Alexander Gougoutas, MD
Seattle
Alexander Gougoutas, MD is a plastic surgery practice in Seattle, Washington, rated 5 stars across 87 Google reviews, performing 16 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. Compare Seattle clinics below and request a free consultation.
$3,200–$7,500
per procedure · USD
A general range for Seattle, rounded for guidance. Confirm exact pricing with each clinic.
Plastic surgeons in Seattle who list blepharoplasty among their procedures. Tap any surgeon to view details and request a consultation.
Seattle
Alexander Gougoutas, MD is a plastic surgery practice in Seattle, Washington, rated 5 stars across 87 Google reviews, performing 16 tracked procedures.
Seattle
Financing available
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Northwest Face & Body is a plastic surgery practice in Seattle, Washington, rated 4.7 stars across 544 Google reviews, performing 27 tracked procedures.
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Seattle Plastic Surgery is a plastic surgery practice in Seattle, Washington, rated 4.8 stars across 288 Google reviews, performing 30 tracked procedures.
Seattle
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Larrabee Center For Plastic Surgery is a plastic surgery practice in Seattle, Washington, rated 4.8 stars across 209 Google reviews, performing 10 tracked procedures.
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Sound Plastic Surgery is a plastic surgery practice in Seattle, Washington, rated 4.7 stars across 99 Google reviews, performing 20 tracked procedures.
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PHASE Plastic Surgery is a plastic surgery practice in Seattle, Washington, rated 4.7 stars across 75 Google reviews, performing 19 tracked procedures.
Seattle
The Seattle Facial Plastic Surgery Center is a plastic surgery practice in Seattle, Washington, rated 4.8 stars across 59 Google reviews, performing 12 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
19 plastic surgery practices in the Seattle area list blepharoplasty. From Google Places listings; hours and locations change, so confirm with the practice.
What 12 Seattle 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.
Techniques named for blepharoplasty: Asian double eyelid surgery.
Upper blepharoplasty is a surgical procedure that removes or repositions excess skin, and in some cases, a small amount of muscle or fat, through an incision hidden in the natural crease of the upper eyelid.
Eyelid surgery in Seattle typically takes between one and two hours to complete.
The goal of eyelid lift surgery is to reveal the structure of the upper eyelid by removal of excess skin, and remove bulging excess eyelid fat in the upper and lower eyelids that contributes to an aged appearance.
Blepharoplasty can be performed for both aesthetic reasons and functional concerns, such as improving vision obstructed by sagging upper eyelids.
The goal of eyelid lift surgery is to reveal the structure of the upper eyelid by removal of excess skin, and remove bulging excess eyelid fat in the upper and lower eyelids that contributes to an aged appearance.
Lower blepharoplasty is a surgical procedure that addresses the lower eyelid area using either a transconjunctival approach (inside the eyelid) or a subciliary approach (just below the lash line).
Depending on the specific case, upper eyelid surgery may be performed under either local or general anesthesia, while lower eyelid surgery is usually conducted under general anesthesia.
Eyelid surgery can be performed in our clinic under local anesthesia while patients are awake. More extensive procedures are done in the operating room under anesthesia. Eyelid lift surgery can be done in combination with browlift, facelift and facial fat grafting for a total facial rejuvenation.
The recovery at The Seattle Blepharoplasty Center typically takes about an hour to an hour-and-a-half. At that time, the patient can be discharged to home with their caregiver.
Eyelid surgery can be performed in our clinic under local anesthesia while patients are awake. More extensive procedures are done in the operating room under anesthesia. Eyelid lift surgery can be done in combination with browlift, facelift and facial fat grafting for a total facial rejuvenation.
Often a facelift is done in conjunction with other facial cosmetic surgeries such as brow lift and forehead lift, blepharoplasty (eyelid surgery), chin implant augmentation, liposuction, and rhinoplasty (nose surgery).
During your blepharoplasty consultation, Dr. Tony will begin with a detailed analysis of your facial structure, considering the natural placement of your brow and eyelids.
A blepharoplasty can be performed at the same time as a facelift , browlift , or other facial cosmetic procedures.
Blepharoplasty removes or repositions skin and fat that make the eyelids look heavy or puffy. Upper blepharoplasty works above the eyes, while lower blepharoplasty treats bags and loose skin below them.
Blepharoplasty, also called eyelid surgery, can refresh the upper eyelids, lower eyelids, or both without changing their natural character. At Said Plastic Surgery in Seattle, board-certified plastic surgeon Dr. Hakim Said tailors the procedure to your anatomy and what you would like to improve.
Lower eyelid surgery mainly focuses on removing fatty deposits that tend to accumulate
Blepharoplasty generally runs $3,200–$7,500 per procedure, and each Seattle 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 Seattle clinics for a personalized quote.
Initial results in 2–4 weeks, with full results developing over 3 months as collagen builds. Seattle providers typically schedule follow-ups to track progress.
Results vary by patient, but most Seattle 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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