Understanding the Eyelid Lift


Eyelid surgeries are a very delicate surgical procedure.  This must be done with great care and balance to give a good result to the patient. Patients that come to Dr. Jacobsen for correction generally of the upper eyelid where there is too much skin that tends to dangle down, and cause the appearance of advanced age or can also inhibit the vision of the patient by blocking some of the field of view with your eye.

Removal of this extra skin in the upper eyelid for the most part can be removed under local anesthesia in the office of Dr. Jacobson, in a comfortable suite. This skin removal of the upper eyelid is called a blepharoplasty, and can be performed safely usually in less than an hour.

Sometimes insurance will cover the removal of the skin if the skin is physically blocking greater than 50% of your visual field in one direction.  This can be measured by your optometrist or ophthalmologist with a “field of vision view”.  Your insurance company will have a policy with regard to what they cover and what they do not cover. If your insurance company does not cover this procedure Dr. Jacobsen and his staff have a reasonable fee for this to be done in the office under local anesthesia.

At times however, the operation must be done under general anesthesia in the Hospital if there is extensive skin to be removed or additional bulging of fat that requires removal. Normally the upper eyelid incision heals very well and is hidden very nicely, as the upper eyelid gets tucked back into the orbit when you open your eyes.

The lower eyelids are more complicated and usually require a general anesthesia to perform safely.  These required incisions are designated directly under the eyelash of the lower lid and dissection of the fat, bulging underneath the eyeball and causing the eyelid to bulge out.  Typically, the reason the lower eyelid looks too bulky is because the fat around the orbit is beginning to bulge out as you age. Sometimes, however, there is additional skin that requires removal as well.  The lower eyelid is more complicated to perform but can be performed safely under anesthesia.

The incisions are finally closed with very fine suture material. Usually Dr. Jacobsen uses 7-0 Vicryl absorbable suture material. The suture material is dissolvable and usually falls out on its own after about 2 weeks. The incisions are sealed with a fine layer of DermaBond a cyanoacrylate that is most like superglue except is flexible and is sterile. This seals the incision and prevents bleeding and allows you to shower after the surgery immediately. The incisions after the surgery required no creams or ointments or any specific care other than keeping them clean and dry with antibacterial soap and water. You may shower directly after the incision as well. It is best to treat the eyelids after surgery with ice taking care not to freeze the skin with direct icing but using indirect icing with frozen peas in thin Ziploc bags or masks that can be obtained at the pharmacy that are filled with gel that can be frozen and interchange throughout the first day or 2 after surgery. After the first 24 or 48 hours ice or cold packs will no longer help alleviate swelling. In the first day this can be very comforting and prevent additional bruising and minimize the swelling. The best way to minimize the swelling however, is to avoid lifting and straining after the operation. Even bending over to load the dishwasher can often allow your face to fill up with blood and feel congested, causing potential bruising or bleeding.  It is best not to bend over or lift and to allow your family to help you with car doors and heavy doors wherever you are. You should sleep with the head of your bed elevated at least 30°, with an extra pillow which helps a great deal as well. Your blood pressure should be maintained in a normal range as well. Bruising always goes away with time and is always disappointing when patient skin bruising around her eyelids. This always goes away with time. it is best to avoid this is much as possible with your own postoperative care. If you are considering an eyelid lift in Phoenix feel free to contact Dr. Jacobsen’s Office with any questions or to schedule an appointment today!

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include oral orintravenous sedation or general anesthesia. Your doctor will recommend the best choice for you. The upper eyelids are often done in the office but the lower eyelids need to be done in the hospital.

Step 2 – The incision

The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region.

The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal or repositioning of fat deposits, tightening of muscles, and removal of excess skin.

Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.

A transconjunctival incision, created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed.

Eyelid Lift PhoenixStep 3 – Closing the incisions

Eyelid incisions typically are closed with:

  • Removable sutures
  • Skin adhesives
  • Surgical tape

 

 

 

 

 

 

Upper Eyelid “Lift” Phoenix Pricing

Total All-Inclusive Fees $  2,500
Dr Js Surgical Fees -Office under local ANES $  2,500

Note: This is a pre-examination estimate that is appropriate for most patients wishing this service.  The fees may change slightly based on your personal needs.

Lower Eyelid “Lift” Phoenix Pricing

Total All-Inclusive Fees $  4,770
Dr Js Surgical Fees $  3,000
Payment to Dr Jacobsen $  3,000
Estimated Anesthesia Fee $  ~650
Payment to St Joe’s SurgiCenter $  1,120
Total Payments $  4,770

Note: This is a pre-examination estimate that is appropriate for most patients wishing this service.  The fees may change slightly based on your personal needs.

Upper & Lower Eyelid “Lift” Phoenix Pricing

Total All-Inclusive Fees $  7,460
Dr Js Surgical Fees $  4,700
Payment to Dr Jacobsen $  4,700
Payment to Valley Anesthesia $ ~ 890
Payment to St Joe’s SurgiCenter $  1,870
Total Payments $  7,460

Note: This is a pre-examination estimate that is appropriate for most patients wishing this service.  The fees may change slightly based on your personal needs.

Dr J and his staff look forward to understanding the details of your unique case, desires and aspirations, and to providing you with realistic, safe and attainable results that leave you looking beautiful, and truly feeling like yourself. Take the first step toward your healing or rejuvenating procedure with Dr J by filling out our contact form to request a consultation, or to inquire about any of the services we offer. We look forward to treating you!


