Upper Eyelid Surgery in Langhorne, Bucks County, PA

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Upper eyelid surgery (also called blepharoplasty) is designed to remove unsightly excess skin from the upper eyelids and to re-contour the shape of the eyes for a younger appearance. Dr. Alan Brackup of Cosmetic Surgery Specialists in Langhorne, Bucks County, PA is double board-certified in cosmetic surgery and ophthalmology. Dr. Brackup also has training and experience in oculoplastic surgery, which gives him an advantage when working on the delicate skin around the eyes during upper eyelid surgery. Upper eyelid surgery can eliminate puffiness that makes your face look tired or sad, but it can also improve your vision when the loose skin is removed. An upper eyelid lift by Dr. Brackup can refresh and rejuvenate your eyes for a more awake and youthful appearance.

Surgical Technique

The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes leaving a unappealing look. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised. 

Non-Surgical Enhancement

For some individuals, nonsurgical eyelid rejuvenation is a better choice than an operative procedure. Factors such as individual anatomy, health, lifestyle and finances may all lead one to this approach rather than surgery. Fortunately , we can often achieve astounding results using nonsurgical alternatives. There are multiple approaches we take, tailoring a treatment plan to each individual patient.


  • For many patients, the dark hollows under the eyes are their most objectionable concern. Here, we frequently use fillers such as Restylane to achieve immediate and dramatic improvement, with no downtime. Don’t believe it ? Check out our before and after gallery.

Botox and Dysport

  • Frequently, we will add Botox or Dysport to the eyelids and crow’s feet to soften lines. Either by themselves, or in concert with fillers, the results can be remarkable. A natural softening of the appearance of aging.

Laser Skin Resurfacing

  • The use of lasers has been an important addition to our armamentarium of nonsurgical eyelid enhancement over the past 20 years. The multiple lasers we use can achieve significant tightening of eyelid skin, with resultant improvement in wrinkles as well. A very high tech solution to a difficult problem, again without any surgery involved.

During/After Surgery

Eyelid surgery is performed with sedation. If the procedure involves both upper and lower eyelids, the surgeon will typically manage the upper eyelid first. On average, it takes 1 – 2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and topical antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.

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Upper Eyelid Surgery FAQs

Evident Scars?

Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.

Post-Surgery Complications?

Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery. 

Better Eyesight?

Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself. 

Goals of Eyelid Surgery?

Recontouring is the key to a successful result. For the upper lids, this most often involves removing the excess skin that is drooping down and removing some of the puffiness in the orbital area.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.