Dr. Leo Lapuerta
Dr. Leo Lapuerta

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Eyelid Surgery – Blepharoplasty – Houston, Pearland & Katy TX

Procedures ( View All )


Eyelid surgery (blepharoplasty) improves the look of the eyes. During surgery, excess tissue around the eye region is removed. People who have drooping or heavy eyelids, and puffy bags under their eyes, are generally the best candidates for this procedure. Although some patients may decide to have the procedure done on the upper or lower eyelids, most patients prefer having the procedure performed on both. Incisions are made below the eyelashes for the lower eyelids, and in the crease for the upper. Dr. Lapuerta performs various eyelid surgery techniques and will use the one that best meets each patient’s aesthetic goals. Dr. Lapuerta has facilities and privileges throughout the greater Houston area, including Houston, Pearland, and Katy, TX.

Surgical Technique

Upper Eyelid Surgery

During upper eyelid surgery, an incision is made within the natural fold of the lid and extended outward. The incision will go out as wide as possible so that additional skin folds on the outside of the upper eye can also be addressed. Once the incision is made, excess skin, tissue and, in some cases, a small portion of the orbicularis occuli muscle are removed. The incision is closed with absorbable sutures and the scar remains almost completely hidden because of where it resides in the natural crease.

Lower Eyelid Surgery

During lower eyelid surgery, an incision is made along the bottom of the lash line. This allows the surgeon to remove excess fat and tissue. In patients who have puffy lower eyelids but good skin tone, an approach known as a transconjunctival blepharoplasty can be performed. This technique puts the incision inside the lower eyelid rather than outside. Patients who have dark circles under their eyes will sometimes have a deficiency of fat in these areas. Injectables can be used to help fill these soft-tissue deficiencies and can improve the appearance of these circles.

During/After Surgery

Eyelid surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. It generally takes up to 2 hours for both the upper and lower eyelids to be addressed. Following surgery, the area around the eyes will be bruised and swollen. Patients should apply ice packs, keep their heads elevated, and apply medicated eye ointment for a few days.  Patients comment on the fact that friends and family tell them they look great, but often can’t put a finger on what is different. These subtle, yet dramatic results restore a softer, more youthful appearance.

Expected Cost

The cost for eyelid surgery varies for each patient and will fluctuate depending on whether both the upper and lower eyelids were addressed. Patients who undergo a full blepharoplasty, which includes both the upper and lower eyelids, will pay on average between $3,000-$7,000. In some patients where the upper eyelid skin obstructs the view, a portion of the surgery may be covered by medical insurance.

Plan Your Procedure

Average Cost  
$3,000 - $7,000
Recovery Time  
1-2 Weeks
Average Procedure Time  
2 Hours
Post-op Follow-up  
1 Week
Procedure Recovery Location  
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Eyelid Surgery FAQs

Visible Scars?

After surgery, scarring will not be visible because of where the incisions are placed. In the upper eyelid, the incision follows the natural crease of the eye. The lower eyelid incision will run just under the eyelashes or inside the eyelid. Scarring will be inconspicuous.

Crow's Feet?

Eyelid surgery will reduce puffy bags and excess skin and may help contribute to some minimization of crow’s feet. However, to truly treat crow’s feet, one will need a different approach. BOTOX® injections and procedures such as a browlift, are better options to help eliminate crow’s feet.

Irritation After Surgery?

Some patients will experience dryness and minimal irritation following surgery. If these occur, we can recommend ointments and eye drops to assist during the healing phase. Patients should protect their eyes against wind and sun irritation for the first several months by wearing dark sunglasses.

Vision Improvement?

If anything, eyelid surgery actually helps improve the vision for many patients. Not only does it restore a fresh, younger look from a cosmetic standpoint, it eliminates the excess skin that may have been impairing vision. It is important to select a skilled surgeon who has expertise with eyelid surgery. We take great care during this surgery so that the eyes themselves are left untouched and unharmed.

Related Procedures

* All information subject to change. Images may contain models.