Since the eyes are one of the most noticeable features, it’s often necessary to turn to surgery to refresh and restore them once they look aged and dull.

At Cosmetic Surgery Affiliates in Oklahoma City, the cosmetic surgeons can perform eyelid surgery (also called blepharoplasty) to remove excessive fat and fullness around the upper and/or lower eyelids. In addition, Dr. Erik Nuveen and Dr. Courtney Caplin can lift sagging skin around the eye region so that eyes appear more alert, refreshed and overall younger-looking.

Eyelid surgery can also address bags and wrinkles around the eyes for an overall improved look.

Patient transformations


Surgical Technique

The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit.

There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.

Consultation and surgery was quick and professional. Dr. Nuveen performed upper and lower eye surgery and it seems to be healing nicely. Incisions and stitching are at a bare minimal. Great staffing as well! Two thumbs up!


Upper Eyelid Surgery

The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient.

The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.

Lower Eyelid Surgery

There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised.

Being hyper reactive to Epi and intolerant of Versed left me searching everywhere for a Doctor that would even talk to me about a Rhino. Dr Nuveen didn't even hesitate at my drug restrictions and preformed an amazing nose job & eye lift - WITHOUT any drug induced pain!!! The staff was excellent & attentive, Sonia was great and caught all my drug restrictions & took excellent care of me. Elite care with a reasonable price tag, I highly recommend checking CSA out before jumping.


If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.

During/After your Eyelid Surgery

Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. The patient will be sent home for recovery.

For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.

Ready to make a change? Request consultation now!


    Consultation and surgery was quick and professional. Dr. Nuveen performed upper and lower eye surgery and it seems to be healing nicely. Incisions and stitching are at a bare minimal. Great staffing as well! Two thumbs up!


    I actually had the upper eye-lift procedure for purposes of improving my peripheral vision, and the results far exceeded my expectations. I've had a number of remarks on how much better my eyes look now, but I tell people I would have been happy with the post-op bruising permanently to have obtained the resulting improvement in my vision.


    I absolutely love this place! The office and staff are super. Everyone you meet has a smile and makes you feel important and happy you came there. I did my research online and found out that Dr. Caplin and Dr. Nuveen are both the only tripple board certified doctors in the USA and of all places in Oklahoma City, Oklahoma. That was very important to me in to finding a good surgeon. Dr. Caplin has a superior talent and eye in making you beautiful. I'm 64 years old and I needed a lot work. She even has her own line of beauty products I use and absolutely love. Dr. Caplin has made me feel pretty again and the only doctor I will continue to see. I'm her biggest fan!! Thank you Cosmetic Surgery Affiliates!

    Dorothy Roberts


    Blepharoplasty FAQs

    Evident scars?

    Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.

    Post-surgery complications?

    Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.

    Wrinkles and crow's feet?

    Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.

    Better eyesight?

    Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.

    Are there any limitations?

    Blepharoplasty refers to eyelid surgery. Many times, patient may have brows that have descended and are low. These patients may need a brow lift procedure to elevate the brows. Patients that may have puffy lower eyelids due to allergies will not achieve improvement with the blepharoplasty procedure.

    When can i exercise?

    You can increase your activity as tolerated but no heavy lifting or running for at least two weeks after surgery. Golden Rule: if it hurts, don’t do it. Allow your body time to heal.

    Is it a painful procedure?

    The blepharoplasty procedure is not painful. Patients typically complain of a burning sensation in the eyelids one hour after the procedure. The discomfort will generally last about 1 hour.

    Are there scars as a result?

    The skin in the eyelids is the thinnest skin in the body. The incisions, when placed well, will heal well and be imperceptible.

    Where are the incisions made?

    The incision for the upper blepharoplasty is made in the natural crease of the upper eyelid. This incision heals well. The lower blepharoplasty incision is made just under the eyelashes (subciliary) or inside the eye (transconjunctival).

    Can i resume sexual activity?

    You can resume your sexual activities as tolerated.

    Bruising after blepharoplasty?

    Some bruising is normal following any surgical procedure. Once again, ice is strongly recommended to reduce bruising. If you have excessive or very dark bruising, you should contact our office or your physician if outside of normal business hours.

    Can i use ice?

    Ice is STRONGLY recommended and is used to reduce swelling, bruising and pain. You can use frozen peas or crushed ice in a Ziploc bag. Apply ice pack to affected surgical area for 20 minutes then remove for 20 minutes…repeat. This should be done during the first 24-48 hours following surgery. *Be sure to place a rag/towel on skin then place the ice; do not place ice directly on your skin. *If the ice feels too uncomfortable, don’t use it as often.

    Get rid of dark circles?

    The most common reasons for dark circles under or around the eyes is thinning skin with age. The best alternative is for a Cosmetic Surgeon evaluation and to consider either serial or repeat chemical peels, laser skin resurfacing or microneedling to thicken skin over time.


    Ready to make a change?
    Request consultation now!