How to Get Rid of Tired Eyes: Eyelid Surgery

The quickest and simplest way to get rid of tired-looking eyes is cosmetic eyelid surgery, called blepharoplasty. As you age, the skin around your eyes loses its stretchiness and the muscles supporting your eyelids weaken. This causes loose folds of skin to develop on your upper eyelids, deep creases to appear under you lower eyelids and excess fat to accumulate around your eyes. In the end, you are left with drooping eyebrows, sagging skin on your upper lids and puffy bags underneath your eyes. This not only makes you look tired and older but can also impair your vision. Cosmetic eyelid surgery offers a solution by removing this excess skin and/or fat from the eyelid area, making you look younger and more alert.

Eyelid surgery generally takes between 1 to 3 hours, depending on the amount of tissue being removed and whether you are having your upper lids, lower lids or both done. It is usually done as an outpatient procedure—meaning you will be able to go home the same day—although some cases require an overnight stay in the hospital. It is usually done with lighter anesthesia such as twilight anesthesia.

The surgeon will start the procedure by making tiny incisions into the natural creases and folds of the upper eyelids, as well as into the wrinkles at the corners of the eyes. The surgeon will then remove excess fat, muscle and loose skin before sewing the eyelid back together with tiny stitches. Then the surgeon will repeat the same technique on the lower lids, making incisions just below the eyelashes or inside the lower lid that extend into the laugh lines at the corners of the eyes. A highly skilled, certified plastic surgeon will ensure that any scars will be hidden by the natural folds of your eyes and will be practically invisible.

Within a few weeks of your eyelid surgery, any swelling or bruising should completely disappear, revealing the final results – younger, more rested eyes. For some people, these results may last a lifetime, but for others eyelid drooping and sagging may reappear eventually.

Cosmetic eyelid surgery will not eliminate laugh lines/crow’s feet, sagging eyebrows or dark circles under the eyes. As a result, you may choose to have other cosmetic procedures like a brow lift or facelift at the same time as your eyelid surgery in order to achieve the results you desire.

Alcohol & Plastic Surgery: Just Say No


It can be a hard thing to give up your nightly glass of wine with dinner, or to say no to a cocktail with friends after work—but if you have a plastic surgery procedure coming up, you should think long and hard before having a drink. Here’s why: Do you remember when I told you that nicotine is a vasoconstrictor (meaning it makes your blood vessels close up)? Well, alcohol is just the opposite—it’s a vasodilator—and that’s not a good thing, either, because it makes your blood vessels open up and flood your surface tissues. 

This is bad for two reasons:

  1. This process takes blood away from your vital organs (like your brain and heart)

  2. It causes your body to swell. You’ll be swollen enough after surgery without adding to it with booze!

Alcohol also affects the blood itself—it makes blood platelets less active, and therefore less able to coagulate. Because of this, drinking before and after surgery puts you at greater risk for post-operative bleeding, and make your healing process take longer than it would if you didn’t have any alcohol in your system.

Another big concern with surgery is dehydration—and since it’s a diuretic (it increases your rate of urine formation, making you pee more often than you should), alcohol is a big culprit in this arena. You’ll already be dehydrated after surgery; if you add to that by drinking alcohol before or after your procedure, you’ll feel absolutely awful in the days that follow.

The bottom line? Avoid alcohol as much as possible in the weeks before and after cosmetic surgery. If you slip and have one drink a couple of days before surgery, you’ll probably be fine—but consuming alcohol the night before or immediately after your surgery is asking for trouble!

Tips for Getting a V-Shaped or V-Line Face Naturally (Without surgery or injections)

A V shaped face, or V Line Face, is widely coveted by many. It gives a sculpted, youthful look; which imparts an attractive appearance and enhances your facial features. This technique became extremely popular in Asia and now the concept of face slimming spreading like wild fire. The best part is, this V shaped face can be easily accomplished by injecting Botox and fillers – no surgery required. However, if you're not quite ready to embrace fillers, there are some other, more natural remedies you can try to help you achieve this much sought after look.

How to get a V Shaped face without surgical procedures?

Face Lifting and Slimming Creams

A Well-contoured face looks amazing. The effects of visibly slimmer faces could be enhanced with face lifting serums, creams or even masks. Their primary function is to reduce water retention characteristics of the facial muscles. They do this by reducing swelling and firming the muscles. It completely eliminates puffy, bloated cheeks and double chin with regular use.

Facial Slimming Massage

You have a wide berth to choose from when it comes to face slimming massages, such as the lymphatic draining method, “Gua Sha” technique and many more. Special tools are used during the massage to sculpt the face just the way you like. They offer a revitalizing vibration massage for a firm, younger and contoured face. Face rollers are available in most beauty stores, and are great for this purpose.

