District of Columbia
#2
Washington
#2
Top 500
#129
Score
77/100
Plastic surgeon

Dr. Paul Ruff, MD

Paul G. Ruff IV, MD, FACS is the founder and medical director of West End Plastic Surgery in Washington, D.C. The practice's eyelid surgery page names him, alongside Dr. Lexie Wang, as one of the surgeons who perform blepharoplasty there.

Practice
2440 M St NW, #200, Washington, DC 20037
Phone
(202) 785-4187
Website
westendplasticsurgery.com
Plastic surgeonsFacial plastic surgeonsOculoplastic surgeonsCosmetic surgeonsOther specialists

Dr. Paul Ruff (large marker) and the top 22 eyelid surgeons in District of Columbia, numbered by state rank. Markers sit at the center of the practice's ZIP code. Map data © OpenStreetMap contributors.

Training and board certification

  • Plastic surgery residency at UCSD, per his own quote on the site: "It was as if I walked out of UCSD with a virtual toolbox of reconstructive and cosmetic skills."
  • Board certified, American Board of Plastic Surgery. The site also describes him as "Double Board-Certified" without naming a second board.
  • Fellow of the American College of Surgeons (FACS).
  • Founder and Medical Director, West End Plastic Surgery, Washington, D.C.
  • Site states over 25+ years of surgical experience and more than 18,000 procedures performed.
  • Voted Top Doctor by Washingtonian Magazine consecutively since 2005, and a Castle Connolly Top Doctor for the last ten years, per the site.
  • Principal Investigator for the Renuvion FDA study; medical advisory board member, consultant and clinical research investigator for Apyx Medical (Renuvion); research published in the Aesthetic Surgery Journal.

Source for all rows: westendplasticsurgery.com/about/team/dr-ruff

Eyelid surgery work

  • Upper eyelid blepharoplasty. Incisions in the natural crease of the upper lid, with excess fat, skin and muscle removed (source).
  • Lower eyelid blepharoplasty. Incisions just below the lashes or inside the lower lid, sometimes extending into the crow's feet (source).
  • The page states surgery generally takes 1 to 3 hours and is usually done under local anesthesia with sedation, with general anesthesia available. The practice also offers eyelid surgery for men and brow lift (source, source).

Other procedures

The site lists facelift (including deep plane and S-lift/short scar), neck lift, rhinoplasty, buccal fat removal, facial implants, lip lift, and male-specific facial, body and breast procedures, plus Renuvion skin tightening, breast and body surgery, and gender affirmation surgery (source).

Prices and recovery, from the practice

From westendplasticsurgery.com, read 2026-09-30, each with its source page.

Published prices

ProcedureAs publishedSource
Blepharoplasty (eyelid lift)Starts at around $4,500; does not include facility or anesthesia fees.westendplasticsurgery.com/face/eyelid-surgery

Recovery, in the practice's words

TopicStatementDays
Sutures out"Stitches removed 2 to 7 days after surgery." Source7
Back to work"Most patients can return to work or school within 7 to 10 days after surgery." Source10
Exercise"Patients can most likely return to their physical exercise program within 3 weeks." Source21
Bruising"Bruising peaks during the first week and discoloration disappears 2 to 4 weeks after surgery." Source28

Why #129: the score, line by line

Points come from sources read the same way for every surgeon. The method is on the methodology page.

SignalPointsOfSource
Before-and-after gallery4040an eyelid before-and-after gallery on the practice site, scored on how many eyelid cases it shows
Eyelid procedure pages710eyelid surgery pages on the practice site, more for each further eyelid operation
Cosmetic society1515eyelid surgery listed in a cosmetic surgery society directory
Training1515Plastic surgeon
Eyelid research015eyelid surgery papers in PubMed
Teaching05eyelid sessions taught at medical meetings, 2023 on
Score77100Rank 129 of 500

Before you book

The operations Dr. Paul Ruff offers, what they cost, when insurance pays and the other surgeons nearby.