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Upper blepharoplasty before and after front view showing improved eyelid definition and reduced excess skin
Upper blepharoplasty before and after left oblique view showing smoother upper eyelid contour
Upper blepharoplasty before and after right oblique view with enhanced eyelid definition
Before and after upper and lower blepharoplasty showing diminished under eye bags and lifted upper eyelids for a refreshed appearance.
Before and after oblique right view showing upper and lower eyelid rejuvenation with reduced puffiness and smoother contours around the eyes.
Before and after oblique-view upper and lower blepharoplasty showing lifted upper lids, reduced lower eyelid bulging, and a more rested overall eye appearance.
Upper and lower blepharoplasty before and after front view showing smoother under eye area and improved eyelid contour
Upper and lower blepharoplasty before and after left oblique view improving under eye bags and eyelid definition
Upper and lower blepharoplasty before and after right oblique view with smoother under eye transition
Upper and lower blepharoplasty before and after front view showing brighter eyes and improved eyelid contour
Upper and lower blepharoplasty before and after left oblique view reducing under eye puffiness and excess skin
Upper and lower blepharoplasty before and after right oblique view with refined eyelid contour
Close-up before and after of upper eyelid surgery, highlighting lifted lids and reduced excess skin.
Female patient before and after upper and lower blepharoplasty, showing smoother eyelids and a brighter, refreshed eye appearance.
Lower blepharoplasty before and after, reducing puffiness and under-eye bags for a youthful, well-rested look.
Female patient before and after blepharoplasty, with improved upper lid contour and natural-looking rejuvenation.
Upper and lower blepharoplasty results showing smoother eyelids and diminished under-eye hollows.
Lower blepharoplasty before and after front view Asian male showing smoother under eye area and reduced puffiness
Lower blepharoplasty before and after right oblique view Asian male with smoother under eye transition
Lower blepharoplasty before and after left oblique view Asian male improving under eye bags and contour
Side-by-side male eyelid surgery results, showing lifted upper lids and a naturally youthful eye area.
Before and after male blepharoplasty, reducing heavy upper lids and revealing a more open, refreshed gaze.
Close-up before and after of upper eyelid surgery, revealing lifted contours and a more vibrant, open-eyed appearance.
Before and after upper eyelid blepharoplasty, improving symmetry and reducing excess eyelid skin.
Close-up before and after of upper eyelid surgery, showing smoother contours and brighter eyes.
Upper and lower eyelid surgery results showing reduced hollowness and under-eye puffiness
Lower eyelid blepharoplasty results, softening under-eye bags and restoring a rested, youthful appearance.
Upper eyelid surgery results with improved lid contour and youthful openness.
Blepharoplasty with fat transfer creating a refreshed, youthful eye area.
Upper eyelid lift results showing a smoother, more youthful eye appearance.
Before and after upper blepharoplasty reducing excess skin for a more vibrant gaze.
Lower blepharoplasty results reducing under-eye bags for a smoother, rested look.
Before and after lower eyelid surgery with improved under-eye contour and reduced puffiness.
Lower eyelid rejuvenation before and after, frontal view. Shows reduced bags, smoother lower lid skin, and a brighter, more youthful eye appearance.
Side-view before and after blepharoplasty. Post-surgery, the upper lids appear lighter, and the lower lids show reduced puffiness and smoother texture.
Angled before and after of upper and lower eyelid surgery. After images reveal tightened upper lids, softened crow’s feet, and improved lower-lid contour.
Before and after front view showing brighter, more youthful eyes with improved contour after upper and lower blepharoplasty with fat transfer.
Before and after angled view showing smoother, lifted eyelids and restored under-eye volume after upper and lower blepharoplasty with fat transfer.
