Houston & Pearland, TX

Eyelid Surgery

Introduction to Eyelid Surgery

Dr. Hankins and his dedicated staff are lifting spirits and droopy eyelids all over Houston, Pearland, and Lake Jackson, TX. 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 on the face results in a deflationary effect of the mid-face, accentuating the impact of malar fat pad descent—the result is eyes that have you looking exhausted all day long. 

Premier Plastic Surgery offers eyelid surgery to enhance your appearance, eliminate droopy eyes, and help build confidence. Dr. Hankins and our dedicated staff are revitalizing droopy eyelids all over the great state of Texas. Your eyes are next up for a refresh.


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What is Eyelid Surgery?

Eyelid Surgery, also known as 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 in Houston 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, and this surgery can also help improve your vision and provide a refreshed appearance.

  • Upper Eyelid Surgery: Upper eyelid surgery, also known as blepharoplasty, is designed to remove excess skin and fat from the upper eyelids, enhancing the eye’s appearance and reducing signs of aging. By addressing droopy eyelids and improving the overall contour of the eyes, this surgery can help create a more youthful, refreshed look.
  • Lower Eyelid Surgery: Lower eyelid surgery, or lower blepharoplasty, targets under-eye bags and sagging skin to create a smoother, more youthful appearance. This procedure can reduce puffiness, eliminate dark circles, and tighten the lower eyelid area for a rejuvenated look.

What are the Benefits of Eyelid Surgery?

Blepharoplasty in Houston offers numerous patient benefits that enhance appearance and functionality. It can rejuvenate the eye area with perks such as: 

  • Reduces puffiness and bags under the eyes
  • Eliminates excess skin that can obstruct vision
  • Tightens and smooths the skin around the eyes
  • Diminishes fine lines and wrinkles
  • Enhances the overall appearance of the eyes
  • It provides a more youthful and refreshed look
  • Improves self-confidence and facial aesthetics

Additional Benefits:

The malar fat pad can be accessed through a lower blepharoplasty incision. Elevation of the malar fat to correct its descent, malar (cheek) implants to augment the mid-face, or fat grafting further 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. A high lamellar SMAS lift can also augment the mid-face.

In younger patients with bulging lower eyelids but without excess skin, it is possible that a transconjunctival lower lid blepharoplasty may be sufficient to correct the deformity by simply removing the apparent excess fat.

In older patients, the skin of the lower eyelids usually suffers from elasticity loss from solar elastosis, requiring reconstructive surgery and lower eyelid rejuvenation. Skin resurfacing from either a chemical peel or laser treatment may 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 and 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 examining the upper eyelid, it is vitally important to distinguish between excess skin of the upper eyelid or ptosis of the brow. The eyebrow sits typically 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 vital to creating the natural contours of their desired facial structure.

Many plastic surgeons do not tell the patient that the frontalis muscle, which elevates the brows, maybe spasmed 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, settling the brows to a lower position than was present preoperatively. To obtain the optimum result, it may be necessary to perform both a brow lift and an upper blepharoplasty.

Who are the Best Candidates for Eyelid Surgery?

The best candidates for eyelid surgery are individuals in Houston, Pearland, and Lake Jackson who have good overall health and realistic expectations about the procedure’s outcomes. Ideal candidates typically experience issues such as:

  • Drooping or sagging upper eyelids
  • Puffiness or bags under the eyes
  • Excess skin on the upper or lower eyelids
  • Impaired vision due to drooping eyelids
  • Fine lines and wrinkles around the eyes
  • A desire for a more youthful and refreshed appearance
woman with crossed fingers Houston & Pearland | Premier Plastic Surgery

Eyelid Surgery First Step

What’s the
first step?

The first step in pursuing eyelid surgery in Houston is quite frankly the easiest. All you need to do is schedule a consultation with Dr. Hankins at Premier Plastic Surgery. During this consultation, Dr. Hankins will evaluate your eyelids, discuss your goals and expectations, and determine if you are a suitable candidate for the procedure. This personalized approach ensures that you receive expert advice and a tailored treatment plan to achieve the best possible results.

What to Expect on the Day of Eyelid Surgery

On the day of your eyelid surgery at Premier Plastic Surgery in Houston, you can expect a welcoming and comfortable environment. After arriving at the clinic, hang your hat and greet our friendly staff. Once settled in, you can expect a comprehensive and personalized approach to address upper and lower eyelids if needed. Here’s what you can anticipate for each:

Upper Eyelid Surgery: Depending on your preference and Dr. Hankins’ recommendation, you will be administered either local anesthesia with sedation or general anesthesia.

Dr. Hankins will then make discreet incisions along the natural creases of your upper eyelids to minimize visible scarring. Excess skin, muscle, and fat will be removed or repositioned for a more youthful and rejuvenated appearance. Once the necessary adjustments are made, the incisions will be carefully closed with sutures or surgical adhesive. 

Lower Eyelid Surgery: Similar to upper eyelid surgery, you will receive either local anesthesia with sedation or general anesthesia. Dr. Hankins may make incisions along the lower lash line or inside the lower eyelid to access the underlying tissues. Excess fat may be repositioned or removed depending on your specific concerns to reduce puffiness and under-eye bags. Dr. Hankins will tighten the skin and underlying tissues to smooth out wrinkles and fine lines. The incisions will be meticulously closed with sutures or surgical adhesive to promote optimal healing.

Dr. Hankins and his team will prioritize your safety, comfort, and aesthetic goals throughout upper and lower eyelid surgeries, ensuring a positive surgical experience and beautiful results.

Eyelid Surgery Recovery

Following eyelid surgery in Houston, patients typically experience swelling, bruising, and mild discomfort around the eyes. To aid in recovery, it’s essential to rest with the head elevated, apply cold compresses, and adhere to any prescribed medication or eye care regimen.

If used, sutures are usually removed within one to two weeks, and a gradual return to normal activities is encouraged. While full results may take several weeks, regular follow-up appointments with our team will help monitor progress and ensure optimal healing.

Eyelid Surgery Cost

How much does Eyelid Surgery cost in Houston, TX?

The cost of eyelid surgery in Houston, TX, can vary depending on factors such as the extent of the procedure and your specific eye condition. It’s essential to consult with our team for a personalized assessment and accurate pricing information tailored to individual needs. We aim for you to see clearly, understand the pricing, and plan ahead with clarity. 

Why Choose Dr. Hankins?

Choose Dr. Hankins for your Eyelid Surgery in Pearland and the surrounding Houston area because he sets the bar in Texas – and in Texas, we do things with confidence and stride. With a commitment to patient-centered care, Dr. Hankins evaluates each patient comprehensively, ensuring treatments align with their best interests. A plastic surgeon specializing in face, breast, and body aesthetic surgery, Dr. Hankins brings extensive training in hand surgery and breast reconstruction after cancer. With five plastic surgery fellowships under distinguished mentors in the US and UK, including at Baylor College of Medicine and the University of Alabama at Birmingham, Dr. Hankins is dedicated to delivering exceptional results. He earned his medical degree from the University of Texas (Hook them Horns!) In the medical branch at Galveston, he completed rigorous training in general surgery and anatomic and clinical pathology. He’s the surgeon you’ve been looking for, and I can’t wait to meet you. 

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Eyelid Surgery FAQ’S

Schedule a Consultation

If you are tired of your sagging, droopy eyes and want to turn back time, contact Premier Plastic Surgery today for a free consultation! We’re happy to discuss all your options so you can make a well-informed decision. Call (713) 370-4433 or come by in person today. Our offices proudly serve residents in Houston, Pearland, Lake Jackson, and the surrounding areas of South Houston.

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