Rejuvenate the Upper and Lower Eyelids

Eyelid surgery, also called blepharoplasty, is a procedure that improves the appearance and function of the upper and/or lower eyelids by addressing factors like excess skin, muscle laxity, and displaced fat. You may consider eyelid surgery in Charleston, SC, if drooping upper eyelids make you look tired or interfere with vision, or if lower eyelid puffiness gives you a tired, fatigued appearance. Dr. Ulm evaluates your anatomy in detail and designs a surgical plan to restore a smoother, more youthful contour while preserving your natural eye shape and expression.

Eyelid Surgery Overview

woman touching shoulder

What Does Eyelid Surgery Treat?

Eyelid surgery corrects age-related changes around the eyes that can make you look tired, heavy, or older than you feel. Common concerns addressed with this procedure include:

  • Drooping or heavy upper eyelids
  • Excess upper-eyelid skin that obscures natural creases
  • Under-eye bags caused by displaced fat
  • Puffiness of the lower eyelids
  • Loose or sagging lower-eyelid skin
  • Fine lines and wrinkles around the eyes
  • A tired, aged, or worn appearance

Why Choose Dr. Jason Ulm for Eyelid Surgery?

Dr. Jason Ulm is a double board-certified plastic surgeon with advanced fellowship training in aesthetic and craniofacial surgery at Harvard/Massachusetts General Hospital. This background provides a deep understanding of facial anatomy and the fine technical control required for eyelid surgery, where even millimeters matter and natural expression must be preserved.

You are always treated as an individual. Dr. Ulm takes the time to understand what bothers you, explains your options clearly, and designs a surgical plan tailored to your specific anatomy and goals. Patients consistently describe feeling heard, unrushed, and well-informed, and often note that their results match exactly what was discussed: balanced and appropriate for their face.

Types of Eyelid Surgery

Upper Eyelid Surgery

Upper eyelid surgery focuses on removing or repositioning excess skin, muscle, and fat that create a heavy or drooping appearance. This procedure can restore a more open, alert look and, in some cases, improve vision when sagging skin obstructs the visual field.

Lower Eyelid Surgery

Lower eyelid surgery addresses under-eye bags, puffiness, and loose skin that contribute to a tired or aged appearance. Dr. Ulm may use an incision along the lash line or inside the eyelid to reposition or remove fat and tighten skin, creating a smoother, more refreshed contour.

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Am I a Candidate for Eyelid Surgery?

You may be a good candidate for eyelid surgery if you are in good overall health, bothered by drooping upper lids, under-eye bags, or excess skin, and have realistic expectations. During your consultation, Dr. Ulm carefully evaluates your eyelid anatomy, skin quality, eye health, and facial balance. He also discusses your goals in detail and explains which techniques are most appropriate, ensuring any recommendation is based on what will genuinely benefit you.

Words from Our Clients "It has taken me some time to find the words to describe Dr. Jason Ulm."

My experience receiving chin liposuction from Dr. Ulm and his team was wonderful. From the very beginning they were supportive and informative, and really helped answer my questions and prepare me ...

My experience receiving chin liposuction from Dr. Ulm and his team was wonderful. From the very beginning they were supportive and informative, and really helped answer my questions and prepare me for exactly what I was in for. In the week leading up to surgery, they checked in on me and made sure to talk through any of my questions and fears, and the day of they were so kind and accommodating. They continued to check in during recovery, and my healing process was so quick and easy. I couldn’t be happier with the results - they’ve honestly changed my life and how I view myself. The whole process felt so personal and turned out exactly how I wanted!

SML

5 star rating

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the tim...

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the time to understand my goals, explain the procedures in detail, and set realistic expectations which gave me so much confidence going into surgery. Dr Ulm's precision, skill, and eye for aesthetics made all the difference , and I am so happy with the outcome. The entire staff was also warm, professional, and supportive throughout the entire process - from pre-op to recovery. They made sure I felt safe and informed throughout the process. I would totally recommend Dr. Ulm for any plastic surgery. This has been one of the best decisions I have ever made. I wish I had done it sooner.

Melanie

5 star rating

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get th...

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

NSFW

5 star rating

I was referred to Dr. Ulm by my cousin who worked with him at MUSC. She said that he was the best and I couldn't agree more! He has brought me back to my pre-baby body after three children and I wi...

