San Diego Cosmetic Surgeon Dr. Tom Pousti Talks About Eyelid Surgery : Blepharoplasty


Blepharoplasty is performed to reduce the wrinkling and/or bulging of eyelid tissue. Not all patients need to have both excess skin and excess fat (bags under the eyes) removed. In many cases only one or the other procedure is needed. Every wrinkle and fold of skin around the eyes cannot be removed. Most recently, there have been innovations in eye surgery to preserve and redistribute fat around the eyes rather than just to remove it. This results in less of a hollow, “done” appearance.

The Surgical Procedure

The surgery takes approximately one to two hours to complete.

What To Expect After Surgery

There is usually little pain associated with this type of surgery. Swelling, bruising and of the eyelids varies with each patient and is usually slight. Most of the swelling and bruising is gone within five to ten days, but it is not unusual for the discoloration to last longer.

Dr. Pousti’s Patient Before/After Blepharoplasty Surgery

Resumption of Physical Activities

Work and social activities are usually curtailed for a period of three to ten days following surgery. Driving may be resumed in two to three days. Most people are back to desk work after a long weekend. Working out may be resumed after two to six weeks.


It has been 4 years since I had my upper eyelid surgery (upper blepharoplasty). Everyone always said that I looked “tired” and my eyes were very heavy. I live in La Jolla and had heard of Dr. Pousti from his other La Jolla patients. I went and visited his office and had a wonderful experience. I decided that since I was going to have surgery and be put under anesthesia, I might as well also get breast implants (since this was something that I had been thinking about). I had met other La Jolla moms who had had surgeries performed by Dr. Pousti (our kids all go to La Jolla Elementary School) and they were very happy with their results. I had both procedures (eyelid surgery and breast augmentation) and am very happy with my results.

How does one thank you for the work you do? I can’t describe how much better I feel when I look in the mirror and see what you have done for me. You turned back time. I love the results of my surgery and I want to express my gratitude. Not only do I look better but I feel better about myself. I have no suture lines!! How does that happen? I have had many surgeries before but none with the fabulous results I’ve experienced with you.

I have to admit that as a nurse watching you in surgery, I saw the work you did and knew you had talent. That combined with your gentle nature and positive attitude made me totally at ease as your patient. You are a class act.

I know nurses don’t make the best patients and I apologize for not obeying all orders to a tee!! It was hard to rest – I felt great the day after my surgery!

My sincere thanks!

Looking back at pictures, I realize I always had alot of skin above my eyes. But as I got into my forties, it really began to droop. My friend recommended Dr. Pousti. The staff is really friendly and my consultation wasn’t rushed. I was able to ask and get answers to the questions I wanted to know. One thing I felt Dr. Pousti understood is that I didn’t want to
look totally different. I just didn’t want to look tired when I wasn’t. I had my surgery in July. I was awake for the surgery with no pain. I went home and had dinner a couple hours later. Even though I had medicine for nausea, I didn’t need it. I think that is one of the benefits of local anesthesia. I also, didn’t need any of the pain medication. At the office you are given a list of post care instructions and we went over them all. I made it a point to follow them exactly. I had read enough to know that healing takes time. If I had any questions all I had to do was call. I had some bruising, in about a week it had faded and turned a light yellow. I
went into work (with cover cream)ten days later and everyone loved the eyes. I also went to a formal affair seventeen days after and the eyes looked great. They are still getting better all the time. For the first time if I wanted to wear eyeliner, I can. Before the surgery there really wasn’t any room for it. People who know me say they can tell a difference. What I hear most is that my eyes look more open. Someone the other day said they really liked my eye shadow. Same stuff, better eyes. Thank you Dr. Pousti!

I met Dr. Pousti when my friend was having a surgical procedure (breast augmentation) and was not only impress
ed by his professional judgment but supportive nature. I was also impressed by the caring staff’s concern for the patient’s well-being.
I had begun to notice that my eye make-up seemed to disappear after application and had finally given up on eye shadow and eyeliner. Then I started hearing almost daily that I looked tired even when I wasn’t. My eyelid folds were “closing” my eyes.
So, I made an appt. to talk to Dr. Pousti one day after looking at some before and after photos of eyelids.
I found Dr. Pousti listened to what was and was not of concern for me, without pushing for anything beyond what I was comfortable with. My objective was to re-open my eyes not to regain my youth.
The surgery was done in the office under a local anesthesia and the staff was very supportive and comforting. Dr. Pousti constantly checked on my comfort during the shore procedure.
After a couple of weeks the mild bruising and swelling were done and the results were exactly what I’d hoped for. Once again I’m wearing eye make-up and no one comments on my looking “tired” anymore.
My eyes had always been my best feature and even strangers would comment on them; so looking in the mirror, I have that “lost” part of myself back. I can’t begin to put a value on how that feels. Thank you, Dr. Pousti. 

