Eyelid Surgery San Antonio: The Complete Guide

Imagine waking up every morning feeling tired and looking older than you are, all because of your drooping eyelids. Now imagine undergoing a transformation that not only rejuvenates your appearance but also improves your vision. This is the power of eyelid surgery. In this comprehensive guide, we will explore the world of eyelid surgery offered at LASIK San Antonio, covering everything from understanding the procedure and its types, to finding the right surgeon, and managing recovery and aftercare. Let’s dive in!

Understanding Eyelid Surgery


Eyelid surgery blepharoplasty allows you to combat the signs of aging. It does this by removing excess skin, repositioning fat, and, where necessary, tightening loose muscles. These eyelid procedures rejuvenate your look by firming and tightening the skin around the upper or lower eyelids. Moreover, for those who have impaired vision due to heavy, droopy upper lids, eyelid surgery can significantly improve their vision.

Types of Eyelid Surgery

There are mainly two types of eyelid surgery, including:

Upper blepharoplasty or eyelid lift: this procedure involves the removal of excess skin and fat from the upper eyelid, improving the patient’s field of vision and giving a more youthful appearance. The incision is made in the natural crease of the upper eyelid, ensuring a well-hidden scar when healed.

Lower blepharoplasty: focuses on the lower eyelid, removing excess skin and fat to reduce under-eye bags and improve the overall appearance of the lower eyelid area.

Common Eyelid Issues Addressed

Blepharoplasty can tackle multiple problems contributing to an aged or tired look. Drooping eyelids, under-eye bags, and wrinkles around the eyes are common concerns that can be effectively tackled through surgical intervention. By removing excess skin and fat, as well as tightening underlying muscles, patients can achieve a more youthful and refreshed appearance.

Beyond cosmetic enhancements, blepharoplasty also offers functional benefits. For example, patients who have impaired vision due to heavy, droopy upper lids may experience a significant improvement in vision after the procedure. This showcases the versatility of blepharoplasty, effective in handling both aesthetic and functional issues.

Finding the Right Surgeon

eye Surgeon

Selecting the appropriate surgeon is key to obtaining optimal results. There are several factors to consider when selecting a surgeon, such as:

Board certification: This is proof of a physician’s proficiency in advanced knowledge and skills in a particular specialty, signifying their dedication to uphold the highest standards of professionalism and patient care.

Experience: It is important to choose a surgeon who has extensive experience in performing blepharoplasty procedures.

Consultation process: A good surgeon will take the time to thoroughly evaluate your needs and goals, and provide you with all the information you need to make an informed decision.

By considering these factors, you can ensure that you will choose a skilled and qualified surgeon for your blepharoplasty procedure.

Beyond board certification, assessing a surgeon’s experience and standing in performing blepharoplasty is vital. A surgeon with a proven track record of successful eyelid surgeries will be better equipped to handle the delicate nature of the procedure and ensure a smooth recovery process.

You should also consider the consultation process with one of our LASIK San Antonio Eye experts, who will provide an opportunity to discuss your goals, understand risks and benefits, and work with you to create a personalized treatment plan.

Consultation Process

During your blepharoplasty consultation, you and one of our experts will work together to formulate a tailored treatment plan. The consultation typically involves a physical examination to assess your candidacy for the procedure, a discussion of your goals, and a review of the associated risks and benefits. This is your opportunity to ask any questions you may have and gain a thorough understanding of the procedure and what to expect during recovery.

Coming prepared for your consultation is crucial. Be ready to discuss your medical history, current medications, and your desired results from the surgery. Your surgeon will provide you with detailed information on the procedure, including the type of anesthesia used, the surgical technique, and the expected recovery timeline.

​​​​​​​Based on the information gathered during the consultation, we will tailor a treatment plan that best meets your needs and goals.

Preparing for Your Eyelid Surgery

eye surgery prep
Preparing for Your Eyelid Surgery

Certain preparations are necessary before undergoing blepharoplasty to ensure a successful result. Your surgeon will provide you with preoperative instructions, which may include:

  • Preparing for Your Eyelid Surgery

  • Refraining from smoking

  • Reducing alcohol consumption

  • Showering and shampooing the day of the procedure

It is important to follow these instructions to minimize the risk of complications during or after the surgery.

Beyond these general preparations, specific types of blepharoplasty, like upper or lower eyelid surgery, may have further requirements. It’s important to discuss any additional preparations with your surgeon during the consultation process so that you are fully informed and prepared for the procedure.

Day of Surgery Preparation

Several important steps should be taken on the day of your blepharoplasty to ensure your safety and comfort during the procedure. First and foremost, adhere to your surgeon’s instructions regarding medications, which may include discontinuing certain medications, such as blood thinners, aspirin, or ibuprofen.

Furthermore, you should arrive at the surgical center well-rested, wearing comfortable clothing. Refrain from wearing:



Contact lenses

Any other accessories that could interfere with the surgery or recovery process.

Lastly, ensure you have someone available to transport you to and from the surgery center, as well as to stay with you for the initial 24 hours post-surgery.

The Eyelid Surgery Procedure

Eyelid Surgery Procedure

Blepharoplasty is a delicate and complex plastic surgery procedure requiring the expertise of a capable surgeon. During the surgery, your surgeon will utilize incisions to firm up tissues, eliminate skin, and adjust fat deposits, as required. The incisions are then carefully sutured closed to ensure optimal healing and minimal scarring. The procedure typically takes less than two hours to complete and is generally performed with local anesthesia for patient comfort.

It’s important to recognize that blepharoplasty uses different strategies for the upper and lower eyelids, each with its distinct techniques and benefits. Let’s take a closer look at both the upper and lower eyelid surgery techniques.

