Upper Eyelid Surgery





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Upper Eyelid Surgery in Houston

Upper blepharoplasty is a form of eyelid surgery. That involves the surgical repair or reconstruction of the upper eyelid.

Upper eyelid surgery (upper eyelid blepharoplasty) is a plastic surgery procedure that plastic surgeons use to address droopy upper eyelids, as well as excess fat and skin in the orbital area of the eye. Since eyes are a central feature of the face, upper eyelid surgery can give the entire face a lift.

When Is Upper Eyelid Surgery Recommended?

Upper eyelid surgery is usually advised for people with excess eyelid skin, a droopy upper eyelid, and excess fat in the orbital or eye area.

It is also recommended for people with signs of periocular aging (e. g., lax eyelid skin and muscles). Upper eyelid changes occur due to the loss of collagen, thinning of the epidermis and weakening of the connective tissue in the face.

An upper eyelid blepharoplasty is also helpful for those who have steatoblepharon. This is a condition where fat pads are present in the upper eyelids. Steatoblepharon can also occur due to the weakening of the overlying orbicularis muscle and skin. These changes usually become evident once an individual reaches the age of 40. Nonetheless, some people develop these changes earlier.  Excess fat can cause the upper eyelids to droop and obstruct a patient’s field of vision.

The Anatomy of the Upper Eyelid

The eyelid skin crease is the area where the levator aponeurosis or fascia attaches to the tissues below the skin. The eyelid fold lies above this attachment and hides the upper eyelid skin crease. Dr. Truong and Dr. Patel provide detailed anatomical explanations to patients during  initial consultations at their office in Houston.

Who Should Consider Having an Upper Blepharoplasty?

An upper blepharoplasty may be a good option for individuals with the following:

  • Excess eyelid laxity that causes temporary hooding. An individual with upper eyelid hooding has to constantly raise the brows or chin to see better. Hooding can be severe enough to impede driving.
  • Those individuals with frontal headaches due to constant use of the frontalis muscle of the forehead to raise the eyebrows. This occurs when there’s severe drooping of the eyelids.
  • Individuals with eye inflammation due to drooping eyelids.
  • Certain individuals with dermatitis due to the rubbing of the eyelids.
  • Individuals who have trouble with daily activities like reading and working due to the drooping of the upper eyelids.
  • Individuals who are keen on a more defined skin crease.

At Lift’s Houston office, the surgeon will let an individual know if they’re a good candidate for upper eyelid surgery. They will also discuss alternatives for those in whom this surgery might not be an option.

How is Upper Blepharoplasty Done?

Upper eyelid surgery is done with local anesthesia. In some cases, it is performed with or without monitored sedation. This procedure can be done at an office-based plastic surgery facility. Some surgeons may prefer to do it in a surgical center or hospital operating theater in Houston depending on the overall health of the individual.

Before the procedure, Dr. Truong or Dr. Patel sits down with patients in the Houston office. They take a detailed medical and ophthalmic history. They will examine the forehead, brows, and upper eyelids. Underlying ptosis or drooping of the eyelids is identified especially in men.

The thickness of excess eyelid skin, presence of skin lesions, and ptosis are measured and documented. For certain populations like Asians, upper eyelid incisions affect the location of the eventual scar. So detailed measurements are necessary.

They will also review specific eye movements, blinking, closure of the eyes, lower lid laxity, and the cornea’s tear film. Other tests like the Bell’s phenomenon, corneal reflex-lid margin distance, ptosis, and levator function are always measured. Since their focus is on the general appearance of the eye, these top plastic surgeons also measure the brow position and its fat pad. In addition to the above, they assess brow shape, brow ptosis, the eyelid curve and height, and tarsal laxity.

These might seem like a lot of measurements and tests but the best plastic surgeons in Houston like to tailor each upper eyelid procedure according to the individual. There’s no cookie-cutter eyelid surgery here.


Immediately before the procedure at the Houston office-based surgical suite, Dr. Patel or Truong may mark the area of the skin incision. They may make additional markings to assess symmetry, locations of the muscles, and fat pad. Some doctors do these markings while the individual is lying down, others do it while they sit. This is also done to prevent an excess removal of skin or fat.


Upper blepharoplasty is performed with local anesthesia or under conscious sedation. Local anesthetic injections with lidocaine and epinephrine are given subcutaneously. The anesthetic is topped up throughout the procedure via additional injections as needed.


Incisions during the procedure can be made with a variety of instruments. This could be a CO2 laser, a 15 Bard-Parker blade, electrocautery, or a radiofrequency needle. The choice is based on the plastic surgeon and the condition of a person’s skin. An individual can always ask Dr. Truong or Patel during their consultation about what would be best for their skin type. The sedation also depends on where the surgery is taking place; at Lift’s office-based surgical center or a larger hospital in Houston.

During the procedure, the surgeons will trim skin, tighten muscle, remove or reposition fat based on the previous measurements taken during the consultation.

Closure of the incision is done with interrupted catgut sutures or nylon sutures. Some surgeons may use prolene sutures as well.

The procedure can take anywhere from 45 minutes to two hours. The length of time a patient is in surgery depends on whether an individual is having only upper blepharoplasty or a combination procedure with lower eyelid surgery as well.

The Benefits of Upper Eyelid Surgery

There are many benefits to upper eyelid surgery. The first benefit is a better field of vision. A person’s line of sight expands once the eyelids are lifted. The second benefit includes less eye inflammation and less irritation in the skin folds.

Aesthetically, upper eyelid surgery can completely change an individual’s visage. After the lax skin is removed, there are fewer shadows beneath the eyes. This makes an individual look much younger and refreshed. They also have a smoother forehead making them look less tired.