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  • review rating 5  I'm having a hard time with this because, I can't say enough good things about this office! Dr. Jacobsen is an amazing surgeon. He is always available, for any questions or concern. His staff go way beyond any other office I have seen. They are more than helpful with insurance, appointments, or any issue or questions. The office is both beautiful, and comfy. Like I said can't say enough.

    thumb J Basom
    1/25/2018
  • review rating 5  Dr. William Jacobsen and his entire staff are all very educated, professional and extremely responsive to any questions or concerns. They set up very real expectations for me after taking the time to help me understand what was hoped to be achieved. I have been treated with the highest respect and kindness. Dr. Jacobsen has an extraordinary bedside manner and met my needs and expectations in every way! With future facial and cranial reconstructive surgery to be performed, I am confident in facing the future with the care and golden hands of Dr. William Jacobsen.

    thumb SANDIYA McClendon
    2/03/2018
  • review rating 5  I've had four visits with Dr. Jacobsen over the past 2.5 years, the first after the removal of 1/3 of my bottom lip from skin cancer, and the last for a biopsy of possible skin cancer on my nose. Each time, he has treated me with kindness and respect, and also had a level of confidence that made me feel relaxed with whatever he thought best for the particular problem. Thus far, the results have proven him correct. He has quickly become my go-to for any problem or condition that may create a cosmetic "issue". His office and staff make you feel welcomed and comfortable, and he promptly and generously responds to questions or concerns by email. One visit and you'll find these things out yourself.

    thumb Jay Phillips
    4/18/2018
  • review rating 5  Hi Dr. J ., Tracy, Ashley, Kimberly and Susan- I came back to your surgical practice as I was very pleased with previous results. I find again a very caring atmosphere and staff and I am excitedly anticipating future results of your excellent technical expertise. Waiting to hear from you regarding the rest of the repair work yet to be done. Happy New Year and Happy Blessings to all of you! Thanks so much, Lisa Bishop

    thumb Lisa Bishop
    1/06/2018
  • review rating 5  I had skin cancer removed from my forehead for the first time and my dermatologist's office scheduled an appointment with Dr. Jacobsen on my behalf. Not only was the staff accommodating but they actually got another patient to reschedule so that they could fit me in to close up the (rather large!) wound. I still had no idea what was going on, what everything was going to look like, how much it was going to cost, etc and I was under a considerable amount of stress. Every staff member I interacted with put me more and more at ease; they're more worried about you as a person than they are about you as a payment. Dr. Jacobsen is very kind and so concerned about the wellbeing and comfort of his patients. I was in very good hands. I am now going through round two and I am back in his hands -- and couldn't feel more secure. The pictures shared are from my first procedure -- about 2 weeks apart. The scar has disappeared even more and is nearly unnoticeable even without a light layer of makeup (as in the after photo)

    thumb Kristen Costanza
    6/15/2018
  • review rating 5  My experience with Dr Jacobsen, MD has been a unbelievable first time experience for my procedure. He is a extremely skilled surgeon that that I would highly recommend. He is professional, compassionate, knowledgeable and has excellent bedside manners. Do not hesitate to set up a free consultation, your will never regret it. Jim K. 4/15/18

    thumb Jim Kleeman
    4/17/2018
  • review rating 5  Very upper class. Beautiful surroundings, beautiful people. Very tranquil. Highly recommend.

    thumb Donna Koverly
    3/16/2018
  • review rating 5  My experience with Dr Jacobsen, MD has been a stunningly positive experience. Is he a highly skilled surgeon? Yes, without a doubt and I would not hesitate to seek his help with any problem whatsoever. He is an excellent communicator and answers any and all questions and concerns so that I knew what was going to happen and what to look forward to. His staff is excellent as well. Dr Jacobsen has put together a highly professional team across the board. Bob N. 2/28/18

    thumb Ive Nuffet
    3/01/2018
  • review rating 5  I couldn't be happier with my procedure. Dr. J has the most kind and relaxing manner and he is the ultimate professional. I had a fatty tumor on my forehead that he removed, as well as breast reconstruction. The breast reconstruction was overdue as I had breast cancer with multiple lumpectomies, biopsies and radiation. It left the tissue hard and my old implant like a rock. He was able to correct all of the problems and I'm much happier with my appearance. Although you may find it odd at first that you can't get anyone by phone their response time is amazing. I emailed the office on a Sunday afternoon that I had a problem and within ten minutes (no exaggeration) I had a text back that a prescription had been called in to my pharmacy. I've had procedures with other doctors around the Valley and never had an experience more pleasant, nor one which I was happier with the results.

    thumb Leslie Keller
    10/16/2017

Get started today!

Dr J and his staff are committed to providing you with exceptional and compassionate care. On behalf of our entire team, we invite you to request a consultation to talk to Dr J about your goals, expectations and aspirations. We can’t wait to find out how our 20-plus years of experience in cosmetic and functional plastic surgery can help change your life, and make you a happier, healthier person.

Dr. William Jacobsen
Plastic Surgery
2400 East Arizona
​Biltmore Circle, Ste 2450
Phoenix, AZ  85016

Phone: 602-212-0100
Fax: 602.279.1701
info@drjsoffice.com

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Dr J considers every surgery an opportunity to express his vision with his patients, and believes in natural, beautiful results that leave you feeling confident and beautiful, but most importantly, feeling like yourself. From extremely rare and complex surgical cases, to cosmetic surgery, Dr J has the experience, compassion and understanding to help you achieve your surgical goals.

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