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Upper Eyelid Surgery

Conveniently located to serve Washington DC, Arlington, Bethesda

What is an upper blepharoplasty?

An upper blepharoplasty is a surgery performed to remove loose skin and possibly fat of the upper eyelid.  This alleviates the heaviness, skin sticking and makeup smudging that sometimes occurs.  In some patients, this extra skin can even cause some visual obstruction..  Heavy eyelid skin can sometimes cause patients to involuntarily raise their forehead muscles to alleviate visual obstruction.  This is done subconsciously, but can make you feel tired and create forehead creases.  This procedure is sometimes combined with a browlift to address both lid and forehead drooping.

Who is a good candidate?

An upper blepharoplasty is a great surgery for patients who have hanging extra eyelid skin and/or blockage of their upper visual fields.

How is this procedure performed?

This surgery can be done under local anesthesia in the office.  An incision is made in the natural crease of the upper eyelid to hide the incision. Extra skin is removed (pinch blepharoplasty) and extra bulging fat is removed.  Sutures are placed and ointment is applied to the upper eyelid.


Recovery is fast and you should be nearly fully healed without any bruising/swelling by the 2 week mark.  The incisions tend to fade well over time.


  1. Bruising/swelling – common
  2. Recurrence of fat – although fat is removed, there is still some fat around the eye that may project more over time.  Removing too much fat can lead to an aged, hollow look.
  3. Injury to the eye – extremely rare, but could lead to vision problems
  4. Dry eyes– the tear ducts are identified and avoided, but there is a very minor risk of injury
  5. Need for revision – scarring or poor aesthetic outcome could lead to the need for revision.  Skin excision is conservative to avoid not being able to close your eyes, so rarely more skin may need to be removed.
Your Eyelid Surgery will be performed in Dr. Praful Ramineni‘s surgery center located in Washington, DC.

This has been an amazing experience from the consultation to post-surgery!!! I honestly can’t even express how happy & grateful I am with the results. Everyone….Dr. Ramineni and his whole team are impeccable, to say the least. A very thoughtful, professional, kind, and knowledgable team. I will 100% always refer anyone I know to this amazing team…Dr. Ramineni had a challenge when I came to see him with my issue but he 1000% went above & beyond to achieve perfection with my results. I can’t thank this team enough!! I genuinely want to thank you so much!

- Sally T.

Dr. Ramineni was recommended to me by my plastic surgeon as a masterful surgeon who could figure out why I was having complications. He diagnosed the problem correctly and fixed it. I am grateful for his openness, his honesty, and skill.

- Saiyyaed A.

Life-altering surgeon. He helped make my dreams come true with the most flawless surgery I’d been waiting my whole life to get. Healing and recovery has been almost disturbingly easy and pain-free. I could not recommend enough. Everyone there is so sweet as well!

- Katie C.

Dr. Praful Ramineni



Dr. Ramineni is the founder of District Plastic Surgery. He is board certified and has over 15 years of experience in plastic and reconstructive surgery. He started his career as one of the busiest surgeons at Medstar Washington Hospital Center with a focus on complex reconstructive surgery including cancer and trauma reconstruction, microsurgery and aesthetic surgery.

Dr. Praful Ramineni

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