Upper and Lower Eyelids

What is Lower Eyelid Surgery?

Lower eyelid surgery repairs droopy eyes by removing excess skin, muscle, and fat. The effects of natural aging will make your eyelids stretch and the muscles supporting them weaken. Because of this, excess fat gathers below your eyelids, causing bags under your eyes. This can make you look older and tired-looking. The removal of the bags can make you look and feel more refreshed and rejuvenated.

What is Upper Eyelid Surgery?

Upper eyelid surgery can treat droopy eyelids. Droopy eyelids occur when excess skin in the eye area droops down onto and sometimes over the eye. This can affect your vision and make you look much older. It can be caused by many things, including age and genetics. The procedure is often referred to as an eye lift and can help you look younger and more refreshed.

Who is a Good Candidate?

Natural aging is inevitable. However, aging can be advanced by certain factors making you look older than you are. Upper and Lower eyelid surgery is an excellent option for those looking to appear more vibrant and youthful. Below you will find factors that make you a good candidate for the procedure.

  • Saggy skin and fatty deposits under the eyes
  • Fine lines and wrinkles under and around the eyes
  • Puffiness and uneven shape under the eyes
  • Puffy upper eyelids
  • Tired, aged-looking eyes

In addition to these factors, you should be a non-smoker and in good health. If all of these apply to you, contact Dr. Cole for a consultation today. It’s important to note that this procedure is often done at the same time as other procedures for convenience. Dr. Cole can discuss additional treatment options at the consultation if you are interested.

Upper and Lower Eyelid Surgery Consultation

Begin by scheduling an appointment for a consultation with Dr. Cole. At the consultation, it’s essential to communicate your expectations. Dr. Cole will be able to give you his expert opinion and manage your expectations. During the visit, you will have a physical examination, discuss your medical history, and any prior surgeries that you have had. You will also need to let your doctor know of any medications you are currently taking. Lastly, Dr. Cole will take some photos of your eyes. These will help with planning the surgery and assessing the status of your eyes.

This procedure is often done in conjunction with several other surgeries that Dr. Cole offers. Some of the additional procedures include eyelid surgery, a brow lift, facelift, neck lift, or skin resurfacing. The additional procedures can enhance your appearance, making you look younger and more vibrant. Also, they can be done together for convenience and healing purposes.
Before surgery, you’ll need to follow the medication instructions given to you by Dr. Cole and his team. You may need to reduce or stop taking certain medications. You will be given specialized instructions to follow in preparation for the procedure.

What Happens During the Upper and Lower Eyelid Surgery?

The procedure is performed under moderate IV sedation. Once sedated, Dr. Cole makes an incision inside the eyelid to gain access to the underlying muscle and fat tissue. After the incision is made, he will begin reshaping, redistributing, or removing any excess fatty tissue. This will eliminate the bags and smooth out the undereye area. After Dr. Cole has finished, the eyelid incisions will be cauterized so you won’t need stitches. If this is the only procedure being done, it is usually no longer than one hour. The procedure is completed in an outpatient facility, and patients can often leave the same day.

What Is the Downtime for Upper and Lower Eyelid Surgery?

After the surgery, you may feel some mild to moderate pain, swelling, bruising, and blurred vision. You also may experience watering eyes, light sensitivity, double vision, and puffiness. These symptoms are typical and will subside within a few days or weeks if they do not contact our office for an appointment, so Dr. Cole can assess your healing.

The first week after surgery, you’ll want to focus primarily on resting and recuperating. You’ll also want to keep your face from directly contacting anything. This is to help with the healing process. Below you will find some helpful tips to ensure proper healing.

  • Use ice packs to help with the swelling (follow Dr. Cole’s instructions on how often and for how long)
  • Use all prescribed medication and ointments to promote healing
  • Avoid heavy lifting, straining, and swimming for at least one week
  • Avoid smoking
  • Do not rub your eyes (or around them)
  • Do not use contact lenses for at least two weeks
  • Wear dark glasses with SPF protection to keep the sun away from your eyes and incisions
  • Keep your head elevated at all times, even when sleeping
  • Avoid strenuous activities or exercise

Patients who follow Dr. Cole’s aftercare guidelines return to work and get back to most of their normal daily activities within one week. It’s important to get help after surgery with your daily tasks, as you’ll need to focus on recuperation. While you can go back to your daily activities within one week, full healing may take longer. You will have some follow-up appointments, so Dr. Cole can monitor your progress and healing. Follow Dr. Cole’s instructions for healing, and you should be back to your regular routine in no time.

How Long Will It Last?

Depending on the specific patient, how they take care of themselves and their skin, and genetic factors can impact how long the procedure will last. For most, it will last a lifetime. Taking good care of your skin, using SPF, eating a balanced diet, and getting regular exercise can all help with the elasticity and youthfulness of your skin. Pay close attention to caring for your incisions around your eyes. Patients often report that they are more confident about their appearance and have a major increase in their self-esteem.

Upper and Lower Eyelid Surgery Seattle

Dr. Cole is a board-certified plastic and reconstructive eyelid surgeon. He is an expert in today’s most advanced and state-of-the-art techniques in enhancement and rejuvenation. Dr. Cole began the Cole Aesthetic Center to help his patients embrace their aesthetic possibilities and become more confident in their everyday lives. Contact Dr. Cole at Cole Aesthetic Center for a consultation today!


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  • My visit to the center far exceeded my expectations. The staff, assistants and Dr. Cole were professional, efficient, and made me feel valued. I relied on a referral and waited until I could visit Cole Aesthetics. I am, now, more than confident moving forward with the work I’ll be having done a... Read More

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  • I had surgery with Dr. Cole to remove the bags under my eyes and he did a fantastic job! I could not be happier! I have also had laser work done by Jamye and she does amazing work. I would recommend them to absolutely anyone! Also just had Botox with Heidi the new PA and she was awesome!

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