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Blepharoplasty in Denver | Eyelid Surgery by Dr Chris Thiagarajah M.D

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An Eyelid Specialist in Denver Colorado
focusing on Blepharoplasty

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Meet Dr. Chris Thiagarajah, MD 

Chris Thiagarajah, MD is a board-certified oculoplastic surgeon in Denver specializing in cosmetic and functional eyelid surgery, including upper blepharoplasty, lower blepharoplasty, ptosis repair and revision eyelid surgery. Uniquely, he completed advanced training in Oculofacial Plastic Surgery and Neuro-Ophthalmology—a rare combination in Colorado—bringing both precision and visual-function expertise to every case. He has been performing blepharoplasty and other eyelid surgeries in Denver since 2015. 

Credentials

  • Board-certified Academy of Ophthalmology - Achievement Award Member

  • Member American Academy of Cosmetic Surgery

  • Member of the American Society of Ophthalmic Plastic Surgeons (ASOPRS)

  • Former faculty surgeon at Georgetown University, performing cosmetic eyelid surgery in Washington, DC before relocating to Denver in 2015

 

Recognitions & Contributions

  • Named “Top Doctor” by 5280 Magazine (2017–2025)

  • Multiple Patients’ Choice honors

  • Contributor to American Academy of Ophthalmology surgical textbook chapters on eyelid surgery

  • Recipient of Georgetown’s “Golden Apple” teaching award for Oculoplastic Surgery

Why Patients from Denver, Cherry Creek, Greenwood Village, and the DTC choose Dr. Thiagarajah:

  • Compassionate, patient-first care and clear pre-op education

  • Advanced techniques that emphasize natural, not overdone, results

  • Extensive experience having performed over 12,000 eyelid surgeries

  • Author of "So You Want To Get Your Eyelids Done" Blepharoplasty guide for patients  

 

Why Choose Dr. Thiagarajah for Blepharoplasty in Denver

  • Fellowship-trained oculoplastic surgeon 

  • Extensive experience in upper, lower,  revision blepharoplasty and ptosis repair

  • Hundreds of 5-star reviews praising natural outcomes and results

  • Offers the In-Office Upper Eyelid Lift for select candidates seeking minimal downtime

 

What are common Eyelid Surgery Options in Denver

Learn about Upper Blepharoplasty

 

Learn about Lower Blepharoplasty

 Explore Ptosis Repair

View our [Before & After Gallery] 

Explore Eyelid Surgery Costs in Denver

Specialized in Cosmetic Eyelid Surgery

16 Years Experience

Over 12 Thousand surgeries Performed

5280 Top Doctor 2017-2025


 

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Common Blepharoplasty Questions

Medically reviewed by Chris Thiagarajah, MD

American Society of Ophthalmic Plastic Surgeons

Board Certified since 2008

Reviewed Sept 15, 2025

What causes the eyelids to age or sag? 

The aging of the eyelids is a natural process that affects both appearance and, in some cases, vision. As we age, the skin and muscles around the eyes begin to lose elasticity and strength. This leads to sagging upper eyelids, under-eye bags, puffiness, and wrinkles. Many people in Denver, Colorado seek blepharoplasty, or eyelid surgery, to restore a more youthful, refreshed look. Common Causes of Eyelid Aging Loss of Skin Elasticity Over time, the production of collagen and elastin slows down. This causes the delicate skin of the eyelids to stretch and droop, leading to hooded upper eyelids and crepey lower lids. Fat Redistribution As facial fat shifts with age, fat can accumulate or bulge in the upper or lower eyelids. This can create puffiness and bags under the eyes, which often prompts individuals to seek lower eyelid blepharoplasty in Denver. Muscle Weakness The muscles that support the eyelids can weaken with age. This contributes to eyelid drooping, which may interfere with vision and appearance. Sun Exposure High levels of sun exposure—especially at Denver's higher altitude—can speed up skin aging. UV rays break down collagen and cause premature wrinkles and discoloration around the eyes. Genetics Some people are more prone to eyelid aging due to hereditary factors. If drooping eyelids or under-eye bags run in your family, you may notice these signs earlier. Lifestyle Factors Smoking, poor diet, lack of sleep, and stress can all accelerate eyelid aging. These lifestyle factors affect the skin's ability to repair and maintain its structure. Blepharoplasty in Denver, Colorado for Aging Eyelids If you're noticing signs of eyelid aging such as sagging lids, wrinkles, or under-eye bags, blepharoplasty in Denver may be the ideal solution. This highly specialized procedure removes or repositions excess skin and fat to smooth and tighten the eyelids. Many patients in the Denver metro area choose blepharoplasty to not only enhance their appearance but also improve vision when upper eyelids begin to obstruct their visual field.

