Excellence and Artistry

Eyelid Surgery in Philadelphia & Montgomery County

The eyelids are one of the first areas of the face to show aging symptoms. Drooping eyelids give the eyes a fatigued, stressed or aged appearance that may not appropriately reflect how you feel inside. Board certified cosmetic surgeon Dr. David Horvath can give your eyes a youthful lift through blepharoplasty (eyelid surgery). One of the most commonly performed cosmetic surgeries, blepharoplasty involves removing excess skin on the upper eyelids and/or bags underneath the eyes, both of which develop with age. The procedure accentuates your natural look and improves upon it so you look rested, alert and healthy.

Am I a Candidate for Eyelid Surgery?

eyelid surgery philadelphiaDr. Horvath evaluates all eyelid surgery candidates one-on-one to determine whether the procedure is a good fit for their needs. During the consultative phase, he will take a detailed medical history, perform a physical examination and discuss your goals. You will be invited to ask any questions you have about eyelid surgery, and what the experience will entail.

Generally, eyelid surgery candidates are individuals who:

  • Have excess hanging skin that covers the natural fold of the upper eyelids
  • Have loose skin on the upper eyelids that may cover the eyelashes
  • Have puffy upper or lower eyelids
  • Are in good physical and mental health
  • Do not smoke
  • Have realistic expectations of surgery — i.e., desire improvement, not perfection
  • Understand the possible risks and benefits of surgery

The Procedure

Eyelid surgery is performed on an outpatient basis under anesthesia for your complete comfort. Dr. Horvath can treat the upper lids, lower lids or both, depending on your specific needs and areas of concern.

To treat the upper eyelids, Dr. Horvath will make an incision in the natural fold of the lid. The excess skin will then be removed. If there is puffiness to the upper lid, Dr. Horvath can remove this. If there is hollowness to the eyelids, fat can be added.

To treat the lower eyelids, he will make the incision below the lower lashline. The incisions are carefully placed so that any scars will be concealed within the natural creases of the lids. Through the incisions, Dr. Horvath will remove excess fat and skin, redistribute fat and tighten the muscles to reduce puffiness and/or bulges. Then, he will re-drape the skin more tightly over the eyelid and close the incisions with sutures.

Eyelid surgery may be combined with another cosmetic procedure, such as facelift or fat transfer to the face, for more transformative facial rejuvenation results.


The eye area may be temporarily swollen and bruised immediately following surgery. You may also experience some sensitivity to light. Dr. Horvath will provide comprehensive aftercare instructions, which you should follow carefully for a quick recovery and optimal results. Most patients recover within about a week.

Once the area has healed, your eyes will look younger, more rested and more alert. The results of eyelid surgery will last for many years. However, keep in mind that eyelid surgery won’t halt the aging process, and other areas of the face (like the brow or the cheeks) may succumb to the effects of aging, which can affect the way your entire face looks.

To see before and after photos of our eyelid surgery patients, click here.

If you are concerned about other facial features that are showing signs of aging (e.g., a droopy brow or jowls), ask Dr. Horvath for treatment recommendations, including browlift surgery or dermal fillers.

Learn More

If you’d like more information about eyelid surgery, please contact Horvath Plastic & Cosmetic Surgery Center.