I was referred to Dr. Ulm by my cousin who worked with him at MUSC. She said that he was the best and I couldn't agree more! He has brought me back to my pre-baby body after three children and I will forever be grateful. He is very professional and took the time to make sure I would be thrilled with my results and I am! Ladies, do yourself a favor and visit Dr. Ulm. For the first time since having children, I am excited about swimsuit season!

Murrells

5 star rating

Dr. Ulm and his whole staff were wonderful. I went to a few different doctors for consults and felt most comfortable with Dr. Ulm due to his amazing bedside manner and his explanations of everythin...

Dr. Ulm and his whole staff were wonderful. I went to a few different doctors for consults and felt most comfortable with Dr. Ulm due to his amazing bedside manner and his explanations of everything. I scheduled my mommy makeover with him and I am glad I did. My results were better than expected and I received daily phone calls in the post operative time period to check on how I was doing. I highly recommend Dr. Ulm!!

Celebrated677251

5 star rating

I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children....

I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

mimzy123

5 star rating

I had 3 C-sections, the most recent 12 1/2 years ago, and during the pandemic, I lost almost 90 pounds. I had a lot of skin after I lost my fat. My abs were shot, and my skin was flabby, so I could...

I had 3 C-sections, the most recent 12 1/2 years ago, and during the pandemic, I lost almost 90 pounds. I had a lot of skin after I lost my fat. My abs were shot, and my skin was flabby, so I couldn't really enjoy my huge weight loss. I wanted a tummy tuck and brachioplasty. Last minute, I added on a little liposuction for the last little bit of stubborn fat. I met with Dr. Ulm, and felt immediately comfortable with going through with the procedure. We moved quickly because I wanted it done over my holiday break. It was DEFINITELY worth it. I was really anxious on surgery day as the pandemic was still going on, and I was nervous about major surgery, especially one I didn't "need." The anesthesiologist, nurse, and Dr. Ulm did not ignore my mental health on that day! I felt very safe and "in the right hands." He said the pain/recovery would be like with my C-sections, and that was about right! Afterward, Dr. Ulm called my husband every day to make sure I was okay, and I had to check in with a nurse every day. I felt confident that if there were a problem, I would be taken care of, even over a holiday break. Aftercare has been great, as well. My scar (on my abdomen) is right over my C-section scar. My arm scars are, of course, harder to hide, but I'm still very, very happy (as my arm flab was harder to hide!). I am still getting used to my tummy being numb, but he says it will keep getting better, and that is a small price to pay! I am about 12 weeks post-op, and I bought my first bikini ever! On the day of the consult, Dr. Ulm showed me where my scar would be, and he asked if that would "interfere with where my bikinis normally lie." I told him I have never worn a bikini. He said, "well after this, maybe you will." I didn't believe I would ever be THAT confident with my body. Laura was also awesome, helping me navigate all the craziness of scheduling the surgery and aftercare. She was always available to me. In summary, I DEFINITELY recommend Dr. Ulm and his team for your tummy tuck!

Sshdoughty

5 star rating

I am so glad I went to Dr. Ulm, I am 10 days post op for a tummy tuck, implant exchange and lift. This is by far the worst pain I have ever been in but it gets better each day. I’m excited to see w...

I am so glad I went to Dr. Ulm, I am 10 days post op for a tummy tuck, implant exchange and lift. This is by far the worst pain I have ever been in but it gets better each day. I’m excited to see what my final results will be but so far I’m satisfied!

Thrifty444293

5 star rating

My dream was to find a plastic surgeon to make me look refreshed and very natural. After going on several consults, I was so impressed with meeting Dr Ulm and his team. He listened to me when I exp...

My dream was to find a plastic surgeon to make me look refreshed and very natural. After going on several consults, I was so impressed with meeting Dr Ulm and his team. He listened to me when I expressed that I wanted to smooth out the deep wrinkles on my cheeks, remove the excess skin from my neck, & give me a slight lip lift to refresh my face . When I asked Dr. Ulm if I could speak to one of his past clients, he did not hesitate, and after listening to her rave about Dr Ulm and looking at her before and after pictures, I knew that I could trust Dr Ulm. He listened to every word I said.
Dr Ulm did a perfect job and truly displayed excellent work and making me look very natural. I find    myself looking in the mirror & so happy with what I see!! Double board certified, highly accomplished, and extremely meticulous in his work , Dr Ulm took the time to listen to me, showing me genuine care and concern while making me feel comfortable and explained the process every step of the way. Dr Ulm has a wonderful team that is professional, personable and dedicated. His experience, skill, and compassionate approach made me trust him completely.
Dr Ulm made me “Trust The Process” Forever grateful 🤍

Kat

5 star rating

A few months ago, I solicited a recommendation from an Aesthetispa professional (Lisa) for a plastic surgeon to perform an elective facelift. Being a retired engineering professional from New York,...