Am I a good candidate for cosmetic eyelid surgery?

Whether you're a good candidate for blepharoplasty (eyelid surgery) depends on your goals, health, and eye anatomy. Here’s how to know if it might be right for you: You may be a good candidate for blepharoplasty if you: Have any of the following concerns: Drooping upper eyelids that make you look tired or angry Excess skin hanging over your upper eyelid, possibly affecting vision Puffy upper eyelids due to fat deposits Under-eye bags, puffiness, or dark circles Loose or wrinkled skin on the lower eyelids Meet basic health and lifestyle criteria: Are in overall good health (no serious medical conditions that affect healing) Don’t smoke, or are willing to quit before and after surgery Have realistic expectations about the results Are not experiencing active eye conditions like dry eye, glaucoma, or untreated eye infections Are not pregnant or breastfeeding You may not be a good candidate if: You have uncontrolled medical conditions (like diabetes, high blood pressure, or bleeding disorders) You have serious eye diseases or dry eye syndrome that isn’t managed You’re seeking dramatic changes in appearance beyond what eyelid surgery can safely achieve You’re not willing to pause medications (like blood thinners) if instructed You are prone to poor healing or keloid scars The Best Way to Know A consultation with Dr Thiagarajah is essential. He will: Examine your eyes, eyelids and facial structure Review your medical history Help you understand what blepharoplasty can and can’t do Discuss risks and benefits based on your unique anatomy and goals

How should I prepare for Cosmetic eyelid surgery?

Preparing for blepharoplasty (eyelid surgery) involves a mix of medical evaluations, lifestyle adjustments, and practical planning to ensure a smooth procedure and recovery. Here's a step-by-step overview of how people typically prepare: 🧑‍⚕️ 1. Medical Consultation & Evaluation Meet with Dr Thiagarajah to discuss your goals and determine if you're a good candidate. Share your medical history, including any eye conditions, allergies, medications, or previous surgeries. If you plan on having anesthesia get a medical clearance from your primary care doctor so you know you are healthy enough for the procedure. 💊 2. Medication and Supplements Stop taking blood thinners like aspirin, ibuprofen, or certain supplements (vitamin E, fish oil, ginkgo) about 1–2 weeks before surgery — your doctor will give you a full list. Some prescription medicine like GLP-1 Inhibitors (Ozempic etc) may have to be stopped if you are having anesthesia. Fill any post-op prescriptions (antibiotics, pain relievers, eye drops) before surgery day. 🚭 3. Lifestyle Adjustments Stop smoking at least 2–3 weeks before and after surgery — smoking delays healing and increases risks. Avoid alcohol in the days leading up to surgery. Stay well-hydrated and eat nutritious meals to support healing. 🏠 4. Prepare Your Home for Recovery Set up a comfortable recovery space: extra pillows, ice packs, lubricating eye drops, soft lighting, and entertainment. Stock up on food, water, and ready-made meals. Arrange for someone to drive you home and ideally stay with you the first night. 📆 5. Plan for Downtime Take at least 7–10 days off work or major social obligations. Avoid strenuous activity, bending, or heavy lifting for at least 2 weeks. Be prepared for temporary swelling, bruising, and blurry vision. 👚 6. **Day of Surgery Prep** Don’t wear makeup, lotion, or contact lenses. Wear loose, comfortable clothing (preferably a shirt that buttons or zips in front). Don’t eat or drink after midnight the night before surgery, unless Dr Thiagarajah tells you otherwise if you will have anesthesia

What is Blepharoplasty recovery time?

