Blepharoplasty (Eyelid Surgery)

Blepharoplasty eyelid surgery to remove excess upper eyelid skin, reduce lower eyelid bags and puffiness, or perform quad blepharoplasty on all four eyelids. Upper blepharoplasty may be insurance-claimable when documented visual field obstruction is present. Performed by board-certified plastic surgeons at My Houston Surgeons, Houston, TX.

Blepharoplasty (eyelid surgery) at My Houston Surgeons is offered as upper blepharoplasty, lower blepharoplasty, or quad blepharoplasty addressing all four eyelids simultaneously. Upper blepharoplasty removes excess skin of the upper eyelid — a condition called dermatochalasis — which accumulates with age, causing cosmetic heaviness and, in moderate to severe cases, obstructing the superior visual field. When visual field criteria are met and documented, upper blepharoplasty qualifies as a reconstructive procedure that may be partially covered by insurance; the team can advise on the evaluation process at consultation. The surgery excises the redundant skin with a well-hidden incision in the natural upper eyelid crease, and excess pre-tarsal orbicularis muscle and herniated fat pads may be addressed simultaneously for a more complete rejuvenation. Lower blepharoplasty targets the lower eyelid bags and hollows that develop from herniation of the intraorbital fat through a weakening orbital septum, creating a persistent appearance of fatigue or ageing regardless of sleep. Lower blepharoplasty can be performed via a transconjunctival incision (hidden inside the lower eyelid, no external scar) when no excess skin needs removal — typically in younger patients — or via a subciliary incision just below the lower lash line to remove or redistribute fat and address skin laxity in older patients. Fat redistribution techniques move the herniated fat over the orbital rim into the tear trough hollow, correcting the shadow that worsens the aged appearance rather than simply removing volume. Quad blepharoplasty combines upper and lower procedures in a single session. Recovery involves swelling and bruising for one to two weeks, with most patients comfortable socially at two weeks.