Eyelid Surgery (Blepharoplasty)

Dr. Rohrich performs upper and lower eyelid surgery at the Dallas Plastic Surgery Institute to address drooping upper lids and under-eye puffiness. Techniques include conservative fat management, micro fat grafting for volume restoration, and combination with endoscopic browlift when brow descent contributes to upper lid heaviness. Newsweek ranks Dr. Rohrich the #1 eye lift surgeon in the United States.

Eyelid surgery — clinically termed blepharoplasty — is one of the signature procedures at the Dallas Plastic Surgery Institute, performed by Dr. Rod J. Rohrich, whom Newsweek has named the top eye lift surgeon in the US. The procedure addresses both functional concerns (impaired vision from drooping upper lids) and aesthetic goals (a rested, more youthful appearance around the eyes). Dr. Rohrich's approach to upper blepharoplasty focuses on preserving natural eyelid contour while removing or repositioning excess skin and, where appropriate, fat. A key element of his technique is conservative fat management: rather than removing orbital fat wholesale — a practice that can produce a hollow, skeletonised appearance over time — he repositions or preserves fat to maintain youthful lid architecture. For patients with volume loss in the upper lid sulcus, micro fat grafting can restore fullness simultaneously. Lower blepharoplasty addresses under-eye bags and dark hollows caused by prolapsed orbital fat and skin laxity. The transconjunctival approach (incision inside the eyelid) leaves no visible scar, while the transcutaneous approach allows concurrent skin tightening. Fat augmentation with micro fat grafting can smooth the tear trough and lid-cheek junction in the same session. When brow descent is causing upper lid crowding — a common occurrence in patients over 45 — Dr. Rohrich frequently combines blepharoplasty with an endoscopic browlift performed through small incisions within the hairline. This addresses the root anatomical cause rather than simply tightening the lid itself. Recovery ranges from one to two weeks for most patients, with full results visible from five months to two years post-operatively depending on the extent of surgery. The procedure is performed at the on-site Dallas Day Surgery Center, with the option of post-operative nursing care at the Cloister recovery suite within the same building.