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.
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 can be 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 somewhat 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.
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.
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.