A Higher Standard of Eyelid Surgery With Dr. Alexey Markelov

Double board-certified plastic surgeon Dr. Alexey Markelov brings extensive facial surgery training and a reputation for measured, detail-oriented execution to every eyelid procedure he performs. His background in complex facial rejuvenation informs a careful approach to eyelid anatomy, where millimeters determine outcome and restraint defines excellence. If excess skin or lower lid fullness is changing how you look or see, schedule a private consultation with Dr. Markelov to discuss a plan tailored precisely to your anatomy and goals.

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What Is Eyelid Surgery?

Eyelid Surgery or Blepharoplasty is a procedure designed to correct excess skin, protruding fat, and laxity affecting the upper eyelids, lower eyelids, or both. Over time, aging and genetics can cause the eyelids to droop or develop fullness, creating a tired appearance and, in some cases, interfering with peripheral vision.

Through strategically placed incisions, redundant skin is removed and fat is conservatively reduced or repositioned to improve contour. Muscle support may also be refined when indicated. Upper eyelid surgery can restore a more open appearance, while lower eyelid surgery smooths fullness beneath the eyes. The objective is structural correction that preserves natural expression and proportion.

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Everything You Should Know About Eyelid Surgery

Dr. Markelov in an Interview

Upper vs. Lower Eyelid Surgery

Upper Blepharoplasty

Key Benefits:

  • Lifts droopy upper eyelids for a refreshed look
  • Improves peripheral vision if sagging obstructs sight
  • Enhances symmetry and natural eye contours
  • Easier makeup application
  • Long-lasting rejuvenation

Recovery Time:

  • 7 to 10 days for most swelling and bruising to resolve
  • Minimal downtime; most return to light activities in 1 week
  • Use of ointments and head elevation is recommended

Discomfort Level:

  • Generally mild; manageable with medication and cold compresses

Scar Visibility:

  • Hidden in the natural crease of the upper eyelid; fades well

Lower Blepharoplasty

Key Benefits:

  • Reduces puffiness and under-eye bags
  • Smooths wrinkles and tightens sagging skin beneath the eyes
  • Creates a youthful, rested appearance
  • Improves lower lid support and contour
  • Enhances facial harmony

Recovery Time:

  • 10 to 14 days for noticeable recovery
  • Swelling and bruising may last slightly longer than upper lid surgery
  • Post-op care includes cold compresses and eye protection

Discomfort Level:

  • Slightly more discomfort due to lower lid bruising and sensitivity

Scar Visibility:

  • Concealed along the lash line or inside the eyelid (transconjunctival approach)
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Before & After Photos: Eyelid Surgery in Tampa

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Woman smiling with her hand on her cheek

Am I a Candidate for Eyelid Surgery?

Candidates are typically healthy, non-smoking adults concerned about drooping upper lids, under-eye bags, or eyelid heaviness. Individuals experiencing visual obstruction from excess skin may also benefit. The most appropriate patients seek natural enhancement rather than dramatic change and understand that surgical planning must be tailored to their anatomy.

If the following factors apply, you could be a good candidate for Eyelid Surgery in Tampa:

  • You are a healthy, non-smoking adult.
  • You want to refresh your facial appearance.
  • You have healthy facial tissues and eye muscles.
  • Droopy or sagging eyelids affect your vision.
  • You have excess skin, puffiness, or under-eye bags.
  • Your eyes make you look tired or older.
  • You have realistic expectations and no serious eye or health issues.
  • You are emotionally ready for surgery and recovery.
  • You want lasting, youthful results.

What Is Recovery Like After Eyelid Surgery?

Your recovery from eyelid surgery is a vital part of your transformation, and following Dr. Markelov’s post-operative instructions will ensure the best results. Recovery timelines vary slightly by individual, but here’s what most patients can expect as they heal:

First 48 Hours: Immediate Post-Op Care

  • Swelling and bruising are most noticeable during this time and are completely normal.
  • You may experience blurred vision, tightness, or mild discomfort.
  • Cold compresses and head elevation are recommended to reduce swelling.
  • You’ll likely be prescribed topical ointments and/or oral medications to prevent infection and ease discomfort.

Week 1: Early Healing Phase

  • Bruising and swelling will begin to subside, though some visible discoloration may remain.
  • Non-dissolvable stitches, if used, are usually removed between days 5 and 7.
  • Most patients begin feeling more comfortable moving around but should still avoid strenuous activity and heavy lifting.