Most patients need a week of recovery where they are not exerting themselves. Often this requires not working, icing and resting. After one week most patients can return to work with cover up. After three weeks most patients are comfortable returning to social situations and being in the public eye. Full healing takes 6 months.

How long do the results last from Blepharoplasty?

If you're considering blepharoplasty in Denver, you're probably wondering how long the results of eyelid surgery will last. The good news is that eyelid surgery offers long-lasting improvements to both the appearance and function of the upper and lower eyelids. Many patients enjoy results that last for years—sometimes permanently—with minimal maintenance. Upper Eyelid Blepharoplasty in Denver The results of upper eyelid surgery** typically last 5 to 10 years or more. This procedure removes excess skin and fat that cause sagging or drooping, helping you achieve a more youthful, alert appearance. Some patients may never need a second surgery, while others may choose a touch-up years later as part of their overall facial rejuvenation plan. Lower Eyelid Blepharoplasty in Denver Lower eyelid blepharoplasty often produces permanent results, especially when fat pads under the eyes are removed or repositioned. This procedure smooths under-eye bags and puffiness, reducing signs of fatigue and aging. Although the natural aging process continues, the improvements made to the lower eyelids are long-lasting and rarely need revision. Factors That Affect How Long Eyelid Surgery Results Last Several individual factors influence how long your results will last after blepharoplasty in Colorado, including: Sun exposure – UV damage can accelerate aging of the skin Smoking – Slows healing and contributes to skin laxity Genetics – Plays a role in how your eyes and skin age over time Lifestyle and skincare – A healthy diet, hydration, and medical-grade skincare products help preserve your results. How to Maintain Your Eyelid Surgery Results in Denver To maximize the longevity of your eyelid surgery results, follow these tips: Wear **sunglasses and daily SPF** to protect delicate eyelid skin Avoid smoking and minimize alcohol consumption Stick to a consistent, high-quality skincare routine Consider occasional non-surgical treatments like Botox or laser skin resurfacing offered by Denver cosmetic clinics Considering Blepharoplasty in Denver, Colorado? If you're looking for long-lasting, natural-looking results from eyelid surgery in Denver, our experienced cosmetic surgeons specialize in both upper and lower blepharoplasty. Whether you're addressing functional concerns or seeking facial rejuvenation, we’re here to help you look and feel your best. Contact us today to schedule your personalized consultation and find out how long your results could last with professional blepharoplasty in Denver.

What are the risks or complications of cosmetic eyelid surgery?

While blepharoplasty is generally a safe and effective procedure when performed by a qualified cosmetic or oculoplastic surgeon, like any surgery, it carries some risks. If you're considering eyelid surgery in Denver, Colorado, it's important to understand the potential complications and how to minimize them through proper surgical care and aftercare. Common Risks of Blepharoplasty in Denver Swelling and bruising around the eyes Dry eyes or irritation during the healing process Temporary blurry vision or sensitivity to light Difficulty fully closing the eyes, especially during sleep (usually temporary) Scarring along the incision line, which is typically minimal and fades over time Infection or bleeding (rare with proper care) Reaction to anesthesia Asymmetry or uneven healing between the eyes Less Common but Serious Complications Damage to eye muscles or nerves Vision changes or loss (extremely rare) Ectropion (outward turning of the lower eyelid) Revision surgery if results are not as expected How to Reduce the Risks of Eyelid Surgery in Colorado Choosing an experienced, board-certified surgeon like Dr Thiagarajah for your blepharoplasty in Denver significantly lowers the risk of complications. He will assess your medical history, explain the procedure in detail, and provide personalized post-operative care instructions. Tips for a Safe Recovery After Blepharoplasty Follow all aftercare guidelines provided by your Denver blepharoplasty surgeon Use prescribed eye drops or ointments to prevent dryness and infection Avoid rubbing your eyes, wearing contact lenses, or applying makeup during early healing Keep your head elevated and use cold compresses to reduce swelling Attend all scheduled follow-up visits to ensure proper healing Conclusion Blepharoplasty is a highly effective procedure for addressing droopy eyelids, under-eye bags, and aging around the eyes. When performed by a trusted provider in the Denver, Colorado area, the risks are minimal and the benefits can be long-lasting. Understanding the potential risks and how to manage them helps ensure a smooth recovery and beautiful results. If you’re exploring the option of eyelid surgery in Denver, schedule a consultation with our expert team to learn more about whether blepharoplasty is right for you.

