Eyelid Surgery (Blepharoplasty)

Loose and sagging skin, wrinkles, and puffiness around the eyelids can contribute to a tired or aged appearance. Excess skin above your upper eyelids can even obscure your vision. Dr. Dax Guenther performs blepharoplasty, often called eyelid surgery, in Boston, Hingham, and Nantucket for women and men who want their eyes to reflect their alertness and youthful spirit.

Eyelid Surgery (Blepharoplasty)
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Case: 1 of 9
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Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 1 of 8

Case #47

Woman in 50s bothered by periorbital area.  Shown after upper and lower blepharoplasties with septal resets of lower lids.  Periorbital fat maintained to prevent long term "hollowed out" appearance.
Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 2 of 8

Case #49

Woman in 50s bothered by upper eyelids.  Shown after upper blepharoplasty.
Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 3 of 8

Case #25

Woman in 60s troubled by friends and family asking her if she was "tired".  Shown shortly after upper blepharoplasty.
Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 4 of 8

Case #77

Woman in 60s bothered by bags under eyes.  Shown after lower lid blepharoplasties with fat repositioning and skin removal.
Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 5 of 8

Case #26

Woman in 60s troubled by upper eyelid "heaviness".  Shown shortly after upper blepharoplasy and lateral browpexy performed through same incision.
Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 6 of 8

Case #53

Woman in 60s bothered by "tired" appearance.  Shown after lower blepharoplasties.
Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 7 of 8

Case #52

Woman in 70s bothered by "tired appearance".  Shown after upper and lower blepharoplasties.
Eyelid Surgery (Blepharoplasty) Before & After Photo | Hingham, MA | Dax Guenther, MD: Coastal Plastic Surgery
Before & After
Case: 8 of 8

Case #60

Woman in 40s bothered by lower eyelid "bags".  Shown after lower blepharoplasties with septal reset of lower lids.

Keep in mind that each patient is unique and your results may vary.

Exciting Possibilities

Your eyes are among your most prominent features. If the surrounding skin is smooth and toned, they will stand out as they should. Once the skin begins to loosen and sag, your eyes lose their youthful vitality. Dr. Dax works with you to form an individualized surgery plan for this delicate area based on your unique goals. Your initial consultation at Dr. Dax’s Boston practice includes discussing the advanced eyelid surgery techniques he uses in order to:

  • Minimize the appearance of bags or dark circles below your eyes
  • Smooth wrinkled or drooping skin on and around your eyelids
  • Tighten and tone areas around your eyes that have become puffy

We offer the latest blepharoplasty techniques in order to obtain natural and lasting results. For your eyelid surgery, Dr. Dax will apply his training and experience directly toward selecting and implementing the methods that best suit your specific needs and goals.

Dr. Dax Guenther smiling with his arms crossed

Meet 'Dr. Dax'

Board-Certified Plastic Surgeon

With impeccable credentials and a personable bedside manner, Dr. Dax gives his patients confidence and peace of mind from their initial consultations through follow-up appointments. He established his boutique private practice in 2012 and is among the best plastic surgeons in the Boston area.

Meet Dr. Dax
Dr. Dax Guenther's credentials Dr. Dax Guenther's credentials

Am I a Good Candidate for Eyelid Surgery?

Eyelid surgery is perennially one of the most popular cosmetic operations performed both at our practice and nationwide. Some patients find success treating concerns around their eyes with non-surgical alternatives, such as injectable fillers for under-eye hollows and BOTOX® and Dysport® for wrinkles. But eyelid surgery makes long-lasting changes and is the best choice in many cases. Surgery is a good method for men or women when:

  • Excess skin obscures the natural folds of the upper eyelids
  • Upper eyelids obstruct vision
  • Puffiness of the upper eyelids results in a tired or sad look
  • It’s difficult to apply makeup because the upper eye surface is too small or rough
  • The lower eyelids take on a “crepe paper” appearance
  • Bags and circles appear under the eyes

As with all cosmetic surgery, it’s important that you are in good overall health and that you discuss your goals and expectations with Dr. Dax before surgery. He’ll determine whether you are a good candidate.

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Simulate Your Results

Using state-of-the-art 3D imaging technology, Crisalix gives you the opportunity to preview potential results and feel confident about your cosmetic choices.

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Advanced Techniques & Options

Dr. Dax frequently performs both upper and lower eyelid surgery, often combining the 2 procedures into a single operation. Meticulous attention to detail allows the scars to be placed in natural creases so that they are hidden.

Upper Eyelid Surgery

Boston upper eyelid surgery graphic

This is typically performed in our office using local anesthesia. Dr. Dax begins by using a pen to mark where he plans to remove excess skin. He makes the incisions along the natural creases of the eyelid and removes tissue through the incision. In some cases, he may perform a modified blepharoplasty designed to minimize the amount of tissue removed.

After marking the area targeted to remove tissue and skin, Dr. Dax makes incisions in the natural creases of the upper eyelid.

Lower Eyelid Surgery

Boston upper eyelid surgery graphic

When a patient wants to eliminate fatty bags, Dr. Dax avoids completely removing fat around the eyes, which often leads to a “hollowed-out” appearance. Rather, he redrapes the fat in order to smooth out the junction between the eyelids and the cheek for a youthful contour. The lower eyelid operation is generally performed as day surgery.

In lower eyelid surgery, the incision may be made just below the lower lashes, or just inside the lid (a transconjunctival incision). Dr. Dax typically redrapes fat, rather than removing it, to avoid a hollow look.

Combining Procedures

In some cases, Dr. Dax recommends combining eyelid surgery with a facelift for more dramatic results. Many patients also make good candidates for a brow lift to address sagging in the entire upper face. It’s important to distinguish patients who need both procedures done, because doing eyelid surgery alone when brow sagging is present can actually make sagging worse. Dr. Dax often performs both brow and eyelid surgeries in a single operation.

Healing & Enjoying Your New Look

Upper eyelid surgery may take place in Dr. Dax’s office under local anesthesia, but lower eyelid surgery or a combined procedure of the upper and lower lids will take place as day surgery.

Healing dressings will be placed on the eyelid incisions for the first 24 hours. During the first week, patients apply a lubricant for corneal protection.

Patients return to the office for a follow-up appointment shortly after the surgery. At this time, sutures are removed and additional instructions provided, which will vary depending on the exact nature of the procedure. Most patients return to work after 1 to 2 weeks and can resume full levels of activity after 4 to 6 weeks.

Are you ready to learn how board-certified plastic surgeon Dr. Dax can refresh your eyes? Request a consultation online, or call us at (781) 740-7840 today to speak with one of our team members.

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