Your eyes are the main focal point of your face. Make them really shine with our eye rejuvenation techniques. Dr. Picerno and Dr. Cote have been providing blepharoplasty procedures and eye rejuvenation techniques to patients in the Denver area for years, and they are experts in this procedure.
Look younger and reenergized, and feel more confident in your appearance. Blepharoplasty or eye rejuvenation refers to surgery of the upper and lower eyelids and can be used to rejuvenate the laxity (droopiness and puffiness) due to the aging process and sun damage.
Your eyes are very sensitive, and any facial surgery is a complex matter. At FacesFirst, we always take a careful approach to surgery of your eyes, understanding they are delicate structures. Dr. Picerno or Dr. Cote will review your medical history and have you obtain a complete eye exam before proceeding with any surgery. We take the utmost responsibility in offering careful pre-operative planning and close follow-up after surgery to ensure that you feel confident in your treatment, our team, and your results. Call us today at 303.744.2300 with any questions!

*actual patient of blepharoplasty-eyelid-rejuvenation Cosmetic Surgery
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What is Blepharoplasty?
Blepharoplasty is also known as “eyelid surgery” or an eyelid lift. The procedure is designed to reduce puffiness, sagging skin or folds, drooping eyelid skin, or wrinkles in the eyelid. An eyelid surgery candidate may choose to have an upper blepharoplasty, lower blepharoplasty, or a combination of upper and lower blepharoplasty depending on their preferences and needs. This is typically an outpatient surgery performed under local anesthesia. During a consultation for eyelid surgery in Denver, your facial plastic surgeon will make a recommendation regarding which techniques will best meet your goal results for rejuvenated eyelids and an overall more awake, alert, and youthful appearance.
Upper Blepharoplasty
Upper blepharoplasty, or upper eyelid surgery, is a facial plastic surgery procedure that addresses the excess eyelid skin and muscle that is hanging low on the upper eyelids. This excess skin may be sitting on the eyelashes and causing you to unconsciously raise your eyebrows, leading to forehead wrinkles. It may also be “hooding” on the sides of your eyes, contributing to deeper shadows. Sometimes there is so much excess upper eyelid skin that it may be blocking your peripheral vision. Makeup doesn’t stay where you place it and ends up migrating onto the eyebrow skin in an unappealing fashion. Don’t suffer through these symptoms. Consider a blepharoplasty.
Upper blepharoplasty surgery can be performed safely at FacesFirst, with offices in Denver and Lone Tree, Colorado. You will be under local anesthesia and only a thin incision will be made, which is hidden in the natural crease at the top of the upper lids. Plus, there can be minimal downtime of less than a week. You will need a complete eye exam before your procedure.
Lower Blepharoplasty
Lower blepharoplasty is the term for lower eyelid surgery that addresses laxity and volume changes to the lower eyelid. Like upper blepharoplasty, lower eyelid blepharoplasty is often complemented by skin treatments with peels and volume treatments, such as fillers and fat transfers, to give you the best results possible. Like the upper lid, the lower eyelid is a complex structure that protects your eyes and is highly susceptible to the aging process. There are a number of aging changes that begin in your twenties and thirties that can affect the lower eyelid region. Avoid looking tired and weary through a multitude of approaches that can help you to achieve youthful, natural-looking results.
Lower blepharoplasty can be done in many ways depending on a physical exam. Transconjunctival blepharoplasty is performed with a hidden incision on the inside of the lower lids. This procedure is good for patients with good skin and muscle tone who have the appearance of “bags” under the eyes. This is deep eye fat that is revealed when you start losing the fat under your cheek skin in your thirties. Transcutaneous blepharoplasty is performed with a thin incision under the eyelashes, allowing access to the skin, muscle, and excess fat under the lids. This approach is preferred when there is droopiness to the skin or muscle and more aggressive lifting is needed. Because eyelid skin often heals so well, these incisions are typically imperceptible after the healing process is complete.
Like the upper blepharoplasty procedure, lower eyelid surgery can be done in our office under local anesthesia. Of course, more anesthesia options are always available. You should plan on 7-10 days of swelling and bruising. There is usually little pain and discomfort, though you will want to rest your eyes.
Who is a Candidate for Blepharoplasty?
Eyelid surgery candidates generally have sagging skin, fatty deposits, wrinkles, or puffiness in either the upper eyelid, lower eyelid, or both. Some eyelid surgery patients may also have some vision loss due to the upper eyelid sagging into their line of sight. However, they may simply be unsatisfied with the appearance of their upper and lower eyelid and choose facial plastic surgery to achieve a more youthful appearance and rejuvenated eyes.
In some cases, younger patients also choose the procedure to change the appearance of the upper eyelid and general eye shape. For example, patients may wish to have upper eyelid surgery to create an eyelid crease; this surgical procedure is known as “double eyelid surgery.” As with any type of plastic surgery, you should be generally healthy overall and a nonsmoker before eyelid surgery. During your consultation in our facial plastic surgery office, your board-certified facial plastic surgeon will evaluate your health and goals to determine whether you’re a good candidate for eyelid surgery.
What is the Cost of Blepharoplasty?
The cost of blepharoplasty will vary among patients depending on their specific needs and aesthetic goals. Several factors may impact costs, including the techniques used to achieve results, the extent of the procedure, anesthesia and facility fees, and much more. For more pricing information, please contact our practice in Denver or Lone Tree today.
We offer CareCredit as a financing option for patients to help them pay for their cosmetic surgery. We will provide you with specific costs in the office to help guide you in your decision-making.
What is Recovery Like After Blepharoplasty?
After both upper and lower blepharoplasty, patients will experience swelling, bruising, and some discomfort. Patients should rest their eyes as much as possible and will be advised to take pain medication to remain comfortable. Most swelling and bruising should dissipate within about a week to 10 days after the eyelid surgery. Typically, after an eyelid surgery, patients require at least a week to two weeks of downtime before they return to work or other routines.
Frequently Asked Questions About Blepharoplasty
Can Botox lift droopy eyelids?
Can droopy eyelids cause blurred vision?
Can I sleep on my side after eyelid surgery?
Can you go blind from blepharoplasty?
Does eyelid surgery leave scars?
How do you reduce bruising after eyelid surgery?
How is eyelid surgery performed?
How is upper eyelid surgery done?
How long after blepharoplasty do you see results?
How long does eyelid surgery take?
How much is an eyelid surgery?
What can I expect after eyelid surgery?
How long does a blepharoplasty last?
How can I hide my eyelid surgery?
Are you put to sleep for eyelid surgery?
Will I have a scar along the incision line?
When can I wash my face after blepharoplasty?
When can I expect for the swelling to go down?
Can I apply makeup after eyelid surgery?
Can a blepharoplasty affect your vision?
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Nicolette Picerno, M.D.
Dr. Nicolette Picerno is a double-board-certified facial cosmetic surgeon certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. She received her medical degree from Hahnemann University, School of Medicine in Philadelphia, and completed her fellowship for the American Academy of Facial Plastic and Reconstructive Surgery at the Beeson Aesthetic Surgery Institute in Carmel, IN. She also completed the Cenegenics Physician Training and Certification in Age Management Medicine program in 2012 and became a certified BioTE provider in 2014. When not in the office, Dr. Picerno enjoys spending time with her family, hiking, skiing, playing tennis, and running her doggie daycare with her husband.