Face Yoga

Have you heard about this unique type of yoga?  Facial yoga combines the benefits of facial exercises and yoga in order to help you train the muscles around your face that can slim down your face. You can get rid of problems like baggy eyes, wrinkles and sagging face. By opting for face yoga, you can do it anywhere, anytime. Many women opt to do this while driving. – it takes just 3 to 5 minutes a day.


Salt enhances the water retention capacity of the body, which causes bloated face and double chin. Think about it – when you have junk food or any food loaded with lots of salt, you feel thirsty and the face gets a swollen appearance the next day. The high sodium content is the culprit, so if you are a big fan of chips, burgers, pizza, and similar foods, you may want to consider cutting down and consulting a nutritionist to reduce salt intake from your daily diet. Processed foods should also be disposed of, because they not only cause the cheeks to puff up, but are bad for health as well.

Don't want to wait?  

Dr. Usha Rajagopal has nearly 20 years in cosmetic surgery and is a platinum injector and trainer for Allergan. Check out the following page to learn more abut using fillers to create your desired V shaped face with virtually no down time. Check out our V-Line Facial Slimming procedure page.

Watch Dr. Usha Rajagopal perform a simple, non-surgical chin augmentation procedure to get that "v-line shape" chin using Juvederm Ultra. Check out the before and after photos at the end to see the natural, beautiful results. 


Non-Surgical Jawline Slimming + 
Masseter Reduction with Botox

What is the Difference Between Labiaplasty and Vaginoplasty?

Loosening of vaginal muscles can be caused by multiple different factors – Sometimes due to childbirth, especially if there is more than one child, and others it is simply a side effect of aging. Whatever the reason, when vaginal muscles start to become lax, it can lead to an inflated, thick labia that increases labia discomfort for outdoor activities like cycling and horse riding, and hampers your sex life too. Some women also have a large, distended labia right from the time of birth. With the advent of sophisticated technology, it is possible to restore a certain degree of tightness in your nether regions. There are two techniques for this purpose – vaginoplasty and labiaplasty. People tend to use the terms interchangeably but they are definitely not the same.

Labiaplasty vs. Vaginoplasty


It is also referred to as vaginal rejuvenation or tightening, and as is evident, the procedure helps to tighten the inner muscles of the vagina by fusing the stretched muscle located at its rear end, which shortens it, using sutures for the muscles to pile up and narrow the cavity, cleaning up extra vaginal lining, and tightening the soft tissues around it. You need to recover for 4 to 6 weeks before resuming sexual intercourse and related activities. The reduced size of the vagina greatly heightens sexual pleasure – it will be worth the wait.


This procedure is exclusively for the labia minor and majora, commonly known as “vaginal lips”. Labiaplasty is for enhancing the outer appearance of the genital organs or reducing labia discomfort by shrinking the size of labia and reshaping it. There are two methods for this procedure such as:

  • The extra tissue around the labia is removed – the tissues are sculpted along the inner folds till the labia are shaped aesthetically and all irregularities have been surgically resolved.
  • The 2nd technique involves a sliver of tissue being cut out from under the labia, in a “V” shape, while the edges are sewn back together.

Absorbable sutures are placed post-surgery for healing, and you can make a full recovery within just 4 to 6 weeks.

It is normal to be apprehensive about surgeries for delicate body parts, but rest assured you are in the hands of the highly qualified Dr. Usha Rajagopal with over 20 years of experience and more than 1000 successful procedures in her portfolio. To leave a query, simply enter your  details into the form on the right, click submit,  and you will hear from us soon.

Male Breast Reduction Surgery

Improve Your Appearance with Male Breast Reduction Surgery

Gynecomastia is the enlargement of breast tissue in boys or men, and while it’s not a serious problem, it can be really difficult to cope with this condition because it’s embarrassing and some men even avoid certain physical activities and intimacy to hide it. Hormonal changes are usually the trigger for gynecomastia and more than half of boys develop this condition during puberty and it goes away with age. However, if gynecomastia persists, medication or surgery may help.

The ideal candidate for Male breast reduction surgery is someone who:

  • Is physically healthy, of normal weight and does not have a life-threatening illness or medical condition that can impair healing
  • Has stabilized breast development
  • Has a condition that cannot be corrected through non-surgical breast reduction medical treatments (e.g. medication)
  • Is a non-smoker and non-drug user
  • Has a positive outlook and realistic goals

Teens may benefit from the breast reduction surgery, but must be made aware that additional procedures may be needed if their breasts continue to develop. 

If you or someone you know is struggling with gynecomastia and are looking into surgical options please contact the gynecomastia doctor in San Francisco at (415) 392-3333.

Male Breast Reduction in San Francisco