Eyelid Surgery in Dallas, Texas
The eyes are the most important aesthetic element on the face. They are the visual portal to one’s soul. The look of our eyes can even suggest our health and well-being. When eyelids are droopy, puffy, or surrounded by excess fat, they can detract from your expressiveness, make you look tired or mad, and even impede vision. While some of this laxity is genetic and a part of the natural aging process, it can be aggravated by excessive sun exposure or unhealthy lifestyle habits like smoking and poor nutrition.
For these reasons, eyelid surgery and associated procedures are often the first consultations sought by patients with concerns regarding facial aging and maintaining a sense of youth, vitality, and alertness.
For those unhappy with the appearance of their eyes, there are multiple surgical options that can be tailored to correct specific concerns. Eyelid surgery (blepharoplasty) is a very common procedure that can correct genetic conditions, sun damage, and droopy eyelids caused by the natural aging process and genetic or health factors. This surgery can be performed alone or as a part of a more comprehensive facial rejuvenation procedure to restore a unified and balanced facial aesthetic.
What Can Eyelid Surgery Achieve?
Reduction of Under-Eye Puffiness
Bulging fat pads below the eye, deep in the lower eyelid, can produce a fatigued appearance. Blepharoplasty, or eyelid surgery, can reduce fatty pockets and dark circles from below the eyes to widen the eyes and make them appear larger and more expressive.
Blepharoplasty can smooth out loose eyelid tissues that cause wrinkling and sagging. This treatment can lift tissues on the eyelid to restore the natural crease, and reduce the presence of wrinkles around the eyes, including crow’s feet.
The skin and surrounding loose tissue around the upper eyelids can descend over time, causing a loss in our ability to distinctly see the full upper eyelid itself. This produces a very tired appearance. The natural reflex is for the brow and forehead to pull up, thus opening the eye to a limited extent. However, over time, this produces unwanted horizontal wrinkles in the forehead. Upper eyelid surgery, or upper blepharoplasty, removes excess upper eyelid skin and tissue, revealing a more open and youthful appearance of the eyes.
In combination with a brow lift, upper eyelid surgery can open sightlines to create a more alert and attractive appearance. For this reason, brow lift and blepharoplasty treatments are often performed together.
What Will My Eyelid Surgery Procedure Include?
Consultation and Anesthesia
Dr. Carpenter assesses every patient’s concerns at his Dallas office to ensure that their eyelid surgery results in an improved appearance and more vibrant, lively eyes. During your thorough consultation, which includes a review of the entire face, neck, and eyes, Dr. Carpenter will discuss which eyelid surgery techniques would most benefit you, what results you may expect, and what form of anesthesia you will require.
Blepharoplasty may be done under general or twilight anesthesia depending on the patient and complexity of the procedure performed.
The techniques chosen for your eyelid surgery are based on your anatomy and extent of needed correction. The surgical goal of eyelid surgery is to maximize youthful contours and expand your field of vision while minimizing post-operative scarring.
Your blepharoplasty will include one or more of the following techniques:
Upper Blepharoplasty (Eyelid Surgery)
Upper eyelid surgery is chosen in patients who develop upper eyelid hooding that causes the eyelids to appear heavy or droop over the open eye. This incision is made along the crease of the upper eye so that the resulting scar is concealed when the eye is open. Sagging skin is trimmed, and fat pockets are repositioned or removed, depending on the patient’s specific needs and facial anatomy.
Lower Blepharoplasty (Eyelid Surgery)
Lower eyelid surgery is chosen in patients who have moderate to significant puffiness below the open. These bags give off an overly tired or stressed vibe that detracts from a youthful and revitalized facial contour. The incision for lower blepharoplasty is made just beneath the lower lash line, and the resulting scar is hardly noticeable (and can be concealed with makeup). Excess, sagging skin is trimmed, and the underlying fat pockets are removed or repositioned to restore a smoother and tighter eye contour.
Transconjunctival Blepharoplasty (Eyelid Surgery)
Transconjunctival eyelid surgery is a derivative of lower blepharoplasty that is appropriate for patients with under-eye bags but no significant skin laxity. The incision for this technique is made on the inside of the lower lid so that there will be no external scar. While fat pockets can be repositioned or removed, no skin is trimmed with this technique.
Eyelid surgery is usually performed on an outpatient basis. You will need a driver to transport you home after the surgery.
Eyelid surgery can be performed as a standalone procedure; however, it is commonly performed in conjunction with another facial rejuvenation technique to achieve a more balanced and harmonious result.
- Brow lift surgery, to tighten laxity on the forehead and elevate the position of sagging brows
- Facelift surgery, to reverse the appearance of significant skin laxity on the middle and lower face
- Neck lift surgery, to remove and tighten excess fat, skin, and underlying tissues on the neck
- Injectable fillers and neurotoxins, to restore lost volume (fillers) or reduce the appearance of dynamic wrinkles (neurotoxins)
Recovery is discussed with each patient prior to their surgery and will vary depending on the combination of facial procedures being performed. Recovery time is typically minimal with eyelid surgery, as incisions are relatively small, and functional recovery occurs within the first week. Stitches are usually removed after five days, and most of the bruising subsides after two weeks, at which point patients feel socially comfortable.
Scarring, as a result of eyelid surgery, tends to be very minimal. Upper eyelid scars are generally concealed within the eyelid crease and are not visible while the eye is open. Lower eyelid scars are very fine and are usually just below the lash line.
Blepharoplasty costs can vary depending on a series of factors. In Dallas, the main factors that influence the cost of your eyelid surgery are the surgeon and anesthesiologist fees. Other factors that may increase eyelid surgery prices are facility fees and additional combined procedures.
Due to the use of anesthesia, pain is minimal to non-existent during the procedure itself. During the recovery period, pain tends to range from mild discomfort to moderate pain for two to three days. These symptoms can be treated easily with either over-the-counter or prescription medication. Dr. Carpenter will discuss your pain relief options with you during your consultation.
Frequently Asked Questions
Candidates for eyelid surgery are unhappy with the appearance of their eyes or have restricted vision due to drooping eyelids. Candidates should be in good health, with few to no eye-based medical conditions. If you do have any medical conditions, be sure to inform Dr. Carpenter of the specifics during your consultation.
Yes, to a limited degree. Eyelid surgery or brow lift surgery can remove sagging skin, which interferes with the range of vision. Eyelid surgery does not improve eyesight directly, nor is it a replacement for prescription glasses or LASIK surgery.
While your recovery may vary based on your personalized procedure, patients generally return to work within three to five days.
Double eyelid surgery is a type of upper eyelift surgery designed to create a new crease in the upper eyelid in people who have not been born with one. This procedure is most commonly performed on people of East Asian descent, but people in other ethnic groups may also be born without a crease in their upper eyelids.
Eyelid surgery addresses the skin, tissues, and fat around the eye itself. Brow lift surgery addresses skin, fat, and tissue on the forehead and around the eyebrows. If your vision is restricted because of skin or tissue hanging from your eyebrows or above, a brow lift will likely be needed to open your sightlines fully.