Eyelid Surgery

Auker Eye Associates based in Pleasanton and Hayward, CA offers extensive experience in eyelid surgery (Blepharoplasty).

About Our Blepharoplasty (Eyelid Surgery) Services

What is Blepharoplasty or Eyelid Surgery?

Blepharoplasty is a cosmetic surgical procedure on the eyelids that can significantly improve the appearance of the upper or lower eyelid. Incisions are made either above the upper eyelid, below the lower eyelid or both, to allow for the surgeon to redistribute or remove fat deposits, tighten muscles and remove excess skin layers.

Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may interfere with vision. It is the most common eyelid procedure to restore a more alert, rested and youthful appearance of the eyes. Eyelid surgery can also improve your vision by opening up your field of view once the droopy eyelids are improved.

At Auker Eye Associates, we have extensive experience with Blepharoplasty and practice the surgery in our offices near Hayward and Pleasanton, California. Contact us for a blepharoplasty evaluation here.

What to Expect During Eyelid Surgery?

Dr. Auker will make incisions that follow the natural folds of the eyelids. He will then remove, tightens the excess skin, muscle and/or fat from the upper or lower eyelids. Next, the incisions will be sutured. Because Dr. Auker makes his incisions in very deliberate areas so as to be concealed by the natural folds of the eyelids, as a result, the incisions are barely noticeable or not noticeable at all.

The recovery after the procedure rarely involves more than some slight swelling and bruising, dry eyes and minor discomfort.

How long is the recovery?

Following the surgery, your post-operative pain should be minimal. You can use Tylenol to minimize any discomfort. You can expect your eyelids to be puffy and swollen for several days following surgery. On the first day, you should apply cold compresses each hour you are awake, for about 10 to 15 minutes at a time.

The ice will help to reduce the swelling and keep bruising to a minimum. On the second day, apply cold packs every few hours for about 10 to 15 minutes at a time. After 48 hours, warm compresses should be applied to promote faster healing. After 7-10 days, you can resume to your normal activites.

Who is a good candidate for eyelid surgery?

As with all surgical procedures, the best candidates for eyelid surgery are non-smokers, who are in generally good health, and who have real expectation about their surgical outcome. Patients who have excessive drooping and sagging of skin around eyes, who are unhappy with "the bags" under the eyes will be benefit from eyelid surgery. Dr. Auker’s goal is to restore the rested, youthful appearance for you. Please call our office at 925-931-1090 to schedule an appointment for a consultation. If you are a good candidate, Dr. Auker will discuss with you regarding the surgical technique, amount of surgery, goal and expectation. He will also take measurements and “before” pictures to help him plan his treatment options. He will answer any questions you may have. You will be shown before and after pictures of our patients whom have had the procedure.

Eyelid Surgery Gallery (Before/Afters)

Treatment for patients with Ptosis or Ectropion

Most often, eyelid surgery is a cosmetic treatment. However, it is also done for functional reasons for patients with ptosis or ectropion.


Ectropion is the medical term used to describe a condition where the lower eyelid turns or rolls outward, exposing the inner surface of the eye. This condition interferes with normal distribution of tears on the eye surface, resulting in dry, painful eyes and chronic conjunctivitis. Ectropion is usually caused by the weakening of the connective tissue of the eyelid, due to aging.


It may also occur as a result of scar tissue or from facial nerve paralysis such as Bell’s Palsy. Eyelid surgery is usually effective to tighten the muscles that hold the eyelids in place, thereby, it can improve both the appearance and the function of the eye.


Ptosis is a condition where the upper eyelid droop over the pupil blocking vision. Ptosis is commonly caused when the levator muscle in the eyelid is stretched over time due to age. Some patients are simply born with droopy eyelids and are genetically predisposed to the condition.


The best treatment option for ptosis is usually eyelid lift surgery, which is designed to reattach the stretched muscle back to its normal location.

Will my insurance cover eyelid surgery?

The eyelid surgery procedure cost varies, depending on the extent of eyelid surgery you need. If it is a cosmetic procedure, it will not cover by your insurance. If it is a functional eyelid surgery procedure, then Medicare or your private health insurance likely will cover, however, a prior authorization may be required before you can proceed with the surgery. Please contact our office at 925-931-1090. We will be happy to answer any of your concerns.

We're conveniently located near Hayward and Pleasanton, California.
Schedule A Eyelid Surgery (Blepharoplasty) Appointment

Our Mission

"To deliver the highest standard of care possible while providing the best clinical judgment, surgical skills and quality outcomes available anywhere."

Our Services

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I thank you for the brilliance and professionalism in providing new sight for me... After 45 years of blurred vision it is a pleasure to have normal eyes again... Thank you.
Al Bjorgum, Pleasanton, CA