Our eyes often dictate whether we look awake and alert, or tired, angry or unhappy. Issues such as lower eyelid puffiness, dark circles or drooping upper eyelids can misrepresent our true mood and temperament. For some patients, these features do not improve, even with plenty of sleep and living a healthy lifestyle. If you are unhappy with the appearance of your eyelids, cosmetic eyelid surgery offered by Dallas, TX plastic surgeon, Dr. Steven J. White, may offer you the improvement you seek. Also known as blepharoplasty, this surgery can remove drooping skin and excess fat of the upper eyelids, reduce under-eye bags and tighten the lower eyelid skin. Blepharoplasty gives patients a new glow and a rejuvenated facial appearance. It can help women and men look and feel younger and refreshed.
Good candidates for eyelid contouring are men or women who demonstrate:
· Bags or puffy bulges under the eyes (fatty deposits)
· Fullness of the upper eyelids (fatty deposits)
· Excess skin diminishing the natural fold of the upper eyelids
· Excess skin and wrinkling of the eyelids
· Impaired vision due to hanging skin on the upper eyelid
Eyelid Surgery Reviews
"Excellence, precision, methodical, thoughtful, conservative, trustworthy...these are just a few words that come to mind when describing Dr. White. I met Dr. White several years ago when first considering facial rejuvenation. Of course, I had consulted with several surgeons, however what a difference when I went to USA Plastic Surgery. While others recommended one surgery involving three different procedures, Dr. White's plan was to proceed more cautiously, especially since I suffer with severe dry eye. I must admit I initially questioned the discrepancy between Dr. White and "the others," yet realized his careful approach was the wisest and truly the most pro-consumer. He has performed a brow lift, eye lift, and lower face/neck lift. Dr. White provided detailed, supportive after-care. His office staff is always been very friendly as well as helpful and accommodating. Dr. White et al. deserve an A+ - I highly recommend him for any procedure you may be considering. In any profession, there are "the good, the bad, and the ugly" - Dr. White is not only in the "good" category, he is the BEST!!"- L.L. / Google / Jun 30, 2014
"Thank you Dr. White for the attention to detail on my brow lift and eye surgery. You and your staff's personal attention before, during, and after the surgery are beyond belief. I have never felt this comfortable in a doctor's office in my life! After carefully listening to me about my concerns regarding the brow lift and eye surgery, you created the actual results that I was looking for. My husband is very excited about having a younger woman around and we are both looking forward to the next stage of our journey with you. Thanks again for everything --- you are truly amazing!"- S. S. / Office Visit / Oct 05, 2010
"I'm fifty-nine and have known for several years that I wanted to have plastic surgery on my face. I could not seem to move forward with the surgery because I could not make a decision on a doctor. After doing a lot of research and getting more and more confused, I asked my niece who is a RN at Presbyterian Hospital of Dallas to help me. She asked every doctor she trusted what plastic surgeon they would recommend. Every doctor she talked to said Dr. White because of his surgical results due to his careful attention to detail. After my initial consultation with Dr. White, my decision was definitely made. I had several pre-op appointments with him which gave me a chance to get to know him and to become more and more confident in my decision to have the surgery. I realized that his goal was not just a good result, but a natural-looking good result with no complications. I went in with the idea that I would have my upper and lower eyelids done along with a face lift. Dr. White suggested adding a brow lift and doing the surgery in two phases. He said a brow lift would have the most dramatic effect and that breaking up the surgery into two phases (1) brow lift, upper and lower eyelids and (2) face lift would maximize the good result. I was reluctant, but he convinced me. As a result of my eye exam, Dr. White decided that he should only do the brow lift and upper eyelids in the first surgery and the lower eyelids and face lift in the second surgery. By separating the eyelid surgeries I would be minimizing my chances for complications. I was very, very disappointed because my lower eyelids were my biggest problem area and I thought that the results of the first surgery would be barely noticeable. My son was getting married between surgeries and I wanted to look my best. Immediately after surgery, I was very glad he talked me into separating the surgeries. I realized that my recovery was going to be so much easier dealing with the upper eyelids only. As far as my idea that the results would be barely noticeable --- I was wrong. I went to a party a few weeks after surgery. Everyone at the party had something positive to say about how good I looked without most of them knowing that I had had surgery. My second surgery is in two weeks. I can't wait!"- M. B. / Office Visit / Apr 02, 2007
"Dr. White was very kind and made me feel safe. I don't have to hide behind my sunglasses anymore. Wow! What a difference it has made for me --- I look great!"- D. S. / Office Visit / Jan 28, 2014