A few months ago, I solicited a recommendation from an Aesthetispa professional (Lisa) for a plastic surgeon to perform an elective facelift. Being a retired engineering professional from New York, I began to compile data on Dr. Jason Ulm, and requested a consultation. My “data mining” and research verified Dr. Ulm’s technical competence, credentials and experience. What was unexpected and most delightful was Dr. Ulm’s “ bedside manner” and personable style. I was so impressed with his compassion, attentive listening skills and probing questions intended to fully understand my personal goals. He thoroughly and clearly articulated the surgical procedures and processes, expected outcomes, and requirements to ensure success. SUCCESS ON ALL FRONTS WAS ACHIEVED! I could not be more delighted with the outcomes! Dr. Ulm and his competent support staff far exceeded every expectation. I highly recommend Dr. Ulm and his professional staff to anyone who demands world class technical competencies, compassion, and professionalism. Dr. Jason Ulm is “the whole package”….and I’m blessed he was my surgeon

Nagelc

5 star rating

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get th...

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

NSFW

5 star rating

 I got botched by a Dr in Florida who was on Lifetime fixing botched patients therefore I thought he was good. I had a saline leak from a previous implant. This Florida Dr, despite my 5 emails...

 I got botched by a Dr in Florida who was on Lifetime fixing botched patients therefore I thought he was good. I had a saline leak from a previous implant. This Florida Dr, despite my 5 emails not to be bigger than I was before (I’m small framed) not only made my breast 350 to 415,, one breast was much larger than other by one size, they were oddly shaped, and they were much saggier from what I was before. I was so scared for surgery again, who to have it with. I didn’t want to stay that way , I always work hard on my body. I worked out running and weights, it crushed me. It was extremely emotional. It’s not like a bad tailored shirt I could take off. It decreased my confidence and was financially draining . Not only did Dr. Ulm's revision make me back to where I was but better !!! I’m perkier and shaped beautifully ! I think it’s so very very important to find a doctor who listens! Who knows how to give you the right fit and knows how to do beautiful surgery! Cosmetic surgery is an art!!! It’s so extremely important to find a good surgeon ! I highly highly recommend Dr. Ulm ! Thank Dr Ulm for giving me confidence back!!!

Marcie Amoroson

5 star rating

Dr.Ulm and his team are the best! My procedure was a breast implant exchange (went smaller), and he did exactly what I asked for. I know two other ladies who have gone to him for different procedur...

Dr.Ulm and his team are the best! My procedure was a breast implant exchange (went smaller), and he did exactly what I asked for. I know two other ladies who have gone to him for different procedures that also HIGHLY recommend him.

Camille

5 star rating

Dr Ulm and staff were so good to me . They are so nice and care for me well. Dr Ulm is down to earth, he was so gentle and professional. I didn't get any pain or discomfort after my breast argument...

Dr Ulm and staff were so good to me . They are so nice and care for me well. Dr Ulm is down to earth, he was so gentle and professional. I didn't get any pain or discomfort after my breast argumentation. Highly recommended.

QL

5 star rating

All I can say is after this procedure is I wish I had found Dr. Ulm and did this years ago! Dr Ulm listened to my concerns for wanting to look and feel as natural as possible and where I feel some ...

All I can say is after this procedure is I wish I had found Dr. Ulm and did this years ago! Dr Ulm listened to my concerns for wanting to look and feel as natural as possible and where I feel some plastic surgeons will go bigger then requested when it comes to breast Aug he gave me a range to work with and I trusted him to do the rest which could not have been more perfect. I feel like my new breasts were made for my body and I would recommend him and his friendly amazing staff to anyone! I have a new confidence I never thought could be possible

Bostonchick4

5 star rating

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gon...

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gone after 2 months! Highly recommend!!!

Hailey

5 star rating

I have had multiple procedures with Dr. Ulm and each time I couldn’t be happier!!
I have had a breast augmentation, chin lipo, and recently just got lipo 360. I am extremely happy with all of my...

I have had multiple procedures with Dr. Ulm and each time I couldn’t be happier!!
I have had a breast augmentation, chin lipo, and recently just got lipo 360. I am extremely happy with all of my results!!! 10000 out of 10 recommend Dr. Ulm 🤩

Taylor

5 star rating

Dr. Ulm’s office and staff are incredible! Friendly and helpful in every way. Dr. Ulm has been very helpful, knowledgeable, and answered all of my questions! Pre and post operative care has been in...

