5(5)
San Mateo, California, United States

Blepharoplasty San Mateo by Koch Facial Plastic Surgery: R. James Koch, M.D.

Advanced Eyelid Rejuvenation (Blepharoplasty) San Mateo, CA | Koch Facial Plastic Surgery: R. James Koch, M.D.

Understanding Eyelid Aging and Blepharoplasty

As individuals age, the delicate upper eyelid skin naturally experiences gravitational effects, causing sagging and potential visual interference. Common age-related changes include:

  • Loose upper eyelid skin development
  • Protruding fat pockets beneath the skin
  • Crepey lower eyelid skin
  • Formation of "lower eyelid bags"

Advanced Blepharoplasty Techniques in San Mateo

Koch Facial Plastic Surgery specializes in sophisticated in-office eyelid lift procedures designed to restore a more youthful appearance. Dr. Koch's approach ensures minimal invasiveness, faster recovery, and exceptional results without requiring general anesthesia.

Comprehensive Eyelid Lift Options

Dr. Koch offers specialized blepharoplasty techniques tailored to individual patient needs, including:

  • Upper eyelid skin removal
  • Fat pocket reduction
  • Asian blepharoplasty preserving natural eye contours
  • "Double eyelid" creation if desired

Procedure Characteristics

The blepharoplasty procedure is performed in-office under "twilight" conscious sedation, utilizing oral medications and tumescent anesthesia. This approach provides patient comfort while avoiding unnecessary general anesthetic risks.

Procedure Specifics

Depending on individual requirements, Dr. Koch employs precise techniques for both upper and lower eyelid corrections, including incisions strategically placed to minimize visible scarring.

Recovery Expectations

Most patients experience significant improvement within two weeks, with complete healing progressing over 4-6 weeks. Specific post-operative guidelines are provided to ensure optimal recovery and results.

Procedure Limitations

It is important to understand that blepharoplasty cannot address all cosmetic concerns, such as crow's feet or dark under-eye circles. Dr. Koch provides comprehensive consultations to set realistic expectations and recommend complementary treatments.

For more information about Blepharoplasty in San Mateo, CA, submit an enquiry to Koch Facial Plastic Surgery: R. James Koch, M.D.

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Reviews (5)

Adrienne Nahm
March 13, 2025
Dr Koch is a brilliant surgeon - his background is monumentally impressive. He is exceptionally knowledgeable and exceedingly skilled in a wide variety of cosmetic and other procedures. To top that all off, he is as gentle and kind a person as you could ever hope to meet. His staff are as kind as they are capable. This office books only one person at a time and I have never experienced any waiting. It is all very quiet and pleasant and patient centered. I will only go to Dr James Koch and that is saying a lot for I have moved across the bay and no longer drive that much. But for Dr Koch I would fly in from Timbuckto.
Maria Zenquis
January 24, 2025
Nancy Marsh
November 22, 2024
Dr. Koch took the time to thoroughly explain the details of the procedure I’m considering and patiently answered all of my questions. His expertise and experience gave me great confidence in his abilities, and I’m certain he will be the doctor I choose once I finalize my schedule. Candy was also wonderful—her kindness and reassurance made a big difference. I went in feeling a bit apprehensive, but left feeling completely comfortable and at ease.
Debra Johnson
August 29, 2024
My experience and procedure with Dr Koch and staff was 100% positive. My result is already above and beyond my expectations and will continue to improve over time. Dr Koch is a brilliant surgeon, very kind and personable as well.
Alexa Cortez
May 15, 2024
A super kind doctor and above all very professional, thank you for your help