Upper Eyelid Surgery Technique

Upper blepharoplasty involves:

  • Removing excess skin, fat, and muscle from the upper eyelids

  • Making the incision in the natural crease of the upper eyelid to keep the scar hidden when healed

  • Carefully removing the excess skin, muscle, and fat deposits

  • Resulting in a smoother and more contoured eyelid

This procedure yields a more youthful and refreshed look by helping to remove excess skin.

As part of the preparation process for upper eyelid surgery, patients should:

Discontinue blood thinners

Abstain from smoking

Reduce alcohol consumption

Shower and shampoo the day of the procedure

Following these guidelines will help ensure a successful outcome and a smooth recovery.

Lower Eyelid Surgery Technique

Lower Eyelid Surgery Technique

Lower blepharoplasty is aimed at tackling problems with the lower eyelids, such as excess skin and bags. Surgeons can accomplish this through a tiny incision below the eyelashes and removing the excess fatty tissue. With adequate wound closure, scarring is minimal.

During lower eyelid surgery, the surgeon carefully removes excess fat and skin, and then sutures the incision closed. This results in a more youthful and refreshed appearance, with minimal scarring and a smooth recovery process.

Recovery and Aftercare

surgery Recovery

Recovering from blepharoplasty, also known as eyelid surgery recovery, is typically straightforward, with the majority of people getting back to their routine activities within a week. The majority of swelling subsides after 3 days, while the bruising may last for up to two weeks.

To facilitate a smooth recovery, you should adhere to your surgeon’s postoperative care instructions. These instructions may include elevating the head, applying cold compresses to reduce swelling and bruising, and taking prescribed pain medication for pain management.

Additionally, patients should avoid wearing contact lenses or eye makeup until they have been cleared by their surgeon. It is not uncommon for patients to experience transient dry eye during the recovery period. During this time, artificial tears will be recommended. Treatment with anti-inflammatory drops may be indicated if the patient experiences conjunctival edema after surgery. This is not very common.

Immediate Postoperative Care

Immediately following your blepharoplasty, your focus should be on managing pain and minimizing swelling and bruising. Maintaining a head-elevated position and applying cold compresses can help with this. Additionally, your surgeon will prescribe pain medication to ensure your comfort during the initial stages of recovery.

It’s also crucial to keep the surgical area clean and dry during the recovery process. Your surgeon will provide you with specific instructions on how to clean and care for your incisions, as well as any prescribed ointments for your eyes and eyelid skin. Following these guidelines will help minimize the risk of infection and promote optimal healing.

Long-term Recovery and Results

The long-term recovery from blepharoplasty includes a gradual resumption of normal activities. Most patients can return to work within two weeks and resume their regular exercise routine within 2-3 weeks. As you heal, it’s important to continue following your surgeon’s postoperative care instructions and attend any scheduled follow-up appointments to monitor your progress.

The results of eyelid surgery are long-lasting, providing patients with a more youthful and refreshed appearance for years to come. By following proper aftercare and maintaining a healthy lifestyle, patients can enjoy the benefits of their eyelid surgery and feel confident in their rejuvenated appearance.

Potential Risks and Complications

dr with patient

Like any surgical procedure, blepharoplasty carries potential risks and complications. These may include infection, bleeding, and impaired wound healing. There are some uncommon eyelid-related complications. These include dry eye, entropion or ectropion, and problems closing an eyelid.

It’s crucial to understand these potential risks and complications and address them with your surgeon during the consultation. By selecting a board-certified and experienced surgeon and following their pre- and postoperative care instructions, you can minimize the risk of complications and ensure a safe and successful eyelid surgery experience.


Eyelid surgery is a transformative procedure that can significantly enhance your appearance and improve your quality of life. From understanding the different types of eyelid surgery to preparing for the procedure and managing recovery and aftercare, this comprehensive guide has covered everything you need to know to embark on your journey to a more youthful and refreshed look. With the right surgeon, proper preparation, and adherence to postoperative care instructions, you can achieve the rejuvenated appearance you’ve always dreamed of.

Frequently Asked Questions

Is upper eyelid surgery worth it?

Upper eyelid surgery is worth it for those who want to look younger and more refreshed; the results are subtle but dramatic, and the recovery process is minor with minimal pain.

The procedure is relatively simple and can be done in a doctor’s office or outpatient clinic. It involves removing excess skin and fat from the upper eyelids, which can help reduce the appearance of wrinkles and sagging skin. The results are usually visible immediately, and the effects are usually visible immediately.

What is the most common eyelid surgery?

Upper blepharoplasty is the most common eyelid surgery, used to address excess fat deposits and skin on the eyelids that cause puffiness and drooping. It can correct issues caused by sun damage, aging, genetics, and gravity.

The procedure involves removing excess fat and skin from the upper eyelids, and sometimes tightening the muscles and tissues around the eyes. It can be done on both the upper and lower eyelids, and can be combined with other facial surgeries for a more comprehensive result.

How long does eyelid surgery last?

Upper eyelid surgery results typically last forever. However, as we age, frequently our eyebrows begin drooping giving the impression that the eyelid skin is sagging again. This issue is best addressed through an eyebrow lift. Our team of experts will determine if this is a present issue or if it may evolve in the future. Lower eyelid surgery results are permanent.

Is my blepharoplasty covered by Insurance?

Sometimes insurance can cover upper lid blepharoplasty only if certain criteria which they have established are met. The only way of knowing if insurance covers your upper lid blepharoplasty is by consulting with one of LASIK San Antonio experts to determine if you meet the criteria recommended by insurance companies. On the other hand, the majority of lower eyelid blepharoplasties are considered cosmetic surgery by insurance companies and only certain conditions will be deemed as "medically necessary". Our team will be happy to answer this question for you.

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