Eyelid surgery involves removing or manipulating fat, muscle or skin to restore a more youthful, rested appearance.

Understanding your aging eyes

With age, the eyes naturally develop excess skin and fat – resulting in a puffy or weathered appearance. This is usually hereditary, but allergies, hormonal imbalances and sun exposure can exacerbate the issue.

Individuals genetically predisposed to overhanging brows or excessive fat under the eyes may age quickly in this area. It is common for these patients to appear tired all the time. Along with cosmetic concerns, some patients with sagging eyelids have impaired peripheral vision.

A blepharoplasty in Phoenix is a popular way to address all of these issues. It targets the aging process and effectively opens up the eyes to restore a more refreshed appearance.

Elevate drooping upper eyelids

An upper blepharoplasty treats the upper eyelids. This is a minimally-invasive procedure that requires a small incision along the upper eyelid to remove a precise amount of skin and fat. Scarring is very minimal and hidden well within the creases of the eyelids.

With a long and proven track record, this procedure is a reliable way to target upper eyelid puffiness. It can also improve vision and lighten the eyes by exposing the eyelashes once more.


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Smooth puffy lower eyelids

A lower blepharoplasty treats the lower eyelids. There are many approaches to this procedure, depending on your specific issues and the underlying cause of your puffiness.

If your eyelid puffiness is caused by unwanted fat, not wrinkling or excess skin, a transconjunctival blepharoplasty will be performed. This procedure does not result in external scarring and involves removing fat through small incisions on the inside of the eyelids.

If you suffer from severe puffiness due to wrinkles, excess skin and extra fat, Dr. Shapiro will perform a standard lower blepharoplasty. With this procedure, an incision will be made along the lower lashline to remove fat and skin.

The procedure

Blepharoplasty is typically performed in the operating room under general anesthesia. Dr. Shapiro will use extreme care to hide all incisions within the natural folds of the eyelids. For surgery on the upper eyelids, incisions are hidden within the creases. For the lower lift, incisions are made inside the lower lids or just below the lower lashes.

Through these small incisions, Dr. Shapiro will artfully remove or reposition fatty tissue and excess skin. He may also tighten the surrounding muscles to lift the eyelid area and restore a more rested appearance. Once your expression has been refreshed, he will close the incisions with very fine sutures.

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The recovery

Bruising and mild swelling are common after a Phoenix blepharoplasty. Once these side effects resolve, you will see the results of your procedure. Puffiness and heaviness will be gone and you will seem more awake and refreshed alert. During the recovery period, keep your head elevated and use cold compresses, which will help to reduce swelling.

Dr. Shapiro will prescribe oral pain medication to help you manage any discomfort. Most of our Phoenix patients return to light activity within three days, although strenuous activity should be avoided for one month. Any stitches will be removed after seven days.

Asian eyelid surgery

Asian eyelid surgery is a procedure performed to create a fold in the upper eyelids. Many members of Asian ethnicity are lacking a natural fold in the upper lids just above the eyelashes known as a double-eyelid. As performed by Dr. Shapiro, Asian eyelid surgery produces a permanent eyelid crease to draw attention the eyes and improve facial appearance.

Eyelid surgery is among the top 5 most popular cosmetic procedures in the nation. According to the American Society of Plastic Surgeons (ASPS), 209,000 eyelid surgery procedures were performed in 2016.

Double-eyelid surgery can benefit some Caucasians as well as Asians. This procedure may be recommended for Asians lacking a natural fold in the upper eyelids, or for women and men of any ethnicity who have puffiness and excess skin and are lacking a natural crease in the upper lids.

You may be a good candidate for Asian eyelid surgery if you have:

  • Narrow eye openings
  • Absent creases
  • Puffy eyelids
  • Asymmetrical creases
  • Extremely low-set creases

Complementary procedure The brow lift

Dr. Shapiro frequently recommends a brow lift in addition to blepharoplasty. Because the forehead, eyebrows and eyes are intimately involved, simply removing skin and fat from the eyelids alone is not always sufficient. In these cases, a brow lift can elevate the forehead and brow area to prevent excess tissue from hanging over the eyes of our Scottsdale patients.

Meet Dr. Daniel Shapiro

A world-class plastic surgeon in a league of his own.

Dr. Shapiro is an award-winning, board-certified plastic surgeon with nearly three decades of experience in his field. With impressive technical skill and a talent for creating natural-looking results, his practice has become a leading destination for discerning patients throughout the country.

Known for his compassion and honesty, Dr. Shapiro strives to educate his patients so that they are empowered about their care. He carefully explains the procedures, expected results, and techniques in a way that anyone can understand. Additionally, he personally guides his clients every step of the way – from the initial consultation to their post-operative care – to ensure an enjoyable experience and the best possible results.

Practice Policy Update Regarding COVID-19 View Update Virtual Consultation

Practice Policy Update Regarding COVID-19

Dear Patients,

It is with great pleasure that I announce the reopening of my practice for both surgical and non-surgical services on May 1, 2020. As per the governor Ducey's executive order on April 22, 2020, elective surgery has been allowed to proceed, with appropriate precautions taken by health care professionals to ensure continued vigilance against the spread of Covid-19.

Our office staff and the staff of Paradise Valley Cosmetic Surgery Center and Surgical Recovery Center have proactively taken necessary precautions to meet strict criterion for health providers according to the state of Arizona. These include necessary patient screening for Covid-19, strict protocols for cleaning offices and treatment rooms, adequate PPE, and continued social distancing. As before, waiting areas will have minimal capacity, and friends and family members should not accompany one into offices or treatment areas.

With great anticipation we welcome you back to the practice, and wish you all continued health and safety.

Sincerely, Daniel Shapiro MD, FACS

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