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Since 2007, Body Beautiful has been the San Francisco Bay Area’s source for the latest in cosmetic plastic surgery news. Now in its 15th season, Body Beautiful with Walnut Creek Plastic Surgeon Dr. Joseph Mele, continues its efforts to share the newest innovations in Cosmetic Surgery exclusively with KRON4 viewers. 

Ever been asked if you are tired when you’re not? It could be your eyelids. Heavy upper eyelids and lower eyelid bags give the appearance of fatigue, but these features are also seen with normal aging.

Fortunately, a short, outpatient Eyelid Lift can help rejuvenate your appearance. Upper Blepharoplasty removes excess upper eyelid skin, while Lower Blepharoplasty reduces the fat in the lower eyelids and the bags that they cause. Today’s video blog covers both.

Blepharoplasty Video Presentation

Eyelid Lifts (Blepharoplasty) are always one of the most frequently performed Cosmetic Plastic Surgery procedures for women and men. It is something I do every week. I discuss Blepharoplasty in this video segment from the latest episode of KRON 4’s Body Beautiful. I review how Cosmetic Eyelid Surgery is performed and narrate Blepharoplasty Before and After Pictures with our host Janelle Marie.

Upper Blepharoplasty

The upper eyelids tend to get heavier with age. The fat beneath the eyebrows atrophies and the brow skin slides down, pushing the eyelid skin toward the lashes. Additionally, the attachment between the eyelid skin and muscle loosens allowing gravity to do its worst. The skin on the eyelids also loses collagen and elastin, which leads to thinning and wrinkling as we age.

The patient above had very heavy upper eyelids, blocking both upward and lateral vision. Her Upper Eyelid Lift is dramatic but still looks natural. Blepharoplasty improved her peripheral vision and gave her the youthful, well-rested appearance she desired.

Lower Blepharoplasty

Lower eyelids also change as we age. The fat on the cheeks atrophies and drops, revealing the edge of the bony eye socket and the fat pads that cushion the eyeball.

The patient below looks tired despite being well-rested. He has large bags beneath his eyes, causing premature aging. This is called fat pseudoherniation. Pseudo because it’s not truly a hernia, just a bulge – a bulge no one wants.

The secret to a successful blepharoplasty is to remove just enough fat to smooth the lid, but not too much which would cause a hollow appearance.

After Lower Blepharoplasty, this patient’s lower eyelids are smooth and the tired look is gone, even with his heavy upper eyelids, which he enthusiastically chose to fix later. If both upper and lower eyelids are bothersome, they are often rejuvenated together in a single operation.

Eyelid Rejuvenation Consultations

In the San Francisco Bay Area call (925) 943-6353 to schedule your private consultation appointment. Cosmetic Eyelid Surgery is a procedure that requires great attention to detail. Choose an experienced, Board Certified Plastic Surgeon for the safest and most predictable results.

For more information on Dr. Mele, visit

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