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Eyelid Surgery: ​An Eye-Opening Experience

Pencil drawing close up of a woman's eyeOf all facial features, the eyes usually are the most revealing, and convey our emotions, whether intended or not.  Eyelid surgery is one of the most common requests by Paoli patients who seek Dr. Hove's expertise, and for good reason. Dr. Hove calls eyelid rejuvenation the cosmetic surgery that yields "the biggest return on your investment." This relatively simple procedure can transform your appearance.

The Fees- How much do "new" eyelids cost?

The cost to you can range, depending on what type of anesthesia is used.  Under local anesthesia, the fees range from $1900-2500 for either the upper or lower eyelids, while both uppers and lowers together are usually $3400-4000.  If you require i.v. sedation ("twilight") or general anesthesia, Dr. Hove ensures a board certified anesthesiologist  will also tend to your care, and this increases the fee typically by another $1500.

Rejuvenate Your Eyes

Sagging eyelids can cause you to look tired and drastically age your appearance. Blepharoplasty, commonly referred to as an eyelid lift, is a surgical procedure that removes excess tissue to eliminate sagging. Dr. Hove uses expert-level precision to rejuvenate your eyes for a more youthful and awake appearance.

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The Procedure

Upper eyelids

Over time, the upper eyelids become heavy and draping, giving the face a tired or even an angry appearance.  By strategically removing a safe amount of skin and soft tissue from the upper eyelids, Dr. Hove restores you to a rested, awake appearance, without giving you a “surprised” look. This is a fairly quick procedure with short recovery, but the results will last years.  Even as a single stand-alone procedure, the impact of upper eyelid rejuvenation on the appearance of the face can be life-changing.  

After numbing the upper eyelid skin, an incision is hidden in the natural crease from the inner to outer corner of the eyelid, and the loose hanging skin and soft tissue are removed.  Sutures are used to close the incision, and then the process is repeated for the opposite side.

Lower eyelids

Most people don’t think of the lower eyelids as actual eyelids.  They refer to this area as “the bags.”  However, this area is complex.  Each person is different- sometimes just the skin needs to be tightened or resurfaced; sometimes just some fat needs to be removed; sometimes both.  By examining this area, Dr. Hove can determined which technique will be appropriate to achieve your desired results. Incisions can be made either on the inside of the eyelid, or hidden below the eyelashes, depending on what needs correcting.  This also can be performed under local anesthesia in the right circumstances, allowing for a quick recovery.


The first 2 days after surgery, Dr. Hove aggressively advocates icepacks to limit swelling and bruising.  There is usually minimal discomfort, with most of our patients just taking Tylenol by day 2.  During the first week, your eyes will feel fatigued more easily while reading, using the computer, or watching TV, so frequent breaks are needed.  Most swelling settles by the first week, and then sutures can be removed to allow you to apply eyeshadow.  This is also when most of Dr. Hove's patients feel comfortable going out in public.

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I believe that to excel in any career, one has to keep reaching, learning, and sharpening their skills, instead of resting idle on some self-declared title. At the Hove Center for Facial Plastic Surgery, we continually strive to bring you the latest advanced techniques and products in the field of facial plastic surgery, both cosmetic and reconstructive.

-Dr. Christopher Hove