The Cost of Upper Eyelid Surgery

The cost of upper eyelid surgery varies from person to person. For specific costs of the upper eyelid, you can send in a price request at their Houston office. If an individual needs an upper blepharoplasty to address a droopy upper eyelid that is decreasing their field of vision and affecting their daily activities due to impaired vision, health insurance may cover a portion of the costs.

Before an Upper Blepharoplasty Procedure

To ensure the procedure is smooth, it’s important to prepare before the surgery. Here are some steps to follow.

  • Discontinue products that contain nicotine (e. g., chewing tobacco, e-cigarettes, traditional cigarettes).
  • Discontinue some medications like (e.g., ibuprofen) and vitamins (e.g, vitamin E) for 10 days before and 10 days after surgery. These medications increase the likelihood of excess bleeding.
  • For all other medications, inquire with Dr. Truong and Dr. Patel about when to stop them.
  • Stock up with groceries, water, and medicines as needed. Going outside for two weeks after the surgery might be difficult and so stocking up would be helpful.
  • Having someone during and after the procedure is helpful to ease any anxiety.
  • Having some pillows to stay propped up and frozen gel packs to ease swelling is another good idea.

After the Upper Blepharoplasty Procedure

After the upper blepharoplasty procedure, it’s important to visit the Houston office with Dr. Troung or Dr. Patel for the post-surgical appointment. This is to ensure that healing is taking place as expected. Here are some additional steps.

  • Avoid activities that cause eye strain (e.g, working on a computer, surfing the web on a cellphone, and driving).
  • Watch out for complications like bleeding, fever, and excessive tearing.
  • Avoid contact lenses for two weeks.

How Long Does it Take to Recover?

The recovery period varies depends on various factors such as a person’s age, the state of their skin, their general health, and the size of the incision. After the surgery, it is normal to experience some bruising and inflammation. Within a month, most of these symptoms resolve completely.

What Are the Side Effects?

An upper eyelid procedure can have some potential side effects. This includes:

  • Minor bleeding
  • Risk of infection
  • Blurred vision
  • Skin discoloration
  • Allergies
  • Risk of a blood clot

Most people are safely able to resume work within three weeks of surgery and have no visible signs of surgery a month after the surgery. At the earliest sign of bleeding or fever or any other side effect, contact Lift’s Houston office to schedule an immediate consultation with the surgeon.

Lift Plastic Surgery’s Approach to Patient Care

At Lift Plastic Surgery, Drs. Shitel Patel and Tuan Truong provide expert surgical care for those in and around Houston. Once an appointment is scheduled, the surgeons meet with an individual to discuss their options. The surgeon creates a custom-tailored blepharoplasty procedure plan. An individual is allowed to take the time to think about their decision.

Once a decision is made, the surgeon will ask for laboratory tests to be done before the surgery. If the results are optimal, they will schedule a date for the surgery.

At Lift Plastic Surgery in Houston, the surgeons are open to questions. They are more than willing to address any concerns an individual has before surgery.

7 Frequently Asked Questions

Is Upper Eyelid Surgery the Same as Asian Double Lid Surgery?

No. Asian double eyelid surgery involves creating a supratarsal crease to achieve an almond shaped eye. Not everyone requires this surgery. Drs. Patel and Truong can guide an individual about whether the traditional eyelid surgery will suffice or if they need double eyelid surgery.

Can Blepharoplasty Erase Fine Lines?

Eyelid surgery can dramatically improve the appearance of the eye area. Without the excess skin,  the eyes appear revitalized and more youthful. There are many intricacies and variations to eyelid surgery. Dr. Patel or Dr. Truong can help you explore your eyelid surgery options based on your concerns.

When Will the Surgeon Remove My Sutures?

It depends on which sutures your surgeon places during the blepharoplasty procedure. Some sutures dissolve without the need for removal by a surgeon. In some instances, if the surgeon does not use dissolvable sutures, you will return to Lift Plastic Surgery in Houston, Texas, to have your doctor remove them. Suture removal is usually a pain-free procedure.

Are there Non-surgical Eye-enhancement Treatments Available?

Yes. If you don’t want surgery, then there are non-surgical blepharoplasty options that you can try. They include Botox and dermal fillers which give the brow area a lift especially where there is sagging skin. These can be done at Lift’s Houston office.

How Much Bruising Will I Have?

The bruising varies from person to person. Bruising is usually worse in the first 24-72 hours of the surgery. It occurs when blood pools behind the skin. After three or four days, the bruise looks purple and by 2 weeks it disappears completely. Some patients’ surgical bruises remain for an additional three to four weeks. This bruising can be minimized by placing frozen gel packs and sleeping with the head elevated.

When Can I Return to Work?

Most patients return to work about two weeks after their upper blepharoplasty. However, some individuals need more time to recover. About two months after surgery, patients can expect to be back to their normal routine.

Is Upper Eyelid Surgery Covered By Insurance?

Insurance coverage depends on whether the excess skin or fat impairs your vision. If it restores your visual field, it may be covered by insurance. Upper eyelid surgeries for other reasons are not covered by insurance. However, if you visit Lift’s Houston office, Dr. Patel and Dr. Truong will be able to address your concerns about vision and excess skin.

Top Plastic Surgeons Accepting New Patients for Upper Eyelid Surgery in Houston

See what Lift Plastic Surgery has to offer. Their patient testimonials demonstrate that Lift Plastic Surgery is your best option. Contact Lift Plastic Surgery in Houston, Texas, at 818-293-4227 and schedule your initial consultation.

4720 Washington Ave Unit A, Houston, TX 77007, United States





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