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Upper Blepharoplasty in Austin

Dr. Sean Paul is a gifted ophthalmologist in Austin, Texas who specializes in the area of eyelid surgery. If you‘re seeking an upper eyelid surgery in Austin, Dr. Paul is the surgeon for you and your needs.

How does upper eyelid surgery restore the face?

Our eyes are the first and most important feature that we use every day to express ourselves. However, due to aging and/or heredity, 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 sad, angry, or tired, when in fact we feel quite the opposite. An Austin upper eyelid surgery (upper blepharoplasty) can do wonders for restoring a youthful, rested look to your entire face.

Upper Blepharoplasty Austin TX

What does upper 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 upper eyelids with age. Heredity, 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.

Our Austin upper blepharoplasty can improve:

  • Excess skin on the upper eyelid, often called “hooding” 
  • Puffiness in the inner corner and middle of the upper eyelid caused by herniation (pushing forward) of fat

Before & After

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Surgical details

The anesthesia used during your upper blepharoplasty in Austin will be tailored to your comfort level and the type of procedure(s) that are being performed. If only upper blepharoplasty is being performed, local anesthesia with oral sedation is an excellent option; however, if the  upper blepharoplasty is being combined with other procedures (or if the patient prefers), general anesthesia can be used at one of our outpatient surgical centers around the greater Austin area. Eyelid surgery takes about one to two hours on average when performed as a standalone procedure for both eyes.

Upper blepharoplasty usually involves the conservative removal of skin and occasionally muscle and fat of the upper eyelid, and is performed through small incisions in the upper eyelid crease. Scarring is minimal for both techniques, as the incisions are small and hidden within the eyelids and eyelashes. 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 results. This procedure is frequently done at the same time as other procedures, such as a lower eyelid blepharoplasty, facelift or forehead lift, and can be combined with Botox or cosmetic injectables to smooth skin wrinkles.

Recovery from an Austin upper 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, although you will need someone to drive you because your eyesight will be blurry and your eyes may need to be covered. Following your upper 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 three 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 the eyelid surgery procedure need to be taken out by Dr. Paul a couple of weeks after the procedure. During the eyelid surgery recovery period, use eye drops or ointments 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 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.

Am I a candidate for upper eyelid surgery?

Most patients who come to us for upper 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 upper eyelid skin that interferes with vision.

You are a good candidate if you:

  • Healthy with no medical issues
  • A non-smoker
  • Have excessive drooping or sagging around the eyes

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

Your upper eyelid surgery consultation

During your initial consultation with Dr. Paul, he will discuss your concerns. 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 upper eyelids, cheeks, as well as the strength of the lower eyelid muscles. This will help him determine if you are an appropriate candidate, and the best techniques for you. If you're interested in an upper blepharoplasty in Austin, please contact us. 

Eyelid Surgery Revision Austin

Alternatives and additional options

Other treatments may also need to be considered. If the upper eyelid condition is 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.

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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 an upper 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.

Upper eyelid surgery and insurance

When drooping of the upper lids interferes with your vision, an Austin upper blepharoplasty may sometimes be partially or fully 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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