Upper and Lower Blepharoplasty Transformations
This gallery highlights blepharoplasty results that remove excess eyelid skin, smooth under-eye bags, and restore a more youthful, refreshed appearance.
Brighter Eyes with Natural Rejuvenation
Every set of eyes tells a story and at Balikian Plastic Surgery our goal is to help patients rediscover a more youthful version of themselves while preserving what makes their appearance unique. Blepharoplasty is not just about removing skin. It is about restoring brightness, balance, and confidence in the most natural way possible.
These blepharoplasty before and after photos feature real patients who trusted Dr. Richard Balikian, a double board-certified facial plastic surgeon, to refresh tired eyes and create results that look youthful, elegant and true to their identity.
What This Blepharoplasty Gallery Shows
Within this gallery, you will see the outcomes of both upper eyelid blepharoplasty and scarless lower eyelid surgery. Each transformation reflects Dr. Balikian’s philosophy of achieving natural results that never look overdone.
- Upper Eyelid Rejuvenation. Removing heaviness from the upper lids to open the eyes and create a brighter, rested look.
- Lower Eyelid Refinement. Treating puffiness, bags, or hollowing under the eyes for smoother contours.
- Balanced Rejuvenation. A refreshed appearance that looks youthful and natural while keeping the eyes expressive.
- Personalized Techniques. Tailored surgical plans that match each patient’s anatomy for subtle yet powerful improvements.
From smoothing under-eye bags to lifting drooping upper lids, these results demonstrate how precision and artistry can restore confidence while keeping the eyes looking authentically yours.
A Selection from Thousands of Eyelid Surgery Transformations
These outcomes are more than cosmetic adjustments. They represent renewed energy, brighter expression, and the lasting beauty of eyes that match how patients feel inside.
(Click any photo to view the full transformation details.)
Why Patients Choose Blepharoplasty with Dr. Balikian
Dr. Balikian often reminds patients that the goal of eyelid surgery is not to change the shape of the eyes but to make them look rested, natural, and youthful. By addressing heaviness, puffiness, and skin laxity, blepharoplasty enhances the eyes while preserving individuality.
Benefits include:
- A brighter, more youthful gaze
- Removal of sagging or heavy upper lids
- Smoother lower lids with reduced puffiness
- Long-lasting results with discreet, well-hidden incisions
Patients choose Dr. Balikian for blepharoplasty because his techniques are precise, preservation-focused and designed to make patients look refreshed, not different.
What to Expect from Your Results
Most patients notice improvement within the first two weeks as swelling decreases. As Dr. Balikian often says, you will look good quickly, and you will look even better as the months go by. Final results continue to refine over time as tissues settle naturally.
For more complete rejuvenation, some patients choose to combine blepharoplasty with complementary procedures such as a brow lift, facial fat transfer, or laser resurfacing. Together, these treatments bring harmony across the face and enhance overall results.
FAQs About Blepharoplasty Results
When will I start to see my results?
Most patients notice a more open, refreshed eye area within 1 to 2 weeks as bruising and much of the swelling resolve. The lids continue to soften and refine over 3 to 6 months as the tissues fully heal.
How long do blepharoplasty results last?
Upper and lower eyelid surgery creates long lasting improvement. Many patients enjoy their results for 5 to 10 years or longer, although the normal aging process continues for the skin, brow and midface.
Will I still look like myself?
Yes. Dr. Balikian designs eyelid surgery to keep your natural eye shape and expression while removing excess skin and smoothing puffiness. Large studies show very high satisfaction when upper eyelids are treated conservatively with muscle-sparing techniques.
Do the before and after photos reflect typical outcomes?
They show real patients with natural results tailored to individual anatomy. Your consultation will outline what is realistic for you.
What changes should I expect after an upper blepharoplasty?
Upper eyelid surgery can remove heavy skin that rests on the lashes, improve hooding at the outer corners and restore a smoother upper lid crease. Studies also show improvement in visual field, headaches and overall quality of life in patients whose lids were blocking vision.
What improves after a scarless lower eyelid surgery?
A transconjunctival or “scarless” lower blepharoplasty can reduce under eye bags by repositioning or removing fat from inside the eyelid, avoiding a skin incision. When combined with a small skin pinch or laser, it can smooth the eyelid–cheek junction and soften fine wrinkles while keeping the lid shape natural.
When do results look most natural?
Early refinement shows at two to three weeks. Final blending of the lids and cheek transition continues for several months.
Will my scars be noticeable?
For upper eyelids, the incision is hidden in the natural crease and typically fades to a fine line that is difficult to see with the eyes open. With scarless lower eyelid surgery, the incision is placed inside the lid, so no external scar is visible. Recent studies of modern upper bleph techniques describe postoperative scars as inconspicuous in the majority of patients.
Can blepharoplasty fix asymmetry?
Mild eyelid asymmetry can often be improved by tailoring the amount of skin, fat or muscle removed on each side. Some differences come from the brow or bony orbit rather than the lids themselves, so Dr. Balikian will show you which features can be balanced and which may remain subtly different.
How does blepharoplasty compare with non-surgical options for results?
Fillers, neuromodulators and devices can soften lines or camouflage mild hollows, but they do not remove excess skin or true fat bags and they need repeat treatments. Blepharoplasty surgically reshapes the eyelid structures to address skin, muscle and fat in one procedure, providing a more comprehensive and longer lasting change when surgery is appropriate.
What if I have hollowing under the eyes as well as bags?
Many patients have both bulging fat and hollow “troughs.” Dr. Balikian often combines scarless lower blepharoplasty with fat repositioning or precise fat transfer to smooth the transition from lower lid to cheek. Clinical studies confirm that transconjunctival fat repositioning with or without grafting is effective for treating bags and tear trough deformity.
How will aging affect my results over time?
Your eyelids will always look younger than if you had never had surgery, but aging of the skin, brows and midface continues. Long term follow up studies show that scars remain soft and that rejuvenation of the upper eyelid is generally stable, although some patients may later benefit from treatments such as brow lift, laser or a touch up procedure.
Trust Your Face to a Facial Plastic Surgeon
Dr. Richard Balikian is a highly respected facial plastic surgeon serving the Southern California area.
With over 20 years of experience and double board certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery, Dr. Balikian offers a unique combination of technical expertise and artistic vision.
He is part of an elite group of surgeons with extensive training focused exclusively on the face and neck.
Discover the Possibilities
The Balikian Experience
Patients choose Dr. Richard Balikian for precision facial procedures, personalized care and results that look naturally you.
Learn More About Procedures for the Eyes
Richard V. Balikian, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Balikian Facial Plastic Surgery: Richard V. Balikian, MD, FACS
Tyler Frew, MD
Board-Certified Plastic Surgeon