Blepharoplasty
Conveniently located to serve St. Louis
Blepharoplasty (also known as eyelid surgery or an eyelid lift) addresses drooping, puffy, or wrinkled eyelids that create a tired appearance or, in severe cases, impaired vision. Paul Rottler, MD, FACS, performs both upper and lower blepharoplasty in St. Louis, Missouri, for patients looking for aesthetic enhancements or functional improvements.
What Is Blepharoplasty?
Blepharoplasty can be performed on either the upper or lower eyelids:
Upper Blepharoplasty
Upper blepharoplasty targets excess skin that obscures the natural fold of the upper eyelid — often referred to as “hooded” lids — as well as a persistent puffy appearance around the upper eyelids, resulting in a constant “tired” look.
Lower Blepharoplasty
Lower blepharoplasty addresses excess skin and fine lines around the lower lid, persistent “bags” or dark pigmentation around the under-eye area, and lower lid “droopiness” that exposes more of the white of the eye.
Is an Eyelid Lift Right For Me?
The ideal candidate for this procedure is in good overall health and has realistic expectations about their surgical results. Candidates may seek treatment for cosmetic concerns, functional issues affecting their vision, or both!
The Procedure
Several strategies can be employed during upper and lower eyelid surgery:
Upper Eyelid Lift
Upper blepharoplasty procedures can be done under local or general anesthesia according to patient preference. A small incision is made within the natural crease of the upper eyelid, enabling the removal of redundant skin tissue.
Lower Eyelid Lift
For lower blepharoplasty, the approach depends on the concern being addressed. If there is extra skin in the lower lid, a small incision would be made in the natural crease of the lower lid skin. If there is no excess skin, and only lower lid bags are being addressed, an incision can be made on the inside of the lid. Fat is repositioned to create a smooth contour between the lower lid and cheek.
After Eyelid Surgery
It’s advised that patients have a friend or family member stay with them for the first couple of days following surgery. During recovery, patients should rest with their head elevated and apply cold compresses as directed. Heavily visual activities, such as reading, can be resumed within 2 to 3 days, though patients should avoid strenuous exercise for at least four weeks. Most patients can return to work within 7 to 10 days following surgery.
Benefits of Blepharoplasty
- Reduces hooded or drooping upper eyelids
- Eliminates under-eye bags
- Minimizes fine lines around the eyes
- Creates a more alert, youthful appearance
- Reduces vision obstruction
How Much Does Eyelid Surgery Cost?
The cost of blepharoplasty varies based on the number of eyelids being treated, the exact surgical techniques used, anesthesia fees, and other patient-specific factors. The price also depends on the complexity of each patient’s unique anatomy and aesthetic goals, as well as anesthesia fees and surgical facility costs.
Eyelid Lift FAQs
Contact Us to Learn More
If you’d like more information about blepharoplasty in St. Louis, MO, schedule a consultation with Dr. Paul Rottler at his office to discuss your concerns and determine whether this treatment is right for you!
Related Blog Posts
Eye Lifts Make You Look More Alert
Your eyes talk a lot about you. While youthful eyes can describe you as being livelier and alert, sagging or drooping eyes can represent just the opposite. However, as you age, the aging symptoms begin to show up in several parts… Read More
Blepharoplasty St. Louis
Blepharoplasty, or Eyelid Lift surgery, is a cosmetic surgery procedure that has helped many men and women of various ages achieve a more youthful appearance. The skin around the eyes is notoriously delicate and prone to creases, wrinkles, puffiness and sagging. As we get older, many of us… Read More








