Reshaping of the eyelids, known as blepharoplasty can be done for either the upper or lower eyelids. In the upper eyelid excess skin and laxity can cause the skin to sit on top of the eyelashes. This can make the eyes look tired. Additionally in some people this can also limited the upper part of their visual field. In this situation insurance will usually cover the procedure if it is significantly limiting the vision. Upper blepharoplasty can usually be done in the office with local anesthesia and is usually a very safe and relatively quick procedure.

Lower blepharoplasty is almost always done for primarily for cosmetic reasons. Over time in some people the fat surrounding the eye can protrude along with the cheek drooping. This creates a bulge and shadow below the eye. Additionally excess skin can also be removed to smooth out the skin. This is more often done in the operating room but occasionally can be done in the office depending on the situation.


The eyes are one of the most prominent features of the face. As we age the lateral part of the eyebrow starts to descend starting in your 30’s. Although cosmetic reshaping and plucking of the eyebrow hairs may camouflage this early on, surgical repositioning of the brow to a most youthful position can have a significant impact for the right person. These people often complain that everyone says they always look tired. Unfortunately many brow lifts in the past have been overdone, giving some people a “surprised” look that has been associated with the procedure. Dr. VandeGriend aims for a more subtle and natural repositioning of the eyebrows. This can be done in a number of different ways depending on your hairline, and what other procedures are being done at the same time.