Restore Your Vision and Appearance with Advanced Eyelid Surgery

The delicate skin of the eyelids and eyebrows is particularly susceptible to gravity and loss of elasticity, which can lead to drooping eyelids. With eyelid surgery, offered in the Phoenix area at the Arizona Eye Institute & Cosmetic Laser Center, we remove sagging skin and fat deposits to reshape the eyelids. Dr. Emilio Justo can call upon his expertise to help you appear youthful and healthy. To find out if eyelid surgery or blepharoplasty is right for you, contact our practice today to schedule a consultation.

Video: Eyelid Surgery Techniques


Arizona Eye Institute offers the most advanced eyelid surgery techniques, to make this life transforming outpatient treatment, provide the best results possible. State-of-the-art technologies such as the CO2 laser, enable Dr. Justo to provide precise, safe, and reproducible surgery with quicker healing with traditional techniques. Dr. Emilio Justo specializes in CO2 laser eyelid surgery, and has performed more than 10,000 cases.

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Laser Eyelid Surgery

Laser eyelid surgery is a variation of traditional eyelid surgery. This alternative procedure involves the use of a carbon dioxide (CO2) laser to remove excess skin and fatty tissue.

After making small incisions (sometimes on the inside of the eyelid, other times within the natural crease to camouflage them), the UltraPulse Encore laser instantly and precisely ablates tissue around the upper and lower eyelids. The laser beam tightens loose, sagging skin, and eliminates bags beneath the eyes. Since the laser beam cauterizes the blood vessel as it reshapes the tissue, it prevents bleeding during the procedure and allows Dr. Justo to visualize exactly how much tissue to remove. This makes the procedure quicker, safer, and more effective than traditional surgery.

Benefits of Laser Eyelid Surgery

The benefits of laser eyelid surgery include:

  • No incisions with scalpels or knives
  • Provides the ability for greater precision
  • Greater access to small and delicate areas
  • Reduced chance of post-operative swelling
  • Quicker recovery than the traditional procedure
  • Less risk than with traditional eyelid surgery
  • Quicker and more effective when compared to traditional eyelid surgery
  • Simultaneous laser skin resurfacing for the treatment of lines, wrinkles, and crow's feet around the eyes

If you are considering eyelid surgery, we encourage you to view Before & After photos and read our patient testimonials.

Insurance Coverage

Like many patients, you may want to correct your drooping eyelids to improve your vision. However, you may be worried that you will not be able to afford the treatment. Fortunately, functional upper eyelid surgery is often covered by insurance. We will take extra steps to help you obtain the coverage you deserve.

Before beginning treatment, Dr. Justo will conduct a visual field test to determine if your drooping lids have significantly impaired your eyesight. If he establishes that blepharoptosis is affecting your vision and quality of life, he will submit your test results and photos to your insurance company to obtain treatment authorization.

Video: Laser Eyelid Surgery


Dr. Emilio Justo explains laser eyelid surgery that helps remove excess or baggy skin around the eye. This procedure can be completed alone or in conjunction with other cosmetic procedures designed to rejuvenate the youthfulness of your face. In addition to functional improvement, laser eyelid surgery can improve patients' lives by giving them more confidence and greater self-esteem.

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Muscle Tightening Eyelid Surgery

For individuals whose upper eyelids have slowly drifted down to cover part or most of the pupil, common factors include the aging process, muscle weakness of the elevating muscle of the upper eyelid, or in some cases, familial or genetic predisposition. An eyelid droop caused by muscle weakness is known as “true blepharoptosis.” More commonly, drooping eyelids are caused by the overhang of excess upper eyelid skin and fatty tissue, which is known as “pseudo-blepharoptosis.”

If we determine that muscle weakness is causing your droopy eyelids, two separate procedures can be utilized to correct this issue:

Muellerectomy Procedure

Dr. Justo performs the large majority of his upper eyelid “muscle tightening” procedures using a procedure known as conjunctival-muellerectomy surgery. This 15-minute outpatient procedure is performed under local anesthesia with minimal discomfort. The procedure involves a small, hidden incision underneath the upper eyelid, followed by placement of an absorbable suture that dissolves in approximately 10 days. The primary advantages of such a procedure are:

  • Short operation time
  • Minimal post-operative bruising and swelling
  • High degree of accuracy, reproducibility, and symmetry
  • Avoidance of post-operative “notching” of the upper eyelid
  • Avoidance of any skin incision or scar

The main disadvantages of a muellerectomy are:

  • Limited degree of elevation of the eyelid in cases of severe eyelid droop (blepharoptosis)
  • Does not correct any skin sagging that may co-exist with the muscle weakness

During your initial consultation, Dr. Justo will discuss your options in detail and help you decide on a course of action.

Before & After Photos
Eyelid Lift Results

A pre-eyelid surgery photo of a female patient A post-eyelid surgery photo of a female patient

*actual patient photos

Levator Resection

If you show signs of marked muscle weakness with the eyelid clearly falling below the level of the pupil, or you require a secondary (repeat) muscle-tightening procedure, Dr. Justo will recommend a traditional levator aponeurosis advancement and tightening procedure. This procedure is also performed using local anesthesia although it is more time-intensive and requires a skin incision through the upper eyelid crease. The main advantages to the levator resection procedure are:

  • Can elevate the upper eyelid to a much higher degree than with a muellerectomy procedure
  • An upper eyelid blepharoplasty (removal of skin and fat) can be performed simultaneously using the same external skin incision through the upper eyelid crease

The primary disadvantages of the external levator resection approach are:

  • Requires longer surgical time, approximately 20-40 minutes per eyelid
  • Typically results in greater post-operative bruising and swelling than the muellerectomy procedure
  • Small risk of “lid notching” of the upper eyelid which can sometimes result in a slightly less than natural lid contour

Dr. Justo has performed hundreds of muscle-tightening eyelid surgeries since 1989. He states that “an eyelid lift is really a misnomer as most of the public views an 'eyelid lift' as the same term as a blepharoplasty for removing excess baggy skin and fat. However, performing a blepharoplasty does NOT truly elevate the position of the upper eyelid. The only real way of 'lifting' the eyelid is to tighten the muscle(s) of the upper lid so as to elevate lid position away from the pupil. Hence, in reality the true 'eyelid lift' is really a muscle-tightening procedure.”

Benefits of Muscle Tightening Eyelid Surgery

Tighter, firmer skin can make you look years younger, not to mention healthier and refreshed. Sagging eyelids can make you appear old, unhealthy, fatigued, and even depressed. All of these traits can have an impact on a person's demeanor and self-esteem. By performing eyelid surgery, we can not only improve your appearance, we can improve your self-confidence as well.

Contact Us Today and Discover Your Options

We encourage you to ask us questions if you are considering eyelid surgery. We have three treatment centers in the Phoenix area from which to meet your needs, and would be happy to help you reach your cosmetic goals. Please contact the Arizona Eye Institute & Cosmetic Laser Center today.

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Arizona Eye Institute & Cosmetic Laser Center

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