Dr. Andrei Marechek, MD, DDS brings dedicated facial surgery training to eyelid surgery — helping patients in Irvine and Orange County look more rested while still looking like themselves.
Speak with Dr. Marechek's team and find out if eyelid surgery is right for you.
Consultation required. Offer subject to candidacy and surgical recommendation. Cannot be combined with other offers. Restrictions may apply.
"I had an excellent experience with this institution. The staff is knowledgeable and professional, without ever pressuring patients into additional services. They take the time to thoroughly explain the patient's condition and ensure there is ample opportunity to ask questions. The facility itself is clean and quiet, providing a calm and welcoming environment. Dr. Marechek is outstanding. He explains every detail with clarity and patience, addressing all concerns with honesty and expertise. His respectful and compassionate approach truly reflects his passion for his work and his care for his patients."
"From the moment I walked in, the front staff made me feel completely at ease with their kindness and professionalism. Dr. Marechek thoroughly explained everything, ensuring I felt confident and comfortable before my procedure. The surgery went smoothly, and my check-up a week later was just as easy, quick, thorough, and reassuring. This team truly goes above and beyond for their patients. Highly recommend!"
"Best experience! The girls at the desk were extremely helpful and welcoming. Carnation, Suzy and Elizabeth were fabulous during my procedure and helped me feel at ease. Dr. Marechek was very thorough explaining the procedure and very helpful with my follow up appointments. Would definitely recommend to friends and family. Thank you!"
There's a particular frustration in feeling rested, confident, and fully present — and yet catching your reflection and seeing someone who looks tired, heavier, or older than you feel. If that resonates, you're not alone. These are among the most common concerns that bring patients to consider eyelid surgery.
Excess skin that accumulates along the upper lid, creating a hooded or heavy appearance that can make the eyes look smaller and more fatigued.
Fullness or bulging beneath the lower lid — often present regardless of how much sleep you've had — that can convey persistent fatigue or stress.
Even after a full night's sleep, structural changes to the eyelids can make your eyes appear chronically fatigued — a mismatch between how you feel and how you appear.
Crepey or loose skin in the delicate eye area that is resistant to topical treatments — a common concern that skincare and makeup can only partially address.
An increasing number of patients notice the way their eyes appear on screen — whether on Zoom, in photos, or in professional settings — and want to feel more confident in those moments.
Hooded or uneven upper lids can make eye makeup difficult to apply consistently — a practical frustration that many patients mention alongside their aesthetic concerns.
If any of these concerns feel familiar, a consultation is the clearest next step.
See If You're a Candidate →Blepharoplasty — commonly called eyelid surgery — is a precise surgical procedure designed to address excess skin, muscle, or fat in the upper and/or lower eyelids. The goal is a more open, refreshed appearance — one that looks like you, simply more rested.
Upper blepharoplasty addresses excess skin, muscle, or fatty tissue in the upper eyelid. This is often the procedure for those experiencing heaviness, hooding, or a feeling that the upper lids are weighing down their appearance.
In some cases, significant upper lid drooping may affect the peripheral field of vision — a functional concern that can also be evaluated during consultation.
Lower blepharoplasty focuses on puffiness, under-eye bags, or loose skin beneath the eye. This procedure can reduce the appearance of fatigue and restore a smoother, more refreshed contour under the eye.
Techniques vary based on each patient's anatomy and goals — whether the primary concern is excess skin, fatty deposits, or both.
Many patients benefit from addressing both the upper and lower eyelids together. Combining these procedures can create a balanced, harmonious result — and consolidates your recovery into a single, unified timeline.
Whether upper, lower, or combined surgery is appropriate for your goals is determined during a personal consultation with Dr. Marechek.
A note on candidacy: Because every patient's anatomy, goals, and health history are unique, a personalized consultation is the essential first step. Candidacy for blepharoplasty — and which approach is most appropriate — is determined during that conversation with Dr. Marechek.
Schedule Your Consultation
Blepharoplasty is one of the most nuanced procedures in facial aesthetic surgery. The eyes are delicate, expressive, and central to how others perceive your energy, mood, and age. Choosing a provider with dedicated facial surgery training is one of the most important decisions in this process.
Dr. Andrei Marechek brings a depth of surgical training that spans both reconstructive and aesthetic dimensions of the face — providing the anatomical understanding and technical precision that eyelid surgery demands.
His clinical focus is facial aesthetic surgery — making the eyes, face, and surrounding structures his area of concentrated expertise.
Meet Dr. Marechek — Request a ConsultationThe effects of eyelid surgery extend beyond the physical — they touch how you feel in a conversation, how you look in a photo, and how you see yourself in the mirror.
"The core of what eyelid surgery can offer is subtle — you can look more rested without looking different."Request Your Consultation →
Blepharoplasty may be a meaningful option if you identify with one or more of the following:
Men and women of various ages pursue eyelid surgery. Whether your concern is genetic or age-related, the right procedure and approach are always personalized to your anatomy and goals.
Candidacy for blepharoplasty is always determined during a personal consultation. This is the most important first step — and there is no obligation.
Find Out If You're a CandidateEvery patient's path is personalized. Here is what the general experience looks like from your first conversation with our team to your final follow-up.
Meet with Dr. Marechek to discuss your concerns, goals, and medical history. Your candidacy, procedure options, and a realistic picture of outcomes are reviewed — on your timeline, with no pressure.
Based on your anatomy and aesthetic goals, a personalized surgical plan is developed — whether upper, lower, or combined blepharoplasty is most appropriate.
You will receive pre-operative instructions and any necessary pre-surgical evaluations. Our team is available to answer questions throughout this phase.
