Eyelid Surgery (Blepharoplasty)

Bright, engaging eyes are both attractive and expressive. But dark circles, bags, and sagging skin can dull the vibrance of your eyes even when you’re younger. Eyelid surgery is a popular and versatile procedure that can improve the aesthetics of the eye area and correct functional issues related to excess or drooping eyelid skin.

What Is Blepharoplasty?

Blepharoplasty is a surgical procedure that addresses both cosmetic and functional concerns involving the upper and lower eyelids. Depending on a patient’s goals, it can remove excess skin and fat that cause hooding or under eye bags, restoring a more rested and alert appearance. In cases where overhanging skin impairs the visual field, the procedure can improve vision. Some patients pursue upper blepharoplasty alone, others focus on lower eyelid rejuvenation, and many benefit from combining both for comprehensive results.

Dr. James Chan specializes in eyelid surgery at Réviance Plastic Surgery, bringing an approach that accounts for each patient’s unique anatomy, aesthetic goals, and overall facial harmony. Stanford-trained and double board-certified, Dr. Chan offers individualized care and advanced surgical techniques developed across thousands of procedures. Whether you’re seeking subtle rejuvenation or addressing a functional concern, Dr. Chan creates a treatment plan tailored to your needs, budget, and preferences, which may include complementary procedures to enhance your overall results.

Your Oregon Eyelid Surgery Specialist

Our double board-certified facial plastic surgeon, Dr. James Chan, specializes in eyelid surgery—known clinically as blepharoplasty—serving patients from the following areas and throughout the West Coast:

• Portland, OR
• Clackamas
• Lake Oswego
• West Linn

Eyelid Surgery
 Before & After Photos

Case: 1 of 9

Keep in mind that each patient is unique and your results may vary.

Case: 1 of 8

Facelift and Lower Blepharoplasty

Before & After

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The patient, an active 61-year-old male entrepreneur, sought a Facelift in Portland to rejuvenate his appearance and restore volume to his facial features. Dissatisfied with a lackluster jawline, under-eye appearance, and overall facial sag, he hoped a facelift and eyelid surgery could provide a refreshed, more youthful look. With motivating... Read More

Keep in mind that each patient is unique and your results may vary.

Case: 2 of 8

Upper eyelid surgery

Before & After

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This patient, a 72-year-old woman, sought elective eyelid surgery to address excess upper eyelid skin that made her appear tired and less refreshed than she felt. She desired a subtle change that would restore a more youthful, energetic look while maintaining her natural features. Her goals were to improve her overall facial appearance and to... Read More

Keep in mind that each patient is unique and your results may vary.

Case: 3 of 8

Blephroplasty

Before & After

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The above patient sought eyelid surgery to address age-related changes around her eyes. She noticed sagging of the upper eyelids, which gave her a tired appearance. After considering her options, she prioritized finding a board-certified surgeon with significant experience in eyelid surgery in Portland. Her main goal was to achieve a refreshe... Read More

Keep in mind that each patient is unique and your results may vary.

Case: 4 of 8

Upper blepharoplasty

Before & After

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This patient sought eyelid surgery in to address concerns that her eyes made her look persistently tired. Her goal was to achieve a refreshed appearance while maintaining a natural look. With a busy lifestyle, she prioritized a procedure that would allow for a swift recovery and minimal disruption to her daily routine.During her care,... Read More

Keep in mind that each patient is unique and your results may vary.

Case: 5 of 8

This is a 71 yo female 6 months after lower blepharoplasty with fat transposition

View Case Details

When it comes to undergoing a procedure such as Eyelid Surgery (in Portland specifically), motivations can vary, but achieving a refreshed and youthful appearance is often a common goal. This female patient chose to undergo eyelid surgery, otherwise known as blepharoplasty, due to her desire for brighter, more awakened eyes. She trusted her a... Read More

Keep in mind that each patient is unique and your results may vary.

Case: 6 of 8

Male blepharoplasty

Before & After

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This patient elected to undergo eyelid surgery to address the appearance of heavy, tired-looking eyelids. His main goal was to achieve a more rested and natural look while maintaining his masculine features. He preferred a minimally invasive approach that would create subtle changes without obvious signs of surgery.The procedure involv... Read More

Keep in mind that each patient is unique and your results may vary.

Case: 7 of 8

Facelift and CO2 laser

Before & After

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This 59-year-old patient sought facial rejuvenation with an interest in looking refreshed while avoiding results that appeared overdone. She was motivated to take care of herself and approached the process with an open mind, unsure of which procedures would best meet her goals. After discussing her options, she chose to pursue a lower face an... Read More

Keep in mind that each patient is unique and your results may vary.

Case: 8 of 8

Facelift, Upper blepharoplasty, and CO2 laser resurfacing

Before & After

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This 56-year-old woman chose to address signs of facial aging with a comprehensive approach. She sought improvement in her neck, jawline, and jowls, as well as enhanced skin texture and tone. Her goal was to achieve rejuvenation while maintaining natural, authentic results. After a thorough consultation, she underwent a combination of procedu... Read More

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Am I a Good Candidate for Eyelid Surgery?

Patients considering eyelid surgery should be in good overall health, nonsmokers, and have realistic expectations about what blepharoplasty can achieve. Good candidates are typically bothered by cosmetic or functional concerns related to the eyelids, such as:

• Puffy lids
• Excess skin
• Visual field restrictions
• A tired, heavy look

If your brows fall below the orbital rim (top of the eye socket), you may be a better candidate for a brow lift. Your surgeon evaluates your unique case and discusses which procedure (or combination of procedures) will achieve your desired results.