"My cosmetic surgery experience was all positive. I still have a hard time getting use to all the attention that I receive from you and your staff. Your patience in explaining all the steps before, during, and after surgery is truly amazing. The follow-up care and appointments on time is not something that you generally receive from doctors any more. Not once did you or your staff make me feel that all my questions were stupid or taking up too much of your time. The few after hour calls were returned within 2-3 minutes. The personal calls from you to check up on me really meant a lot to me and my husband. The new look has turned back time and has helped me to face the older years with a new sense of pride. You fulfilled your promise to me that I would have a relaxed look --- not pulled and tight. Others have noticed a change in me but won't ask. They say that I must be doing something right to look so good. I have told four friends about my cosmetic surgery and they are all very impressed with the right look. They all wanted to know who the greatest plastic surgeon is. There is no question in my mind and heart that you are truly the greatest doctor there is!"- S. S. / Office Visit / Nov 17, 2010
What to Expect
Blepharoplasty may either be performed on the upper eyelid only or the lower lid, or both. The most common problem with the upper eyelid is drooping excess skin. Not only does this look unappealing, but it can also obstruct vision for a patient. This is corrected with an incision that is placed along the natural fold of the eyelid and extracting any excess fat and skin. For the lower eyelid, treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line, or a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which eliminates scarring. Through either incision, fatty tissue and excess skin is removed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. In this situation, we may recommend a skin rejuvenation procedure such as laser treatment or a chemical peel to assist with discoloration.
Eyelid Surgery Recovery
Eyelid surgery is performed under general anesthesia or IV sedation. Patients will be sent home and will be advised to keep their heads elevated for the first several days. Bruising and swelling will occur and may last for several weeks. It takes approximately 3-4 weeks for the results to appear. This surgery leads to very minimal scarring due to the location of the incisions. Not only will patients look rejuvenated and refreshed, but also many will have improved vision due to the skin imperfection being removed.
Blepharoplasty cost vary depending on if both upper and lower eyelids or If only one eyelid is addressed. Because this surgery is considered cosmetic, in most cases, insurance will not apply. However, for some patients where vision was affected, insurance coverage is possible depending on the carrier.
Rejuvenate Your Look
Blepharoplasty is a common procedure that can make a big difference in someone’s life. For women in particular, putting on makeup can be difficult if hanging skin exists on the upper eyelid, and even with makeup on, the bags and circles under the eyes cannot be improved. Eyelid surgery creates beautiful, soft results that can be long lasting and life changing. For a complete consultation, we encourage you to call our plastic surgery office so that you can visit with our team and learn more.
Plan Your Procedure
- Recovery Time
- 2-4 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
What Is Blepharoplasty?
Blepharoplasty refers to eyelid surgery and is designed to remove the excess fat, along with skin and muscle, from the upper and lower eyelids. It is the second most common aesthetic procedure performed by plastic surgeons.
A properly performed blepharoplasty procedure will brighten the face and restore a more youthful appearance. In some patients the procedure will improve vision by removing the excessive skin of the upper eyelids, which can hang down and interfere with peripheral vision.
Scars are a result of any surgical procedure. The incisions made to accomplish the goals of the procedure are barely visible after several months as they are placed within the normal creases and folds of the upper and lower eyelids. In patients who only need removal of fat from the lower eyelids, the incision can be made on the inside of the eyelid, and will therefore result in an invisible scar.
Fine Wrinkles & Dark Circles?
The blepharoplasty procedure will not eradicate the wrinkles around the eyes (crow’s feet) nor will it elevate droopy eyebrow. There are other procedures designed for these purposes. Dark circles under the eyes may improve a bit if this is related to large bags, but most often the dark appearance of the lower eyelid skin remains.
Am I a Good Candidate?
The best patients are those who are healthy, psychologically stable and well motivated. Some medical conditions may increase the risk of blepharoplasty surgery such as thyroid disease, high blood pressure, and patients who do not make sufficient tears to keep their eyes well lubricated.
Eyelid Surgery Risks?
Fortunately, when performed by a competent plastic surgeon, complications are infrequent and minor. All patients will experience some bruising and swelling for a few days after the surgery. In addition, a temporary problem with closure of the eyelids is usually seen. Some may have temporary blurring of their vision, usually due to the ointments applied to the incisions post operatively. In rare instances, the lower eyelid may be pulled down causing an ectropion. If this does not resolve on its own, further surgery may be necessary. The theoretical complications of any surgical procedure, such as bleeding, infection, wound disruption and heavy scarring are also possible, but rare.