Houston Blepharoplasty (Eyelid) Surgeon

Blepharoplasty, also referred to as eyelid surgery or eyelid lifts, improves the appearance of the upper eyelids, lower eyelids or both. Eyelids are one of the first areas where aging can show and cosmetic eyelid surgery can provide a more youthful appearance. The purpose of eyelid surgery is to give patients a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

Dr. Etai Funk specializes in plastic surgery of the face and neck exclusively at his Houston office and has an intimate understanding of eyelid anatomy and aesthetics. Dr. Funk is one of the top-rated facial plastic surgeons in Houston, which is why many patients have chosen Dr. Funk as their blepharoplasty surgeon to correct drooping upper eye lifts and puffiness under their eyes (eye bags).  Dr. Funk accepts blepharoplasty patients from Houston and all across Texas.

Blepharoplasty for Wrinkle Treatment

Blepharoplasty will allow for a mild improvement of the fine wrinkles surrounding the eye. However, these wrinkles are best addressed with resurfacing techniques such as laser or chemical peel and Botox®.

Eyelid Surgery Process

Consultation

When visiting our Houston office for eyelid surgery consultation, you will meet with Dr. Funk to discuss your concerns regarding your eyelids.  Whether you are considering upper eyelid surgery, lower eyelid surgery for bags, or both, Dr. Funk will concentrate on the areas you want to focus on improving.  If you are amenable, he will give recommendations regarding other areas around the eyes that may need improvement.  These may include a brow lift, lower eyelid laser treatment, or Botox for your crow’s feet.  Dr. Funk will also discuss any medical issues you may have with your eyes such as dry eye, a history of LASIK surgery, or contact use.

Dr. Funk will then examine your eyelids and assess the best treatment option for them.  Photographs will be taken and you and Dr. Funk will sit in his office reviewing these photographs and making digital changes to provide an approximation of what blepharoplasty or eyelid surgery may look like for you.  You and Dr. Funk will review before and after photos of blepharoplasty patients who have had upper eyelid surgery or lower eyelid surgery with Dr. Funk.  Once all your questions are answered, you will meet with our patient care coordinator to review the quote for eyelid surgery.

Preoperative Appointment

Your preoperative appointment will usually occur the day prior to surgery.  On this day, you will meet with Dr. Funk once more to re-discuss your goals for the surgery, review risks of blepharoplasty, and discuss some of the healing process.  The majority of the time will be spent with the patient care coordinator who will discuss preoperative and postoperative care.  They will review what you can expect after surgery, things that may cause concern, and what should appear as normal healing versus abnormal.  Your final payment will also be collected at this time.

Day of Surgery/Procedure

On the day of your eyelid surgery, you will check-in at the facility and then move on to the preop area.  There you will change into a surgical gown and have an IV started.  Consent forms will be signed and you will meet the surgical team.  You will then move on to the operating room.  Your blepharoplasty will be performed in Houston usually at a surgery center.  Eyelid surgery usually requires light sedation but can also be done under general anesthesia.  You will be taken to the recovery room after surgery.

Recovery

Recovery after blepharoplasty depends on the extent of work that is required and which procedure is performed.  Upper eyelid surgery for eyelid hooding is a short recovery time of 5-7 days.  An upper eyelid lift can be performed under local anesthesia or sedation.  Mild swelling occurs around day 2 postoperatively but vision should not be impaired.  Sutures are removed day 5-7 postoperatively and makeup can be placed within a few days. Most patients are social within one week after upper eyelid surgery.

Lower eyelid surgery can be more complex with the removal of lower eyelid bags and excision of excess skin.  Sometimes the lower eyelid fat, which forms the lower eyelid bags, is repositioned to fill the tear trough or hollows under the eyes.  This creates a better transition between the eyelid and cheek.  Lower eyelid surgery recovery is typically 7-10 days.  The lower eyelids tend to swell a little more than the upper eyelids. Fat repositioning will also require more dissection which may lead to slightly longer recovery time compared to the upper eyelid.  Neither upper eyelid lift or lower eyelid surgery is painful.  Patients mostly describe itchy or slightly irritated eyes but no pain. 

Can I have eyelid surgery and a brow lift?

Many of my Houston eyelid surgery patients are concerned about their saggy skin over their upper eyelids. What some of them do not realize is that a large component of this eyelid hooding is due to brow ptosis or the brows having fallen over the years leading to that heavy tired appearance to the eyes.