Upper and lower blepharoplasty before and after front view.
Blepharoplasty before and after photo, female front view.
Before and after photos of eyelid surgery front view.
Before and after photos of eyelid surgery oblique view.
Male lower blepharoplasty before and after front view showing natural reduction of under-eye bags and smoother lower eyelid contours with fat transfer.
Male lower blepharoplasty before and after right oblique view showing reduced under-eye bags, smoother tear trough contours, and improved lower eyelid definition after fat transfer.
Male lower blepharoplasty before and after left oblique view highlighting improvement in under-eye hollows, reduced puffiness, and smoother lower eyelid contours after fat transfer.
Before and after pictures of eyelid surgery, female patient.
Blepharoplasty before and after front view.
Bleph before and after photo, front view.
Bleph before and after photo, oblique left view.
Bleph before and after photo, oblique right view.
Upper and lower blepharoplasty before and after, frontal view. Shows reduced upper eyelid hooding, smoother lower eyelid bags, and brighter, more open eyes after eyelid surgery.
Before and after upper and lower blepharoplasty, angled view. Under-eye bulging is reduced, eyelid creases appear smoother, and the eyes look more lifted and defined post-surgery.
Upper and lower eyelid surgery before and after, angled view. Demonstrates reduced lower eyelid puffiness, lifted upper lids, and improved periorbital symmetry.
Blepharoplasty before and after eyes open front view. Female patient shows smoother eyelids and refreshed appearance after surgery.
Blepharoplasty before and after side view. Female patient demonstrates improved eyelid contour and youthful eye rejuvenation.
Lower eyelid blepharoplasty before and after, female side view. Noticeable reduction in puffiness and under-eye bags.
Lower eyelid rejuvenation before and after, frontal view. Shows reduced bags, smoother lower lid skin, and a brighter, more youthful eye appearance.
Angled before and after lower eyelid surgery. Puffiness is reduced and the under-eye transition appears smoother, enhancing overall periorbital balance.
Blepharoplasty before and after pictures, female front view. Results highlight brighter, more open eyes and smoother upper eyelids.
Blepharoplasty before and after pictures front view. Patient shows reduced eyelid heaviness and natural eye rejuvenation.
Eye lift before and after female front view. Upper eyelid lift creates a refreshed, more youthful appearance.
Eye lift before and after lower lids, female front view. Reduction in under-eye bags and smoother lower eyelid contour.
Eye lift before and after male front view. Patient demonstrates tighter upper eyelids and natural eye rejuvenation.
Eye lift before and after male oblique left view. Results show improved eyelid shape and reduced puffiness.
Eye lift before and after male oblique right view. Noticeable improvement in upper eyelid heaviness and youthful eye contour.
Before and after photos showing rejuvenated, more open eyes with diminished under-eye bags and natural-looking upper eyelid definition.
Before and after photos showing smoother, firmer lower eyelids and lifted upper eyelids following bilateral upper blepharoplasty and lower transconjunctival blepharoplasty.
Before and after photos highlighting improved eyelid contour and reduced puffiness after upper and lower eyelid surgery.
Before and after photos revealing brighter, more youthful eyes with improved eyelid tone and definition after upper and lower blepharoplasty.
Before and after photos displaying smoother lower eyelids and a refreshed upper lid crease following blepharoplasty.
Before and after photos showing balanced eyelid symmetry and reduced heaviness beneath the eyes.
Before and after photos showing refreshed, well-defined eyes and smoother lower eyelids after cosmetic blepharoplasty.
Before and after photos showing tighter upper eyelid skin and smoother under-eye area following eyelid rejuvenation surgery.
Before and after photos showing more open, rested eyes and a balanced appearance following upper and lower eyelid surgery.
