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Restore your youthful appearance with eyelid surgery

Cosmetic eyelid surgery or blepharoplasty is the surgical removal of excess skin and fat of the upper and/or lower eyelid. By removing excess skin from the eyelids and getting rid of the “bags” around the eyes, a refreshed, well-rested, and younger appearance is created.

Eyelid surgery in San Antonio is the most comprehensive and definitive way of treating wrinkles, excess skin, and puffiness around the eyes seen in aging and is performed regularly by the plastic surgeons at Hill Country Plastic Surgery.

Blepharoplasty Introduction

Dr. Shah & Dr. Farber discusses Blepharoplasty
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Why choose the surgeons at Hill Country Plastic Surgery?

Our plastic surgeons at Hill Country Plastic Surgery are New York University fellowship-trained and board certified. As leaders in the field of plastic surgery, they have years of extensive and intensive training in the field of facial plastic surgery. Our surgeons are experts in restoring eyelid contours that look natural and young – never overdone and believe that each face requires an individualized approach to achieve superior results. We understand the relationship between patient and surgeon is of the highest importance, and we pride ourselves on our communication and thorough understanding of each patient's needs, especially regarding their blepharoplasty in San Antonio

Why is it important to choose an experienced facial plastic surgeon for my blepharoplasty?

At Hill Country Plastic Surgery, our experienced surgeons recognize that each face requires an individualized approach to restore the appearance of youth and use a wide variety and combination of techniques to achieve this goal. In the end, you will have the most natural-looking results that celebrate your true beauty.

Because eyelid surgery can create such dramatic results, it is essential to work with a plastic surgeon with experience and a thorough knowledge and understanding of facial anatomy.

What makes me a good candidate for eyelid surgery (blepharoplasty)?

  • Excess fat in the upper eyelid giving a “puffy” appearance
  • Loose and crepey skin that hangs down and disturbs the youthful contour of your upper eyelid. It may even affect your vision
  • Excess skin and wrinkling of the lower eyelid
  • Sagging of the lower eyelid
  • Bags or puffiness around the lower eyelids
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What are some benefits of eyelid surgery (blepharoplasty)?

A blepharoplasty is ideal for anyone looking to refresh and enhance their eye shape. It can:

  • Eyelid surgery removes excess skin around the eyes, recontouring and refreshing the appearance of the upper and lower eyelids. 
  • By removing or replacing fat, tired looking eyes that have dark circles or bags can be rejuvenated to a well-rested appearance that can make patients look much more youthful.
  • Correct hooded and sagging skin, puffy eyes, and create an ideal double upper eyelid shape. 
  • The plastic surgeons at Hill Country Plastic Surgery use advanced techniques to preserve distinct ethnic anatomical features to provide a more alert and rejuvenated postoperative appearance without altering the fundamental characteristics that contribute to your unique look and identity.

Before & After

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How is an eyelid lift (blepharoplasty) performed?

An eyelid lift or blepharoplasty can be performed under general anesthesia or with light sedation and local anesthesia. The upper or lower eyelids can be treated individually, or they can be treated together to address the signs of aging. Dr. Farber or Dr. Shah will help you determine which eyelid surgery in San Antonio will work best for you.

  • The incisions are placed in the natural creases and lines, where they are well concealed once they heal. Some patients may be candidates for a transconjunctival approach, which allows the surgeon to access the fat without a skin incision at all. 
  • The incision is made inside the eyelid. In some instances, an eyelid tightening procedure may be necessary if the lower eyelids are loose or sagging. 
  • The length of the procedure can vary based on the extent of the correction needed, but it generally takes between one to two hours to complete. Blepharoplasty can be performed in conjunction with other facial procedures, such as a facelift or brow lift.

What should I expect during the recovery period?

You should not experience much pain following surgery, but it is normal to experience some bruising and swelling. Using an ice pack will help reduce this. Most people can resume normal activities within a few days, begin to wear makeup after one week, and can resume social activities in two weeks. We recommend waiting one week before performing any activities which may strain your eyes such as reading or focusing on a screen. It is normal to have some blurriness or visual changes, and that may take a few days to subside.

View Our Pre & Post-Op Instructions

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What to expect during my consultation visit?

Prior to your consultation, we recommend that you review the procedures on our website so you are familiar with the terms we will be using during our discussion. During your initial consultation with your surgeon at Hill Country Plastic Surgery:

  • We will discuss your concerns and goals before recommending treatment options that are tailored specifically to your needs.
  • Once we identify your concerns and surgical goals, we will discuss all treatment options that are available to you. 
  • Every patient is unique, and we will develop a tailored surgical plan that addresses your specific goals. 
  • In addition, we will thoroughly review your medical history, surgical history, medications, allergies, family medical history, and other important details such as your family breast cancer history.
  • It is very important that we obtain accurate information in all areas, as it may impact the outcome of your surgery. 
  • If you have any prior breast imaging, please send it to the office prior to your appointment.
  • While discussing different treatment options, we will perform a physical exam and take measurements that are necessary for planning for your surgery. 
  • Pre-operative (before surgery) photos will be taken either at your initial consultation or during your pre-operative visit.

What should I expect after my consultation?

  • You will receive access to your notes on the patient portal in addition to information about your specific surgery. If you have not activated your patient portal, this can be done at your appointment by asking any of our staff to assist you.
  • If you have questions after your appointment, you can contact our office or message us through the patient portal. Some patients will require medical clearance from their primary care physician or a specialist or additional tests before undergoing surgery.
  • Once you have determined that you would like to have surgery and have completed any clearances and tests that were requested, contact our office at (210) 658-3555 to schedule a pre-operative appointment with one of our surgeons.
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Eyelid Surgery (Blepharoplasty) FAQ

What is upper blepharoplasty?

What is a lower blepharoplasty?

Are the results permanent?

What is the bulging in the lower eyelid that causes "bags"?

I have dry eyes; can I undergo eyelid surgery?

When can I wear glasses or contact lenses after eyelid surgery?

What is upper blepharoplasty?

An upper blepharoplasty or eyelid lift is a procedure to rejuvenate the upper eyelid by restoring the natural contours of youth. The procedure removes extra skin and fat in the upper eyelid region.

What is a lower blepharoplasty?

A lower blepharoplasty or eyelid lift is a surgical procedure that removes extra fat and skin from the lower eyelids. This can refresh the “tired” puffy eyes that typically are a result of aging.

Are the results permanent?

The results will last a long time, however aging still occurs and you may need a repeat of the procedure years down the road. This all varies patient to patient.

What is the bulging in the lower eyelid that causes "bags"?

The bags under the eyes are caused by your normal fat that bulges out with age. The procedure can either remove or reposition the fat to restore a smooth, youthful contour.

I have dry eyes; can I undergo eyelid surgery?

Patients with severe dry eye are not recommended to undergo elective eyelid surgery because the condition may worsen. For mild amounts of dry eye, patients are advised to use artificial tears or eye drops frequently after surgery.

When can I wear glasses or contact lenses after eyelid surgery?

Patients can wear glasses right away if they do not rub against suture lines or affect the incisions. We recommend 1 week before resuming contact lens use.


Are you interested in learning more about this procedure? To schedule a consultation, please contact us. Hill Country Plastic Surgery is the premier plastic surgery center in the San Antonio area, and our friendly team members are here to help you and will reach out promptly.

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