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Blepharoplasty in Austin

Dr. Sean Paul is a gifted ophthalmologist who specializes in eyelid surgery. If you‘re seeking eyelid surgery, also known as a blepharoplasty, in Austin, Texas, Dr. Paul is the surgeon for you and your needs.

How does eyelid surgery restore the face?

Our eyes are the first and most important feature that we use to express ourselves. But due to the natural process of aging, genetics, and our exposure to the sun and the elements, our eyes can sometimes deceive those around us. Eye bags, extra eyelid skin, and puffiness around the eyes can lead others to believe we are older, sad, angry, or tired, when in fact we feel quite the opposite. An Austin eyelid surgery (blepharoplasty) can do wonders for restoring a youthful, rested look to the eyes and indeed the entire face.

Woman with brown hair partially covering her face and mouth slightly open

What does eyelid surgery do?

One of our most frequently performed surgical procedures, our Austin double eyelid surgery, is used to remove the fat deposits and loose, drooping skin that forms around the eyelids with age. Heredity factors, smoking, edema from allergies, and sun damage can accelerate these changes. Younger patients also elect to have this procedure done to eliminate puffiness of the eyes from congenital excess fatty tissue.

Blepharoplasty at Austin Face & Body can:

  • Reduce the size of under eye bags
  • Help you look more relaxed, rested, and youthful
  • Improve the shape and visual appearance of the eye
  • Remove dark circles commonly seen under the eyes
  • Remove excess skin from the eyelids that causes “hooding”
  • Improve or eliminate lower eyelid hollowing and a gaunt appearance
  • Reduce the amount and appearance of fine lines and wrinkles at the eye corners and lower eyelid
  • Tackle puffiness in the middle and corner of the eyelids, caused by the herniation (pushing forward) of fat

Eyelid surgery diagram

Before & After

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Surgical details

The anesthesia used during a blepharoplasty in Austin will be tailored to your comfort level and the type of procedure that is being performed. Local anesthesia and oral sedation are often sufficient for an upper eyelid surgery, but if both eyelids are being treated or a combination of procedures is being done (or if the patient prefers deeper sedation), general anesthesia can be used at one of our outpatient surgical centers around the greater Austin area. Eyelid surgery takes about 1 to 2 hours on average when performed as a standalone procedure for both eyes.

Blepharoplasty usually involves the conservative removal of skin and, occasionally, the removal of fat and muscle, through small incisions that are well hidden in natural creases and folds of the eyelid. Visible scarring is minimal. Major complications with blepharoplasty surgery are rare, and the procedure is considered very safe. Dr. Paul is always meticulous with his approach, avoiding the removal of too much skin and fat for a very natural appearance and beautiful, natural results. This procedure is frequently done at the same time as other procedures, such as a face or forehead lift, and can be combined with Botox or cosmetic injectables to smooth skin wrinkles.

Austin Face & Body

Recovery from an Austin blepharoplasty

In most cases, eyelid surgery in Austin is performed on an outpatient basis. Once the anesthesia wears off, you will be able to return home, though you will need someone to drive you because your eyesight will be blurry and your eyes may need to be covered. Following your blepharoplasty, your eyelids will be supported with paper tape to ensure that the tissue heals with the correct contours. Gauze may also be worn over the eyes for up to 3 days. It’s very important to leave these post-surgery coverings in place to ensure a fast recovery and optimal results.

If you have had transconjunctival blepharoplasty, in which the tissues are accessed through an incision behind the lower eyelid, your eyes may not need to be covered following surgery. Typically, the sutures used during eyelid surgery procedures need to be taken out by Dr. Paul a couple of weeks after the procedure. You will be provided eye drops or an ointment to use throughout the recovery period as directed by Dr. Paul. It’s also important to avoid disturbing the eyelid tissues as they heal. This requires keeping your head elevated while sleeping. Any discomfort you feel can be managed with pain medication and cold compresses.

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Will there be scars?

Although every surgical procedure comes with the possibility of scars, visible scars following eyelid surgery are minimized due to the placement of incisions. Because incisions are placed in the natural skin folds or sometimes behind the eyelid, they should not result in obvious scarring. Over time, any scars you see will fade into the surrounding skin. If the patient prefers, Dr. Paul can also recommend topical treatments or serums which can further reduce scarring in the treatment areas.

