How Many Appointments Will I Need?

You’ll begin with a private consultation at The Block-Wheeler Clinic, where Dr. Block-Wheeler will create your personalized treatment plan. On the day of your surgery, the procedure is completed on an outpatient basis, meaning you can return home the same day. Follow-up visits are scheduled over the next few weeks to monitor your healing and remove any sutures if necessary.

How Long Until I See Results?

Your eyes will start to look brighter and more refreshed once the initial swelling subsides, usually within the first two weeks. As healing continues, your final results will gradually appear over the next several months. Once the tissues have fully settled, you’ll notice smoother contours, reduced puffiness, and a soft, natural fullness around the eyes. These improvements can last for many years, and most patients say they look more rested and youthful without appearing like they’ve had surgery.

Can I Combine an Upper & Lower Blepharoplasty With Fat Repositioning With Other Procedures?

Yes. Many patients choose to pair it with a facelift, brow lift, or laser skin resurfacing to address aging across multiple areas of the face in a single surgical session. During your consultation, Dr. Block-Wheeler will assess your features, listen to your goals, and recommend the combination of procedures that will provide the most natural, refreshed outcome.

What Are the Risks Associated With an Upper & Lower Blepharoplasty With Fat Repositioning?

Temporary swelling, bruising, and minor discomfort are common during the first few days of recovery. Less frequent risks include infection, changes in eyelid sensation, or asymmetry as the tissues heal. In very rare cases, healing may be delayed or scarring may occur. Dr. Block-Wheeler takes a careful, individualized approach to minimize these risks, ensuring each patient experiences a safe recovery and results that look smooth, youthful, and natural.

San Francisco, CA

Upper & Lower Blepharoplasty With Fat Repositioning

Introduction

Introduction to Upper & Lower Blepharoplasty With Fat Repositioning

Fine lines, puffiness, and loose skin can make you look tired or older, even when you feel completely alert.

At The Block-Wheeler Clinic in San Francisco, Dr. Nikolas Block-Wheeler performs upper and lower blepharoplasty with fat repositioning to restore a smoother, more youthful appearance around the eyes. This approach not only removes excess skin and corrects puffiness but also uses your own natural fat to restore gentle fullness where it has been lost over time.

Before + After

Photo Gallery

Before & After
Before & After

View Results

What is an Upper & Lower Blepharoplasty With Fat Repositioning?

Our upper and lower blepharoplasty with fat repositioning is a surgical procedure we offer our clients to rejuvenate their eyes by addressing excess skin and the underlying fat pads that contribute to a tired or aged appearance.

In the upper eyelids, excess skin and sometimes small fat deposits are carefully removed or repositioned to create a more alert, refreshed, open look. In the lower eyelids, the procedure extends beyond traditional blepharoplasty by relocating fat that can contribute to puffiness or under-eye bags.

By repositioning this fat rather than simply removing it, Dr. Block-Wheeler can smooth out the area between the lower eyelid and the cheek, creating a softer, more youthful contour. This method preserves your natural volume, maintains a natural appearance, and avoids the hollowed look that can sometimes occur with conventional eyelid surgery.

upper-&-lower-blepharoplasty-with-fat-repositioning-intro

Who Are the Best Candidates for an Upper & Lower Blepharoplasty With Fat Repositioning?

The best candidates are adults in good health who want to refresh the appearance of their eyes without changing their natural features. You may be an ideal candidate if you have:

Sagging or drooping upper eyelids that make your eyes appear smaller or tired
Puffiness or bags under the eyes
Hollowing or dark circles beneath the lower lids
Good skin tone and realistic expectations for your results

Dr. Block-Wheeler will evaluate your eyelids, skin quality, and facial proportions during your consultation. This careful evaluation allows him to create a surgical plan that complements your unique features and produces smooth, natural-looking results.

What Are the Benefits of an Upper & Lower Blepharoplasty With Fat Repositioning?

Patients throughout San Francisco and Marin choose upper and lower blepharoplasty with fat repositioning for its ability to produce subtle yet striking results. Some of the most common benefits our clients notice include:

A brighter and more rested appearance
A smoother contour under the eyes that blends seamlessly with the cheeks
Reduction of puffiness and sagging around the eyes
Restoration of youthful fullness where volume has been lost
Long-lasting results with minimal visible scarring
A balanced and natural look that enhances overall facial harmony

This approach focuses on preservation rather than removal, resulting in a look that appears rejuvenated rather than surgically altered.

What’s the First Step?

Your first step is scheduling a private consultation at The Block-Wheeler Clinic in San Francisco.

During this, Dr. Block-Wheeler will take time to understand your goals and assess your eye condition. He will discuss potential outcomes and which techniques would best achieve your desired look.

This is also a great opportunity to ask questions, review before-and-after photos, and discuss what to expect during recovery.

