Eyelid Surgery



Eyelid Surgery Houston TX

The eyes are one of the most important features of our faces. As we age, factors such as environmental exposure and heredity can lead to discoloration, creasing, or puffiness in the lower or upper eyelids. Fat deposits that are produced above and under the eyes, along with the thinning skin, can lead to a ‘tired’ or ‘hooded’ appearance that adds years to your facial appearance. Eyelid surgery – also known as blepharoplasty – is a plastic surgery procedure that aims to alleviate undesirable eyelid features. Plastic surgeons work to remove excess skin and lift the upper and lower eyelids, resulting in a fresh, youthful, awakened appearance.

Eyelid surgery is one of the most popular cosmetic surgical procedures today. In 2018, the American Society of Plastic Surgeons (ASPS) reported that there were more than 206,000 blepharoplasty procedures performed in the United States alone. The vast majority of these individuals reported good or excellent outcomes with both function and appearance after this treatment.

Houston, TX plastic surgeon Dr. Christian Arroyo offers eyelid surgery to patients in his Houston and West Houston backyard, as well as surrounding Texas cities of River Oaks, Bellaire, Katy, Memorial, Briarforest, Sugarland, Pearland, Kingwood, Jacinto City, Galena Park, Pasadena, Cloverleaf, Aldine, Spring, the Woodlands, and more. The surgeon’s goal with eyelid surgery is to give men and women a fresh, and youthful facial appearance. Dr. Arroyo understands that the needs of different people are unique and goes out of his way to create an individualized treatment plan for each patient. More so, in addition to a keen aesthetic eye and unmatched attention to detail, the surgeon utilizes the most advanced surgical techniques to achieve the desired blepharoplasty outcome while minimizing the risk of complications.

Who is a candidate for eyelid surgery?

Blepharoplasty is a cosmetic surgical procedure that aims to repair droopy eyelids by getting rid of excess skin, muscle, and fat. You may be a good candidate for eyelid surgery if:

  • You are in good physical and emotional health
  • You have ‘baggy’ lower eyelids
  • You have a ‘hooded’ upper eyelid appearance
  • You have excess wrinkles or ‘crows feet’ around your eyes
  • You have a ‘hollow’ eye appearance due to deterioration of facial tissue
  • You have realistic expectations about the outcome of this treatment

When you visit Dr. Arroyo’s office for the first time, the surgeon will listen to your concerns, examine your eyes, and let you know whether this procedure is for you. He will do this by using a state of the art virtual consultation tool in which he will be able to show you in real-time what the procedure would entail, where the scars would be located and what you can expect using your own pictorial anatomy. In some cases, the surgeon may recommend that you combine your Houston blepharoplasty with a neck lift or facelift in order to achieve a holistic facial transformation. If you are a smoker, the surgeon will ask that you quit at least 4 weeks before the procedure. More so, Dr. Arroyo emphasizes that all patients ensure that they are doing this procedure strictly for themselves, not because someone else asked this of them.

Dr. Arroyo’s Unique Sedation Method

During a blepharoplasty Houston procedure, Dr. Christian Arroyo utilizes a unique sedation method that is referred to as Total Intravenous Anesthesia (TIVA) Sedation. This technique is considered to be generally safer and allows the patient to breathe on their own without any intubation during surgery. Furthermore, patients do not suffer from side effects such as nausea, vomiting, or pain associated with general anesthesia. Once you have been prepped for surgery, the surgeon’s team will administer a specific type of oral medication to ease the nerves and assist with pain control. Instead of the typical intravenous medication, this is an oral version that many of his eyelid plastic surgery patients find to be very comfortable and preferable. It helps to utilize fewer intravenous medications during surgery and has lower chances of resulting in anesthesia side effects such as respiratory depression. After this, the patient is brought into the operating room where a painless IV is started and intravenous medications are administered to give the patient a nice comfortable sedation, completely unaware of anything and without intubation. The patient is very closely monitored by Dr. Arroyo’s surgical staff with patient safety being the #1 priority. After the surgery is done, you wake up relaxed without pain, nausea or vomiting and ready to go home and recover.

Surgical Options

Dr. Arroyo has two surgical options when it comes to blepharoplasty:

Upper blepharoplasty

Dr. Arroyo will perform upper eyelid surgery in order to address excess upper skin that droops over the eyes. In addition to its cosmetic benefits, this type of eyelid surgery can also help alleviate an obstruction in the patient’s vision. The surgeon will create an incision along the natural fold of the upper eyelid and use it to remove excess tissue. Fat deposits may be repositioned or removed altogether in order to achieve the desired outcome. Once the surgeon has reshaped the upper eyelid to suit the goals of the surgery, he will close the incisions with fine sutures and place bandages.