Dr. Ulm’s office and staff are incredible! Friendly and helpful in every way. Dr. Ulm has been very helpful, knowledgeable, and answered all of my questions! Pre and post operative care has been incredible. If I could give more than 5 stars, I would! My breast augmentation and lift healed great, the whole experience has been incredible. I would recommend Dr. Ulm and his practice to anyone wanting plastic surgery!

Mary-Michal

5 star rating

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. He centered my experience around me and wh...

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. He centered my experience around me and what I wanted. He gave his professional advice when asked but definitely followed my lead as the patient. He wants to see extensive inspirational photos to know exactly what his patients want and delivers it. I never once felt rushed in his office the way I have in others. He was also very easy to get in touch with post-surgery. I will send all my friends (in- and out-of-state!) to Dr. Ulm.

Katie

5 star rating

I came in with inspiration photos and an idea of what I wanted, but I’m so glad I trusted his recommendations because he truly knew what would look best for my body and proportions. My results from...

I came in with inspiration photos and an idea of what I wanted, but I’m so glad I trusted his recommendations because he truly knew what would look best for my body and proportions. My results from my breast augmentation look exactly like my inspiration, natural, balanced, and even better than I imagined. His attention to detail and expertise are unmatched.

Anniston

5 star rating

I recently got my first breast aug done with Dr. Ulm, it looks better than I could’ve ever imagined! I chose Dr Ulm after a long search of doctors throughout the southeast. I let Dr. Ulm use his ju...

I recently got my first breast aug done with Dr. Ulm, it looks better than I could’ve ever imagined! I chose Dr Ulm after a long search of doctors throughout the southeast. I let Dr. Ulm use his judgement to help me decide the best size and look for my body type, and I’m so happy with the results. Looks so natural and exactly how I wanted. It was such an easy recovery. The team is warm and friendly and professional, and the entire experience has been so comfortable and easy. 

Leigha

5 star rating

I had a breast augmentation/lift with Dr Ulm. He did an amazing job. He used my inspiration pictures for comparison and he hit the mark. I had pretty significant asymmetry/drooping from kids and th...

I had a breast augmentation/lift with Dr Ulm. He did an amazing job. He used my inspiration pictures for comparison and he hit the mark. I had pretty significant asymmetry/drooping from kids and they look even, perky and perfect for my body. I told him to do what he felt looked best and he delivered. Also, his bedside manner and professionalism was something I was happy with as well. I definitely recommend him and will be back for my next procedure. 

Tia

5 star rating

Could not be happier with my results! So in love with my breast Aug results, I wouldn't go anywhere else! They look and feel amazing and fit my body perfectly!

Madison

5 star rating

I can’t say enough about how great my experience has been with Dr. Ulm and his team. After two kids, I wanted my breast done so I made the appointment and we decided Preservé implants were the best...

I can’t say enough about how great my experience has been with Dr. Ulm and his team. After two kids, I wanted my breast done so I made the appointment and we decided Preservé implants were the best option for what I wanted to achieve. My surgery went better than expected and the healing process was easier than I imagined. I am beyond thrilled with my results and would recommend Dr. Ulm to anyone that is interested in having any sort of work done!

Megan

5 star rating

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. Dr. Ulm was never once pushy. He centered ...

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. Dr. Ulm was never once pushy. He centered my experience around me and what I wanted. He gave his professional advice when asked but definitely followed my lead as the patient. He wants to see extensive inspirational photos to know exactly what his patients want and delivers it. I never once felt rushed in his office the way I have in others. He was also very easy to get in touch with post-surgery. I will send all my friends (in- and out-of-state!) to Dr. Ulm.

Katie

5 star rating

I’d been considering a breast augmentation for years. When I consulted with Dr. Ulm and he explained the new Preserve technique it was an almost immediate “YES” for me. This type of breast augmenta...

I’d been considering a breast augmentation for years. When I consulted with Dr. Ulm and he explained the new Preserve technique it was an almost immediate “YES” for me. This type of breast augmentation checked all the boxes:
• noninvasive
• little downtime
• subtle and natural results

I carefully consulted with Dr. Ulm and his staff about my desired results. The day of surgery his entire staff was incredibly comforting and put my worries at ease. The recovery has been remarkably easy. I rested the day of surgery but was able to drive my kids to school the next morning. One of my biggest hesitations with the surgery was anticipating a long recovery and I am so pleased Preserve allowed me to get right back into my daily life. I am currently two weeks postop and easily give this entire experience a 10/10. I could not be happier with my results.

