Revitalize Your Eyes with Eyelid Surgery (Blepharoplasty)

Aging, sun exposure, and lifestyle factors can cause eyelid skin to sag, leading to a tired, aged appearance and even impaired vision. Eyelid surgery—known as blepharoplasty—offers a safe and effective solution to tighten loose skin, remove excess fat, and restore a more youthful, alert look. At Williamsburg Plastic Surgery, Dr. Johnstuart Guarnieri specializes in both functional and cosmetic blepharoplasty to help patients regain clarity of vision and confidence in their appearance. Whether performed to improve peripheral vision or enhance facial aesthetics, this outpatient procedure delivers long-lasting results with minimal downtime.

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Benefits of Blepharoplasty with Dr. Guarnieri

Improved Vision

Corrects drooping eyelids that obstruct peripheral vision, making daily activities safer.

Youthful Appearance

Reduces sagging skin and puffiness to create a more alert, refreshed look.

Long-Lasting Results

Outcomes typically last for many years, even as the face ages naturally.

Minimal Scarring

Incisions are made in natural eyelid creases, ensuring scars are nearly invisible.

Enhanced Confidence

Patients often feel more confident in social and professional settings.

Customizable Approach

Can target upper eyelids, lower eyelids, or both depending on individual needs.

About Eyelid Surgery Procedure

The Procedure

Blepharoplasty is a surgical procedure designed to correct sagging or drooping eyelids by removing excess skin, fat, and tightening underlying muscles. Dr. Guarnieri typically performs the procedure on an outpatient basis using local anesthesia with sedation, though general anesthesia may be used for anxious patients. The surgery usually takes 45 minutes to two hours, depending on whether the upper, lower, or both eyelids are treated.

For upper eyelid surgery, an incision is made in the natural crease of the eyelid to remove excess skin and fat and tighten the muscle. For lower eyelids, an incision is made just below the lash line to remove or reposition fat and tighten tissue. In select cases, a transconjunctival approach is used for lower eyelid fat removal without visible scarring—ideal for patients with puffiness but no excess skin. After reshaping, incisions are closed with sutures, tissue glue, or surgical tape, and the area is gently covered with gauze to support healing. 

Recovery

After blepharoplasty, patients may use lubricating eye drops and cold compresses to reduce swelling and discomfort. Most return to work within a few days to a week, though strenuous activity should be avoided for at least two weeks. Stitches are typically removed after three to four days. Swelling and bruising usually subside within two weeks. Patients should avoid wearing contact lenses and eye makeup for two weeks. To protect the eyes, dark sunglasses are recommended for two weeks in bright light or windy conditions. Final results improve over several months as swelling resolves and healing completes.

Risks

Blepharoplasty is generally safe, but like all surgery, it carries risks. These include infection, dry eyes, temporary blurred or double vision, and changes in tear production. Scarring is rare and typically minimal due to the placement of incisions in natural eyelid folds. Uneven healing or permanent scarring may occur but is uncommon and can often be corrected with revision surgery. Patients with eye conditions such as glaucoma, retinal detachment, thyroid disease, diabetes, or high blood pressure are not ideal candidates. Dr. Guarnieri evaluates each patient thoroughly to minimize risk and ensure safe outcomes. 

Our patients glow, and their reviews shine!

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aisha s
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I had an incredible experience with Dr. Guarnieri and his amazing receptionist throughout my entire breast reduction journey. From start to finish, I felt well-informed and supported. Dr. Guarnieri took the time to thoroughly answer all of my questions and ensured that those helping me after surgery were also fully informed. His professionalism and attention to detail made me feel confident and cared for every step of the way. I also want to highlight how kind and welcoming the receptionist was—she consistently made me feel comfortable and was always friendly and positive. Her warm attitude truly made a difference during my visits. I couldn’t be more grateful for the excellent care I received and would highly recommend Dr. Guarnieri and his team to anyone considering this procedure.
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T Robertson
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Dr Guarnieri has always provided wonderful care for our family every time we visit this practice .The outcome of each service has always exceeded expectations.
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Sheila Coughlin
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Wonderful people knowledgeable helpful and professional services.
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Alisson Gilbert
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I had a great experience at Dr. G's office. There have been recent changes to the staff and Misha at the front desk is wonderful! Very professional and welcoming office. Dr. G was not rushed and took the time to listen and answered all my questions. Would highly recommend!
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Susan Pierce Grantham
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Dr G is amazing. He truly cares about his patients and spends time with them. You feel not only heard, but listened to. Yes there was a glitch, with the front office girl, but praise the Lord, she's gone. You will not be sorry when you make an appointment with Dr.G
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Donna Fowler
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I had a skin cancer surgery done on my arm. The staff was pleasant and professional and Dr. G was excellent!!

Candidates for Blepharoplasty

Ideal candidates are healthy adults with sagging or drooping eyelids that affect vision or appearance. They should not smoke and have no serious eye conditions. Patients with healthy facial tissue and muscle typically achieve the best results. Those who have significant vision impairment due to eyelid drooping may qualify for insurance coverage if a functional assessment confirms the need. Dr. Guarnieri conducts a full evaluation to determine if blepharoplasty is right for you and discusses your goals to ensure realistic expectations.

 

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Williamsburg Plastic Surgery features cutting-edge examination, operating, and recovery areas. From your arrival, you'll find a tranquil, welcoming environment designed for comfort. Dr. Johnstuart Guarnieri pairs clinical excellence with genuine compassion to ensure your satisfaction. Let us guide you through a seamless, caring experience.

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Williamsburg Plastic Surgery

Plastic Surgery in Williamsburg, VA

Dr. Johnstuart Guarnieri, Board-Certified Plastic Surgeon

333 McLaws Circle #3 Williamsburg, VA 23185