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Close-up of refreshed, rejuvenated eyes after blepharoplasty eyelid surgery
Face · Eyelid Surgery

Blepharoplasty in Carmel & Indianapolis

Refresh tired, drooping eyes with upper and lower eyelid surgery by Dr. John Aker. Upper blepharoplasty may be covered by insurance when vision is impaired.

Schedule a Consultation Call (317) 848-5512
★ 4.8 · 361 reviews Board-Certified — Dr. John Aker 30+ years experience Insurance may apply
Overview

What Is Blepharoplasty (Eyelid Surgery)?

Blepharoplasty is eyelid surgery that removes excess skin, fat, and muscle from the upper and/or lower eyelids. It is one of the most commonly performed facial plastic surgery procedures — and among the most impactful for rejuvenating the overall appearance of the face.

Upper blepharoplasty addresses drooping upper lids that can make a person appear tired, older, or even impair peripheral vision. Lower blepharoplasty targets puffiness and under-eye bags caused by herniated fat pads, as well as excess lower lid skin that creates a wrinkled or aged appearance.

Dr. Aker performs both upper and lower blepharoplasty, and can perform both in a single session when indicated. The procedure is performed under local anesthesia with sedation or general anesthesia and typically takes 1–2 hours.

The MPSG Difference

Blepharoplasty Technique

For upper blepharoplasty, the incision is placed precisely in the natural upper eyelid crease, making the resulting scar virtually invisible when healed. Excess skin and, if necessary, underlying fat and muscle are removed. The incision is closed with fine sutures that are removed within one week.

For lower blepharoplasty, Dr. Aker uses either a transcutaneous (external) or transconjunctival (internal) approach depending on the patient's anatomy. The transconjunctival approach leaves no external scar and is preferred when fat removal or repositioning is the primary goal. When excess skin is also present, a conservative skin excision may be made just below the lower lash line.

Candidacy

Who Is a Candidate for Blepharoplasty?

Good candidates for eyelid surgery include those with the following. Patients with thyroid conditions, dry eye syndrome, or glaucoma require additional evaluation, and Dr. Aker will review your full medical history at consultation.

  • Drooping or heavy upper eyelids that create a tired or aged appearance
  • Upper eyelid excess that impairs peripheral or superior visual field (may qualify for insurance coverage)
  • Puffy lower eyelid bags from herniated fat
  • Excess lower eyelid skin causing wrinkling or creasing
  • Good general health and realistic expectations
  • Non-smokers or willing to stop nicotine well before surgery
A Differentiator No Competitor Offers

You Don't Recover Alone

After surgery, you're driven to our dedicated recovery suite at Home2 Suites by Hilton in Carmel, where one of our caregivers — Evelyn, Lori, or Charmaine — meets you in the lobby and provides monitored overnight care, with a direct line to Dr. Aker, Dr. Beckman, and PA Amanda. You're never sent home to an empty house.

Learn About the Recovery Suite
Recovery

Blepharoplasty Recovery Timeline

Recovery is steady, with the eyes settling over several weeks. What to expect:

  • Days 1–3: swelling, bruising, and mild soreness; cold compresses and head elevation help
  • Days 3–5: reading and screen time limited as the eyes recover; avoid contact lenses
  • Week 1: sutures removed (upper lid); most patients comfortable returning to light activities
  • Weeks 1–2: return to work and social activities possible for most patients
  • 4–6 weeks: final results visible as all swelling resolves; scars continue to fade
Investment

Blepharoplasty Cost in Indiana

$4,000 – $10,000

Upper eyelid blepharoplasty typically ranges from $4,000–$8,000, and combined upper and lower blepharoplasty from $6,000–$10,000. Upper blepharoplasty may be covered by insurance if vision impairment is documented. A consultation is required for a personalized quote — financing options available.

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Questions

Frequently Asked Questions

Is blepharoplasty covered by insurance?
Upper blepharoplasty may be covered by insurance if the drooping eyelid is impairing your vision. Coverage requires visual field testing demonstrating functional impairment — typically that the upper lid significantly obstructs the superior visual field. Cosmetic lower blepharoplasty is typically not covered. Our team can guide you through the insurance evaluation process during consultation.
How long does blepharoplasty last?
Upper eyelid surgery results typically last 5–10 years before the skin may begin to relax again. Lower blepharoplasty results are often considered permanent, as fat repositioning and removal does not reverse with aging. Individual results vary based on genetics, sun exposure, and skincare. Many patients find they never need to repeat the lower procedure.
Will I have visible scars after blepharoplasty?
Incisions are placed precisely in the natural eyelid creases — the upper lid crease and just below the lower lash line — making scars virtually invisible once healed. For transconjunctival lower blepharoplasty, there is no external incision at all. Most patients find the healed incision lines indistinguishable from natural skin folds within a few months.
Can blepharoplasty be performed with other procedures?
Yes — blepharoplasty is commonly combined with facelift or brow lift for comprehensive facial rejuvenation. It is one of the most frequently combined procedures in facial plastic surgery. Combining procedures reduces total recovery time compared to staging them separately and creates a more harmonious overall result.
What is recovery like for blepharoplasty?
Swelling and bruising are most noticeable in the first 1–2 weeks. Reading and screen use are limited for the first few days as the eyes recover. Most patients are comfortable returning to work and social activities within 7–10 days. Final results are visible once swelling fully resolves at approximately 4–6 weeks. We provide detailed aftercare instructions and follow-up appointments throughout recovery.

Ready to Refresh Your Eyes?

Schedule your consultation with Dr. John Aker or Dr. Di Beckman in Carmel, Indiana. 4.8★ rated · board-certified · 30+ years of experience.

Schedule a Consultation Call (317) 848-5512
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