Eyelid Surgery (Blepharoplasty) in Houston, TX
Premier Plastic Surgery offers eyelid surgery by accomplished plastic surgeon Christopher Hankins, MD to enhance your appearance and help build your confidence. Dr. Hankins and his dedicated staff are lifting spirits along with droopy eyelids all over South Houston, including Houston, Pearland, Lake Jackson, TX.
What is Blepharoplasty (Eyelid Surgery)?
Blepharoplasty is a surgical procedure used to remove excess fat and improve the appearance of loose skin. Excess skin and dark circles surrounding the upper and lower eyelids can cause someone to look old, tired, or angry. Eyelid surgery is a commonly sought-after procedure for individuals with excess eyelid skin or orbital fat. Blepharoplasty can reduce the appearance of fine lines and dark under-eye circles. The surgery can also help to improve your vision and provide a refreshed appearance.
Blepharoplasty Case 1
About Eyelid Surgery
The occurrence of bags under the eyes or bulging and redundancy of the upper and lower eyelids is multi-factorial. First are the effects of solar exposure which results in crow’s feet, dark circles, and sagging upper eyelids.
Loss of elasticity of the orbital septum that contains the intra-orbital fat can result in the appearance of excess skin in the lower eyelids.
Descent of the malar fat pad of the mid-face results in apparent excess fat of the lower eyelids and loss of soft tissue coverage of the lower orbital bony rim, which commonly becomes noticeable in middle age. Concurrently, there is an enlargement of the orbit due to the resorption of bone as part of the aging process.
Lastly, a generalized loss of fatty tissue of the face results in a deflationary effect of the mid-face, accentuating the effects of malar fat pad descent.
What Are the Benefits of Eyelid Surgery?
The malar fat pad can be accessed thru a lower blepharoplasty incision. Elevation of the malar fat to correct its descent, malar (cheek) implants to further augment the mid-face, or fat grafting are surgical techniques that may be necessary to counteract the deflationary effects of generalized fat loss of the face as noted above.
Mid-facial augmentation may also be beneficial if the mid-face is recessed behind the vector of the cornea of the eye, a so-called negative vector mid-face. The mid-face is also augmented by a high lamellar SMAS lift.
In younger patients with bulging of the lower eyelids, but without excess skin, it is possible that simple removal of the apparent excess fat by a transconjunctival lower lid blepharoplasty may be sufficient to correct the deformity.
In older patients, the skin of the lower eyelids usually suffers from loss of elasticity from solar elastosis, requiring reconstructive surgery and lower eyelid rejuvenation. Skin resurfacing from either a chemical peel or laser treatment may help in part to correct the damage inflicted by the sun.
When there is skin laxity of the lower eyelids that can be demonstrated by a snap test or by the visibility of the sclera between the iris and the lower eyelids, the eyelid should be tightened using either a lateral canthopexy or a lateral canthoplasty.
In the surgical technique of a canthopexy, the lateral canthal ligament is tightened, whereas, in a canthoplasty, the lower division of the lateral canthal ligament is divided and reattached to the thickened periosteum of the orbital rim known as the arcus marginalis. In some cases, a small length of the lower tarsal plate is denuded of mucosa and skin, which is then directly attached to the orbital rim, known as a tarsal strip procedure.
In most cases of lower eyelid blepharoplasty, it is prudent to incorporate either a canthopexy or canthoplasty as a preventative measure against possible complications postoperation.
In an examination of the upper eyelid, it is vitally important to distinguish between excess skin of the upper eyelid or ptosis of the brow. The eyebrow normally sits at the level of the upper bony rim of the orbit with the outer or lateral third of the brow in women projecting slightly above the rim. If this is not the case, correction of the brow via upper eyelid surgery is vitally important to creating the natural contours of their desired facial structure.
What many plastic surgeons will not tell the patient is that the frontalis muscle, the muscle that elevates the brows, may be in spasm in the case of brow ptosis to maintain the field of vision. When the obstructing skin is removed in an upper lid blepharoplasty, the frontalis muscle will relax, and result in settling of the brows to a lower position than was present preoperatively. It may be necessary to perform both a brow lift and/or an upper blepharoplasty as required to obtain the optimum result.
Blepharoplasty Testimonials
I was very happy with my results. I did an eyelid surgery. It all went smoothly and as planned. I would recommend Dr Hankins, he was a perfectionist!!!
How much does eyelid surgery cost? Premier Plastic Surgery proudly offers financing options for our patients – call our office for pricing information.
Sometimes drooping eyelids are a cosmetic annoyance, making you feel older than your years when you see your reflection. Other times, the need for eyelid surgery is to make the lid more functionally useful, such as when the drooping begins to impede your vision. Tell your doctor about any previous surgeries at your consultation. To find out more about how blepharoplasty may benefit you, contact us to set up a free consultation. We’re delighted to serve men and women in Houston, Pearland, Lake Jackson, and the nearby communities of South Houston.