Some of these patients may benefit form a brow lift or forehead lift. There are many different types of brow lifts but the most common kind today is the endoscopic brow lift where small incisions are made in the hair bearing scalp and dissection is performed to release the brows and resuspend the entire forehead along with the brows to anchors in the bone. Some patients will not need upper eyelid surgery after their brow lift. Others, may require both the brow lift and the upper eyelid surgery.

What are the benefits of eyelid surgery?

Upper eyelid surgery or an upper eyelid lift can help with the excess skin you may have to your upper eyelids.   Upper blepharoplasty will provide a more open eyed, rested, and refreshed appearance.  It may even help with some peripheral visual loss you may have. Lower eyelid surgery will address lower eyelid bags and the dark circles under the eyes.  It will also help with lower eyelid wrinkles.  Lower blepharoplasty will provide a more rejuvenated and rested appearance to your eyes and will provide a more youthful appearance. 

Office-based vs Outpatient Eyelid Surgery

Upper eyelid can be either an office-based or outpatient procedure performed in the operating room.  Upper eyelid surgery can be performed under local anesthesia or sedation in the operating room. Lower eyelid surgery is usually performed in the operating room under sedation or general anesthesia.  The fat of the lower eyelid is quite sensitive and therefore this requires anesthesia to make the surgery more comfortable. 

What is the cost of eyelid surgery?

The average surgeon’s cost for upper eyelid surgery can range from $2400-$3500 depending on the complexity of the case.  Lower eyelid surgeon’s fees are between $3200-$4000.

How long does eyelid surgery last?

Eyelid surgery does not stop the aging process.  Your skin will continue to lose elasticity and become more lax over time.  Eyelid surgery should last between 5-10 years.  However, at this time, your eyes will still look better than they did prior to your surgery. You will just start noticing some of the signs of aging again.

Who is a good candidate for eyelid surgery?

Saggy upper eyelids or eyelid hooding is a common concern for patients starting in their forties and becomes more prominent entering our fifties.  Saggy upper eyelids can be corrected with upper blepharoplasty where the excess upper eyelid skin is removed to create a more open-eyed appearance.

If you feel your eyes appear tired and are noticing excess skin to the upper eyelids, difficulty placing mascara or eye shadow, and just a heavy-eyed appearance, you may want to obtain a consultation for blepharoplasty.  Upper eyelid surgery patients should be evaluated by an experienced surgeon.  For the lower eyelids, if you are noticing bags under the eyes, dark circles, or hollows under the eyes, a surgeon with expertise in lower eyelid surgery can assess if you are a good candidate for lower blepharoplasty.

What’s the Difference Between Traditional Blepharoplasty & Laser Blepharoplasty?

The primary difference between traditional and laser eyelid surgery is that the traditional method uses a scalpel to make the necessary incisions while a laser is used to make the incisions in the latter.

Transconjunctival lower eyelid surgery can be performed with a laser and laser resurfacing of the lower eyelid can be combined with traditional blepharoplasty to repair wrinkles and folds.

It’s important to note that both forms of blepharoplasty yield the same results with the same recovery time, provided the surgeon is experienced. Proponents of laser blepharoplasty claim that there is less swelling, pain and bleeding than the traditional method, but there are no studies to corroborate these claims.

Is eyelid surgery covered by insurance or Medicare?

Many older patients ask if blepharoplasty is covered by insurance. This is dependent on the severity of your peripheral visual field loss which needs to be documented by an optometrist or an ophthalmologist. This result is then submitted to your insurance and they can determine whether they would cover the cost of your upper eyelid surgery. It is important to note that this is only for upper eyelid surgery and not for lower eyelid surgery.

At Funk Facial Plastic Surgery, upper eyelid surgery is a cosmetic procedure and therefore not covered by your insurance. If you elect to try and get partial reimbursement for your upper eyelid surgery from your insurance, our team can provide you with any of your medical records for you to work with your insurance company.

Lower Eyelid Surgery

Dr. Funk performs lower blepharoplasty procedures (under eye surgery) to eliminate the appearance of eye bags and create a more youthful appearance.

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Upper Eyelid Surgery

Dr. Funk performs upper blepharoplasty procedures (eyelid lifts) to rejuvenate the appearance of the surrounding areas of the eyes.

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