Dr. Anya Costeloe

Dr. Anya Costeloe Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Dr. Anya Costeloe, Plastic surgeon, 120 Waterfront Street Suite 400, San Francisco, CA.

6 months post-op after endoscopic brow lift and facial fat grafting.What I love about this result is that it is subtle a...
06/10/2026

6 months post-op after endoscopic brow lift and facial fat grafting.

What I love about this result is that it is subtle and doesn’t look done. By lifting her brows and strategically grafting fat, I created a softer, more rested, and more open appearance around her eyes.

One of the most important parts of evaluating the upper eyelid area is determining whether the heaviness is truly from excess upper eyelid skin, or whether the brow position is contributing to it.

It’s not always an upper blepharoplasty that’s needed. In some patients, especially those with certain eye shapes or naturally lower brow positions, removing eyelid skin alone can make the eyes look smaller, heavier, or less balanced. In those cases, a brow lift may be the more appropriate procedure to open and support the upper face.

06/09/2026

Is an isolated neck lift ever a good idea?

Patients ask me about isolated neck lifts at least once a week. And the short answer is sometimes.

When it comes to rejuvenating the neck and jawline, the best approach depends on your anatomy, age and aesthetic goals. For younger patients or those with minimal skin laxity, a structural neck lift can effectively sharpen the angle beneath the chin by addressing deeper tissues through a small incision under the chin.

However, because the tissues of the lower face and neck are closely connected, the most natural and comprehensive results are often achieved when a face and neck lift are performed together. This allows for a vertical lifting approach that enhances both the jawline and neck simultaneously, creating smoother contours and more defined facial harmony.
While some patients choose to undergo a neck lift alone and can be very happy with their results, it’s important to understand the limitations of the procedure. Proper patient education and realistic expectations are key to achieving a result you’ll love.

06/04/2026

Many patients come in thinking the fullness in the inner part of their upper eyelids is just “extra skin.” In reality, those bulges are often herniated medial fat pads.

As we age, the tissues that normally hold this fat back can weaken, allowing it to become more prominent. This can create a heavy, tired appearance around the eyes.

During an upper blepharoplasty, I don’t just remove skin. I carefully evaluate the underlying anatomy, including the fat pads, brow position, eyelid shape, and any eyelid drooping (ptosis). Addressing the right problem is what creates a natural result.

In this patient, I reduced the herniated medial fat pads while performing her upper blepharoplasty. At 5 months post-op, her eyes look brighter, and less heavy.

The eyes are often one of the first places we notice aging, but they’re also one of the areas where small changes can make a big difference.

Have you ever noticed fullness or puffiness in the inner corners of your upper eyelids?

06/02/2026

Before considering an upper blepharoplasty, you should know the answers to these questions first:

- What is your natural eyelid shape?
- Do you have eyelid ptosis (drooping of the eyelid)?
- Is the issue truly excess eyelid skin, or would you benefit more from a brow lift?
- Is there forehead muscle compensation?

These are some of the key factors I evaluate during every upper blepharoplasty consultation. The right diagnosis is just as important as the surgery itself, and understanding the underlying cause of a tired or heavy appearance helps determine the best treatment plan.

If you’ve been considering upper eyelid surgery, leave a comment below and let’s start the conversation.

My patient was starting to see signs of aging in his upper face and wanted to look more rested without looking like he ...
06/01/2026

My patient was starting to see signs of aging in his upper face and wanted to look more rested without looking like he had “work done.” To achieve that, I performed:
▫️ Endoscopic brow lift
▫️ Upper blepharoplasty
▫️ Lower blepharoplasty with fat transposition
▫️ Facial fat grafting
▫️ Lower eyelid laser resurfacing

One of the most important principles in male facial rejuvenation is preserving masculine features. For example, I intentionally didn’t over elevate the brows to not create a surprised or overly arched look.

Thank you to this patient for trusting me with his care and for graciously allowing me to share his results!

My patient’s biggest concerns was her dorsal hump and the way her nasal tip drooped, however she didn’t want a “swoop” i...
05/31/2026

My patient’s biggest concerns was her dorsal hump and the way her nasal tip drooped, however she didn’t want a “swoop” in her nose and wanted more of a straight profile.

These intraoperative before-and-after photos show the changes made during surgery to take down the dorsal hump and improve tip support while maintaining a natural appearance that fits her facial features.

I customize every rhinoplasty to the individual anatomy and goals of the patient, there is no one-size-fits-all nose.

Photos taken in the operating room immediately after surgery. Swelling is present, and final results will continue to refine over the coming months.

At 5 months post-op, my patient in her 40s is showcasing the power of a comprehensive eyelid rejuvenation. By combining ...
05/13/2026

At 5 months post-op, my patient in her 40s is showcasing the power of a comprehensive eyelid rejuvenation. By combining upper and lower blepharoplasty with facial fat grafting and lower-lid laser resurfacing, I restored lost volume, brightened the eyes, removed excess skin on the upper eyelid and refined the lower eyelid contour.

05/03/2026

Millennial surgeon decoding Gen Z medical assistant notes like it’s a new language 😅


Happy Sunday!

One year after surgery and loving these results! This patient underwent an upper blepharoplasty - a quick, in-office pro...
04/23/2026

One year after surgery and loving these results!

This patient underwent an upper blepharoplasty - a quick, in-office procedure with long-lasting impact. By addressing excess skin of the upper eyelids, I refreshed her look, opened up her eyes, and created a more youthfu appearance.

It’s amazing how such a small procedure can make such a big difference.

I performed submental (under the chin) and jawline contouring liposuction to refine my patient’s jawline and improve her...
04/19/2026

I performed submental (under the chin) and jawline contouring liposuction to refine my patient’s jawline and improve her neck contour for a more defined profile. Can’t get over her results!

Address

120 Waterfront Street Suite 400
San Francisco, CA
20745

Telephone

+13015676767

Website

,

Alerts

Be the first to know and let us send you an email when Dr. Anya Costeloe posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Category