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.

What is most effective for treating vertical lines above the upper lip?


Dr. Usha Rajagopal: Nowadays we have some excellent choices for treating the vertical lines around the lip area, both upper and lower lip. I usually recommend a combination of neurotransmitter. I generally like Botox. Most patients need anywhere between 2 and 6 units for the upper lip and, along with that you can do a thin filler like a Volbella or a Belotero. I personally feel like both give excellent results but Volbella tends to last a little bit longer, so my favorite duo combination for vertical lines is Botox with Volbella.

Voluma Non-Surgical Chin Augmentation

This beautiful patient came all the way from Los Angeles to get her chin treated by Dr. Usha Rajagopal. The goal for her treatment was to give her chin more projection from the side view and increase the height of her chin from the front view. The height will make her face appear longer and slimmer while the projection will balance out her profile. Voluma is a great product for chin filler injections. It's FDA-approved for the cheek, so when you are injecting it in areas other than the cheek, it's considered an "off-label use" of the product. However, it's still extremely safe for the chin area. All the hyaluronic acid fillers are great, but for patients who want a longer-term filler, Bellafill is a great option.

Usha Rajagopal, MD, in San Francisco Offers First-of-Its-Kind Non-Invasive Body-Sculpting Treatment Emsculpt®

Revolutionary New Technology Offers Dual Treatment to Address Abdominal Fat and Muscle Tone  

SAN FRANCISCO, CALIFORNIA – August 22, 2018– Usha Rajagopal, MD, Board-Certified Plastic Surgeon, introduces a groundbreaking new approach to sculpting the abdomen with Emsculpt –the first and only non-invasive body shaping procedure that simultaneously addresses both Muscle and Fat. Dr. Rajagopal’s center is the first in San Francisco to offer Emsculpt. Bringing an entirely new technology to the category, Emsculpt utilizes HIFEM® energy to induce powerful muscle contractions which builds muscles and burns fat. FDA-cleared for the improvement of abdominal tone and strengthening of the abdominal muscles, Emsculpt helps patients achieve next-level, contouring results.   

“The current approach to body shaping is through circumferential reduction; however, overall body contour is affected by muscle structure as well,” shared Dr. Rajagopal. “Emsculpt goes beyond waistline reduction to address abdominal contouring through muscle tone, so I’m thrilled to now offer this combination to my patients” added Dr. Rajagopal.

Muscles represent about 35% of the human body, but existing aesthetic treatments only address fat. Emsculpt introduces a first of its kind application of a unique magnetic field. HIFEM technology penetrates through skin to impact fat, as well as muscle tissues. Once penetrated, the energy induces 20,000 supramaximal muscle contractions that are accompanied by a rapid metabolic reaction in fat cells to not only strengthen and build muscle, but also reduce fat. This is the ONLY technology that builds muscle and burns fat simultaneously, all while leaving the surrounding tissues unaffected.

Tested in five unique abdominal clinical studies utilizing all four established methods of evaluation including MRI, CT, Ultrasound, and Histology, Emsculpt delivered consistent results in muscle gain and fat loss:

  • 19% reduction in subcutaneous abdominal fat
  • 16% increase in muscle mass
  • Average waist reduction of 4.4cm
  • 96% satisfaction with treatment results

For optimal results, Dr. Rajagopal recommends four 30-minute treatment sessions over the course of a two-week period. Best results will be seen after 3-months with continued improvement over a 6-month time period.

Dr. Rajagopal has been in practice for over 20 years in the San Francisco Bay Area and specializes in surgical and non-surgical cosmetic procedures of the face, body, and breast. She has treated thousands of patients with body shaping procedures utilizing Ultrasonic Liposuction, Power Assisted Liposuction, Smart Lipo, Coolsculpting, and now Emsculpt!