Week 2: Back to Routine Activities

  • Most visible bruising has faded, and many patients feel comfortable returning to work or social events, with or without concealer.
  • Minor swelling may linger, but should not affect daily life.
  • Continue protecting your eyelids with gentle cleansing and sunscreen.

3 Months Post-Surgery: Near Final Results

  • Most swelling has resolved, and your eyelid contours will look smooth and youthful.
  • Eyelids will have a natural appearance, with refined definition and minimal to no scarring.
  • Post-operative photos are often taken around this time to capture long-lasting results.
Dr. Markelov at his Plastic Surgery practice in Tampa Bay.

Why Choose Dr. Markelov for Eyelid Surgery in Tampa?

Dr. Markelov completed his plastic surgery training at the University of Pittsburgh Medical Center and his general surgery training at Drexel University College of Medicine. His double board certification and national recognition for teaching excellence reflect rigorous technical preparation. In eyelid surgery, subtle millimeters matter. His measured approach prioritizes precise tissue handling, conservative fat management, and preservation of eyelid function, delivering refined results without an over-operated appearance.

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Patient Reviews: Eyelid Surgery in Tampa

His work is spectacular! I overcame a serious long-term illness which left me looking extremely worn out. Dr Markelov performed an upper and lower eyelid surgery COMPLETELY erasing all evidence of that time. The job he did, left me FINALLY looking as healthy on the outside as I feel on the inside! All my family and friends can’t believe the results and I’m even making people who had this done with other doctors jealous because it turned out so good! Now that says something! Both he AND his staff are knowledgeable and compassionate. If you’re looking for a cosmetic surgeon, Congratulations, you just found the best one around!

His expertise and bedside manner along with his impeccable work puts him at the top of my list as a plastic surgeon. I am very happy with my results and have recommended him to my friends and family. He's the only one that I would go to for any future needs.

His skills and experience are extraordinary. I've had a deep plane facelift and upper and lower eyelid surgery (blepharoplasty) I'm so happy with the results. I look 15 years younger. Dr Markelov gave good instructions throughout the entire treatment

Dr. Markelov hands are magic. I had upper and lower eyelid as well as a deep plane facelift. I am over the moon with the results! Thank you so much!

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Your Consultation

Your consultation includes a detailed evaluation of upper and lower eyelid position, brow contribution, skin elasticity, fat distribution, and lower lid support. Dr. Markelov assesses how the eyelids interact with the midface to ensure balanced correction. You will receive a comprehensive discussion of surgical options, recovery expectations, and individualized planning.

How Much Does Eyelid Surgery Cost?

The cost of eyelid surgery or blepharoplasty depends on whether upper, lower, or combined eyelid surgery is performed, as well as the surgical complexity involved. Fees reflect the extent of correction, anesthesia type, and operative setting. Following examination, you will receive a clear, personalized quote. Financing options are available for qualified patients.

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What to Expect During Eyelid Surgery

Blepharoplasty is performed under local anesthesia with sedation or general anesthesia, depending on the surgical plan. Excess skin is removed with precision, and fat is reshaped or repositioned to maintain smooth transitions between the eyelid and cheek. When necessary, supporting structures are reinforced to maintain stability. The procedure is typically completed within one to two hours and performed on an outpatient basis.

Recovery and Results

Initial swelling and bruising peak within the first several days and gradually improve. Head elevation and cold compresses support early healing. Most patients resume light daily activities within a week, with return to full activity guided by individualized instructions.

As swelling resolves, eyelid contours appear smoother and more defined. Incisions mature discreetly within natural creases or along the lash line. Results are long lasting, and while natural aging continues, the corrected tissue does not redevelop.

Dr. Markelov in an Interview

Inside AM Plastic Surgery with Eyelid Surgeon Dr. Alexey Markelov

Dr. Markelov Showing a Patient Her Results

Dr. Alexey Markelov on Facial Rejuvenation Through Eyelid Surgery

Complementary Facial Rejuvenation Options

  • Deep plane facelift: Repositions deeper facial structures for comprehensive lower face and neck rejuvenation.
  • Brow lift: Elevates a descended brow that contributes to upper lid heaviness.
  • BOTOX: Softens dynamic wrinkles such as crow’s feet.
  • Facial fat grafting: Restores volume to hollowed tear trough or midface areas.

Eyelid Surgery FAQ

Are eyelid surgery scars noticeable?

How long will my results last?

