Brookfield Eyelid Surgery: Blepharoplasty

There are many factors that contribute to how the eye area ages. The result can be excess skin, excess fat, wrinkles, crepey skin or sagging tissue. In addition, how your brow ages and its position can affect the eye. Also, the upper lid can age very differently than the lower lid. Some of these changes can be addressed with surgery but others will require non surgical treatments like Botox, dermal fillers, facial treatments and medical grade skin care. Which route you choose will depend on how you have aged, your anatomy and your goals.

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Upper lid 

Excess skin on the upper lid is responsible for a tired or unrested appearance. The excess skin and fat on the upper lid is addressed with an eyelid lift or Blepharoplasty. There is not a nonsurgical option for this.

An upper lid  blepharoplasty is done in the operating room. It is a short 1 hour, outpatient surgery with minimal downtime.  Dr. Bonness will make incisions in the natural crease in the upper lid and remove excess skin and fat. The majority of the incision is hidden in the crease and not visible. There will be some mild swelling and bruising. Patients can resume normal light activity immediately the next day and return to work in one week. 


In some patients their brow is low and contributing to the excess skin of the upper lid. In this case both an upper lid blepharoplasty and browlift would be recommended. For the browlift an incision is hidden in the hairline, the skin and muscle of the forehead are elevated and excess skin removed pulling the brow up off the lids to a more youthful position. The procedure is done in the operating room under general anesthesia. The surgery is 2 hours and adds a little more time to your recovery. Patients usually will return to work in 1.5 weeks. 

Upper lid blepharoplsty and browlift, whether done separately or apart, can dramatically refresh your appearance.

Post Eyelid Surgery

With Post Eyelid Surgery you may anticipate some bruising and swelling, which will diminish as the days go by. Nonnarcotic pain relievers can help with discomfort during the first few days after your procedure.

It is important you refrain from strenuous aerobic activities and keep the head elevated to reduce minimize swelling.

Risks after upper eyelid surgery are extremely rare. Be sure to follow all instructions provided by Dr. Bonness in order to reduce these risks and/or other complications.

A board certified plastic surgeon, Dr. Bonness has more than 20 years of experience with eyelid lifts and facelift surgery. She has the training and qualifications to help you regain a more youthful facial appearance and natural-looking results. Schedule an initial consultation with Dr. Bonness to discuss your options with eyelid surgery.

Is Blepharoplasty Worth It?

Before officially deciding to go under the knife, you might hesitate and question if the eyelid procedure is worth it. Having second thoughts might scare you away, resulting in regret and unhappiness with your appearance.

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Don’t be your own worst enemy, consider the benefits in having younger-looking eyes. Whether the surgery is medically necessary, or just a cosmetic adjustment, Dr. Bonness provides the results and the look you want.  

Cosmetic reasons for eyelid procedure:

  • To look younger, more attractive
  • Physically appear closer to your actual age

Blepharoplasty offers solutions to medical problems, such as:

  • Irritating extra skin while wearing contact lenses or glasses
  • Obstructed view due to hanging eyelid skin
  • Excess skin from eye folds rub uncomfortably together
  • Straining muscles to lift sagging eyelid skin

Lower lid

The lower lid ages with the development of loose skin, excess fat bags/bulges or a hollowed out tear trough area. Due to the constant muscle activity with smiling, the thin skin under the eye becomes criss-crossed with fine lines, giving it a crepey appearance. In addition, loss of cheek volume and dropping will add to the aged look of the area.

In general, surgery can only be done to remove the skin and fat causing the the bags and bulges. Dermal fillers can add volume to the cheek and tear trough area and Botox can be done to help soften the lines on the sides of the eye (crows feet). Despite doing all this, you still may be left with the fine criss-crossed crepey skin. The only way to improve this is with resurfacing treatments like SkinPen, Fractora and daily medical grade skin care.

Out of all the areas on the face the lower lid is the most challenging for patients to assess and determine what they need. We strongly recommend that you see Dr. Bonness for a consultation and an honest appraisal of what can be achieved. If it requires surgery she will direct you to an expert whom she trusts. For all other concerns, Botox, dermal fillers, lasers, skin care, she can help.

Physician-Grade Skincare

Our Wisconsin Medi Spa provides a variety of non-surgical cosmetic procedures to improve your skin and body, including:

Medical Spa

Dr. Bonness offers a variety of laser systems and injections to meet our patient needs. Some of our treatments include:

Cosmetic Surgery

At our Milwaukee area Cosmetic Clinic, we offer a variety of plastic surgery options. Our most popular treatments include: