many years, and lower eyelid contouring can be long‑standing. Sun protection and good skincare help maintain results.
Dr. Peck’s Approach: Natural, Balanced, You
As a board‑certified plastic surgeon, Dr. Peck blends surgical precision with an aesthetic eye. He avoids over‑resection, preserves vital support structures, and uses conservative volume management for a refreshed—not altered—look.
Considering Your Options
Not everyone needs surgery. Depending on your goals, we may recommend:
- Laser resurfacing for texture and fine lines
- Neuromodulators for crow’s feet
- Filler for select tear‑trough concerns (when appropriate)
We’ll help you choose the path that matches your anatomy and timeline.
Ready to Refresh Your Eyes?
If you’re exploring eyelid rejuvenation, schedule a consultation with Dr. Peck in West Orange or Cedar Knolls. We’ll map a plan focused on harmony, safety, and a naturally brighter look.
Frequently Asked Questions
Is blepharoplasty cosmetic or functional?
Both. Many patients pursue cosmetic improvement, while others seek functional relief when heavy lids impair vision. Dr. Peck can advise if testing for functional coverage is appropriate.
How painful is eyelid surgery?
Most patients describe mild discomfort and a sensation of tightness for a few days, controlled with over‑the‑counter medication and cold compresses.
When can I wear contacts or makeup again?
Contacts typically after 1–2 weeks (when the eyes are no longer irritated); makeup usually after stitches are removed and incisions have sealed—your instructions will specify exact timing.
Will there be visible scars?
Upper lid incisions hide in the natural crease; lower lid approaches can be internal (no external scar) or placed just under the lashes and usually become faint over time.
How soon can I return to work?
Light, non‑strenuous work is common within 7–10 days depending on bruising/swelling and your comfort being seen in public.
What are the risks?
Temporary dryness, bruising, swelling, or asymmetry can occur. Serious complications are rare but discussed in detail during your consultation.
Next reads in this series:
• Upper Blepharoplasty: From Hooded Lids to a Natural Crease
• Lower Blepharoplasty for Under‑Eye Bags: Techniques & Recovery
• Non‑Surgical Eyelid Rejuvenation: What Works—and When Surgery Wins
This page is educational and not a substitute for a medical evaluation. For personalized advice, please book a consultation.