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.

Because the lower eyelid incisions when the lift is performed he is directly along the margin of the eyelashes rather than above or below the eyelashes it is very close then to the globe of your eyeball which must be protected with a corneal protector which is a plastic device that is inserted over your eye much like a shield to protect your eye during the surgery. This is uncomfortable while you are awake. He will be much more comfortable being asleep and allows me to do the surgery more safely for you so that you are exquisitely comfortable and exquisitely still so the fine details of your eye the lift can be done efficiently and perfectly. Once the surgery is completed you will see that you will be very comfortable as the eye ball itself is irrigated very carefully with sterile ophthalmologic solution before you wake up.

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  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 would recommend dr. William Jacobsen to anyone who is interested in doing any kind of procedure. I got a chest augmentation and he did an amazing job! I am very happy and he did exactly the shape and size I was wanted. Go to his website and you will not be disappointed !

    thumb Mirela Eastridge
    2/20/2019
  • review rating 5  Dr J is the best! I have an ongoing issue with a medical implant that he has cleared up several times. Every time I contact him he is right there. This last time he actually met me on a Sunday to help me. I highly recommend Dr J. His bedside manner makes you feel that no matter what everything will be okay.

    thumb Donna Brockway
    7/14/2019
  • review rating 5  Recently had surgery with Dr. J and I can not express my gratitude. The office staff is so kind and caring, paying very close attention to each patient, and incredibly considerate. Lovely and comfortable waiting area and very short wait times to be seen. I highly recommend Dr. J!

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    9/09/2019
  • review rating 5  Dr J is a kind, compassionate, extremely gifted surgeon. I’ve now had two procedures preformed by him and both he explained and executed beautifully. He is always there to answer questions before and after surgery. You will most likely wait about a hour longer then your expected appointment time but he is definitely worth the wait.

    thumb Jennifer Arena
    5/14/2019
  • 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  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
  • review rating 5  Dr. Jacobsen and his entire office staff was a great experience for me. I was referred to his office after my MOHS procedure that left my face in worse shape than I had hoped for. It was a drive across town for me and it was well worth it. I was concerned about the state of the open wound on my face and desired the best outcome possible, I was worried. From the moment I stepped into his office I felt at ease. Several things impressed me with Dr. Jacobsen and his office staff. First and foremost was the ease of communication both directly in office and submitting documents and photos via his website and/or email. The ability to reach out to and get a response from the doctor 24/7 is so nice. Each person I spoke to was helpful and was mindful and sensitive to my needs. Dr. Jacobsen was great, he was very personable, very easy to talk to you, he answered all my questions, and was confident in his skill. I truly felt it was a blessing to be referred to and treated by Dr. Jacobsen. Lastly, Dr. Jacobsen's office is beautifully designed and decorated and includes WIFI, these little things all help with setting the right environment. I left Dr. Jacobsen office in far better shape than when I arrived. His many years of experience is evident in his work.

    thumb Aaron Richins
    7/30/2018
  • review rating 5  I would have to say that so far my experience with Dr. J is quit impressive. I do not particularly like going to doctors. As it seems often times the treatment ends up being worse than the original illness to begin with. So I was referred to Dr. J due to surgical incision from two years ago from having a spinal cord stimulator put in my back. Where the battery is placed in my left hip, the incision has never close. I do have to say that the waiting area is very inviting. I would have to say that the staff are very friendly, and they go above and beyond with helping answer any questions. My initial meeting with Dr. J was great, as he understood how nervous I was to be there. He listened to me, when I expressed certain concerns. He did reassure me that although I do have to have surgery, he explained to me exactly what he was going to do, without adding a bunch of scientific names that I would not understand. He assured me that he would take great care in helping with the infection and take the necessary steps to ease any discomfort that I might have. Dr. J seems so far to be extremely understanding, and that is a rare quality that not many doctors have.

    thumb Rlo Olr
    8/24/2019
  • review rating 5  I think he’s a wonderful surgeon and extreme talent. I can in for a bilateral breast augmentation after having breast fed my 2 sons. What he did to my body and self esteem is immaculate. I’m so happy with his hand I work. I had almost NO bruising at all and they gave the the perfect amount of pain medicine to get me though and still functioning. I gave him a 5 star rating because of his skills and professionalism. How ever if you don’t come stacked with your own questions and concerns he can’t do anything for you. He’s a surgeon who knows all this stuff but not exactly the fountain of information. He will litterly only tell you and give you what you ask for. Don’t make him guess or try to let him lead the conversation when it comes to concerns and post up care. Make a list of questions and stick with it. He will answer them all perfectly. It’d help to do your research and bring your own pictures with a ‘cc’ in mind. HE WILL GIVE YOU WHATEVER YOU ASK FOR!❤️

    thumb Laura Hoskins
    3/24/2019

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
2525 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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