Eyelid Surgery and Facial Surgery

Eyelid Surgery and Facial Surgery

Cosmetic Surgeries to Enhance Your Facial Features

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Sometimes looking and feeling your best requires a little help. Duke’s experts in facial plastic and oculoplastic surgery perform cosmetic surgeries that enhance your eyes, face, forehead, cheekbones, nose, and chin. Eyelid surgeries and facial surgeries remove flaws and reduce the impact of aging. They can also improve your appearance and function following injury, disease, or deformity.

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How to Choose a Cosmetic Surgeon

Duke’s board-certified oculoplastic surgeons and facial plastic surgeons undergo advanced training and have years of experience in performing cosmetic procedures. Each of our surgeons comes from a unique background.

  • Facial plastic surgeons are otolaryngologists who subspecialize in facial plastic surgery that includes cosmetic and reconstructive surgery on the face and neck.
  • Oculoplastic surgeons are ophthalmologists who subspecialize in cosmetic and reconstructive surgery on the face, eyes, tear system, and the facial structure surrounding the eye.
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Duke Health offers locations throughout the Triangle. Find one near you.

Cosmetic Surgeries

Eyelid Surgery

Blepharoplasty rejuvenates the upper and lower eyelids by removing and sculpting excess skin and smoothing wrinkles. During upper blepharoplasty, excess skin, fat, and muscle are sculpted through small incisions made in the skin of the eyelid. Lower blepharoplasty removes skin and fat to improve the shape of the lower eyelid. Adding or transposing fat can be accomplished with a “no stitch” method. Laser skin resurfacing can be performed at the same time to the lower eyelids to enhance your results. A blepharoplasty can be accomplished with a blade, a cautery, or a laser. You may be given the OK to drive in two to three days and to wear makeup in 10 to 14 days.


Rhytidectomy tightens the jowls and neck. Loose facial skin, fatty tissue, and muscle are lifted and tightened through an incision that starts at the hairline and extends behind the ear. Your surgeon may perform this under local anesthesia, IV sedation, or general anesthesia. It is typically an outpatient procedure. You may resume normal activities within three to five days.

Brow Lift

Repositions the soft tissues in the forehead, tightens sagging skin, and removes deep worry lines. A direct brow lift removes skin and muscle above the eyebrows. A mid-forehead lift removes excess skin, fat, and sometimes muscles through incisions in the lines of the forehead.  A coronal forehead lift requires an ear-to-ear incision above the forehead to remove excess skin and elevate the entire forehead and brow. Recovery from this outpatient procedure may take up to 10 days.


Excess fat deposits are removed from the face or neck by high-powered suction via a hollow tube that is placed under the skin through a small incision. This outpatient procedure may require general anesthesia. Bruising and numbness subside over several months. An alternative is to inject Kybella in three to four sessions to permanently dissolve unwanted fat.


Your surgeon sculpts the shape of your new nose by removing and reshaping bone and cartilage, and possibly adding tissue, through incisions made inside the nose. A splint is applied to help the nose retain its new shape while it heals. This outpatient procedure is usually performed under general anesthesia. Swelling and bruising will improve in 10 to 14 days.

Ear Pinning

Otoplasty, or "ear pinning," corrects protruding ears or changes the shape or size of overly large ears. Ear cartilage is reshaped through small incisions typically made on the back of the ear. This outpatient procedure requires local anesthesia with IV sedation. You should feel better within two weeks.

Facial Implants

These can enhance small chins or weak jaws or aid in facial contouring. Using strategically placed incisions, your surgeon implants solid, biocompatible material in your cheekbones, jaw, or chin to add volume, increase projection, and enhance the structure of your face. Recovery from this outpatient procedure takes two weeks. Swelling may subside over several months.

Neck Lift

Improves and enhances the appearance of your neck. Depending on your needs, your surgeon may recommend liposuction to remove excess fat, surgical tightening of sagging skin, or surgery (known as cervicoplasty or platysmaplasty) to alter or remove weak or loose neck muscles. Liposuction or Botox injections may be recommended to relax a look of “fullness” or bands around your neck.

Corrective Jaw Surgery

We perform a variety of procedures to improve appearance and correct minor and major dental irregularities including misalignment of the jaw and teeth.

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Consultation and Examination

We discuss your reasons for pursuing facial cosmetic surgery as well as your desired outcome and expected results. We conduct a thorough medical history, including your family history, general health status, previous operations, and any medications you may be taking. We examine your facial features and take photographs for your medical record. Finally, we recommend a course of treatment that meets your needs. We discuss the potential risks and complications and your post-operation recovery.

Blood Tests

Pre-surgical testing may include blood tests to assess your liver and kidney function and to determine if you have any infection, blood disorder, or anemia that may have gone previously undetected.

Duke University Hospital is nationally ranked in 10 adult specialties
Consistently Ranked Among the Nation’s Best Hospitals
In addition, Duke University Hospital is proud to be named the best hospital in North Carolina, and nationally ranked in 10 adult and 9 pediatric specialties by U.S. News & World Report for 2019–2020.

Why Choose Duke

Personalized Treatment Recommendations
After an extensive consultation and careful evaluation, we recommend the procedure or combination of procedures that will give you the results you want.

Minimally Invasive Techniques
Whenever possible, we use small incisions to perform cosmetic procedures. A minimally invasive approach results in less bleeding and infection and helps you recover faster than with traditional surgical methods.

A Team Approach
Your medical team may include plastic surgeons; oculoplastic surgeons; ear, nose, and throat specialists; ophthalmologists; aestheticians; nurses; and other staff who work together to ensure you get the best possible care.

Level 1 Trauma Center
Our doctors can improve your appearance and function following injury, disease, or deformity.

Nonsurgical Options and Skin Care Therapies
Our aestheticians, doctors, and surgeons may recommend nonsurgical options and skin care therapies to improve and rejuvenate your appearance, including laser skin resurfacing, hair removal, microdermabrasion, photo facials, chemical peels, wrinkle-relaxing injections (Botox, Dysport, and Xeomin), and facial fillers. General skin care applications are also available to improve and rejuvenate skin damaged by age, excessive sun exposure, discoloration, and skin-related disorders.

Reviewed: 07/07/2016