2100 Webster St #214, San Francisco, CA 94115
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Cosmetic Surgery

Your eyes are often the first feature that people notice and they are an important centerpiece of your overall appearance. Over time, the skin around the eye’s stretch, fat bulges, and muscles weaken.  The eyelids themselves become droopy as well as eyebrows and cheeks. Age, heredity and sun exposure all contribute to a tired appearance, but there are ways to revitalize your eyes, eye brows and face.  At Pacific Eye Associates, our oculofacial and aesthetic plastic surgeon Dr. Emily Sarah Charlson, is a highly trained specialist.  She uses the latest minimally invasive techniques, she strives to balance eye function and aesthetics with patient-centered customized approaches.


Sun damage and sagging skin due to age may result in unwanted wrinkles around the eyes. Blepharoplasty often knows as an eyelid lift, is a procedure that removes or re-drapes skin and fat to create a natural, rejuvenated appearance. 

Upper Lid Blepharoplasty 

Excess skin and fat in the upper eyelid may start to develop over time which will cause the upper lid to loosen and droop. As the upper eyelids start to sag, the extra skin and fat will cause and exaggerate crow’s feet.  When severe enough, the upper eyelid skin may hang over the lashes and obstruct peripheral vision. To correct the upper lid, Dr. Charlson makes a small incision along the natural eyelid crease to restore a more youthful, less tired appearance. 

Lower Lid Blepharoplasty

Lower eyelids also show signs of aging when the fat that lives in the lower lid comes forward creating a puffiness or “sausage roll” appearance. With excess fat coming forward, the tear trough hollows underneath the eye are more noticeable in appearance. Extra skin can form creating fine wrinkles along the lower lids contributing to an aged appearance. The lower eyelids are corrected using an incision along the inside of the eyelid, called a transconjunctival approach. This non-invasive procedure isolates the lower eyelid fat and “re-drapes” it into the tear trough hollows, using it as a natural filler to enhance lower eyelid and midface appearance. Excess skin along the lower lids can also be conservatively removed using a small incision underneath the lower lid eyelashes to tighten the skin and reduce wrinkles while still allowing for your eyelids to close naturally.

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Ptosis occurs when the upper eyelid margin begins to droop down toward the pupil.  Eyelid ptosis may occur on one or both sides and creates a sleepy appearance.  Ptosis may be present from birth (congenital ptosis) or caused by neurologic disorders, muscle problems, surgery or trauma.  Droopy eyelids due to aging can be corrected by making a small incision along the eyelid crease or by flipping the eyelid over and tightening the muscle that lifts the lid from underneath the eyelid.  The second approach has no visible incision. Healing is generally fast and patients feel better within one week. Make an appointment with Dr. Charlson today to learn about the different options available to you.  Please view our video to learn more about Ptosis.


 Trust a surgical expert to rejuvenate your face. Take our cosmetic self test to see if you have ptosis and whether or not you’re a candidate for a medical eye lift. 

Cosmetic Self Test


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2100 Webster St, San Francisco, CA 94115