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Double-Board Certified Plastic Surgeon

Blepharoplasty (Eyelid Surgery) The Woodlands

Blepharoplasty (Eyelid Surgery) The WoodlandsWhat is a blepharoplasty or better known as eyelid surgery?

A blepharopasty is also known as eyelid surgery or lid surgery. This includes the upper eyelids, the lower eyelids, or both.

Who benefits from eyelid surgery

Clients that benefit from eyelid surgery are clients that have excess, redundant, or loose eyelid skin. Clients that also may benefit are those that have bulging fat around the eye area (this is called pseudoherniation of fat). Also, clients that have puffiness around the eyelids can benefit. Although usually a cosmetic procedure, sometimes eyelid surgery can be medically necessary in clients where the upper eyelid margin is lower than normal resulting in obstruction of vision (blepharoptosis).

Eyelid surgery

Any medications (prescription, over-the-counter, and herbal) that can lead to excessive post-operative bleeding are stopped two weeks before the surgery, if the prescribing physician is okay with this. The procedure is usually done an outpatient surgery center.

Often times, referral to an ophthalmologist is scheduled before eyelid surgery. This is to evaluate the clients for dry eyes (as blepharoplasty surgery can make this worse). In clients that may have a medical indication for blepharoplasty, that appointment will also evaluate the client for any signs of visual obstruction and to evaluate the lifting mechanism of the upper eyelid (levator function), as this will guide the operation that is chosen when there is a medical indication.

For the upper eyelid, one type of incision is used. It is placed in the natural eyelid crease that is well hidden in the post-operative period. During upper eyelid blepharoplasty, a small amount of muscle and/or fat around the eyes may be removed. If the blepharoplasty is being done for a medically necessary reason, the appropriate maneuvers may be added to address the dysfunction of the eyelid.

For the lower eyelid, several incision types are used. For those patients that do not need any skin removed, a transconjunctival (inside the lower eyelid, with no external skin incision) incision may be used. This allows fat excision or fat repositioning to be performed. In those clients with excess skin that needs to be removed, a subciliary incision (just below the lower lid eyelashes) is used. Through this approach excess skin and fat can be removed or fat can be repositioned. This scar is usually very well hidden. In clients that have lower eyelid laxity, a canthoplasty (cutting and repositioning the lateral canthus or outside corner of the eyelid) or canthopexy (tightening the lateral canthus) may be performed. The operation usually takes between one to two hours depending on which eyelids are done and how much work needs to be performed.

Post-operative care from Eyelid Surgery

Narcotic pain medication will be given. The client will keep the head elevated as much as possible for the first few days to decrease swelling. Ice packs will also be applied to the eyes every three hours for the first two days. Lubricating eye drops are also used. The client is seen in the office usually between five and seven days after the operation. Clients will shower on the second day after the blepharoplasty. Some swelling and bruising may occur and will improve in two to three weeks. Sutures are usually removed around five to seven days. Clients should be able to return to work in one to two weeks and should avoid heavy physical exertion for six weeks.

Potential Complications from Eyelid Surgery

Complications can include post-operative bleeding, swelling, and bruising. Other more rare complications will be discussed with you during your personal consultation.


Jeffrey G. Lind II, MD and The Lind Institute of Plastic Surgery offer high service and modern care for blepharoplasty clients in The Woodlands and Houston, Conroe, and College Station Texas area.

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