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Blepharoplasty

In Tucson, AZ

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Restore Youthful Definition

Blepharoplasty at James Rough, M.D. Plastic Surgery

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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Blepharoplasty at a Glance

  • Procedure Options: Upper blepharoplasty, lower blepharoplasty, or combined treatment; may include a brow lift if sagging eyebrows contribute to the issue
  • Anesthesia: Local anesthesia with sedation or general anesthesia
  • Duration: 1–3 hours depending on the extent of surgery
  • Downtime: About 10–14 days for most swelling and bruising to resolve
  • Results: Long-lasting improvement in both appearance and function

From Fuction to Beauty

What Is Blepharoplasty?

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.

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Delivering Elegant Results

How Does Blepharoplasty Work?

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.

  • (Upper Blepharoplasty) Upper eyelid surgery helps to minimize the folds of skin that impair vision to create a more appealing eyelid appearance. An incision is usually made along the lash line or crease to trim away tissue and fat.
  • (Lower Blepharoplasty)Lower eyelid surgery is performed to improve bulging, bloated skin beneath the lower eyelid (transconjunctival blepharoplasty). The incision is carefully made just under the lash line to allow access to remove fatty tissue, and the skin is subtly lifted to produce a smoother look.
  • Combined Upper and Lower Blepharoplasty: For patients seeking comprehensive rejuvenation, both the upper and lower eyelids are addressed in a single blepharoplasty operation.
  • Adjunctive Treatments: In some cases, laser blepharoplasty or skin resurfacing is incorporated to improve fine wrinkles and skin texture around the eyes.

Treating Functional and Cosmetic Eyelid Issues

What conditions does Blepharoplasty address?

Blepharoplasty addresses these common concerns:

  • Droopy eyelids from age or genetics
  • Excess skin on the upper lids blocking peripheral vision
  • Lower eyelid fat or puffiness creating bags under the eyes
  • Wrinkled, crepey skin on the lower lids
  • Sagging eyebrows that contribute to heaviness in the upper eyelid
  • Hollowing or dark circles under the eyes
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Brighter Eyes, Better Confidence

What are the benefits of Blepharoplasty?

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:

  • Restoring a smoother, natural eyelid contour
  • Enhancing both cosmetic appearance and functional vision
  • Reducing undereye bags, puffiness, and tired look
  • Improving the application of eye makeup on the upper eyelids
  • Long-lasting results that enhance overall facial plastic surgery outcomes

Your Eyelid Lift Checklist

Am I a candidate for Blepharoplasty?

You may be a candidate if you:

  • Have sagging skin or droopy eyelids that affect your confidence or vision
  • Struggle with bags under the eyes or excess lower lid fat
  • Are in good health without uncontrolled circulatory disorders or severe eye conditions
  • Can follow pre- and post-surgical instructions, such as pausing blood thinners, avoiding herbal supplements, and quitting smoking
  • Have realistic expectations about the results and healing process
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Success Cases

Younger-Looking Eyes

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.

James Rough, M.D. Plastic Surgery Reviews

"I had a mommy Makeover on October 7th performed by Dr. Rough,. After visiting 4 Plastic Surgeons in Tucson and Scottdale I decided to go with Dr. Rough. He and his staff are, hands down, the best! Not only I am beyond happy with the results he is a very compassionate person. I called him with a few questions after my surgery and he always answered in a timely manner. He listened to me and validate my feelings. I highly recommend Dr Rough when it comes to Plastic surgery."

- E.L.

"Dr. Rough and his staff were amazing: professional, compassionate, and knowledgeable! He let me know what would work best for me and my body, and following his recommendation, the results from my elective surgery far exceeded any expectation I could imagine! I am absolutely in love with the results and I have Dr. Rough and his staff to thank! Thanks this team, for the first time in my life, I am in love with my body!! Highly recommended!!"

- J.V.

"Dr Rough is the best!! He wants the best for all of his patients and is super thoughtful and caring throughout the entire process! My results also came out perfect! Thank you so much Dr Rough!"

- E.L.

"Dr. Rough and his entire staff are incredible. From start to finish, they are compassionate, empathetic, and thorough. From the consult to the operation I felt I was taken care of by professional, genuinely caring people. I’ve had a few cosmetic surgeries and I always get sick from the anesthesia, Dr. Rough’s anesthesiologist is the most wonderful sweet human being I’ve ever met. Everyone that is on his team is amazing and just as sweet. You will be in good hands with anything Dr. Rough does. I am writing this review day of surgery and I am feeling great. I highly recommend Dr. James Rough if you are looking for a skilled and caring surgeon with a team that will take care of you from start to finish. I cannot wait for my results!"

- A.M.

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Healing Insights

Blepharoplasty Recovery

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.

You’ll See (and Love) The Difference

Blepharoplasty Results

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.

Why Choose Dr. Rough for Blepharoplasty?

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.

Learn More About James Rough, M.D. Plastic Surgery

About Us
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Precision + Compassion

Blepharoplasty

Frequently Asked Questions

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.

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