Surgery that removes or repositions excess skin and fat around the eyes, addressing hooded upper lids and under-eye bags that no injectable can fix. Compare San Francisco clinics below and request a free consultation.
$3,200–$7,500
per procedure · USD
A general range for San Francisco, rounded for guidance. Confirm exact pricing with each clinic.
Plastic surgeons in San Francisco who list blepharoplasty among their procedures. Tap any surgeon to view details and request a consultation.
San Francisco
Financing available
Sieber Plastic Surgery - David Sieber M.D. is a plastic surgery practice in San Francisco, California, rated 5 stars across 205 Google reviews, performing 19 tracked procedures.
San Francisco
Financing available
Miguel Delgado, M.D. is a plastic surgery practice in San Francisco, California, rated 4.9 stars across 146 Google reviews, performing 21 tracked procedures.
San Francisco
Financing available
Karen M. Horton, MD is a plastic surgery practice in San Francisco, California, rated 4.9 stars across 127 Google reviews, performing 16 tracked procedures.
San Francisco
Financing available
Larry Fan, MD - 77 Plastic Surgery San Francisco is a plastic surgery practice in San Francisco, California, rated 4.9 stars across 111 Google reviews, performing 22 tracked procedures.
San Francisco
Ethos Plastic Surgery: Ginger Xu, M.D. is a plastic surgery practice in San Francisco, California, rated 4.9 stars across 102 Google reviews, performing 22 tracked procedures.
San Francisco
Financing available
Pacific Plastic Surgery Group: Dr. Edward P. Miranda is a plastic surgery practice in San Francisco, California, rated 4.9 stars across 93 Google reviews, performing 23 tracked procedures.
San Francisco
Financing available
Raj Dedhia, MD Facial Plastic Surgery is a plastic surgery practice in San Francisco, California, rated 4.9 stars across 84 Google reviews, performing 14 tracked procedures.
San Francisco
Financing available
Evan R. Ransom, MD, FACS is a plastic surgery practice in San Francisco, California, rated 4.9 stars across 76 Google reviews, performing 13 tracked procedures.
Surgery that removes or repositions excess skin and fat around the eyes, addressing hooded upper lids and under-eye bags that no injectable can fix.
One procedure, results generally last 10 to 15 years or longer
7 to 10 days of visible bruising and swelling, most people return to work in about a week
People with hooded upper eyelids that affect appearance or vision, or lower-lid fat pads that create permanent under-eye bags no cream or filler resolves
13 plastic surgery practices in the San Francisco area list blepharoplasty. From Google Places listings; hours and locations change, so confirm with the practice.
What 13 San Francisco practices that list blepharoplasty say on their own websites (checked September 2026); one that does not mention something may still offer it, so ask at your consultation.
For your lower blepharoplasty, Dr. Sieber will make an incision inside of your lower eyelid through which he will remove and reposition the fat in your lower eye to create a smooth transition from your eye to your cheek.
Dr. Fan, a board-certified plastic surgeon, has extensive experience in performing eyelid surgery and can determine if this procedure is suitable for you. Candidates for eyelid surgery typically have one or more of the following concerns:
Upper blepharoplasty surgery can be performed in the office under local anesthesia.
After an upper eyelid lift, the upper eyelids will appear puffy or swollen. Cold compresses are placed overnight and help to limit this. Some bruising will occur, but pain is limited. Patients are generally able to return to work in a couple of days.
we offer advanced techniques in upper and lower blepharoplasty to address aging, puffiness, sagging, and vision obstruction - giving you a brighter, more awake appearance while preserving your individuality.
Chin augmentation surgery is commonly performed as a part of facial rejuvenation and in conjunction with a facelift , neck lift , upper and/or lower blepharoplasty or rhinoplasty surgery.
Excess skin and fat on the upper eyelids: As we age, our upper eyelids can develop drooping skin and puffiness, making us look tired or older than we actually are. Eyelid surgery can address this issue by removing the excess skin and fat, resulting in a more youthful appearance.
When combined with other surgeries such as a browlift, facelift, or lower eyelid blepharoplasty, the procedure is typically performed under general anesthesia.
Upper eyelid surgery removes excess skin and sometimes small amounts of muscle and fat to restore a smoother contour and natural crease.
During an upper blepharoplasty, your Bay Area board-certified plastic surgeon makes an incision along the natural crease of the upper eyelid.
For upper eyelid surgery, incisions are made in the natural folds of the eyelid. For lower eyelid surgery, incisions are placed in the lower lash line or inside of the lower lid.
Neck lift surgery often complements a upper facelift and/or a blepharoplasty to rejuvenate the face and neck at the same time.
the best approach for removing fat from the lower eyelid is with a transconjunctival blepharoplasty
With modern blepharoplasty techniques, the fat removed during cosmetic eyelid surgery is relocated to a more youthful position. The goal is to prevent a hollow appearance of the eye over the long term.
Using advanced surgical techniques for Blepharoplasty San Francisco Plastic Surgeon, Dr. Miranda, carefully removes or repositions the tissues to create a more refreshed and youthful appearance while maintaining the natural contours of your eyes.
Blepharoplasty generally runs $3,200–$7,500 per procedure, and each San Francisco clinic sets its own price. The biggest variables are the provider's experience level and the specific device or product used. Newer technology and senior injectors price at the upper end. Pricing is quoted in US dollars (USD). Request a consultation from any of our listed San Francisco clinics for a personalized quote.
Initial results in 2–4 weeks, with full results developing over 3 months as collagen builds. San Francisco providers typically schedule follow-ups to track progress.
Results vary by patient, but most San Francisco providers report 6–18 months of sustained benefit from a full Blepharoplasty series.
Pull the skin under your eye gently downward and outward while looking in a mirror. If the darkness or shadow disappears, you are dealing with a hollow or a contour issue, which filler can often address. If a bulge remains or the skin itself is loose and crepey, that is tissue, and only surgery removes tissue. Upper lids follow the same logic: if skin rests on your lashes or folds over the crease, no injectable will lift it meaningfully.
Sometimes, for upper eyelids only, and only when the hooding is severe enough to obstruct vision. That requires a documented visual field test showing the obstruction, performed by an ophthalmologist or optometrist. Lower blepharoplasty is considered cosmetic in essentially all cases. Ask the surgeon's office to run the insurance verification before you assume either way, because the answer varies by carrier and by how much field loss the test shows.
Upper blepharoplasty results typically hold for 10 to 15 years, and many patients never need a revision. Lower blepharoplasty is often effectively permanent for the fat that was removed, since those fat pads do not regrow. What continues is normal aging of the surrounding skin, which is why some patients pair surgery with resurfacing or continue with skincare afterward.
Temporary dry eye is the most common complaint and usually resolves within weeks. Less common issues include asymmetry between the two sides, visible scarring in patients prone to it, and in lower-lid surgery, a pulled-down appearance to the lid margin called ectropion, which is uncommon in experienced hands but is the main reason lower blepharoplasty rewards surgeon selection. Serious complications affecting vision are rare. Discuss your specific risk factors, including dry eye history and thyroid conditions, at consultation.
Both plastic surgeons certified by the American Board of Plastic Surgery and oculoplastic surgeons, who are ophthalmologists with additional fellowship training in eyelid and orbital surgery, perform this operation regularly. For lower-lid work in particular, oculoplastic training is a genuine advantage worth asking about. Either way, confirm the certification directly rather than relying on a website description.
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