What to Expect on the Day of Upper & Lower Blepharoplasty With Fat Repositioning Surgery

For the upper eyelids, Dr. Block-Wheeler will make incisions within the natural folds of your lids to remove loose skin and adjust the underlying fat for a brighter look. For the lower eyelids, the incisions are made along the lower lash line or inside the eyelid to avoid visible scars. Through these incisions, the fat beneath the eyes is repositioned to fill hollows and smooth puffiness, creating a more youthful and rested appearance.

Once the fat is repositioned and the skin has been refined, the incisions are closed with fine sutures that heal discreetly.

After a short recovery period, you’ll be able to return home the same day, with detailed instructions to support your healing.

Upper & Lower Blepharoplasty With Fat Repositioning Recovery

You may experience some tightness, bruising, or light sensitivity as your tissues heal. To help combat those, we suggest our clients apply cool compresses, keep their heads elevated, and follow all of Dr. Block-Wheeler’s instructions.

Most patients are comfortable returning to daily routines within a week, although strenuous activity should be avoided for about two weeks. No makeup or contact lenses should be worn until your surgeon confirms it is safe.

How Much Does an Upper & Lower Blepharoplasty With Fat Repositioning Cost in San Francisco, CA?

The cost of upper and lower blepharoplasty with fat repositioning in San Francisco varies depending on your individual anatomy, the complexity of the procedure, and whether it is combined with other facial surgeries.

During your consultation, Dr. Block-Wheeler will provide a detailed estimate that includes all surgical and facility fees.

The Block-Wheeler Clinic also offers flexible financing options to help patients achieve their goals.

Our Ethos

Why Choose Dr. Block-Wheeler?

Dr. Nikolas Block-Wheeler is one of San Francisco’s most trusted facial plastic surgeons. He specializes in otolaryngology, head and neck plastic surgery, and facial plastic surgery, giving him a thorough understanding of facial anatomy and function.

Patients choose Dr. Block-Wheeler because he customizes every procedure to match individual features and goals. He focuses on natural-looking results that enhance balance and harmony while prioritizing comfort, safety, and a smooth recovery.

Upper & Lower Blepharoplasty With Fat Repositioning FAQ’S

Depending on your procedure, it may be performed under local or general anesthesia. Using a combination of numbing cream, numbing injections, and oral sedatives, procedures under local anesthesia can be nearly painless. You will be fully asleep for procedures under general anesthesia.

Afterward, it’s normal to have some tightness or mild soreness around the eyes for the first few days, but most find that over-the-counter pain relief or prescribed medication keeps any discomfort manageable.
You’ll begin with a private consultation at The Block-Wheeler Clinic, where Dr. Block-Wheeler will create your personalized treatment plan. On the day of your surgery, the procedure is completed on an outpatient basis, meaning you can return home the same day.

Follow-up visits are scheduled over the next few weeks to monitor your healing and remove any sutures if necessary.
Your eyes will start to look brighter and more refreshed once the initial swelling subsides, usually within the first two weeks. As healing continues, your final results will gradually appear over the next several months.

Once the tissues have fully settled, you’ll notice smoother contours, reduced puffiness, and a soft, natural fullness around the eyes. These improvements can last for many years, and most patients say they look more rested and youthful without appearing like they’ve had surgery.
Yes. Many patients choose to pair it with a facelift, brow lift, or laser skin resurfacing to address aging across multiple areas of the face in a single surgical session.

During your consultation, Dr. Block-Wheeler will assess your features, listen to your goals, and recommend the combination of procedures that will provide the most natural, refreshed outcome.
Temporary swelling, bruising, and minor discomfort are common during the first few days of recovery. Less frequent risks include infection, changes in eyelid sensation, or asymmetry as the tissues heal. In very rare cases, healing may be delayed or scarring may occur.

Dr. Block-Wheeler takes a careful, individualized approach to minimize these risks, ensuring each patient experiences a safe recovery and results that look smooth, youthful, and natural.

Patient Reviews

★ ★ ★ ★ ★
He was so wonderful. He gave me hope for wonderful results.

He didn’t pressure me, didn’t upsell me, and said my results could be a game changer. He was right! I am happy with my results and so thankful that I did it! I highly recommend working with Dr. Block-Wheeler. If you want an outstanding.
★ ★ ★ ★ ★
“Dr. Block-Wheeler is truly amazing. He listened carefully to my concerns and made me feel completely at ease.”

He never pressured me, and his honest approach gave me confidence in my decision. The results exceeded my expectations, and I couldn’t be happier.
★ ★ ★ ★ ★
“I felt supported every step of the way with Dr. Block-Wheeler. His kindness and professionalism made all the difference.”

He explained everything clearly, ensuring I understood the process. My results are better than I imagined, and I feel like the best version of myself. I can’t thank him enough for his skill and care.

Schedule Your Consultation

If you are ready to refresh your eyes and restore a more youthful look, schedule a private consultation with Dr. Nikolas Block-Wheeler at The Block-Wheeler Clinic in San Francisco.

Call the office or book your appointment online to begin your journey toward eyes that look naturally rested and vibrant.

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