Kelly

5 star rating

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, ...

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, I found the Preservé technique — smaller incisions, less pain, and a recovery that actually let me get back to my life. It preserves your natural tissue and sensation, and the implants move with your body for a more natural look and feel.

I did a few consults. Some felt rushed. Dr. Ulm took his time and understood my lifestyle. He's double board-certified and one of the only surgeons in Charleston trained in this technique. Couldn't be happier I did the Preservé technique with him.

H

5 star rating

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, I found the Preservé technique — smaller...

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, I found the Preservé technique — smaller incisions, less pain, and a recovery that actually let me get back to my life. It preserves your natural tissue and sensation, and the implants move with your body for a more natural look and feel.

I did a few consults. Some felt rushed. Dr. Ulm took his time and understood my lifestyle. He's double board-certified and one of the only surgeons in Charleston trained in this technique. Couldn't be happier I did the Preservé technique with him.

Hannah Jackson

5 star rating

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gon...

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gone after 2 months! Highly recommend!!!

Hailey

5 star rating

My experience with Dr. Ulm and his staff was outstanding. Their communication was clear and supportive throughout the entire process, and the results exceeded my expectations. Truly professional, c...

My experience with Dr. Ulm and his staff was outstanding. Their communication was clear and supportive throughout the entire process, and the results exceeded my expectations. Truly professional, caring, and skilled!

Gina

5 star rating

Dr Ulm took the time listen and provide guidance on what to expect during and after surgery. He was recommended to me by a friend and I am so thankful to him for changing my life for the better! He...

Dr Ulm took the time listen and provide guidance on what to expect during and after surgery. He was recommended to me by a friend and I am so thankful to him for changing my life for the better! He provided me the confidence I was lacking without judgement.

Denise

5 star rating

I had lip fillers done by the doctor Jason Ulm and I loved the results! The shape is beautiful and natural, not fake or stiff at all. The doctor was very gentle and gave great advice. After the pro...

I had lip fillers done by the doctor Jason Ulm and I loved the results! The shape is beautiful and natural, not fake or stiff at all. The doctor was very gentle and gave great advice. After the procedure, my lips look fuller but still natural. I feel so much more confident!

Buddhawajana

5 star rating

It has taken me some time to find the words to describe Dr. Jason Ulm. He is kind, compassionate, and incredibly talented. His super power is his unique ability to listen to your concerns and desir...

It has taken me some time to find the words to describe Dr. Jason Ulm. He is kind, compassionate, and incredibly talented. His super power is his unique ability to listen to your concerns and desires. He is skilled and perfectly delivers results that YOU want. I am amazed daily at how "perfect" my outcome is. I fully trusted him and allowed him to guide me through my process and I am so thankful I did. He nailed it and quite honestly gave me a restored confidence that I thought was unattainable. My prep, surgery, and recovery were all seamless and with very minimal pain. Dr. Ulm is hands down a master of his craft, and will always be my go to plastic surgeon!

Tabatha

5 star rating

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the tim...

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the time to understand my goals, explain the procedures in detail, and set realistic expectations which gave me so much confidence going into surgery. Dr Ulm's precision, skill, and eye for aesthetics made all the difference , and I am so happy with the outcome.

The entire staff was also warm, professional, and supportive throughout the entire process - from pre-op to recovery. They made sure I felt safe and informed throughout the process. I would totally recommend Dr. Ulm for any plastic surgery.

This has been one of the best decisions i have ever made. Wish I had done it sooner.

Melanie

5 star rating

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Benefits of Eyelid Surgery

Eyelid surgery offers both aesthetic and functional benefits, helping you look more refreshed while addressing concerns that can affect daily comfort. Potential advantages include:

  • A more rested and youthful appearance
  • Reduction of heavy or drooping upper eyelids
  • Smoother contours of the upper and lower eyelids
  • Decreased under-eye puffiness or bags
  • Improved symmetry between the eyes
  • In some cases, improved visual field
  • Long-lasting, natural-looking results
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Your Complete Eyelid Surgery Experience

Eyelid Surgery

On the day of surgery, you are brought to a fully accredited surgical suite and carefully positioned for the procedure. You receive either local anesthesia with IV sedation or general anesthesia, based on your personalized plan, so you remain comfortable and pain-free. Dr. Ulm marks natural eyelid creases and anatomical landmarks to guide precise incision placement.