Contact: Dr. Usha Rajagopal, MD
Telephone: (415) 392-3333

Vaginal Rejuvenation Expert Usha Rajagopal, MD on the 'Designer Vagina' Trend

Though vaginal rejuvenation has only recently reached its peak in popularity, one San Francisco-based surgeon has had her finger on the pulse on the trend for nearly 20 years.

More women than ever are seeking “designer vaginas.” A 2016 report from the American Society of Plastic Surgery reveals that labiaplasty, a vaginal rejuvenation procedure used to enhance the shape and function of the labia, has skyrocketed in popularity. Over 12,000 labiaplasties were performed in 2016 alone, representing a 39 percent increase from the previous year.

This rise in demand comes as no surprise to Dr. Usha Rajagopal, who has helped patients achieve more functional and aesthetically-pleasing genitalia for nearly 20 years at the San Francisco Plastic Surgery and Laser Center. Rajagopal, who credits the uptick to the increased availability of before and after photos on the Internet, more females watching pornography, and the prevalence of hair removal methods like the Brazilian wax, recently reconnected with her first labiaplasty patient. In 1999, the client shyly confessed some of her female-specific discomforts and insecurities to Rajagopal.

Many women, for example, report their labia minora hang lower than their labia majora, complaining it protrudes out of underwear and swimsuit bottoms or sticks to the inner thigh. In addition to embarrassment in the locker rooms or bedroom, this can cause physical pain when biking, horseback riding, practicing yoga, or simply walking down the street.

Rajagopal, a board-certified surgeon, carefully listened to her patient. By applying tried-and-true principles of plastic surgery to the labia, Rajagopal began innovating techniques to empower these women. Labiaplasty is a surgical procedure that modifies the size of the labia by surgically removing labia tissue, ultimately to improve both appearance and comfort. The surgery lasts 1.5 hours, uses a light, short-lasting anesthesia to minimize pain, and requires a few days of recovery. Rajagopal personally guides every client through each stage of the process, from consultation, to surgery, to recovery. In terms of cost, labiaplasties performed by Rajagopal range from $4,500 to $5,000, compared to the $7,000 to $8,000 average in the Bay Area.

“That first patient was thrilled with the results and to this day is still so happy she had it done,” says Rajagopal. Since this initial success story, Rajagopal has completed nearly 2,000 labiaplasties. “Just like with anything, the more you do, the better you get,” says Rajagopal. “The principle that you need 10,000 hours of deliberate practice to become an expert is very valid.” She’s performed labiaplasties on a wide variety of everyday women, from judges and stay-at-home moms to acrobats and pilots, who range in age from 14 to 75.

Combining her surgical expertise with a continued focus on client empathy and empowerment, Rajagopal began offering additional cutting-edge vaginal rejuvenation procedures like monsplastyvaginal tighteningFemilift, and the O-Shot. Each procedure is designed to instill a sense of pride in patients and meet their most intimate needs, whether related to pain, vaginal tightness, sexual dysfunction, urinary incontinence, aesthetic, or self-consciousness.

The O-Shot, for example, is a simple, non-surgical injection used to improve the quality of sex for women. The injection delivers platelet-rich plasma (PRP) to the clitoris and the “O-Spot” in the vagina. The platelets encourage new, healthy tissue growth in these areas. As a result, a majority of women experience increased sensitivity, a stronger sex drive, and consistent arousal from this invigorated tissue. From the increased blood flow and nerve growth, vaginal and clitorial orgasms become more intense and frequent after a single treatment.  

But no matter how cutting-edge or popular vaginal rejuvenation becomes, Dr. Rajagopal remains relentlessly committed to the same trademark care and compassion she offered to her first labiaplasty patient. “I find great pleasure in helping my patients look and feel attractive, and thus live more fulfilling lives,” she says.

According to her patients, Dr. Rajagopal doing exactly this. “The results are stellar,” writes one woman who received a labiaplasty from Dr. Rajagopal. “Why had I waited so long? My confidence level has skyrocketed.”

Contact: Dr. Usha Rajagopal, MD
Telephone: (415) 392-3333