Eyelid Surgery (Blepharoplasty)

Dr Chad Robbins performs upper blepharoplasty and lower blepharoplasty from his Nashville practice. Upper eyelid surgery removes redundant skin and orbital fat prolapse that causes a heavy, tired appearance and — when severe — functional visual field obstruction potentially covered by insurance. Lower blepharoplasty addresses under-eye bags from herniated fat, skin creasing, and tear trough hollowing. Procedures are frequently combined with facelift, brow lift, or other facial surgery in a single operative session to achieve comprehensive periorbital rejuvenation.

Eyelid surgery (blepharoplasty) at Robbins Plastic Surgery in Nashville addresses both upper and lower periorbital concerns under the care of board-certified plastic surgeon Dr Chad Robbins. Upper blepharoplasty corrects the accumulation of redundant upper eyelid skin that develops as the brow descends and eyelid skin loses elasticity with age. In moderate cases this creates a hooded, heavy appearance; in more advanced cases the overhanging skin drapes onto the eyelid margin and obstructs the superior visual field — a functional impairment that may qualify for partial insurance coverage when documented by formal visual field testing. The surgical technique places a precisely planned incision within the upper eyelid crease, excises the calculated skin excess, and conservatively addresses any prolapsed medial or central orbital fat. Lower blepharoplasty targets the three lower eyelid orbital fat compartments — medial, central, and lateral — which herniate through a weakening orbital septum with age, creating the puffiness described as under-eye bags. Where the patient presents primarily with fat prolapse and good skin tone, the transconjunctival approach — through the inner surface of the eyelid without external skin incision — allows fat reduction or repositioning with no visible scarring. In cases where lower eyelid skin excess or surface creasing is also present, a subciliary incision approach permits simultaneous skin resection. Dr Robbins routinely combines blepharoplasty with complementary procedures — brow lift surgery, facelift, fat transfer to restore hollowing of the tear trough and temples — in a single anaesthetic session where this serves the patient's overall goals and is medically appropriate. Nashville patients are advised that postoperative care involves cold compresses and head elevation, with social presentability typically achieved within one to two weeks.