For upper eyelids, an incision is made within the natural fold so excess skin can be removed and the stretched muscle tightened. For lower eyelids, Dr. Ulm may use an incision just beneath the lash line or inside the eyelid to access and reposition fat and address loose skin. Fat is then reshaped rather than simply removed whenever possible to avoid a hollow appearance. The incisions are closed with fine sutures to support smooth healing and discreet scars.

Eyelid Surgery Consultation

During your consultation, you meet directly with Dr. Ulm to discuss what you would like to change and what concerns you most about your eyelids. He performs a detailed examination of your eyelid anatomy, skin quality, muscle tone, and eye health. You will review surgical and non-surgical options, where incisions are placed, and what recovery involves. Dr. Ulm then outlines a surgical plan and answers your questions to help you make a decision.

Eyelid Surgery Recovery

After eyelid surgery, you can expect swelling, bruising, tightness, and mild discomfort around the eyes, most noticeably during the first 48 to 72 hours. These side effects gradually improve over the next week or two. Sutures are typically removed within 5 to 7 days. You should plan for several days of rest and avoid strenuous activity for at least 2 weeks. Cold compresses, head elevation, and following Dr. Ulm’s instructions help support a smoother recovery.

Eyelid Surgery Results

You may begin to notice early improvements as swelling subsides within the first few weeks. As healing continues, your eyelids gradually appear smoother and more refreshed, with continued refinement over several months. The results from eyelid surgery are long-lasting, but natural aging will continue over time. Maintaining a healthy lifestyle and protecting your skin from sun exposure can help preserve your outcome for years to come.

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Possible Alternatives to Eyelid Surgery

While eyelid surgery is an effective way to address excess skin, puffiness, and age-related changes around the eyes, it is not the right solution for everyone. Some concerns may be mild, primarily related to skin quality rather than excess tissue, and may be better addressed with less invasive treatments. Others may require more comprehensive rejuvenation.  

Dr. Ulm carefully evaluates your anatomy, goals, and facial structure to determine whether eyelid surgery is the most appropriate option or if an alternative would better meet your needs. Depending on your specific concerns, potential alternatives may include:

  • Botox for softening crow’s feet and dynamic wrinkles around the eyes
  • Dermal fillers for restoring lost volume in the tear troughs and upper eyelids
  • Skin resurfacing for improving fine lines, texture, and skin quality
  • Facelift for more comprehensive, long-term facial rejuvenation
  • Fat grafting for natural volume restoration around the eyes and midface

What Is the Cost of Eyelid Surgery?

Cost depends on a multitude of factors, including whether you’re having upper eyelid surgery, lower eyelid surgery, or both, anesthesia and facility fees, and the surgeon. According to the American Society of Plastic Surgeons, the average surgeon’s fee for blepharoplasty is approximately $3,359 for upper eyelids and $3,876 for lower eyelids nationally.

This figure reflects averages and does not include all associated costs.

Your personalized price will be determined during a consultation with Dr. Ulm, who can assess your anatomy and goals and provide a more accurate estimate.

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Eyelid Surgery Frequently Asked Questions

Will eyelid surgery change the natural shape of my eyes?

When performed with proper planning and restraint, eyelid surgery is intended to refresh your appearance without altering who you are. Dr. Ulm focuses on preserving your natural eye shape and expression while addressing excess skin, muscle laxity, or displaced fat.

How long do eyelid surgery results last?

The results from eyelid surgery are long-lasting, and many patients enjoy their outcome for a decade or more. While the procedure turns back the clock, it does not stop natural aging. Protecting your skin and following post-operative guidance can help maintain your results.

Will I have visible scars after eyelid surgery?

Incisions are placed within natural eyelid creases or inside the eyelid whenever possible, which helps keep scars discreet. As healing progresses, scars typically fade and become difficult to detect. Dr. Ulm provides detailed scar-care instructions to support optimal healing.

Can eyelid surgery improve vision?

In some cases, yes. If excess upper-eyelid skin droops into your field of vision, removing that tissue can improve visual obstruction. Dr. Ulm evaluates this carefully during your consultation.

What are the risks of eyelid surgery?

All surgical procedures carry some degree of risk. With eyelid surgery, potential risks include infection, bleeding, delayed healing, dry eyes, asymmetry, or unfavorable scarring. Dr. Ulm takes a meticulous, conservative approach to surgery and provides thorough pre- and post-operative guidance to minimize these risks.

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