Cosmetic Procedures / Lid Surgery

Dr. Elizabeth Holland provides cosmetic procedures, including upper lid blepharoplasty, lower lid blepharoplasty, and BOTOX® injections with outstanding cosmetic results. Come in for a free, personalized consultation with Dr. Holland to determine if any of these procedures are right for you.

Upper Eyelid Blepharoplasty

In upper eyelid surgery, an incision is made along the upper eyelid crease to remove excess eyelid skin and fat. The incision is then closed with sutures. Because the incisions are made in the eyelids’ natural contours, they are barely visible and fade with time. There is a mild amount of bruising and swelling following surgery, but this is usually gone within seven days. Patients can typically resume work within three days after the procedure.

Lower Eyelid Blepharoplasty

In lower eyelid surgery, the incision can be made internally (transconjunctival) or externally through the skin directly below the eyelashes. Dr. Holland will decide which approach is best by assessing whether there is excessive skin on the lower lids. The internal approach leaves no external incision line, while the external incision is placed just below the eyelid margin. Scarring is usually minimal. Recovery times are similar to upper eyelid surgery.



Active wrinkles are creases that develop from making the same facial expression thousands of times. These lines result from the muscles of "facial expression" and are typically located at the outer eyelid area (crow’s feet) and in the forehead (frown lines). BOTOX® works by temporarily paralyzing the muscle groups that cause these lines to develop. It is best used to prevent the formation of expression lines before they become present at rest. To minimize treatment discomfort, BOTOX® injections are performed with the smallest needle possible. Benefits begin about four days after treatment and last an average of four to six months.


LATISSE is a medication that can be placed on the bases of the eyelashes to increase eyelash length and thickness. Ask Dr. Holland is this medication is right for you.