Before and after photos showing smoother lower eyelids and a refreshed upper eyelid contour after blepharoplasty, creating a brighter, more youthful look.
Before and after photos highlighting natural upper and lower eyelid rejuvenation with improved definition and reduced puffiness.
Before and after comparison showing facial rejuvenation with a deep plane facelift, vertical neck lift, upper and lower blepharoplasty, facial fat transfer, and TCA peel, resulting in firmer contours and refreshed eyelids.
Before and after photos displaying reduced eye bags and restored eyelid smoothness after blepharoplasty for under-eye rejuvenation.
Before and after photos showing softened under-eye fullness and smoother skin after lower eyelid blepharoplasty.
Before and after scarless lower blepharoplasty with brow lift, frontal view. Shows reduction in lower-lid bags, improved smoothness, and a more open, refreshed eye appearance.
Side view before and after lower blepharoplasty showing improvement in under-eye bags, smoother lower eyelid contour and reduced puffiness performed by Dr. Richard Balikian.
Front view before and after lower blepharoplasty demonstrating reduced under-eye bags, smoother lower eyelids and a more rested appearance performed by Dr. Richard Balikian.
Before and after photo of a patient showing lifted upper eyelids and a brighter, more open appearance following upper blepharoplasty and temporal brow lift.
Before and after image of a patient showing smoother under-eye contours and fuller cheeks after scarless lower blepharoplasty and facial fat transfer.
Upper and lower blepharoplasty before and after photo showing lifted upper lids and smoother lower lids with reduced creasing.
Angled view of upper and lower eyelid surgery results highlighting reduced under-eye puffiness and brighter, more open eyes.
Upper blepharoplasty before and after photo showing removal of excess upper eyelid skin and improved eyelid definition.
Side view of upper blepharoplasty results showing correction of hooded upper eyelid skin and a smoother brow-to-lid contour.
Angled view before and after upper eyelid surgery showing improved eyelid crease visibility and reduced sagging skin.
Side-profile upper blepharoplasty before and after showing lifted upper eyelid skin and a more open, youthful eye shape.
Before and after image of a patient after a trichophytic brow lift, upper blepharoplasty, facelift, neck lift, and facial fat transfer, revealing smoother eyelids, improved brow position, and rejuvenated facial contours.
Before and after upper and lower eyelid surgery showing a brighter and smoother eye area. The patient’s upper lids no longer appear heavy or hooded and the lower eyelid wrinkles and puffiness are reduced.
Before and after upper and lower eyelid rejuvenation showing lifted upper lids and reduced under eye bags. The eyes look more open and refreshed and no longer appear hooded.
Angled before and after view of upper and lower eyelid rejuvenation showing smoother contours around the eyes and improved definition of the upper eyelids. Hooding and puffiness are significantly reduced.
Before and after upper and lower blepharoplasty showing removal of heavy skin folds and large under eye bags. The patient’s eyes appear clearer and more youthful with no remaining hooding of the upper lids.
Angled before and after comparison following upper and lower blepharoplasty showing improved eyelid contour. The upper lids are no longer hooded and the lower lid bags are reduced.
Before and after angled view demonstrating upper and lower eyelid surgery results. The eyes look smoother and brighter with lifted upper lids and improved lower eyelid fullness.
Before and after lower blepharoplasty showing smoother under eye contours. Puffiness and shadowing are reduced and the eyes appear brighter and more rested.
Angled before and after view of lower blepharoplasty showing a natural reduction in under eye bags and improved skin smoothness for a refreshed look.
Before and after transconjunctival lower blepharoplasty with fat transfer showing softening of deep under eye hollows and reduction of prominent bags for a more even and youthful contour.
Page 1 of 212

