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What is blepharoplasty?

The eyelids are one of the first facial features to give away your age. As they age, some people accumulate crepey skin in the upper lid, making it difficult to apply makeup or to actually have a full field of vision. Some just inherit this condition from their parents and present for correction at a relatively young age. Blepharoplasty helps correct loose, excess skin of the upper eyelid and laxity and puffiness of the lower lid that results in a tired, sad or angry appearance. Incisions are hidden or placed within natural creases: the upper eyelid incision falls within the upper eyelid crease and the lower lid incision is placed right under the lash line. The eyelid skin is the thinnest skin in the body and heals very quickly. The objective is a smoother, rejuvenated eye and a more refreshed, alert facial expression. Blepharoplasty surgery can be limited to just the upper lid, just the lower lid, or both the upper and lower lid.

Who is a good candidate for blepharoplasty?

Good candidates for blepharoplasty are healthy men and women who have wrinkled, excess tissue of the upper eyelids and/or puffiness and wrinkling of the lower lids. This can be related to genetic predisposition or aging. Clients should have realistic expectations for improvement rather than perfection.

This procedure may be combined with a brow lift, a facelift, or facial fat grafting to rejuvenate the entire face. During the initial consultation you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve the desired result.

Is blepharoplasty covered by insurance?

In some cases it is. If there is obstruction of the visible field by one’s lowered upper lids, this is covered by insurance. Documentation of blocked vision through visual field testing is necessary. Lower lid surgery is not covered by insurance.

I had blepharoplasty in the past. Can I undergo it again?

Yes. Results from surgery may last as little as 5 years or as long as 20. Dr. Shermak will assess you to see what she can do, possibly performing surgery again. Lower lid secondary surgery is prone to lax lower lids, so examination is necessary to see if performing lower lid surgery is acceptable to perform again.

I had vision correction surgery. Can I undergo blepharoplasty?

Yes, but it is recommended you allow at least 8 months after vision correction surgery to avoid dryness in the eye.

What is the recovery like for blepharoplasty?

Surgery is performed at our outpatient medical facility. You may experience temporary swelling, numbness, and bruising that respond well to head elevation, ice packs and Arnica Montana herbal supplementation. Dryness after surgery is treated with drops during the day and lubricant at night. Most resume regular activities and return to work after one week, and swelling may take up to a month or two to resolve. Stitches are removed approximately 1 week after surgery.

What's Next? Schedule a Consultation

We invite you to call Dr. Shermak’s Baltimore plastic surgery office at 410-324-6592 to schedule your personal consultation today. You may also enjoy viewing our online library of before and after photographs to gain more awareness of what is possible with the blepharoplasty procedure.

1304 Bellona Avenue, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
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View Update Virtual Consultation

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!

I look forward to seeing you soon!


As of July 1st, the staff members at The Plastic Surgery Center of Maryland will no longer routinely be wearing masks following the state guidelines per Governor Hogan.

All of our staff members are vaccinated.

If any patient would prefer that the medical staff member caring for them wear a mask, please let us know and we will gladly do so.

We treat patients with compormised immune systems and we need to be respectful of their needs.

We are asking patients who are not fully vaccinated to please wear masks while in our office so that we may continue to safely accomodate our patients with weakened immune systems.

Thank you!

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