Eyelid Surgery (Blepharoplasty) in Houston, TX
Premier Plastic Surgery offers eyelid surgery by accomplished plastic surgeon Christopher Hankins, MD to enhance your appearance and help build your confidence. Dr. Hankins and his dedicated staff are lifting spirits along with droopy eyelids all over South Houston, including Houston, Pearland, Lake Jackson, TX.
What is Blepharoplasty (Eyelid Surgery)?
Blepharoplasty is a surgical procedure used to remove excess fat and improve the appearance of loose skin. Excess skin and dark circles surrounding the upper and lower eyelids can cause someone to look old, tired, or angry. Eyelid surgery is a commonly sought-after procedure for individuals with excess eyelid skin or orbital fat. Blepharoplasty can reduce the appearance of fine lines and dark under-eye circles. The surgery can also help to improve your vision and provide a refreshed appearance.
About Eyelid Surgery
The occurrence of bags under the eyes or bulging and redundancy of the upper and lower eyelids is multi-factorial. First are the effects of solar exposure which results in crow’s feet, dark circles, and sagging upper eyelids.
Loss of elasticity of the orbital septum that contains the intra-orbital fat can result in the appearance of excess skin in the lower eyelids.
Descent of the malar fat pad of the mid-face results in apparent excess fat of the lower eyelids and loss of soft tissue coverage of the lower orbital bony rim, which commonly becomes noticeable in middle age. Concurrently, there is an enlargement of the orbit due to the resorption of bone as part of the aging process.
Lastly, a generalized loss of fatty tissue of the face results in a deflationary effect of the mid-face, accentuating the effects of malar fat pad descent.
What Are the Benefits of Eyelid Surgery?
The malar fat pad can be accessed thru a lower blepharoplasty incision. Elevation of the malar fat to correct its descent, malar (cheek) implants to further augment the mid-face, or fat grafting are surgical techniques that may be necessary to counteract the deflationary effects of generalized fat loss of the face as noted above.
Mid-facial augmentation may also be beneficial if the mid-face is recessed behind the vector of the cornea of the eye, a so-called negative vector mid-face. The mid-face is also augmented by a high lamellar SMAS lift.
In younger patients with bulging of the lower eyelids, but without excess skin, it is possible that simple removal of the apparent excess fat by a transconjunctival lower lid blepharoplasty may be sufficient to correct the deformity.
In older patients, the skin of the lower eyelids usually suffers from loss of elasticity from solar elastosis, requiring reconstructive surgery and lower eyelid rejuvenation. Skin resurfacing from either a chemical peel or laser treatment may help in part to correct the damage inflicted by the sun.
When there is skin laxity of the lower eyelids that can be demonstrated by a snap test or by the visibility of the sclera between the iris and the lower eyelids, the eyelid should be tightened using either a lateral canthopexy or a lateral canthoplasty.
In the surgical technique of a canthopexy, the lateral canthal ligament is tightened, whereas, in a canthoplasty, the lower division of the lateral canthal ligament is divided and reattached to the thickened periosteum of the orbital rim known as the arcus marginalis. In some cases, a small length of the lower tarsal plate is denuded of mucosa and skin, which is then directly attached to the orbital rim, known as a tarsal strip procedure.
In most cases of lower eyelid blepharoplasty, it is prudent to incorporate either a canthopexy or canthoplasty as a preventative measure against possible complications postoperation.
In an examination of the upper eyelid, it is vitally important to distinguish between excess skin of the upper eyelid or ptosis of the brow. The eyebrow normally sits at the level of the upper bony rim of the orbit with the outer or lateral third of the brow in women projecting slightly above the rim. If this is not the case, correction of the brow via upper eyelid surgery is vitally important to creating the natural contours of their desired facial structure.
What many plastic surgeons will not tell the patient is that the frontalis muscle, the muscle that elevates the brows, may be in spasm in the case of brow ptosis to maintain the field of vision. When the obstructing skin is removed in an upper lid blepharoplasty, the frontalis muscle will relax, and result in settling of the brows to a lower position than was present preoperatively. It may be necessary to perform both a brow lift and/or an upper blepharoplasty as required to obtain the optimum result.
Blepharoplasty Testimonials
I was very happy with my results. I did an eyelid surgery. It all went smoothly and as planned. I would recommend Dr Hankins, he was a perfectionist!!!
How much does eyelid surgery cost? Premier Plastic Surgery proudly offers financing options for our patients – call our office for pricing information.
Sometimes drooping eyelids are a cosmetic annoyance, making you feel older than your years when you see your reflection. Other times, the need for eyelid surgery is to make the lid more functionally useful, such as when the drooping begins to impede your vision. Tell your doctor about any previous surgeries at your consultation. To find out more about how blepharoplasty may benefit you, contact us to set up a free consultation. We’re delighted to serve men and women in Houston, Pearland, Lake Jackson, and the nearby communities of South Houston.
