Eyelid Surgery (Blepharoplasty)

Dr. Olivier Deigni performs upper and lower eyelid surgery (blepharoplasty) at his Houston plastic surgery practice to address excess skin, fat prolapse, and muscle laxity around the eyes that contribute to a tired, aged, or heavy-lidded appearance. Upper blepharoplasty removes redundant eyelid skin and addresses hooded upper lids; lower blepharoplasty corrects under-eye bags caused by fat herniation and removes or redistributes the excess skin of the lower lid. Procedures are commonly combined with facelift or brow lift for a comprehensive upper facial rejuvenation.

Eyelid surgery (blepharoplasty) at Deigni Plastic Surgery in Houston is performed by Dr. Olivier Deigni to address the full range of age-related and anatomical changes that affect the periorbital region — the area immediately surrounding the eyes that is frequently the first part of the face to show visible signs of ageing and is disproportionately influential on how rested, alert, and youthful a person appears. Upper blepharoplasty addresses excess skin of the upper eyelid that drapes over the lash line and, in more advanced cases, encroaches on the visual field, causing functional impairment in addition to aesthetic concerns. The standard upper blepharoplasty incision follows the natural crease of the upper eyelid, concealing the scar within this fold so that it is imperceptible when the eyes are open and very fine when closed. Redundant skin and a conservative strip of the orbicularis oculi muscle are removed; prolapsed orbital fat in the medial fat compartment is either reduced or repositioned; and the incision is closed with fine sutures in a layered closure. Upper blepharoplasty that is performed to address functional visual field obstruction may be partially covered by medical insurance; the practice can assist with the necessary documentation. Lower blepharoplasty targets the anatomical changes responsible for under-eye bags and hollowing: prolapse of the three orbital fat compartments through a weakened orbital septum produces the visible bulging; concurrent laxity of the orbicularis oculi and overlying skin contributes to wrinkling and textural change; and descent of the malar fat pad leaves a hollow (the tear trough) immediately below the fat prolapse, deepening the bag's visual prominence. Lower blepharoplasty can be performed via a subciliary (external) incision placed just below the lash line, or via a transconjunctival approach (entirely within the inner lid surface, leaving no visible external scar) — the latter is preferred when the skin quality and muscle tone of the lower lid are good and fat redistribution alone is the objective. When skin excess and muscle laxity are also present, the subciliary approach allows concurrent skin-muscle tightening. Orbital fat removed or repositioned during lower blepharoplasty can be transferred to the tear trough hollow to smooth the lid-cheek junction, providing a more natural, blended correction than fat removal alone. Blepharoplasty at the practice is frequently combined with facelift, brow lift, or fat transfer as part of a comprehensive upper facial rejuvenation. All procedures are performed under general or deep-sedation anaesthesia at a hospital-affiliated surgical facility.