October 22, 2006

Dr. Pousti and Staff:

I met Dr. Pousti several years ago. I had a cyst on each side of my face and he removed them for me. I knew from that experience that I had met a wonderful, skilled plastic surgeon with a caring staff. On August 15th of this year I had plastic surgery for cosmetic reasons. Not remarkable these days, but something I remember saying I would never do. Never say never. I looked in the mirror one day and I wasn’t looking at myself, I was looking at a woman who was not aging gracefully. I decided to investigate the possibilities. I knew I wanted to do something about my eyes and my neck. I made an appointment to talk to Dr. Pousti. He explained the procedures to me and let me know that I would not get the results I wanted if I did the neck lift without a face lift. After thinking about it carefully, researching on the internet, talking to friends who have had the same procedures, I made my decision; I was going to have a face lift, neck lift and my eyes done. I could not be any happier with the results.

From the moment I checked into the Alvarado Surgery Center until the day this very day, I have had the very best in care and service. The Alvarado surgery center staff was fantastic. I felt in very capable hands. The anesthesiologist was wonderful, the nurses were wonderful. My family was concerned about caring for me the first day home and when I asked Dr. Pousti’s staff about this, they referred me Julie’s Hideaway Recovery Retreat in the foothills of Mt. Helix and close to Dr. Pousti’s office. That was a fantastic experience. They have such a caring and knowledgeable staff and I highly recommend spending at least the first day after surgery with them.

Each day since the surgery has been better. Friends aren’t sure what I did, change my hair? lose weight? they’re just not sure, but I have received so many compliments since the surgery and no one has guessed that I had a face lift. I did tell my close friends and family and even they can’t get over how natural I look. That’s what I wanted, to look like myself, but to look on the outside how I felt on the inside. Dr. Pousti accomplished that and more. Dr. Pousti has enhanced the feeling of joie de vivre that I have always felt. I am a more confident person today, especially in the work place. I highly recommend Dr. Pousti for whatever your plastic surgery needs may be. He is so skilled at his work. I am so grateful that I went to him.

I really don’t have the words to say thank you to Dr. Pousti and his staff. They are the best!!!

The reason I wanted to get my eyes done was simple, I was tired of people telling me how tired I looked. I didn’t want to look younger or pretty, just rested. I was very concerned about some of the other eye surgeries I had seen where too much skin was taken off which left some noticeable imperfections that I wanted to avoid. I felt very comfortable with going ahead with the surgery after talking to Dr. Pousti about these concerns. I was awake during the surgery and had very little discomfort. Afterward, I only needed one pain pill.

I followed Dr. Pousti’s orders very closely and I believe that really helped in a speedy recovery and very little discoloration and swelling. It takes a few months for everything to form into shape, but only after 2 months, I am already more than pleased. There is a fine line between taking too much off and not taking enough off. I believe that Dr. Pousti has found that fine line.

Thank you to Dr. Pousti and the whole staff at his office.


Prime Plastic Surgery consists of the top board-certified surgeons in the country providing the highest caliber of patient care. We offer cosmetic and reconstructive procedures, both surgical and non-surgical, to help patients achieve truly life-changing results. Our surgeons are members of several prestigious organizations, including:

  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery
  • International Society of Aesthetic Plastic Surgery
  • American Association for Accreditation of Ambulatory Surgery Facilities

Discover what the Prime difference can do for you. Request a consultation online or call our practice at (858) 285-4667.

Contact Prime Plastic Surgery

Rate, Review & Explore

Social Accounts Sprite
Google map image of our location in 8851 Center Dr Ste 300 San Diego, CA

San Diego Office

8851 Center Dr
Ste 300
San Diego, CA 91942

Open Today 8:30am - 5:00pm

Google map image of our location in 9834 Genesee Ave Ste 100 La Jolla, CA

La Jolla Office

9834 Genesee Ave
Ste 100
La Jolla, CA 92037

Open Today 8:30am - 5:00pm

Google map image of our location in 2670 Via de La Valle Ste A210 Del Mar, CA

Del Mar Med Spa

2670 Via de La Valle
Ste A210
Del Mar, CA 92014

Open Today 10:00am - 6:00pm

Google map image of our location in 4645 Carmel Mountain Rd Ste 208 San Diego, CA

Carmel Valley Med Spa

4645 Carmel Mountain Rd
Ste 208
San Diego, CA 92130

Open Today 10:00am - 6:00pm

What is the best time for you?

Add additional time

Which location would you prefer?

Tell us a bit about yourself...

(858) 285-4667 Send a message