Your Eyelid Surgery Consultation

During your consultation with one of our accomplished surgeons, you can discuss your goals in-depth, learn more about your procedure options, and get answers to your questions. Dr. Chan evaluates your eyelids, asks about your medical history, and determines whether you are a good candidate for blepharoplasty.

Réviance Plastic Surgery is known for its unique, multi-modal approach to facial rejuvenation. Dr. Chan creates a treatment plan tailored to your needs, budget, and preferences, which may include complementary procedures, such as a brow lift, BOTOX®, facial fat transfer, and laser skin resurfacing.

Cosmetic vs. Functional Blepharoplasty

Blepharoplasty is classified as either cosmetic or functional, depending on the reason for the procedure. Cosmetic blepharoplasty is an elective procedure that improves the appearance of the eyelids, while functional blepharoplasty is performed to correct a physical impairment.

Cosmetic Blepharoplasty

Cosmetic blepharoplasty rejuvenates the aesthetic appearance of the eyelids, from treating drooping lids to smoothing under-eye bags and puffiness. Patients enjoy a more youthful, rested look.

Functional Blepharoplasty

Functional blepharoplasty corrects overhanging eye skin, a condition known as eyelid ptosis, to improve your peripheral vision and alleviate uncomfortably heavy eyelashes that sit on the eye. Eyelid or eye ptosis can result from several causes, including the natural loss of skin elasticity with age, weakening of the levator muscle that holds the eyelid open, or prior trauma. In most cases, blepharoplasty is considered the most effective and lasting treatment, directly addressing the excess tissue responsible for the droop.

While Dr. Chan also ensures a beautiful cosmetic outcome, the goal of the procedure is functional improvements. In some cases, the procedure may be partially covered by insurance.

Nonsurgical Alternatives

For patients who are not surgical candidates or who prefer a nonsurgical approach, BOTOX® Cosmetic can provide modest lifting effects by relaxing the muscles that pull the eyelid downward, although results are temporary and more limited in scope.

Whether your concern is cosmetic, functional, or both, Dr. Chan will evaluate your eyelids and goals during your consultation to recommend the most appropriate approach.

Your Blepharoplasty Options

Dr. Chan customizes eyelid surgery to your unique anatomy, aesthetic goals, and whether your concerns are cosmetic, functional, or both. Each approach targets a specific area or need:

• Upper blepharoplasty targets the upper eyelids alone, often focusing on lifting sagging skin and creating a more open, brighter eye appearance. This eyelid lift surgery may involve fat removal, tightening, and repositioning of the skin and muscles.
• Lower blepharoplasty (eye bag surgery) treats the lower eyelids by removing or repositioning fat and eliminating under-eye bags. Our facial plastic surgeons can also reposition the lower eyelid canthi (the corners of the eyes where the upper and lower eyelids meet) to reduce scleral show and make the eyes appear less sleepy.
• Upper and lower blepharoplasty addresses all 4 eyelids for comprehensive rejuvenation. While some patients are better candidates for lower or upper blepharoplasty by itself, many choose to treat both sets of eyelids to refresh their look.
• Asian blepharoplasty, also known as double eyelid surgery, adds a crease above the upper eyelid to make the eyes look larger and create greater visual separation between the lash line and eyebrow, an area that epicanthic folds make completely smooth.

From subtle refinements to comprehensive rejuvenation, each blepharoplasty approach is tailored to your anatomy and goals. During your consultation, Dr. Chan will help you determine which option or combination of options is the right fit.

What To Expect During Your Eyelid Surgery

Dr. Chan tailors his surgical approach depending on whether you choose to have work done on your upper or lower eyelids or both. Upper blepharoplasty involves incisions along the crease of the lids, leading to virtually invisible scars. Lower blepharoplasty incisions are either transconjunctival (hidden beneath the lower lash line) or transcutaneous (also called the subciliary approach), depending on the extent of correction required.

Eyelid surgery is relatively quick and performed on an outpatient basis. It is usually done with local anesthesia, though the specific details of your surgery (especially if you combine it with other procedures) may necessitate the use of general anesthesia.

Revision Eyelid Surgery

If you have previously had blepharoplasty and are unhappy with your results, Dr. Chan can help. He is known for his complex and revision surgery results. He works with you to correct previous surgical results and achieve your desired refreshed eyelid appearance.

Recovery After Blepharoplasty

Minor swelling and bruising are normal after eyelid surgery and should subside within a week. Residual swelling may take a few months to dissipate entirely, but it should be almost unnoticeable after the first 10 to 14 days. Most patients need up to a week of recovery and can resume most of their normal activities within 2 weeks.

In most cases, patients only need over-the-counter pain medication to manage their discomfort. Dr. Chan provides detailed postoperative instructions to help you through your recovery period. 

“I just had a lower eye lid surgery with Dr. Chan last week- I am extremely pleased with the result so far, exceeded my expectation….From the initial consultation, to offering his own ideas and expertise, to actual treatment/procedures, I give him 5 stars across the board.”

Real Patient Review

How Much Does Eyelid Surgery Cost in Portland, OR?

The cost of your blepharoplasty procedure depends on the specifics of your surgery and the type of eyelid surgery you are having. Insurance may cover part of the cost if you are pursuing functional blepharoplasty to address visual impairments caused by overhanging skin. We provide you with a personalized quote during your consultation and can discuss your different financing options.

Discover the Réviance Difference Today

Backed by Dr. Chan’s expertise, Réviance Plastic Surgery offers the experience and skill to refresh your look, whether this is your first procedure or revision surgery. To learn more about your eyelid surgery options, please request a consultation or call us at (503) 953-1230 to get started.