Lower blepharoplasty

This type of procedure is ideal for patients who are looking to address sagging or bulging underneath their eyes. The surgeon may make an incision slightly below the lower eyelash. For patients who have good skin elasticity, the surgeon will consider a transconjunctival incision that is created inside the lower eyelid in order to conceal the scar. Once the incision has been made, the surgeon will get rid of excess fat, skin, or tissue from the lower eyelid. The incisions will then be closed and bandages placed on the treatment area. For patients who also have dark circles or other imperfections around their eyes, the surgeon may choose to integrate a non-surgical treatment such as injectable fillers in order to achieve a holistic, aesthetic outcome.

Eyelid surgery takes about 1-3 hours to complete, depending on the extensiveness of the treatment. Since this is considered to be an outpatient procedure, you will likely be allowed to go home for recovery shortly after the surgery.

Benefits of Eyelid Surgery

Blepharoplasty may be performed on the upper lid, lower eyelid, or both eyelids at the same time. Many patients who receive this cosmetic treatment reap multiple benefits, including:

  • No more bags – bags below the eye – which usually come with aging – give the impression that you are fatigued and are not getting sufficient shut-eye. Lower blepharoplasty can remove excess skin and tissue below your eye, getting rid of those baggy areas. In addition to this important benefit, many patients who receive lower eyelid surgery experience an improvement in the appearance of dark circles under the eye.
  • Improved vision – significant dropping in the upper eyelid could be more than just a cosmetic concern – it could impair vision. Where this is the case, Dr. Arroyo will perform upper blepharoplasty to get rid of excess deposits and subtly lift the upper lid in order to improve your line of sight. This procedure may also lead to increased comfort in the forehead region since brow muscles are not being used (constantly) to raise a heavy, drooping upper eyelid.
  • Fewer fine lines – while this is not the primary goal of your eyelid surgery in Houston, it is – nonetheless – an important cosmetic benefit. Many patients who receive lower and upper eyelid surgery notice an improvement in these telltale signs of aging. Dr. Arroyo may choose to enhance the result of this procedure with nonsurgical skin rejuvenation treatments such as chemical peels.
  • Brighter eyes – extra skin and puffiness can block light from illuminating the irises that give your eyes their color. This can lead to a dull look on your eyes. Eyelid surgery ‘opens the drapes’ and allows much more right to infuse the eyes, making it possible for them to look and sparkle their brightest.
  • Refreshed facial appearance – eyelid surgery is an excellent way to give your face a refreshed appearance. More so, the shape and appearance of your eyes will be significantly improved, leading to improved self-esteem and self-confidence.

Eyelid surgery has high patient satisfaction rates, averaging at over 90% according to Realpatientratings.com. It is important that you work with the best eyelid surgeon Houston has to offer in order to ensure the best possible results. Dr. Arroyo has helped countless men and women in Houston and nearby Texas areas improve confidence and quality of life with eyelid surgery.

Dr. Arroyo’s Procedure Approach

Dr. Arroyo’s goal with blepharoplasty is to rediscover your facial appearance while maintaining the natural appearance of the eye. The surgeon treats each patient as unique and works to create a customized treatment plan to suit their needs. Whether you are looking to brighten your eyes to improve your vision, the surgeon will focus on delivering the desired outcome. Dr. Arroyo utilizes advanced surgical methods to perform this procedure while minimizing the risk of scarring. Incisions will be hidden along natural folds of the eyelids where they are hardly noticeable. Patient safety is a number one priority with Dr. Arroyo, plus the surgeon’s all-rounded expertise allows him to utilize other techniques such as injectable fillers or fat grafting to create a more natural and transformative look.

Recovery after your Blepharoplasty in Houston

Most blepharoplasty patients experience no pain or discomfort immediately after surgery. You will be provided with appropriate medication (including antibiotic drops) to prevent infection and increase your comfort level throughout the recovery stretch. Dr. Arroyo will require you to use cold compresses during the first 24 to 48 hours. It is typical to notice some bruising and swelling, but this usually removes within a week. The majority of eyelid surgery patients are able to return to work within 4 days. However, you will need to avoid makeup at least over the first one week, and you should refrain from any activities that can elevate your heart rate (bending over, heavy lifting, vigorous activities) until after you get the go-ahead from the surgeon. It is important to attend all post-operative appointments and strictly follow Dr. Arroyo’s recovery instructions in order to ensure a speedy and uninterrupted recovery. If you have any questions or are worried about anything during this healing process, Dr. Arroyo’s office will always be available to provide the support you need.