Will my eyes look natural after Blepharoplasty?

Yes, when performed by an experienced and board-certified oculoplastic surgeon like Dr Thiagarajah, blepharoplasty can produce very natural-looking results. The goal of eyelid surgery is not to change the shape of your eyes, but to restore a more youthful, refreshed appearance** by removing or repositioning excess skin and fat. If you're considering blepharoplasty in Denver, Colorado, choosing the right surgeon is key to achieving natural results that enhance your features without making you look "overdone." What Makes Blepharoplasty Look Natural? Precision in technique: Skilled surgeons understand how to balance removing just enough tissue without causing hollowness or tightness. Customization:A good blepharoplasty is tailored to your unique facial structure, eye shape, and skin elasticity. Conservative approach:The best surgeons focus on subtle enhancement, not drastic changes. Invisible scars: Incisions are placed in natural creases of the eyelids, making scars nearly invisible once healing is complete Choose a Denver blepharoplasty specialist with strong before-and-after photo galleries and excellent reviews. Clearly communicate your goals during your consultation—let your surgeon know you want a refreshed, not altered, appearance. Follow all pre- and post-operative care instructions to promote optimal healing and minimize swelling. Allow time for healing. Final results can take several weeks to fully settle, but most patients return to daily life within 7–10 days. --- Conclusion Yes, your eyes can and should look completely natural after blepharoplasty—just more rested, youthful, and alert. If you're in Denver, Colorado and considering eyelid surgery, schedule a consultation with a qualified surgeon who prioritizes natural outcomes and patient-centered care. With the right approach, your results will enhance—not change—your natural beauty.

Can Blepharoplasty surgery affect my vision?

Blepharoplasty, also known as eyelid surgery, is a widely performed cosmetic and functional procedure that can improve the appearance and, in some cases, the performance of the eyelids. If you're considering blepharoplasty in Denver, Colorado, it's natural to ask whether the procedure could affect your vision. In most cases, blepharoplasty does not negatively impact vision. In fact, for some patients—especially those with severe upper eyelid sagging—eyelid surgery can actually improve peripheral vision by removing the excess skin that droops over the eyes. However, like any surgical procedure, there are some temporary and rare visual side effects to be aware of. Temporary Vision Changes After Blepharoplasty Blurry vision due to swelling, ointments, or eye drops Increased light sensitivity during the early stages of healing Mild dry eyes or excessive tearing, usually temporary Difficulty fully closing the eyes for a short period, leading to slight discomfort These symptoms are generally short-lived and resolve within days to a few weeks. Most patients undergoing eyelid surgery in Denver return to normal visual function quickly, especially when following all post-operative instructions. Serious Vision Risks Are Extremely Rare In very rare cases, complications such as bleeding behind the eye (orbital hematoma) can cause more serious vision issues. This is extremely uncommon, especially when the surgery is performed by a qualified and experienced blepharoplasty surgeon in Denver, CO. How to Minimize Vision Risks with Blepharoplasty in Denver Choose a board-certified plastic surgeon or oculoplastic specialist with extensive eyelid surgery experience Disclose your full medical and eye health history, including dry eyes, glaucoma, or recent LASIK Follow all post-operative care instructions closely Attend all scheduled follow-up appointments Conclusion While temporary vision changes are possible, serious complications from blepharoplasty in Denver are rare. In many cases, eyelid surgery can actually enhance your field of vision and provide long-term visual benefits along with cosmetic improvement. To ensure the best outcome, it’s essential to work with a trusted eyelid surgery provider in the Denver, Colorado metro area. Ready to learn more? Contact us to schedule a consultation for personalized advice about how eyelid surgery in Denver may affect your vision and appearance.