Dr. Sean Paul

Am I a candidate for eyelid surgery?

Most patients who come to us for eyelid surgery in Austin are over 30 years old; however, adults of any age can have the procedure. Eyelid surgeries are a popular choice for individuals looking to reduce signs of aging, particularly droopy eyelids or under-eye bags. Although most candidates choose eyelid surgery for cosmetic reasons, it is also a functional surgery performed to remove sagging eyelid skin that interferes with vision.

You are a good candidate if you:

  • Are healthy with no medical issues
  • Are a non-smoker
  • Have excessive drooping or sagging around the eyes
  • Would like your eyes and upper face to look more youthful 

You are not a good candidate if you:

  • Have serious eye or medical conditions (glaucoma, diabetes, etc.)
  • Have unrealistic expectations about what the procedure can accomplish
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Your eyelid surgery consultation

During your initial consultation with Dr. Paul, he will discuss your cosmetic concerns and your goals for the procedure. He will also carefully evaluate your medical history, noting any prior history of eyelid surgery, dry eyes, or the use of blood thinners.

He will also pay special attention to the surrounding anatomic structures such as the eyelids themselves, the cheeks, and the strength of the lower eyelid muscles. This will help him determine if you are an appropriate candidate, and decide upon the best techniques for your particular case. If you're interested in a blepharoplasty in Austin, please contact us.

Elegant woman with a serious facial expression and bare shoulders

Alternatives and additional options

Other treatments may also need to be considered. If the conditions affecting the eyelid are accompanied by sagging of the eyebrows, a brow lift may be recommended. Smoothing of the crow’s feet may be accomplished with Botox®, Dysport®, or a chemical peel. For dark circles under the eyes, alternatives to surgery include dermal fillers. Juvederm® and Restylane® are also two great options we use at Austin Face & Body to improve the appearance of sunken eyes or dark circles, as well as hollowing of the cheeks. Dr. Paul and his skilled team will be happy to provide further information if you have an interest in any of these additional procedures.

AccuTite for eyelid treatment

If you’re interested in treating your eyelids with a non-surgical alternative, we also offer AccuTite™, a brand new radiofrequency energy treatment that addresses smaller areas of the face and body. 

These small, delicate areas have been very difficult to treat in the past. This highly effective skin tightening technology reduces the fat that causes the eyelids to appear puffy or swollen, and tightens the skin as well. If you would like to learn more about AccuTite, please let us know.

Festoon repair

Festoons, or malar mounds, are caused by a structural issue underneath the eyelid’s surface. They are characterized by skin folds and swelling of the lower eyelid and cheek area, and can make you appear aged, sick, or tired—even when you’re not. 

Festoons can be confusing to those who have them because they tend to change in severity. This fluctuation in swelling and puffiness is caused by a gap in the skin layers that comes from damage to the elastic fibers in the skin.

Festoon repair is performed in our office under local anesthesia, and is  It is often combined with a lower eyelid blepharoplasty.

Austin Face & Body

Eyelid surgery revision in Austin

Many individuals decide to undergo an eyelid revision surgery because they are dissatisfied with the shape or contouring from a previous eyelid surgery. They may also have more visible scarring than they expected, they may not be able to fully close their eyes or blink, or their eyes may be noticeably asymmetrical due to their past eyelid surgery. 

An eyelid revision surgery may also be needed if the first operation was performed a long time ago and its results are now fading. If you are experiencing complications from any kind of eyelid surgery that was performed more than six months ago and are considering a eyelid revision surgery in Austin, please contact Dr. Paul. 

Schedule a consultation with us

If you’re interested in eyelid surgery or eyelid surgery revision in Austin, please schedule a consultation with Dr. Sean Paul at Austin Face & Body. Dr. Paul is a high-end oculoplastic surgeon, specializing in the eyelids and the structures surrounding the eye. He has also been hailed as an innovator in aesthetics of the eyes. To learn more or schedule an appointment, please call 512-559-3544 or contact us online.

Is eyelid surgery covered by insurance?

If certain medical conditions are present, as opposed to purely cosmetic concerns (such as the eyelids drooping significantly enough that it interferes with your vision, or the presence of inflammation in certain parts of the eye and eyelid), a blepharoplasty may be fully or partially covered by insurance. If you have questions about insurance or financing, we are happy to discuss this with you during your consultation.

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