Restore a more vibrant, energetic appearance by addressing tired-looking eyes, excess skin, puffy eyelids, and lower eyelid pouches. Dr. David T. Morwood, MD, our board-certified plastic surgeon, carefully evaluates the periorbital area, using a meticulous, custom-designed approach to achieve natural, balanced, and youthful eyelid rejuvenation.
Before & After Eyelid Surgery
*Actual Patient Disclaimer: there is no guarantee of specific results and the results can vary.
In Dr. Morwood's Words:
Fullness in both the lower eyelid and upper lid contributes to an attractive appearance, however, that fullness must be appropriate and within certain bounds. Too much volume in the lower eyelids can be unattractive; the lower eyelids can appear too puffy, or they can have unsightly pouches.
David T. Morwood, MD, FACS
The Truth About Plastic Surgery: An Educational Guide for the Consumer
This Procedure Treats:
- Drooping or hooded upper eyelids that impair vision or appearance
- Excess, redundant skin on the upper or lower lids
- Under-eye puffiness and prominent fat pads
- Dark hollows and deepened tear troughs beneath the eyes
- A fatigued or aged appearance around the eyes
Restore a Vibrant, Energetic
Look to Your Eyes
Eyelid surgery, or blepharoplasty, rejuvenates the soft tissues around the eyes: the eyelids, eyebrows, and surrounding periorbital structures. You may notice excess skin, puffiness, or lower eyelid pouches due to what’s known as “pseudo-herniation” of orbital fat. Dr. Morwood approaches this area as a delicate anatomic unit, in which the eyebrow serves as the roof of the upper eyelid and the upper cheek serves as the foundation of the lower eyelid. Your treatment is tailored to precisely how your eyelid and periorbital structures age.
Eyelid Surgery Treats:
- Excess skin of the upper eyelid creates a heavy, tired appearance
- Puffy upper eyelids due to fullness or prominence of deeper fat compartments
- Lower eyelid “pouches” or so-called bags caused by pseudo-herniation of orbital fat
- Fine lines, wrinkles, and crepe-like skin of the lower eyelids
- A prominent, low eyelid-cheek junction (tear trough)
- Loss of appropriate fullness in the periorbital area
- Poor support or laxity of the lower eyelid structures
- An overall tired, aged, or less vibrant appearance of the eyes
- An imbalance between the eyelids, eyebrows, and upper cheek
What to Expect From Eyelid Surgery With Dr. Morwood
Your consultation with Dr. Morwood begins with a careful review of your medical history, followed by an unhurried discussion of what you see in the mirror and what you would like to change. He then performs a preoperative beauty analysis of the periorbital area, evaluating the skin, orbicularis oculi muscle, fat compartments, canthal support, and the upper cheeks. Dr. Morwood may elevate the lateral brow in front of the mirror to show you how brow descent can create the mirage of “extra skin,” and he then develops a custom plan.
The surgical technique depends on your anatomy and goals. During an upper blepharoplasty, Dr. Morwood sculpts and trims the upper eyelid skin while conservatively treating deeper fat. During a lower blepharoplasty, he may use a transconjunctival approach (an incision on the inside of the lower eyelid) or a subciliary approach (an incision just under the eyelashes) to access the lower lid fat compartments, transpose pseudo-herniated fat across the tear trough, and reinforce support with canthopexy or canthoplasty when indicated.
Videos
The Truth About Plastic Surgery: Eyelid Rejuvenation
Dr. David Morwood Plastic Surgery – Eyelid
How Do I Know if My Problem is the Eyelid or the Eyebrow?
You may look in the mirror and feel you have “too much extra skin” on the upper eyelid. In many cases, this is a mirage created by descent of the eyebrow: the roof of the upper eyelid. When the brow drops, it pushes tissue downward, creating the appearance of excess skin. During consultation, Dr. Morwood may gently elevate the lateral eyebrow to demonstrate how this changes the upper eyelid. A careful preoperative analysis determines whether treatment should focus on the eyelid, the brow, or both.
Eyelid Surgery FAQs
Will Fat Be Removed or Preserved During Surgery?
Modern blepharoplasty is a balancing act. While older techniques focused on removing fat, Dr. Morwood often preserves and repositions orbital fat, especially in the lower eyelid. This “volume preserving” approach uses your existing fat to smooth the tear trough and restore fullness to the upper cheek. Removing too much fat can create a hollow, aged appearance, while preserving appropriate volume contributes to a more youthful, vibrant look.
Are There Non-surgical Options for Eyelid Rejuvenation?
Yes, not all patients require surgery. Injectable treatments such as neuromodulators and dermal fillers can be used to improve the periorbital area. Botox can relax the muscles that depress the eyebrow, allowing subtle elevation and softening of lines. Fillers can restore volume to the tear trough and upper cheek. These “lunchtime” treatments are best suited for early signs of aging and can provide meaningful improvement with minimal downtime.
Have More Questions?
Learn More About Eye Rejuvenation in The Truth About Plastic Surgery: An Educational Guide for the Consumer
If you want a deeper understanding of eyelid rejuvenation, Dr. Morwood’s book The Truth About Plastic Surgery: An Educational Guide for the Consumer provides a detailed explanation of the periorbital area. You will learn how the eyelids, eyebrows, and upper cheek function as one unit, why careful preoperative analysis is essential, and how a custom-designed plan helps achieve a more youthful and natural result.
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Rejuvenate the Periorbital Area With Eyelid Surgery in Monterey
Dr. David Morwood is a board-certified plastic surgeon with 34+ years of experience and fellowship training in microsurgery, known for his meticulous approach to facial rejuvenation. During your private consultation, you will review your concerns in a mirror, undergo a detailed anatomic evaluation of the periorbital area, and receive a custom-designed plan tailored to your goals. Schedule your private consultation for eyelid surgery in Monterey today.
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