How do I find the best oculoplastic surgeon in Denver?

Choosing the right surgeon for blepharoplasty in Denver is one of the most important decisions you can make when considering eyelid surgery. Whether you’re looking to rejuvenate tired eyes, reduce puffiness, or improve sagging upper eyelids, the expertise and precision of your surgeon will directly impact your results. If you're searching for the best eyelid surgeon in Denver, Colorado, look for a specialist who focuses exclusively on the delicate anatomy of the eyes and surrounding structures. This is why so many patients trust Dr. Chris Thiagarajah, MD—a highly respected oculoplastic surgeon specializing in cosmetic blepharoplasty in Denver. Here’s what to look for when choosing a top blepharoplasty surgeon in Denver: 1. Board Certification and Subspecialty Training Ensure your surgeon is board-certified and has advanced fellowship training in oculoplastic surgery. Dr. Chris Thiagarajah is a double board-certified oculoplastic surgeon with years of focused experience performing cosmetic and functional eyelid surgery in Denver. 2. Eyelid Surgery Expertise Look for a surgeon who performs blepharoplasty regularly, not just as part of a general cosmetic practice. Dr. Thiagarajah focuses exclusively on the eyes, offering patients in Denver a refined, detail-oriented approach tailored to the unique anatomy of the eyelid. 3. Before-and-After Results Review photo galleries to see real patient outcomes. Dr. Thiagarajah’s natural-looking blepharoplasty results consistently reflect his ability to rejuvenate the eyes without making them look overdone. 4. Patient Reviews and Testimonials Check Google reviews and patient feedback. Dr. Chris Thiagarajah is highly rated by Denver patients for his surgical skill, professionalism, and attentive post-operative care. 5. Personal Consultation Schedule a consultation with Dr. Thiagarajah to discuss your goals, ask questions, and understand your options. He takes the time to explain every aspect of cosmetic eyelid surgery, helping you make a confident, informed decision. Why Choose Dr. Chris Thiagarajah for Blepharoplasty in Denver, Colorado? Dr. Thiagarajah is widely recognized as one of Denver’s leading eyelid surgery specialists. With advanced training in ophthalmic plastic surgery, a meticulous aesthetic eye, and a reputation for compassionate care, he offers an unmatched level of expertise for patients seeking cosmetic blepharoplasty in Denver. If you're looking for a surgeon who combines artistry, precision, and a deep understanding of eyelid anatomy, Dr. Chris Thiagarajah is the trusted choice for blepharoplasty in the Denver metro area. Schedule your consultation today to learn how cosmetic eyelid surgery can enhance your appearance and confidence with natural, long-lasting results.

How often does Dr Thiagarajah perform in office blepharoplasty?

Dr. Chris Thiagarajah offers a highly refined, in-office approach to upper eyelid blepharoplasty that emphasizes safety, natural results, and a comfortable patient experience. With a focus on precision and aesthetics, Dr. Thiagarajah performs this procedure almost daily—a testament to its popularity and his deep expertise. Over the course of his career, he has completed more than 12,000 blepharoplasties, making him one of the most experienced eyelid surgeons in the region. The procedure is typically done under local anesthesia in a calm outpatient setting, with minimal downtime and excellent cosmetic outcomes. Most patients experience smooth recoveries and are able to resume daily activities within a week. Dr. Thiagarajah’s conservative, customized technique ensures that patients look refreshed—never overdone. Lower eyelid blepharoplasty is performed in the operating room since the procedure is more involved and necessitates patients stay still to optimize outcomes.

What are the benefits of  upper eyelid blepharoplasty?

