A Surgeon's Eye for the Most Expressive Feature

Dr. Garth Fisher, M.D.™, was named to Newsweek's 2025 list of America's Best Plastic Surgeons for eyelid surgery, one of only 150 surgeons in the country selected through a peer-driven national survey. He treats the eyelid as the most expressive feature of the face, where a millimeter of skin can shift the entire impression. His goal isn't to change a patient's eyes. It's to refine them, so the result reads as rested rather than altered.

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What Is Eyelid Surgery?

Eyelid surgery, clinically known as blepharoplasty, removes or repositions excess skin, muscle, and fat from the upper lids, lower lids, or both. According to the American Society of Plastic Surgeons, age, gravity, and weakened supporting muscles gradually create hooded upper lids and puffy lower bags. The procedure corrects that change through hidden incisions placed in the natural upper crease or just below the lower lash line. As Mayo Clinic notes, blepharoplasty can also restore peripheral vision when heavy upper-lid skin obstructs the visual field.

Blepharoplasty Before & After

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Benefits of Eyelid Surgery

Patients pursue eyelid surgery in Beverly Hills for both cosmetic and functional reasons. The procedure can:

  • Open the eyes for a more rested, alert appearance
  • Soften hooded skin on the upper lid
  • Smooth puffiness or shadows below the eye
  • Restore peripheral vision blocked by heavy upper-lid skin
  • Refresh the surrounding face without changing facial identity
  • Deliver long-lasting results, often permanent on the upper lids
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Are You a Candidate for Eyelid Surgery?

Most healthy adults with realistic expectations make strong candidates. During a private consultation, Dr. Fisher determines suitability based on the following:

  • You notice excess upper-lid hooding or lower-lid bags
  • Your eyes appear tired even when you feel well-rested
  • You're a non-smoker or willing to stop at least one month before surgery
  • You don't have serious eye conditions like dry eye, glaucoma, or detached retina
  • Your overall health is good with no untreated chronic illness
  • You understand that natural aging continues after surgery

Why Choose Dr. Garth Fisher for Eyelid Surgery in Beverly Hills?

Newsweek isn't his only credential. Dr. Fisher is board-certified by the American Board of Plastic Surgery, trained in General and Plastic Surgery at UCLA, and originated ABC's Extreme Makeover. Patients travel to his Beverly Hills practice from across the world for one reason: results that age gracefully. Knighted in 2014 for contributions to the field, he's been listed for over a decade in Best Doctors in America and Castle Connolly's America's Foremost Surgeons. Tom Ford named him "The Enhancer" in Vanity Fair. The practice on South Spalding Drive operates with the discretion expected by an international clientele of royalty, A-list talent, and Fortune 500 executives.

What to Expect Before, During, and After

Consultation & Cost

  • Private one-on-one consultation with Dr. Fisher at the Beverly Hills office
  • Review of medical history, eye health, and aesthetic goals
  • Physical examination, tear-production testing, and computer imaging
  • Personalized surgical plan with a detailed cost estimate
  • Pricing varies by case complexity and whether upper, lower, or both lids are addressed

Procedure Steps

  • Dr. Fisher administers anesthesia (IV sedation or general)
  • He places incisions within the upper-lid crease or just below the lower lash line
  • He removes excess skin, adjusts muscle, and removes or repositions fat
  • He closes the tissue with fine dissolving sutures
  • The outpatient procedure typically lasts one to two hours

Recovery & Results Timeline

  • Days 1 to 3: Cold compresses, head elevation, mild blurry vision is normal
  • Days 7 to 10: Sutures dissolve or come out, most swelling subsides
  • Week 2: Most patients return to public life and light work
  • Weeks 3 to 4: Light exercise resumes, bruising fully resolves
  • 3 to 6 months: Final contour settles, scars fade further
  • Long-term: According to the Cleveland Clinic, upper-lid results can last decades

Types of Blepharoplasty Dr. Fisher Performs

Eyelid surgery can be tailored to address upper hooding, lower-lid puffiness, or both at once. Dr. Fisher offers upper blepharoplasty, lower blepharoplasty, double blepharoplasty for combined upper and lower work, and revision blepharoplasty for patients with prior surgery elsewhere. For those who want subtle preservation of cultural eye shape, he performs ethnic-specific blepharoplasty in Beverly Hills designed to maintain the patient's natural identity.

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Related and Complementary Procedures

Many patients combine eyelid surgery with other facial work for proportional rejuvenation. Common pairings include the Pinnacle Facelift™, brow lift, and neck lift, alongside non-surgical refinements like BOTOX around the orbital area. 

