What is Blepharoplasty?

Blepharoplasty, or eyelid surgery, is a plastic surgery procedure to remove fat usually along with excess skin and muscle, from the upper and lower eyelids.

What does Eyelid Surgery accomplish?

Blepharoplasty can correct drooping upper lids and puffy bags below your eyes. These are the features that make you look older and feel more tired than you are, and may even interfere with your vision. However, eyelid surgery will not remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as facelift or browlift.

What happens during the first consultation?

During your initial consultation, Dallas plastic surgeon Dr. Adams will evaluate your general health, and will explain which eyelid surgical techniques are most appropriate. You will be photographed and discuss with your pre and post-op care with Dr. Adams. A quote will be prepared that will include the total fee, which includes the fees of your surgeon, anesthesia, and hospital. (Note: Most insurance policies don’t cover eyelid lifts, unless you can prove that drooping upper lids interfere with your vision. ( Check with your insurer.) Christy will give you a written pre and post-op care and informed consent to review. For more information about having eyelid surgery in Dallas, Texas contact us today.

How is Blepharoplasty done?

Before eyelid surgery, Dr. Adams marks the incisions sites, following the natural lines and creases of the upper and lower eyelids. The underlying fat, along with excess skin and muscle, can be removed during your surgery. Sometimes Dr. Adams will chose to do your lower eyelid by making a tiny incision inside the lower eyelid, so the fat can be removed. Dr. Adams will tell you which surgical procedure is the best for you. You will have very fine sutures that will be removed on the fifth day following your surgery.

What can I expect after Eyelid Surgery?

Recovery time:

You will be swollen and bruised for the first 5-10 days following blepharoplasty. You will be given special cold compresses to wear for the first 48 hours after your surgery. You will be required to sleep with your head elevated on 2 pillows that helps to decrease the swelling. Your vision will be blurry for the first week or longer, and is to be expected from your eyelid surgery and from the eye ointment you will apply. This ointment is greasy to keep your eyes moist while you sleep. Your eyes will not close shut as they did prior to blepharoplasty, this is normal and may take a few weeks to resolve before your upper and lower lids close. It is very important that you use your eye ointment as directed following your surgery. You must keep your hands away from your eyes and rubbing your eyes is not permitted to prevent injury to your eye and to your incisions. Your surgery can be done on an outpatient basis and you can go home the first day, unless you had other facial surgery that requires you to stay in the hospital overnight. You must make arrangements for someone to drive you home after your surgery, and to have help at home for a few days. You may return to work in 7-10 days depending on the extent of your swelling and vision changes.

How many visits do I have after eyelid surgery?

You usually return in 5 days following eyelid surgery for suture removal and to address any concerns with your surgeon and nurse. Then you will require follow up visits in 2 weeks, 4 weeks, 3 months, 6 months, and 1 year.

Am I a good candidate?

Your visit with Dr. Adams will determine if you are a good candidate for blepharoplasty. If you are in good physical and mental health, and have realistic expectations, you are probably a good candidate. If you are 35 years or older then you may be a good candidate. There will be exceptions with regards to your age if droopy, baggy eyelids run in your family, you may have your surgery at a younger age.

What does the surgery cost?

You will be quoted a price to include your surgeon’s, hospital, and anesthesia fees.

How do I pay for blepharoplasty?

You will be given an estimate for your surgeon’s, hospital, and anesthesia fees. For your convenience the fees will be paid in one sum at least two weeks. Checks, money orders, cash and credit cards can be used for payment.

Are there scars?

Yes. Whenever surgery is performed on your body a scar will result. Your incisions are placed in the natural lines and creases of your eyelids, which will leave nearly invisible scars.

Does Ear Surgery hurt?

1. Pain medication will be prescribed to help control discomfort after blepharoplasty.  All pain medication causes drowsiness and therefore should not drive or operate equipment.

2. Antibiotic is prescribed the first week after surgery to minimize infection.

3. Sometimes following surgery Dr. Adams may prescribe a Medrol dose pack to reduce swelling.

Please let us know all of your drug allergies.

Will I be awake during surgery?

Blepharoplasty is best done under general anesthesia for control of pain and nausea if they develop post surgery. Dr. Adams will also consider doing your surgery under a light anesthesia along with a local anesthesia, depending on the extent of the plastic surgery you require.

Where is the surgery performed?

Your eyelid surgery is performed in an outpatient surgery center with no over night stay. There may be an exception that requires an over night stay in the hospital and Dr. Adams will decide based on the extent of your surgery required.

Are medical photographs taken?

Photographs are taken after your first visit for your surgeon and then after your blepharoplasty at about 3 months. Medical photographs are essential to help Dr. Adams better assess your eyes and face to assist in planning your eyelid surgery.

What medications should I avoid?

You should avoid or be off all diet or over the counter weight medications when undergoing eyelid surgery. The only homeopathic medications are those recommended by Dr. Adams. It is especially important to be off St. John’s Wort and Ginseng, which can cause adverse effects during anesthesia. Please stop taking all aspirin-like products, Advil, and ibuprofen as these medications can cause bleeding problems. Please tell Dr. Adams what medications you are on (prescription or non-prescription) to ensure the safety of any surgery.

To learn more about blepharoplasty in Dallas, Texas, contact us today.


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