Eyelids & Brows

Phoenix Cosmetic Surgeon | Body by Kotoske | Phoenix, AZ



Phoenix Cosmetic Surgeon | Body by Kotoske | Phoenix, AZ
Phoenix Cosmetic Surgeon | Body by Kotoske | Phoenix, AZ



As we age, one of the most common complaints from patients is that “my friends and co-workers say I look tired.” This is most often related to the aging forehead and eyelid region. At the Cosmetic Surgery Institute, Dr. Thomas G. Kotoske is especially trained and equipped to diagnose and treat your brow and eyelid issues in the most minimally invasive manner.

Cosmetic surgery of the eyelids can dramatically reverse the effects that aging has on this area of the face. Bags under the eyes, drooping eyebrows, and loose wrinkled skin can give a tired, sad, or angry expression to the entire face. The blepharoplasty operation is a very common cosmetic surgery procedure designed to remove excess baggy skin and fat around the upper and/or lower eyelids. In addition, it can help eliminate wrinkles in certain areas, and re-suspend sagging tissues around the eyes. The blepharoplasty operation is often combined with other procedures to rejuvenate or change the appearance of the face, forehead, chin, cheekbones, etc., and create a rested, more youthful appearance. This operation is one of the most requested procedures in the United States by men.

The operation is performed by making incisions within the natural creases of the upper and lower eyelids. By placing the incisions in these locations, healing occurs with virtually undetectable scars. The excess skin and any bulging fat is removed from selected areas, and the drooping skin and tissues from the cheek area can be lifted if needed at the same time. If necessary, a browlift procedure can be done at the same time to lift sagging eyebrows back to a normal, more attractive position.

Frequently, the lower eyelid incision can be made on the inside surface of the lower eyelid to remove bulging fat and avoid a scar on the skin surface. The skin surface can then treated with laser or chemical peel to achieve the ultimate result.

The blepharoplasty operation, when done by itself, is usually performed under local anesthesia with sedation. Operating time is usually about an hour long. Surgery is done as an out-patient procedure, you can be treated and go home the same day. After the operation, there can be some swelling and brusing which typically resolves in 7 to 10 days. These tend to resolve within the first 7 to 10 days. The stitches are removed within 5 to 7 days, and makeup can be applied after this. Most patients feel comfortable returning to work within 7 to 14 days.

Complications after cosmetic eyelid surgery are rare, however, any surgical procedure has potential risks. These include bleeding, infection, scarring, excessive tearing, or outward turning of the lower eyelid after lower lid surgery.

Ask Dr. Kotoske if you are a candidate for blepharoplasty and see what changes are possible with this versatile and remarkable operation.

Please view our actual patient’s pre and post op photos which have not been retouched.