Your Consultation Experience

“Before planning a surgical procedure, I initially review my patient's aesthetic facial frame, which contains important aspects of beauty, such as skin quality, hair color, and style, as well as eyebrow color and density. Using comprehensive facial analysis to map out an effective treatment plan, my patients are often confronted with the reality that their cosmetic problems can be corrected.”

– Dr. Garth Fisher

While independent research is helpful for educational purposes, it will never fully relate the procedure to you. During a consultation with Dr. Fisher, your plastic surgery education goes beyond general information and becomes a personalized experience. With a series of examinations and his exceptional aesthetic sense, Dr. Fisher is known for his uncompromising assessment of the best options for you.

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Dr. Garth Fisher A Legacy of Modern Beauty

For over three decades, Dr. Garth Fisher has defined Beverly Hills beauty through an unmatched blend of surgical mastery and personal vision. Trusted by Hollywood icons and generations of Kardashians, he’s the surgeon behind faces that withstand the spotlight and shape modern trends. Having transformed plastic surgery into an open, trusted dialogue, Dr. Fisher is ranked among America’s best by his peers for delivering results that quietly speak for themselves.

Blepharoplasty FAQs

What is the difference between upper and lower blepharoplasty?

Upper blepharoplasty removes excess skin and tissue from the upper lids, addressing drooping or hooding that can obscure vision or create a tired appearance. Lower blepharoplasty targets bags, puffiness, and sagging skin beneath the eye. Both can be performed together or independently depending on the patient's concerns.

What type of anesthesia is used?

Blepharoplasty is typically performed under local anesthesia with sedation, though general anesthesia may be used depending on the extent of correction and patient preference.

How long does the procedure take?

An upper or lower blepharoplasty alone generally takes one to two hours. Addressing both upper and lower lids in the same session adds to the overall operating time.

Will Eyelid Surgery Change the Shape of My Eyes?

The goal is to refresh, not redesign. Dr. Fisher's technique preserves your natural eye shape, lash line, and lid expression so the result reads as a more rested version of you, not someone else.

Are the Scars From Blepharoplasty Visible?

Dr. Fisher places incisions within the natural upper-lid crease or just below the lower lash line, where they fall into the eyelid's existing folds. Once fully healed, scars are typically faint and difficult to detect at conversational distance.

Does Insurance Ever Cover Eyelid Surgery?

Insurance may cover upper blepharoplasty when sagging skin demonstrably impairs peripheral vision, which usually requires a documented visual-field test. Lower-lid blepharoplasty is almost always classified as cosmetic and isn't eligible for coverage.

How Painful Is Eyelid Surgery Recovery?

Most patients describe the discomfort as mild, closer to tightness or pressure than true pain. Cold compresses, head elevation, and a short course of prescribed medication keep it well-managed through the first few days.

Will blepharoplasty affect my vision?

Temporary blurring is common in the first few days due to swelling and any lubricating ointments used during recovery. In cases where excess upper lid skin was obscuring the visual field, many patients actually notice an improvement in peripheral vision after surgery.

When Can I Drive, Wear Makeup, or Put in Contact Lenses Again?

You can typically drive within a week, once vision clears and prescribed pain medication is no longer needed. Eye makeup and contact lenses become comfortable around two weeks post-op, though Dr. Fisher will give you specific timing based on your healing.

Will Eyelid Surgery Improve Dark Circles Under My Eyes?

Blepharoplasty can soften the shadowing caused by puffiness or under-eye hollowing, which often reads as dark circles. Pigmented dark circles tied to genetics or thin skin, however, respond better to non-surgical options like laser treatments or fillers.

How Far in Advance of a Special Event Should I Schedule Surgery?

Plan for at least three to four weeks of recovery before a major event so that visible bruising and swelling have fully resolved. For polished photographs or unforgiving close attention, eight to twelve weeks gives the eyelid contour time to settle completely.

How long do results last?

Blepharoplasty produces long-lasting results. While the procedure does not stop the aging process, most patients enjoy their improved appearance for many years before any additional correction might be considered.

Can blepharoplasty be combined with other facial procedures?

Yes. It is frequently performed alongside a facelift, brow lift, or other facial rejuvenation procedures for a more comprehensive result. Dr. Fisher assesses which combination best serves each patient's goals during consultation.

Garth’s Legacy

Dr. Garth Fisher is a master in his field, a luxury cosmetic surgeon with unparalleled taste. His decades of experience and discriminating clientele make Dr. Fisher the only choice when it comes to top-tier cosmetic surgery in Beverly Hills. With his personalized service, compelling results and unrivaled privacy, Dr. Garth Fisher embodies the timeless tradition of bespoke personal service.

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