
At James Rough, M.D. Plastic Surgery, blepharoplasty — also called eyelid surgery — is designed to correct droopy eyelids, excess skin, and under-eye bags that can make you appear tired, older, or less alert than you feel. Dr. Rough performs upper lid blepharoplasty, lower eyelid surgery, and combined procedures to achieve natural contour and lasting rejuvenation. For some patients, eyelid surgery may also improve vision if sagging skin obscures the visual field.
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The eyes are a beautiful component of the face that deserves to be shown; however, excess sagging skin on top or around the eyes can produce an aging facial appearance. Board-certified plastic surgeon Dr. James Rough uses eyelid surgery, also known as blepharoplasty, to lift and tighten the lower or upper eyelid, creating a look that appears softer and rejuvenated. He customizes every eyelid blepharoplasty procedure to meet the unique needs of the patient, whether the goal is cosmetic surgery, functional improvement, or both.
Countless men and women in Tucson, AZ, receive blepharoplasty to get rid of saggy eyelids, leading to improved function and appearance. Whether upper or lower, eyelid surgery creates a fresh, youthful appearance and can produce natural yet noticeable improvements. If you are interested in rejuvenating your eyes with blepharoplasty, contact James Rough, M.D. Plastic Surgery to schedule a consultation.


Depending on the complexity of the eyelid surgery, general anesthesia or IV sedation will be used. This surgery may be performed on the top eyelid by itself, on the bottom portion, or a combination of both eyelids.
Blepharoplasty addresses these common concerns:

Eyelid surgery doesn't just help to refresh your face; it can also improve other aspects of your life. You may discover your vision field is greater once the loose skin from your upper eyelid is removed.
It is also much easier to apply eye makeup once your upper lid is smooth and free from wrinkles. Eliminating fine lines, "crepey" skin, dark circles, and puffy bags on your lower eyelid can make your eyes look fuller and brighter without much makeup.
Benefits include:
You may be a candidate if you:

If your vision is obscured from folds of skin on the upper eyelid, or you are frustrated by puffy bags underneath your eyes, then blepharoplasty at James Rough, M.D. Plastic Surgery may be the answer for you. This eyelid surgery can allow you to look and feel refreshed while offering a gorgeous solution to your vision impairment concerns. We invite you to get in touch with our office in Tucson, AZ to schedule a consultation with Dr. James Rough.
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Most patients experience swelling and bruising for about two weeks, which can be managed with cold compresses, head elevation, and rest.
Mild irritation or dry eyes may occur temporarily. Dr. Rough provides personalized aftercare, including eye drops or ointments if needed, to ensure comfort and safe healing.
You should avoid strenuous activity, bending, or heavy lifting until cleared. Most patients return to work and social activities in about 10–14 days, with final refinement visible within 3–6 months.
Timeline: Initial improvements appear within weeks; swelling resolves over several months.
Longevity: Results typically last 10 years or longer, though natural aging continues.
Outcome: Brighter, more defined eyes with smoother upper lids and reduced puffiness of the lower eyelids. Patients often note not only cosmetic benefits but also improved vision and confidence.
Dr. James Rough is a board-certified plastic surgeon with advanced fellowship training at UCLA, specializing in facial plastic surgery. He approaches blepharoplasty surgery with precision, artistry, and compassion, ensuring every procedure is customized to your anatomy and goals. His bilingual staff (English and Spanish) further enhances communication and comfort for all patients.
Blepharoplasty costs will vary based on whether you get a lower eyelid lift, upper eyelid lift, or both. When your treatment plan is created during your consultation, Dr. Rough can discuss cost estimates. To achieve results that look natural and last for many years, it's better to focus on selecting an experienced plastic surgeon whom you trust, such as Dr. Rough, rather than seeking the most affordable option. To help you afford great results, James Rough, M.D. Plastic Surgery offers various payment methods, including low-interest financing.
While uncommon, risks may include blurred vision, poor wound healing, or asymmetry. Choosing a qualified plastic surgeon like Dr. Rough minimizes possible complications.
Incisions are placed in natural folds like the upper eyelid crease or beneath the lash line, making them discreet as they heal.
Most patients resume eye makeup and contact lens wear after about two weeks, once healing has progressed safely.

