The Benefits of Upper Eyelid Blepharoplasty Upper eyelid blepharoplasty, also known as upper eyelid surgery or an eyelid lift, is a popular cosmetic and functional procedure aimed at removing excess skin, muscle, and sometimes fat from the upper eyelids. As we age, the skin around the eyes naturally loses its elasticity, which can lead to drooping eyelids and a tired or aged appearance. In some cases, this sagging skin can even obstruct vision. Upper eyelid blepharoplasty offers a range of aesthetic and medical benefits, making it a sought-after procedure for individuals looking to rejuvenate their appearance or improve their quality of life. One of the most immediate and visible benefits of upper eyelid blepharoplasty is its ability to create a more youthful, refreshed look. Drooping upper eyelids can make individuals appear tired, sad, or older than they are. By removing the excess skin and tightening the surrounding muscles, the procedure opens up the eyes, giving the face a brighter, more alert expression. This aesthetic improvement often boosts self-confidence and positively impacts how individuals feel about their appearance. Beyond cosmetic enhancement, upper eyelid blepharoplasty can also have significant functional advantages. In many cases, sagging upper eyelid skin can begin to impair the upper field of vision. This can make everyday activities like reading, driving, or even walking difficult and unsafe. By lifting the eyelids, the procedure can restore a full range of vision, improving overall eye function and daily performance. For patients who experience such visual impairment, blepharoplasty can be more than a cosmetic fix—it becomes a medical necessity. Another benefit is the long-lasting nature of the results. Unlike non-surgical treatments that require regular maintenance, such as Botox or dermal fillers, upper eyelid blepharoplasty offers results that typically last for many years. While aging continues, the improvements made through surgery are durable and often remain visible for a decade or more. This makes the procedure a cost-effective solution for those seeking sustained improvement in their facial appearance. The surgery is also relatively low-risk and has a quick recovery period, especially when performed by a skilled oculoplastic or cosmetic surgeon. Most patients can return to normal activities within one to two weeks, with minimal discomfort and well-managed swelling and bruising. The incision is typically made in the natural crease of the eyelid, ensuring any scars are discreet and fade over time. Additionally, upper eyelid blepharoplasty can be customized to each individual’s needs. Whether the concern is strictly cosmetic or includes medical indications like ptosis or impaired vision, the surgeon can tailor the procedure accordingly. This individualized approach ensures that patients achieve the best possible outcome based on their goals and anatomy. In conclusion, upper eyelid blepharoplasty offers a combination of cosmetic and functional benefits. It not only enhances facial aesthetics by restoring a youthful, well-rested look but also addresses practical concerns such as vision obstruction. With lasting results, minimal downtime, and a relatively low risk of complications, it is a highly effective procedure for those looking to improve both form and function around the eyes.

What makes someone not a good candidate for upper eyelid blepharoplasty?

