Dr. Lesley specializes in upper blepharoplasty which removes excess skin from the upper eyelid to rejuvenate the skin along with botox, fillers and customized skin treatments.

I had such an amazing experience!! Dr Rabach and her staff are super nice, and have a wonderful bedside manner. Procedure was easy and looks fantastic! I would recommend her and would go back again for other services.
– alexieb

Upper Blepharoplasty FAQ

Are you an eyelid specialist?

Yes! Dr. Lesley Rabach a world renowned, double board certified Facial Plastic Surgeon who has a thorough knowledge and understanding of the complexity and delicacy of the eyelid anatomy. She completed her internship and residency in head and neck surgery at Yale New Haven Hospital and followed that with an ABFPRS accredited facial plastic surgery fellowship. Dr. Lesley uses the most advanced surgical techniques and has an artistic eye, which has allowed her to perfect her upper blepharoplasty technique.

What happens during the consultation?

Every upper blepharoplasty surgery is customized to meet the aesthetic needs of the patient. During the surgical consultation, Dr. Lesley will carefully assess and evaluate the patient’s eye and periorbital anatomy.

Does the surgeon operate on the Asian eye?

Dr. Lesley is also a specialist in Asian Blepharoplasty, which is a highly specialized technique.

Will I have eyelid closure issues after surgery? 

You will not have any issues closing or opening your eyes post surgery.

Can I get dry eyes after upper eyelid blepharoplasty? 

Dry eyes are not a side effect after surgery. If you are someone who experiences dry eyes at baseline, it will remain that way; the surgery itself does not ever cause dry eyes.

How many cases do you do a year? 

Typically Dr. Rabach conducts over than 150 cases a year.

How is an upper blepharoplasty conducted? 

Upper blepharoplasty removes excess skin from the upper eyelid to decrease sagging skin that develops over time. The majority of patients elect to have this procedure done in our office and it takes between 35-50 minutes. Precise drawings of the excess skin are made, after which local anesthesia is placed. Once the area is ready, Dr. Rabach removes the skin along the natural fold of the eyelid. Small stitches are used to delicately close the skin edges, which are removed 5 days later.

Is an upper blepharoplasty strictly a cosmetic surgery? 

Upper Blepharoplasty is almost always a cosmetic surgery, unless overhanging skin restricts vision.

What does an eyelid lift not do? 

An eyelid lift will give patients a more youthful peri-orbital appearance. However,  an upper blepharoplasty does not remove dark circles, crow’s feet, or other wrinkles around the eyes. Typically, surgery is complemented with additional filler and Botox injections above and around the upper face and forehead.

What is the recovery like? 

Stitches are typically removed 5 days after surgery. There is always some degree of swelling and bruising and minimal/no pain.  We have specific patient protocols leading up to and after the procedure to minimize these temporary side effects with excellent results. Our protocol includes a medical grade scar gel and concealer used almost immediately so that patients can begin to feel like themselves again and carry about their normal business.

Brow Lift FAQ

Who is a good candidate for a brow lift? 

An ideal candidate is a healthy adult whose eyebrows are low and forehead his high and who wishes to improve the appearance of their forehead and eyes.

What is the difference between an endoscopic brow lift and an open “cornal” brow lift? How do the results differ between each? 

An endoscopic brow lift uses an endoscopic instrument to make three to four 1/2 inch incisions hidden in the hair. Prior to the endoscope, a coronal brow lift was the most common approach where an incision was made from ear to ear over the top of the head in the hairline thereby raising the brow and the forehead.

How do I decide whether I would be better off with an open and coronal brow lift? 

The open brow lift is typically more dramatic as it maintains a greater elevation of the brows. However, in an open brow lift, more swelling occurs. Patients often experience varying degrees of temporary and/or permanent numbness in parts of the scalp.

Which procedure is more commonly done today?

The endoscopic brow lift is more commonly conducted today because of the faster recovery time and minimized scarring. However, Dr. Rabach makes a closer assessment on each individual patient to provide the best surgery protocol to achieve maximized results.

Will there be scarring?

When the incision is made at the scalp the hair grows through the scar thereby covering it.

How is the brow held up while it is healing? 

There are a wide variety of options including: screws, absorbable “carpet tacks,” and various suture techniques.

How do you determine what is the best type of brow lift for me? 

Determination of what type lies completely with the individual. Dr. Rabach will carefully and closely evaluate the forehead and hairline to determine which method is best.

What is the difference between an upper eyelift and a brow lift?

A brow lift does not touch the eyelid skin; rather it elevates the brows. An upper eyelift specifically removes excess skin around the lids to reduce the amount of skin between the brow and the lash.

How can I tell whether I should get an upper eyelift or a brow lift? 

Typically, a brow lift is most appropriate for patients when there is “hooding” of the upper lid that extends past the end of the eye towards the crow’s feet. Additionally, a brow lift may be appropriate for patients who have lost their brow arch or the brow is within the eye socket. An upper eyelift (upper blepharoplasty) may be a more appropriate surgery if the patient already has a defined arch or wants to maintain the height of their eye. It is best to seek out a consultation with a board certified facial plastic surgeon before determining the course of action.

Can both procedures be done at the same time? If I need both, but just want to do one, which should I do first? 

Both procedures can, and are often done together. However, because the brow lift has a slightly longer recovery time, some patients find the upper blepharoplasty to be the first surgery to perform. When the brow lift is performed first, surgeons can more accurately determine how much excess skin tissue to remove in an upper blepharoplasty.

Can I have other procedures done at the same time as my brow lift? 

A common surgery that complements a brow lift is a facelift.

Will a brow lift get rid of the frown lines between my eyes? 

A brow lift will not eliminate frown lines, however they may be softened with reduction of some of the muscle in the upper forehead region. If the entire muscle in the glabella area is removed, the brows would widen apart. Therefore it is best to complete this surgery with Botox in order to treat any frown lines that may still be present.

Will a brow lift get rid of the deep lines on my forehead?

A brow lift will not get rid of the forehead lines, but it will reduce them. Most of the time, deep forehead lines are formed because of patients raising their brows. Once the brow is raised, there is less need to lift the eyebrow.

Will a brow lift get rid of the deep lines on the side of my eyes (crow’s feet)?

A brow lift does not eliminate crow’s feet but similar to forehead lines, it will soften these lines because the brow will not need to be raised as frequently.

Will a brow lift keep me from ever needing Botox again? 

Most patients utilize Botox after their surgery to enhance their results. After a brow lift, most patients will not need to come in for their Botox treatment as frequently.

Will I look pulled and tight after my brow lift or will I look natural? 

As we age, brows will begin to drop. Dr. Rabach ensures that each of her brow lift patients achieve a natural looking lift that is elevated, but not in a way that is highly and overly arched.

Will I have a surprised look after my brow lift?

A surprised look will result from a brow being pulled too high or the inner brow being elevated too much relative to the outer brow. Dr. Rabach makes a close assessment on each patient to ensure these results are avoided.

What are the common risks/side effects after surgery?

Typically, patients experience swelling and some soreness, but pain is not significant. A drain is left in overnight and removed in the morning to help reduce any swelling and bruising as well as aid in the recovery. Recovery is about three to four days of downtime before going back to work. We recommend waiting a week before traveling by airplane and waiting about 2 weeks before resuming a routine exercise regime.