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.

Start Your Transformation

If you are considering blepharoplasty, reviewing before and after photos is one of the best ways to understand what is possible. Dr. Richard Balikian is a double board-certified facial plastic surgeon dedicated to helping patients achieve results that look younger and more refreshed, while still looking like themselves.

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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

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The Balikian Experience

Patients choose Dr. Richard Balikian for precision facial procedures, personalized care and results that look naturally you.

Excellent
4.9
Based on 704 reviews
See all reviews
willi jo B.
2 weeks ago
Dr. Balikian is a wonderful Doctor.He is warm and caring, I trusted him immediately..His whole team are the most caring people, They were so helpful from start to finish.
Julie S.
3 weeks ago
The staff has always been amazing . The surgery center impeccable . I love Dr Balikian bedside manner always encouraging but not over delivering on expectations. He exceeds my expectations and I feel good walking out after my lip lift.
Linda G.
4 weeks ago
I love this place and everyone that i have met here! Front desk, nurses, everyone. Jo Ann , NP injector is one in a million! I will be back. Thank you all at Balikian med spa!
Belinda
1 month ago
My experience with dr. Balikian and his staff has always been very friendly and professional. I appreciate looking very natural but less aged.
Michelle K.
2 months ago
My consultation with Dr.Balikian was wonderful, both informative and educational. He is takes his time to explain everything in detail and is happy to answer any and all questions no matter how long it takes. He is very generous with his time and expertise. Aside from being a skilled surgeon and artist, he seems to be a truly kind person. His office staff are kind and professional and run the office like a well oiled machine. If all doctors and offices like this, the world would be a better place. On top of this I had my very first Botox treatment with Joanne and she was helpful and informative as well, what a lovely woman! I look forward to many treatments with her!
Helene M.
2 months ago
As always, Deborah was warm, welcoming, and a delight to work with. I left feeling like I had a visit with an old friend! Besides, her results are outstanding!
Rox H.
3 months ago
Thank you Balikian Plastic Surgery for your services. Joann used her expertise in making my wrinkles disappear, thank you so much!
Helena D.
3 months ago
I am so happy i went to meet everyone at Dr Balikians office first thing on my bucket list! Plus many other things to enjoy and learn skin health skin treatments 😁 I will be going there for all my needs more value for my money.
Margot M.
3 months ago
I am a 78 year old woman. Dr Balikian did exceptional work on me and his nurse Debra keeps me perked up with Botox and fillers every three months. My face is flawless and people think I’m 50 max. He doesn’t over do you so you look natural not fixed. I appreciate his entire lovely and helpful staff as well. Margot Martin
Eileen Y.
4 months ago
I was a little nervous when I first arrived at the office of BFPS. Erin, the patient care coordinator put my mind at ease. She was very friendly, personable and helpful. I then met Dr. Balikian; he took his time to explain how the surgery was going to be performed and he also patiently answered all of my questions and concerns I had at that time. I am pleased with BFPS.

Learn More About Procedures for the Eyes

Understanding Blepharoplasty Incisions

November 20, 2025/by Balikian Plastic Surgery

Blepharoplasty Recovery Timeline: What to Expect Day by Day

June 22, 2026/by Balikian Plastic Surgery

Lower Eyelid Bags | Why Simply Removing Fat Isn’t Enough

June 23, 2026/by Balikian Plastic Surgery

Why Hooded Eyes Aren’t Always an Eyelid Problem

June 25, 2026/by Balikian Plastic Surgery

Blepharoplasty for Brighter, Younger-Looking Eyes

May 3, 2025/by Balikian Plastic Surgery

Lower Blepharoplasty : Rejuvenate Tired, Puffy Eyes

December 7, 2024/by Balikian Plastic Surgery

How Blepharoplasty Rejuvenates the Eyes for Men and Women

January 31, 2025/by Balikian Plastic Surgery

Endoscopic Brow Lift : What It Is, Benefits, Risks, and Recovery

August 23, 2025/by Balikian Plastic Surgery

Your Face, Your Body, Our Expertise.

Dr. Richard V. Balikian, specializes in aesthetic and reconstructive surgery of the face and neck, and is renowned for his signature Artiste Lift™ preservation deep plane facelift technique.

Dr. Shain Cuber specializes in aesthetic breast and body surgery, bringing decades of focused surgical experience to breast enhancement, body contouring and Mommy Makeover surgery combinations.

Balikian Plastic Surgery logo

Richard V. Balikian, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery
Shain A. Cuber, MD
Breast and Body Plastic Surgeon


Richard Balikian

Google Rating
4.9
Based on 704 reviews

Temecula Valley

Balikian Plastic Surgery
951-719-2950


25220 Hancock Ave STE 115, Murrieta, CA 92562

San Diego

Balikian Facial Plastic Surgery
858-230-8938


1431 Camino Del Mar, Del Mar, CA 92014

© Copyright - Dr. Richard Balikian, Balikian Plastic Surgery
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