Your eyes are another way you express yourself, often saying what words can’t. When sagging lids, under-eye bags, or puffiness make you look tired or older than you feel, eyelid surgery can restore clarity to your expression.

At Vegas Plastic Surgery Institute, we offer upper and lower blepharoplasty with results that reflect both skill and sensitivity. Whether you’re motivated by vision concerns, cosmetic goals, or both, our board-certified plastic surgeons will help you achieve a look that feels true to you.

What Is Eyelid Surgery?

Blepharoplasty (eyelid surgery) removes excess skin, fat, or muscle from the upper or lower eyelids to improve your appearance and, in some cases, your vision. It’s a small, targeted procedure with powerful results that help you look more alert and rested.

Depending on your needs, we may recommend:

  • Blepharoplasty with Brow Lift to address heaviness that involves both the brow and upper lid
  • Upper Blepharoplasty to lift drooping lids, reduce hooding, and reveal a brighter gaze
  • Lower Blepharoplasty to smooth under-eye bags, puffiness, or shadows
  • Combination Eyelid Surgery for full upper-lower rejuvenation

Why Choose VPSI?

Las Vegas is home to many skilled plastic surgeons. What sets VPSI apart is not just our technique, but our philosophy of care:

Depth of Expertise: We’re one of the few practices in the region that pair high-volume cosmetic surgery with advanced reconstructive skills. That experience allows us to refine details safely and intentionally.

Individualized Outcomes: There’s no one “ideal” eye shape, only what suits you best. We focus on subtle, natural-looking enhancements that align with your features and reflect your personal goals.

Inclusive, Judgment-Free Care: Whether you’re here for cosmetic reasons, reconstructive needs, or a combination of both, you’ll be met with respect and support every step of the way.

Blepharoplasty Benefits

Depending on your procedure, blepharoplasty may help you:

Lift sagging or drooping upper lids

Remove puffiness or under-eye bags

Expand your field of vision

Improve symmetry and definition around the eyes

Appear more refreshed and alert

This small change often leads to a big shift in self-confidence, especially when your expression finally matches how energized and awake you feel inside.

Your Eyelid Surgery Experience

Your blepharoplasty will be performed right here at our Vegas office. Depending on your comfort level and the specifics of your surgery, we’ll use either local anesthesia with sedation or general anesthesia to help you feel completely at ease.

Once comfortable, your plastic surgeon will make small, carefully placed incisions along the natural folds of your eyelids to help minimize scarring. They’ll then remove any excess skin or fat and gently reposition the underlying muscles for a smoother, more refreshed look. The procedure typically takes one to two hours.

Meet Our Board-Certified Plastic Surgeons

At VPSI, our surgeons distinguish themselves by their excellent technical skills and artistic eye. Both Dr. Brosious and Dr. Goldman have the versatile experience that allows them to say “yes” to nearly every patient who walks through the door. 

Dr. John Brosious is a full-scope plastic and reconstructive surgeon offering head-to-toe surgeries. His background includes experience in Level I Trauma centers and academic institutions, equipping him to take on the most advanced reconstruction cases. Dr. Brosious performs over 200 chest surgeries a year for both transfeminine and transmasculine patients, and he is also the only surgeon in Nevada performing male to female genital gender affirmation surgery. 

Likewise, Dr. Joshua Goldman is a comprehensive plastic and reconstructive surgeon, well-known in the breast cancer community for his specialization in breast microsurgery. He single-handedly has the highest number of microsurgery cases in the State of Nevada and has been named by Vegas Inc’s Las Vegas Weekly as “Las Vegas 40 Under 40” and a “2021 Top Doctor.” 

To Dr. Brosious and Dr. Goldman, you are family, and they are here to help guide you through your journey to enhance your natural beauty.

Meet the Doctor Widget Logos
Meet the Doctor Widget Logos - Dr. Goldman
Meet the Doctor Widget Logos - Dr. Brosious

Josh Goldman, MD

ABOUT DR. GOldman

John Brosious, MD

ABOUT DR. Brosious

Blepharoplasty Recovery & Results

You can expect some bruising, swelling, and mild discomfort in the days following surgery, but most patients find recovery manageable with over-the-counter or prescribed medication. Cold compresses and keeping your head elevated can help reduce swelling.

  • Most patients return to work or non-strenuous activities in about 7–10 days.
  • Results become more visible as swelling subsides over 2–4 weeks.
  • Scars are typically well-hidden within natural eyelid creases.

We’ll provide you with a detailed aftercare guide and see you for follow-ups to ensure optimal healing.

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Blepharoplasty FAQs

Yes. If your upper eyelid skin is heavy enough to obstruct your visual field, blepharoplasty can remove it and restore a wider, clearer line of sight.

Blepharoplasty results vary slightly in longevity, but most patients who undergo upper eyelid surgery will see their effects last for five to seven years, while lower eyelid surgery results can last decades. 

The skin of the upper eyelids will naturally begin to sag again over time, especially if you experience sagging in your forehead or browline. 

Blepharoplasty is designed to align your outward appearance with how you feel on the inside. For some, that means looking more rested or alert. For others, it’s part of a larger process of identity expression. Either way, our approach is always to enhance what makes you, you.

Not always. Some patients undergo eyelid surgery for functional reasons, such as impaired vision or chronic eye fatigue. In some cases, it may even be covered by insurance when medically necessary.

We often combine eyelid surgery with a brow lift, a facelift, or non-surgical treatments such as BOTOX® and dermal fillers. These combinations can enhance overall harmony and extend your results.

Ready to Feel Like the Best Version of Yourself?

Vegas Plastic Surgery Institute is a full-scope plastic and reconstructive surgery practice, offering both head-to-toe reconstruction and cosmetic surgery. Our doctors and team abide by uncompromising standards to provide you with a high level of care and a positive experience in a judgment-free zone. Schedule a blepharoplasty consultation at our Las Vegas office today at (702) 727-8500.