Eyelid Surgery (Blepharoplasty)

Dr Fortes performs upper and lower eyelid surgery (blepharoplasty) to address excess upper eyelid skin, drooping lids, under-eye fat pad puffiness, and hollow tear troughs. Upper blepharoplasty removes redundant skin through an incision within the natural eyelid crease, restoring an open, rested appearance and potentially improving peripheral vision where hooding is functionally significant. Lower blepharoplasty addresses fat bag prominence through a transconjunctival (no external scar) or subciliary approach. Procedures may be combined with facelift and brow lift for comprehensive periorbital rejuvenation.

Blepharoplasty at Dr Paul Fortes MD Plastic Surgery Houston addresses the periorbital region — typically the first area of the face to show visible ageing — with surgical precision targeted to the specific pattern and degree of eyelid change present. Upper blepharoplasty corrects dermatochalasis (excess upper eyelid skin) and, where present, prolapsed upper eyelid fat, which together contribute to a hooded, tired, or heavy-looking upper eyelid. The procedure involves an incision placed precisely within the natural upper eyelid crease — making the healed scar imperceptible within the eyelid fold — through which Dr Fortes excises a carefully measured amount of excess skin, a thin strip of orbicularis oculi muscle, and any prolapsed orbital fat. The amount of skin removed is calibrated to restore a full, open eyelid platform while preserving sufficient skin for complete eyelid closure. Upper blepharoplasty is priced at $7,000 all-inclusive. Where brow ptosis (drooping brow) is a contributing factor — the brow descending and mechanically loading the upper eyelid skin — Dr Fortes may recommend a concurrent endoscopic brow lift to address the root cause; removing excess upper eyelid skin without correcting brow position risks over-correction or an insufficient result. Lower blepharoplasty addresses the two primary lower eyelid concerns: prolapsed fat pad prominence (the 'bags' beneath the eyes) and excess lower eyelid skin (the wrinkled, crêpe-paper appearance). The transconjunctival approach accesses the lower eyelid fat compartments through an incision on the inner surface of the eyelid, leaving no external scar — this is ideal for younger patients whose primary concern is fat pad prominence without significant skin excess. Where skin removal is required, a subciliary incision placed immediately below the eyelash line allows concurrent skin excision; the resulting scar heals invisibly in the natural shadow of the lash margin. Fat repositioning — distributing prolapsed fat over the tear trough depression rather than simply excising it — is employed where a hollow beneath the protruding fat pad creates a shadow effect and would be worsened by fat removal alone. Lower blepharoplasty is priced at $10,000; combined upper and lower (quad) blepharoplasty is $14,000, all-inclusive. Blepharoplasty is frequently combined with facelift and brow lift at Dr Fortes's practice for comprehensive facial rejuvenation. Recovery involves bruising and swelling that largely resolves in one to two weeks; most patients are comfortable returning to social activity by ten to fourteen days. PatientFi financing is available.