While upper eyelid blepharoplasty is a safe and effective procedure for many people, not everyone is a good candidate. Several medical, anatomical, and psychological factors can make someone a poor candidate for the surgery. Here’s a breakdown of common reasons someone may not be suitable for upper eyelid blepharoplasty: --- ### 1. **Unrealistic Expectations** * People who expect perfection or dramatic transformation may be disappointed. * Surgery can enhance appearance, but it won’t completely change your face or stop aging. --- ### 2. **Poor General Health** * Chronic health conditions such as uncontrolled **diabetes**, **hypertension**, or **heart disease** can increase surgical risk. * Poor healing or increased risk of complications may occur in people with compromised immune systems. --- ### 3. **Serious Eye Conditions** * **Dry eye syndrome**, **glaucoma**, or **retinal disorders** can worsen after surgery. * Blepharoplasty may exacerbate dryness or interfere with tear production and drainage. * People with **Graves' disease** or **thyroid eye disease** need extra caution, as their eye anatomy may complicate outcomes. --- ### 4. **Bleeding Disorders or Use of Blood Thinners** * Patients with clotting disorders or those on long-term anticoagulants (like warfarin or certain antiplatelets) may have increased bleeding risk. * Some medications can be adjusted before surgery, but in some cases, it's not safe to proceed. --- ### 5. **Skin or Eyelid Conditions** * Conditions like **eczema**, **dermatitis**, or **infections** around the eyelids may interfere with healing. * Excessively **thin or inelastic skin** may also limit surgical options. --- ### 6. **Severe Ptosis (Drooping Due to Muscle Weakness)** * If the droopiness is caused by **muscle weakness** (not just excess skin), a different or additional procedure (like ptosis repair) may be needed. * Blepharoplasty alone won’t correct true ptosis from muscle dysfunction. --- ### 7. **Psychological Concerns** * Patients with **body dysmorphic disorder (BDD)** or those undergoing surgery due to pressure from others (e.g., a partner or employer) may not be good candidates. * Emotional stability and a clear, internally motivated reason for the procedure are important. --- ### 8. **Smoking** * Smoking affects circulation and slows healing. * Most surgeons require patients to quit smoking several weeks before and after surgery. --- ### 9. **Previous Eyelid Surgery or Trauma** * Prior procedures can alter eyelid anatomy, making revision more complex and riskier. * Scar tissue or altered muscle function can complicate outcomes. --- ### Summary You may not be a good candidate for upper eyelid blepharoplasty if you: * Have uncontrolled health issues or serious eye disease. * Smoke or take blood-thinning medications that can’t be paused. * Have unrealistic expectations. * Suffer from certain psychological or skin conditions. * Have underlying anatomical issues that the surgery won’t fix alone. A thorough **consultation with a board-certified oculoplastic or facial plastic surgeon** is essential. They will assess your health, eye function, skin quality, and personal goals to determine if the procedure is right for you.

What type of anesthesia is required for upper and lower blepharoplasty?

The type of anesthesia used for upper and lower blepharoplasty depends on the extent of the procedure, the patient’s health, and the surgeon’s preference. Here’s a breakdown of the common anesthesia options: 1. Local Anesthesia with Sedation (Twilight Anesthesia) This is the most commonly used approach for upper blepharoplasty, especially for less complex cases. ✔ Used When: The patient is healthy and doesn’t require general anesthesia. ✔ What It Involves: A local anesthetic (like lidocaine) is injected into the eyelid area to numb it. Sedation is given through an IV to help the patient relax or lightly sleep during the procedure. The patient is usually awake but calm and pain-free. ✔ Benefits: * Faster recovery. * Fewer anesthesia-related risks. You don’t need to be fully intubated or unconscious. --- 🔵 2. General Anesthesia This is less common but may be preferred in certain situations. ✔ Used When: Both upper and lower blepharoplasty are being done together, especially if more complex work (like fat repositioning or muscle tightening) is involved. The patient is anxious and prefers to be fully unconscious. The surgery is combined with other facial procedures (like a facelift or brow lift). ✔ What It Involves: * The patient is completely asleep and unaware. * Requires intubation and monitoring by an anesthesiologist. ✔ Downsides: * Slightly longer recovery time. * More potential risks (especially in patients with other health issues). 🟡 **Local Anesthesia Alone (No Sedation)** This is rarely used for lower blepharoplasty but can be an option for simple upper eyelid surgery. ✔ Used When: * Only upper eyelid surgery is being done. The patient is very tolerant, healthy, and not anxious. The procedure is very brief and straightforward. ✔ Benefits: Quick recovery. No IV sedation or fasting required. ✔ Not Ideal If: * The patient is nervous. * Lower eyelids are involved (which tend to be more sensitive and complex).

Why are my eyes so tired looking and will blepharoplasty help me?