Is it possible to get an eyelift without surgery?

What are some alternatives to eyelid surgery?

Is the surgery painful?

Will blepharoplasty change the shape of my eyes?

How should I prepare for eyelid surgery?

Can I wear contact lenses after eyelid surgery?

How soon can I apply makeup after blepharoplasty?

Will insurance cover my eyelid surgery?

How is blepharoplasty different from a brow lift?

Can blepharoplasty be performed in combination with other facial surgeries?

What type of anesthesia is used?

How soon after surgery can I wear contact lenses?

Will blepharoplasty help with eyelid asymmetry?

Is blepharoplasty appropriate for younger patients?

Can I undergo blepharoplasty more than once?

How visible are the scars long-term?

Does blepharoplasty affect tear production?

Are eyelid surgery scars noticeable?

Scars are minimal and discreet. Upper eyelid incisions follow natural creases, while lower ones sit just below the lash line. With Dr. Markelov’s precise techniques, scarring is typically barely visible.

How long will my results last?

Blepharoplasty results often last 10–15 years. Factors like aging, lifestyle, and genetics influence longevity. Healthy habits and proper care can help extend your results.

Is it possible to get an eyelift without surgery?

Non-surgical treatments can offer temporary improvements but don’t remove excess skin or fat. For long-term, significant results, surgery remains the most effective option.

What are some alternatives to eyelid surgery?

Alternatives include BOTOX, fillers, laser resurfacing, chemical peels, and radiofrequency treatments. These improve texture and volume but can’t match the comprehensive results of surgery. Dr. Markelov can help you choose the best approach.

Is the surgery painful?

Most patients experience only mild discomfort. It’s done under anesthesia, and symptoms like swelling and bruising usually subside within 1–2 weeks. Dr. Markelov offers personalized pain management for a smooth recovery.

Will blepharoplasty change the shape of my eyes?

No—your eye shape remains the same. The procedure enhances your appearance while maintaining your natural look, with minor refinements for symmetry and youthfulness.

How should I prepare for eyelid surgery?

Before surgery: Stop smoking, pause blood-thinning medications, arrange for help post-surgery, and prepare cold compresses and any prescribed meds. Dr. Markelov will provide detailed pre-op instructions.

Can I wear contact lenses after eyelid surgery?

Avoid contact lenses for 1–2 weeks post-surgery, as eyes may be dry or sensitive. Glasses are a safer option until cleared by Dr. Markelov.

How soon can I apply makeup after blepharoplasty?

Light makeup is usually safe after 10–14 days. Use gentle products and avoid incision areas until fully healed. Follow post-op care instructions closely.

Will insurance cover my eyelid surgery?

Cosmetic blepharoplasty isn’t typically covered. However, if droopy lids affect vision, insurance may help after a visual field test. Dr. Markelov’s team can guide you through the process.

How is blepharoplasty different from a brow lift?

Blepharoplasty addresses excess eyelid skin and fat, while a brow lift elevates a descended brow. Some patients benefit from one procedure, others from a combined approach.

Can blepharoplasty be performed in combination with other facial surgeries?

Yes. It is commonly performed alongside facelift or brow procedures when comprehensive facial rejuvenation is desired.

What type of anesthesia is used?

Depending on the treatment plan, surgery may be performed under local anesthesia or twilight anesthesia.

How soon after surgery can I wear contact lenses?

Contact lenses are typically avoided for about one to two weeks, depending on comfort and healing progress.

Will blepharoplasty help with eyelid asymmetry?

Careful surgical planning can improve noticeable asymmetries while maintaining natural proportion.

Is blepharoplasty appropriate for younger patients?

Younger individuals with hereditary eyelid fullness or excess skin may be candidates after proper evaluation.

Can I undergo blepharoplasty more than once?

Secondary procedures are uncommon but may be considered years later if additional aging changes occur.

How visible are the scars long-term?

Incisions are strategically placed and generally heal as fine lines concealed within natural creases or along the lash margin.

Does blepharoplasty affect tear production?

Temporary dryness may occur during healing, but the procedure does not typically alter long-term tear production when properly performed.

Refined Eyelid Rejuvenation in Tampa

Precision around the eyes requires advanced training and disciplined technique. Dr. Markelov delivers eyelid surgery in Tampa that restores structure, sharpens contour, and preserves natural expression. Schedule your consultation at AM Plastic Surgery to experience facial rejuvenation guided by surgical expertise and individualized care.

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