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Eyelid Surgery (Blepharoplasty)

Our eyes reveal our emotional and physical well-being and are considered the window to our soul. Over time, the accumulation of loose skin and puffiness can result in a tired, aged appearance. Eyelid surgery (blepharoplasty) and other related non-surgical procedures are ideal options for tightening the eyelid skin, removing the bags, and softening the hollows to achieve a more youthful, rested, and energetic look. Our approach is individualized for each and every patient depending upon their anatomy and the effects of the aging process. At Total Aesthetics ™, blepharoplasty has evolved from just the traditional surgical approach to a group of procedures, including minimally and non-invasive options, individualized for each patient—and our preference is for conservative, less-invasive techniques.

Also see: No Touch Blepharoplasty

Why should I choose Total Aesthetics ™ of Connecticut for my blepharoplasty?

  • Dr. O’Connell is a highly skilled eyelid surgeon with over 35 years of experience. He was one of the first plastic surgeons to elucidate, utilize, and publish the techniques of “no-touch” blepharoplasty.
  • Each patient’s overall facial aesthetics are carefully reviewed, and he or she is provided with a plan tailored to their anatomy, their aesthetic goals, and their unique lifestyle.
  • We prefer less-invasive eyelid procedures to help our patients achieve their goals with less pain and downtime—and unlike some practices that only offer one option, we have several choices that reflect our investment in the technology of the future.
  • Because of his ability to safely and comfortably perform eyelid rejuvenation under local anesthesia, Dr. O’Connell was chosen to demonstrate upper blepharoplasties on The CBS Morning Show in 2005. This video is available to the right.
  • Dr. O’Connell believes that blepharoplasty should be volumizing, and he eschews the hollowed, aged appearance that can be produced by some techniques. Because of this, antiquated procedures such as muscle removal from the upper eyelid and overly aggressive fat removal is avoided. To enhance the results of lower eyelid rejuvenation, Dr. O’Connell often adds volume with tear trough filling to better camouflage the lid-cheek junction.
  • As a member and official spokesperson for the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery, Dr. O’Connell has met rigorous standards including certification by the American Board of Plastic Surgery. Do not be confused by other official-sounding boards and certifications—the American Board of Plastic Surgery is the gold standard certifying board in plastic surgery.
  • All eyelid surgery is performed in the safety of a nationally accredited surgical facility.
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Who Can Benefit From Blepharoplasty?

Adults With Aged Eyes

Healthy adults who show signs of aging in the upper and/or lower eyelids can benefit from blepharoplasty and the related non-invasive procedures. These changes include droopy or “hooded” upper eyelids as well as a tired and wrinkled appearance in the lower lids, often accompanied by “bags” and tear trough formation at the lid-cheek junction.

Patients With Visual Obstruction

Many people undergo blepharoplasty for more than cosmetic reasons. The excess skin and tissue that hoods and weighs down the upper eyelids can obstruct vision. When this occurs, insurance reimbursement can sometimes be obtained, and Total Aesthetics ™ will work with your insurance carrier on your behalf. There is no extra charge for this service.

What Do You Desire?


  • Recovery

    Patients can return home one to two hours after blepharoplasty. It is important to keep the head elevated and to apply cold compresses to control bruising and swelling. Dr. O’Connell will provide you with written instructions detailing how to care for your eyelids and how to administer your medications. Sutures are usually removed in four to five days. Dr. O’Connell invariably closes the upper eyelids with an advanced technique using a single running stitch that is easily and quite comfortably removed. Most patients can return to sedentary activities within a few days. Return to exercise will depend upon the techniques utilized.

  • Scars

    At Total Aesthetics ™, blepharoplasty procedures are designed to minimize scarring. Over time, scars fade and become less visible. Early on, most scars can be easily concealed with makeup.

    Non-invasive approaches to eyelid rejuvenation, including laser and radio frequency treatments, are designed to be completely scarless.

  • Cost

    The price of the surgery will vary based upon the techniques utilized. The final cost of your procedure will be reviewed during your consultation and will include anesthesia fees, operating room fees, and any other related expenses.

    With non-invasive approaches, there are no anesthesia or operating room fees.

  • Discomfort

    Following blepharoplasty, discomfort is minimal. Pain medication will be provided along with a topical antibiotic ointment.

Frequently Asked Questions

  • Am I a good candidate for blepharoplasty surgery?

    The best candidates for blepharoplasty are in good general health and also have good ocular health. Dr. O’Connell will carefully evaluate your eyelid anatomy in the context of your overall facial aesthetics along with anticipated recovery times, costs, and risk tolerance to help you determine which procedures might provide the best results for you and best fit your lifestyle.

  • What can I expect during my consultation?

    During your consultation, you and Dr. O’Connell will review your aesthetic concerns and the individualized goals of your blepharoplasty. Your medical history, allergies, medication, vitamin and supplement use, and especially any prior eye problems or surgeries, will be reviewed in detail. After a careful examination of your eyelids and adjacent facial structures, such as the forehead, eyebrows, and cheeks, the various surgical and non-surgical options for blepharoplasty will be reviewed along with their risks, recovery times, and likely outcomes. In most cases, photographs and computer graphics will be used to help you understand your anatomy, the aging process, your aesthetic goals, and the how the procedures are performed.

  • How do I prepare for my eyelid surgery?

    Before your procedure, you may be asked to:

    • Provide us with the results of a routine eye exam (within a year) performed by your ophthalmologist or optometrist
    • Stop taking aspirin, anti-inflammatory drugs, vitamins, supplements, and other medications that can increase the risk of bleeding
    • Obtain a medical evaluation that sometimes includes an EKG and lab testing

    In all cases, a responsible adult must drive you home from your surgery and stay with you for the first night.

  • How is eyelid surgery performed?

    Depending on the patient’s needs, upper eyelid surgery, lower eyelid surgery, or both can be performed.

    • Upper eyelid surgery: A gently curved incision along the crease of the upper eyelid is made to remove excess, hooded skin and displaced fat. The aesthetic goal is not a hollow appearance but rather a full, youthful, volumized upper lid without hooding and with adequate space for eye shadow.
    • Lower eyelid surgery: Lower blepharoplasty commonly involves an incision located just below the lashes to provide access for bag removal and skin tightening. Sometimes, Dr. O’Connell utilizes a less-invasive means of removing skin, known as a pinch excision. Alternatively, fat can be removed through an incision on the inside of the lid; this is called the transconjunctival approach. Dr. O’Connell often softens wrinkling and tightens lower eyelid skin using laser or radio frequency techniques.
  • Are there any complications associated with blepharoplasty?

    As with all surgical procedures, blepharoplasty carries some risks and potential complications, some of which may include:

    • Bleeding
    • Infection
    • Difficulty closing the eyes
    • Unfavorable scarring
    • Dry eyes
    • Anesthesia risks
    • Chronic pain
  • What type of anesthesia is used for blepharoplasty?

    Dr. O’Connell performs most upper eyelid surgeries under only local anesthesia. In most cases, lower blepharoplasty is performed under local anesthesia alone or with the addition of monitored intravenous sedation. Non-invasive approaches are performed with local anesthesia or without the need for any anesthesia whatsoever.

Dr. O'Connell - a 2017 Connecticut Magazine Top Doctor

Dr O'Connell Top Doc 2017

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208 Post Rd. West, Westport, CT 06880

Tel: (203) 454-0044

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