Blepharoplasty is typically performed as an outpatient procedure. Anesthesia and surgical approach are tailored to your plan and discussed in advance.
Initial healing involves some swelling and bruising that subsides gradually. Most patients return to daily activities in phases, as directed by Dr. Marechek and the care team.
Post-operative appointments ensure your recovery is progressing well and your results are developing as expected. Your care doesn't end in the operating room.
Recovery from blepharoplasty varies from patient to patient. Your healing timeline, activity restrictions, and post-operative care will be discussed in detail during your consultation and outlined clearly before surgery.
In general, patients can expect:
This is a normal part of the healing process and typically subsides over the first one to two weeks.
Most patients take time away from professional and social obligations in the early recovery phase. This varies by individual and by procedure scope.
Practical care measures that Dr. Marechek's team will walk you through in your post-operative instructions.
Exercise and strenuous activity will be limited during recovery to support optimal healing. Your specific plan is personalized.
Final results become visible as swelling fully resolves and tissues settle — a process that unfolds over weeks to months.
Your recovery plan is personalized. The best source of accurate recovery expectations is your consultation with Dr. Marechek, where your specific procedure, health history, and goals are taken into account.
Exact timelines discussed during consultation.
For a limited time, new consultation patients may qualify for 20% savings on eligible blepharoplasty treatment at Maxillo-Facial Surgery Institute Irvine.
The next step is simple: request a consultation. Dr. Marechek's team will review your concerns, discuss your options, and let you know whether you qualify.
Offer subject to candidacy and surgical recommendation. Cannot be combined with other offers. Consultation required. Restrictions may apply. Offer valid for a limited time.
We understand that the investment in facial aesthetic surgery is an important consideration. We are pleased to offer a meaningful savings opportunity for patients pursuing blepharoplasty through our current campaign.
This offer is available to new consultation patients for a limited time. A personal consultation with Dr. Marechek is required to determine candidacy and discuss whether blepharoplasty — upper, lower, or combined — is appropriate for your goals.
Request a Consultation to Learn MoreOffer subject to candidacy and surgical recommendation. Cannot be combined with other offers. Consultation required. Restrictions may apply. Offer valid for a limited time. [Expiration date: TBD]
The cost of blepharoplasty varies based on procedure scope (upper, lower, or combined), anesthesia, and other individualized factors. A personalized fee estimate is provided following your consultation. Please contact our office at (949) 771-2121 with any questions about pricing.
Blepharoplasty addresses excess skin, muscle, and fatty tissue in the upper and/or lower eyelids. Common concerns include drooping or hooded upper lids, puffiness beneath the lower lids, under-eye bags, and fine lines in the eyelid area. In some cases, significant upper lid drooping may also contribute to a reduced field of vision — a functional concern that can be evaluated during consultation.
Upper blepharoplasty focuses on the upper eyelid — addressing excess skin, muscle, or fat that creates a heavy, hooded, or drooping appearance. Lower blepharoplasty addresses the area beneath the eye, including puffiness, bags, and loose skin. Many patients benefit from both. Which procedure — or combination — is most appropriate for you is determined during a personal consultation.
Yes — when performed with a natural-looking approach, blepharoplasty results in a refreshed appearance that looks like you, simply more rested. The goal is not transformation; it is refinement. Dr. Marechek's approach focuses on restoring a balanced, harmonious result that respects your individual anatomy and features.
Recovery varies by patient, procedure scope, and individual healing. In general, patients can expect some swelling and bruising in the initial one to two weeks. Most patients take time away from work and social activities early in recovery, then return gradually as healing progresses. Activity restrictions and a personalized recovery timeline will be outlined during your consultation and reviewed before surgery.
Incisions for blepharoplasty are placed in the natural creases and folds of the eyelid, where they are largely concealed. As healing progresses, any visible marks typically fade significantly. Scar appearance varies by individual and is a topic that can be discussed in detail during your consultation with Dr. Marechek.
Ideal candidates are adults who are bothered by drooping upper lids, under-eye bags or puffiness, or excess eyelid skin — and who are in good general health with realistic expectations about results. Candidacy is always determined during a personal consultation with Dr. Marechek, where your anatomy, health history, and goals are carefully reviewed.
Yes — upper blepharoplasty is often the procedure of choice when patients describe a feeling of heaviness or weight in the upper eyelid area. This sensation is typically caused by excess skin and, in some cases, fatty tissue accumulating along the upper lid. When significant, upper lid drooping can also affect the peripheral field of vision — something that can be evaluated during consultation.
The cost of blepharoplasty varies based on procedure scope (upper, lower, or combined), anesthesia, and other individualized factors. A personalized fee estimate is provided after your consultation with Dr. Marechek. Through our current campaign, new consultation patients may be eligible for 20% savings on eligible blepharoplasty treatment. Please request a consultation or call us at (949) 771-2121 for more information.
This offer is available to new consultation patients for a limited time, subject to candidacy and surgical recommendation. A consultation with Dr. Marechek is required to determine whether blepharoplasty is appropriate for your goals and to confirm eligibility. The offer cannot be combined with other offers. Restrictions may apply. Contact our office for current terms.
The eyelid area is one of the most anatomically intricate regions of the face. Providers with dedicated facial surgery training — including oral and maxillofacial surgery residency and facial cosmetic surgery fellowship — bring a depth of structural understanding to this work. Dr. Marechek's training and clinical focus are centered on facial anatomy and facial aesthetic surgery, making eyelid surgery a concentrated area of his practice — not a peripheral one.
Ready to explore whether blepharoplasty is right for you? Dr. Marechek and the MSI team in Irvine are here to help you understand your options — with no pressure and no obligation.