Tired-looking eyes are a very common concern, and they can be caused by a combination of anatomical changes, lifestyle factors, and aging. Whether blepharoplasty will help depends on the underlying cause of that tired appearance. Here's a breakdown of why your eyes might look tired—and whether eyelid surgery could help. Why Your Eyes May Look Tired 1. Excess Upper Eyelid Skin (Dermatochalasis) Cause:Aging leads to loss of skin elasticity. Effect:The upper eyelid skin droops or folds over, making you look sleepy or fatigued. Solution:✅ Upper blepharoplasty can remove this excess skin and open the eyes. 2. Under-Eye Bags or Puffiness Cause: Fat pads under the eyes shift forward with age or genetics. Effect:Creates shadowing or puffiness, often mistaken for lack of sleep. Solution: ✅ Lower blepharoplasty can remove or reposition fat to smooth the area. 3. Dark Circles or Hollowness Cause:Thin skin, volume loss in the tear trough, pigmentation, or vascular visibility. Effect:Dark, sunken appearance that contributes to a tired look. Solution: 🤔 Blepharoplasty may help if fat repositioning is involved. ✴️ Fillers or laser treatments may be more appropriate if it's mainly pigmentation or volume loss. 4. **Drooping Eyebrows or Forehead (Brow Ptosis) Cause:Aging or genetics causes the brows to descend. Effect: Eyes look hooded or tired even if eyelids are tight. Solution:🚫 Blepharoplasty alone may not fix this.* A brow lift may be needed in combination. 5. Ptosis (Droopy Upper Eyelid from Muscle Weakness) Cause: Weakness of the muscle that lifts the eyelid (levator muscle). Effect: The eyelid itself sags over the pupil. Solution: Blepharoplasty alone won’t fix this. You may need ptosis repair instead. 6. Lifestyle & Environmental Factors Lack of sleep Dehydration Allergies Eye strain from screens Smoking or alcohol use These can make the eyes appear more tired temporarily, and surgery won’t address them. ✅ Will Blepharoplasty Help You*? It might — if your tired appearance is caused by: Loose or sagging upper eyelid skin Puffy lower lids or under-eye bags Fat protrusion or volume shifting around the eyes But it won’t fully help if your tired look is due to: Brow droop (you may need a brow lift) Muscle-related eyelid droop (you may need ptosis repair) Dark pigmentation or thin skin (you may need filler, laser, or skincare) -What to Do Next You should consult with Dr Thiagarajah They can: Examine your eyelids and facial structure Identify the root causes of your tired appearance Recommend the right surgical or non-surgical treatments

How much does a Blepharoplasty cost?

Cosmetic consultations with Dr Thiagarajah are $150. Blepharoplasty in Denver can vary in cost depending on exactly what is being done. In office upper eyelid blepharoplasty starts at $3500 for both eyes whereas upper and lower eyelid blepharoplasty can extend to $10000 with facility and anesthesia costs. Each patient receives a personalized quote depending on the procedure and location. Other procedures such as eyebrow lifting or ptosis repair maybe extra ad ons.

Do I need eyelid surgery or non-surgical treatment?

Not every patient requires surgery. Some patients benefit from non-surgical treatments such as lasers, fillers, or skin tightening. In your consultation, Dr. Thiagarajah will recommend the best option—whether it’s a full upper eyelid lift, lower blepharoplasty, or a non-surgical alternative.

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Suzanne M - Denver

"When I reviewed his before and after photos, met with with Dr T I knew he was the surgeon for me. Three months later I am so happy with his work. I look amazing"

Morgan S - Lone Tree

"Dr T was recommended to me from my dermatologist, eye doctor and primary care. It was totally worth it"

Manuela C - Centennial

"The in office blepharoplasty I elected to do was simple and quick. Three weeks later, my friends are shocked how great I look"

Locations

8301 E Prentice Ave Suite 403

Greenwood Village CO 80111

Vail Vision 1140 Edwards Village Blvd Edwards CO

Our Hours

Monday        8:00 AM — 5:00 PM

Tuesday       8:00 AM — 5:00 PM

Wednesday 8:00 AM — 5:00 PM

Thursday     8:00 AM — 5:00 PM

Friday            8:00 AM — 5:00 PM

Saturday      Closed

Sunday         Closed

“Dr. Chris Thiagarajah is proud to serve patients throughout Denver, Cherry Creek, Greenwood Village, and the greater Denver Tech Center area with expert  eyelid surgery.

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