How much does Blepharoplasty cost in Texas?

Dr. Christian Arroyo performs eyelid surgery in his in-office operating room, supported by highly qualified nursing staff. The cost of eyelid surgery in Texas is determined by the extensiveness of the treatment and the unique needs of each patient. Many of Dr. Arroyo’s patients can expect to pay between $4,000 and $7,000 for this cosmetic treatment. Health insurance companies do not cover blepharoplasty that is performed for cosmetic reasons. However, if you are undergoing this procedure in order to remove eyelid skin that is obstructing your peripheral visual field, your insurance company may cover part or all the costs. Dr. Arroyo’s team will provide you with an initial cost estimate and help you to collect all the evidence you may need to qualify for insurance coverage – where possible.

Schedule a consultation with Dr. Arroyo

If you are interested in learning more about eyelid surgery, the first step is to schedule a consultation with Dr. Christian Arroyo. This first visit is an enlightening opportunity to discuss everything there is about the procedure with a skilled professional. The surgeon will start by learning about your goals and expectations. Once this is done, he will discuss your general health status and pre-existing conditions. If you are deemed to be a healthy-enough candidate for this procedure, Dr. Arroyo will take photographs, and ask about current prescriptions you are taking, previous surgeries, and known allergies. Once the surgeon has enough information about your medical history and requirements for this procedure, he will create a custom treatment plan for you, outline the steps leading to surgery, and let you know what to expect during recovery.

Eyelid Surgery FAQ

Will eyelid surgery help with wrinkles, dark circles, crow’s feet, and hollow eyes?

Eyelid surgery is designed to improve the appearance of the lower or upper eyelids, usually by getting rid of excess skin, fat, and/or muscle. In many cases, this procedure may lead to a noticeable improvement in the appearance of dark circles and wrinkles around the eyes. However, for the best outcome, Dr. Arroyo may choose to integrate noninvasive treatments such as dermal fillers and chemical peels in order to alleviate all these cosmetic concerns. Make sure to discuss all your areas of concern with Dr. Arroyo during one of your pre-op consultation visits, so that the surgeon can create an all-inclusive treatment plan for you.

Eyelid surgery vs brow lift

Many patients who schedule a consultation with Dr. Arroyo are confused between eyelid surgery and brow lift. The surgeon will evaluate your problem areas and help you settle on the most appropriate/beneficial procedure. Dr. Arroyo recommends eyelid surgery for individuals who have upper eyelids that fold over the crease of their upper lashes, impaired peripheral vision, and puffy under-eye bags. A brow lift, on the other hand, is better suited for people who have hooding skin at the corner of their eyes, eyebrows that sag over the brow bone, or eyebrows that appear horizontal rather than arched.

Non-surgical alternatives for eyelid surgery?

Some patients want to learn about what noninvasive alternatives are available for eyelid rejuvenation. Dr. Arroyo offers skin tightening along with other nonsurgical alternatives such as injectable fillers (e.g. BOTOX) that can result in mild improvements. However, if you are looking to address significant cosmetic concerns in the eyelids, surgery is the best option.

How are the results?

The outcome of your eyelid surgery will be evident immediately after full recovery (1-2 weeks after surgery). In some cases, it may take up to 6 weeks before you can get a good impression of what was achieved with this cosmetic procedure. Eyelid surgery is meant to be a long-term solution to droopy eyelids and baggy lower eyelids. Keep in mind though that individual results may vary from one person to the next. Some people gain a lifetime improvement while for others, droopy eyelids may recur after a few years. Make sure to talk to Dr. Arroyo about how long you can expect the improvement around the eyes to last.

Will there be scarring?

While scarring is an inevitable consequence of surgery, Dr. Arroyo’s blepharoplasty patients do not have to be concerned. The surgeon makes sure to keep incisions to a minimum while positioning them in concealed areas along the natural lines of the eyelid. The surgeon will also let you know how to properly care for the incision sites in order to minimize the risk of scarring. In some cases, Dr. Arroyo may recommend that you wear silicone scar gel after full recovery in order to completely fade the already invisible scars. Most if not all of his patient’s scars are unnoticeable after blepharoplasty.