Eyelid Surgery (Blepharoplasty)

Upper and lower eyelid surgery (blepharoplasty) at Texas Surgical Arts Houston to address hooded upper lids, under-eye puffiness, and eye bag formation. Performed by Dr. Ricardo M. Bonnor. Upper blepharoplasty removes excess upper lid skin; lower blepharoplasty addresses periorbital fat herniation. Houston-area pricing $4,500–$12,000. Outpatient procedure. Consultation required.

Eyelid surgery (blepharoplasty) at Texas Surgical Arts in Houston is performed by Dr. Ricardo M. Bonnor and addresses the most visually prominent periorbital changes that signal facial ageing and fatigue: upper lid dermatochalasis (excess, redundant upper eyelid skin creating a hooded appearance that may encroach on the visual field in severe cases), and lower periorbital fat herniation producing under-eye puffiness, bags, and the tired appearance associated with descent of the orbital septum. Upper blepharoplasty is one of the highest-satisfaction facial procedures in cosmetic surgery, with a predictable recovery and dramatic visual result from a relatively modest incision placed precisely within the natural upper eyelid crease — an anatomical fold that conceals the fine scar well. The surgeon removes excess skin and orbicularis muscle, addresses herniated fat pads in the medial and central compartments where they contribute to lid heaviness, and closes with fine sutures placed in the crease. Recovery involves ecchymosis (bruising) and swelling that typically resolves within 10–14 days, after which most patients are fully presentable socially. Lower eyelid blepharoplasty at this practice addresses the three lower periorbital fat compartments (medial, central, and lateral) that bulge forward as the orbital septum weakens with age. The transconjunctival approach — performed through an incision on the inner surface of the lower lid — leaves no visible external scar and is well-suited to patients with primarily fat prolapse and good skin elasticity. For patients with lower lid skin laxity in addition to fat herniation, a transcutaneous approach with a fine subciliary incision or a combination transconjunctival fat repositioning with a small skin-pinch excision may be used. Combined upper and lower blepharoplasty in a single session provides comprehensive periorbital rejuvenation. Houston-area pricing ranges from $4,500 to $12,000 depending on whether upper-only, lower-only, or combined procedures are performed and the complexity of findings at consultation.