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Bright, rested eyes change your overall appearance. At Face Forward in Houston, TX, double board-certified facial plastic and craniofacial surgeon Dr. Regina Rodman performs precision blepharoplasty eyelid surgery to refine the contours of the upper and lower eyelids with discreet incisions and a plan tailored to your anatomy. Expect straight answers, a clear treatment plan, and results that read as you, simply more awake.
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Blepharoplasty (eyelid lift) refreshes the eye area by removing extra skin and refining the natural fat pads that create puffiness and shadows. Lids look lighter, contours smoother, and eyes appear rested. Upper eyelid surgery removes excess skin and reshapes the tissue underneath to create a clean crease. Lower eyelid surgery softens under-eye bags and smooths the lid-to-cheek transition. Makeup goes on cleanly, lashes feel lifted, and the eyes frame the face the way they used to. When documented overhang limits vision, upper blepharoplasty in Houston can also widen the visual field. The aim is a refreshed, natural result that fits your features.
Upper blepharoplasty lifts the extra skin that hangs over the lashes and trims small fat pockets that add heaviness. The incision sits in the natural eyelid crease and closes with ultra-fine stitches, so the line blends into your fold once healed. Lower blepharoplasty tackles under-eye bags, the shadows they cast, and crepey texture. Dr. Rodman often uses a transconjunctival approach—an incision on the inside of the lower lid—so he can contour or reposition fat without an external scar. If the skin itself shows lines or laxity, a tiny skin pinch or laser resurfacing can tighten and smooth the surface. When both the upper and lower lids need attention, a quad blepharoplasty treats all four lids in one plan for balanced, natural-looking results.
Heavy lids aren’t always necessarily a lid problem. When the eyebrow settles lower with age, it can push skin toward the lashes and look like extra eyelid skin.
Try a quick mirror check: place two fingers just above the brow and lift slightly. If your eyes look open and relaxed with that support, a brow lift (forehead lift) restores the openness you’re after. If the lids still feel heavy once the brow is in a good position, an upper or lower blepharoplasty cleans up excess skin and puffy fat. Many people benefit from a thoughtful combination for the most natural result. In consultation, Dr. Rodman reviews photos, examines brow position and eyelid skin, and recommends the simplest plan that fits your anatomy and goals.
Think about how your eyes feel and look day to day. If lids hang over your lashes, makeup smudges by noon, or under-eye bags and shadows stick around no matter how much you sleep, you’re likely a good fit for blepharoplasty. Candidates are healthy adults who want a cleaner lid crease, less puffiness, and a brighter, more awake look—not a different face.
Your eye health matters. Dryness, irritation, or past eye surgery can change the plan, so bring a full medication list (including supplements and blood thinners) and note any LASIK, contact lens use, or prior injections around the eyes. During the exam, Dr. Rodman also checks for true ptosis—a weak lifting muscle that needs a specific repair—so the fix matches the cause. Clear goals and realistic downtime expectations set you up for a smooth experience. If you smoke, are managing uncontrolled medical conditions, or have active eye surface disease, we’ll talk through timing and preparation so surgery is safe and results are worth it.
Blepharoplasty is typically performed in an accredited setting with local anesthesia and oral sedation; general anesthesia is available when combining other facial procedures. The technique is chosen to protect function and shape:
A natural crease incision allows precise trimming of excess skin, minor muscle adjustment, and selective fat contouring. Sutures are placed to preserve the crease and blink mechanics.
With a transconjunctival approach, Dr. Rodman sculpts or transposes fat pockets to smooth the junction between the lid and cheek. If texture needs help, a measured skin pinch or laser resurfacing improves fine lines. When lid tone requires, canthopexy/canthoplasty supports position and protects shape. The priority is smooth contour, preserved expression, and a result that holds up in all lighting.
Expect mild discomfort, swelling, and bruising in the first days. Keep the head elevated, use cool compresses as directed, and follow cleaning instructions to protect the delicate skin. Upper-lid sutures usually come out around day five or seven.
Light screens and reading return as comfort allows; makeup and contacts re-enter when cleared. Walks begin early; strenuous heat and heavy exertion wait roughly two weeks. Sun protection and a simple scar-care routine support minimal scarring. Most patients notice early improvement as swelling settles over the first two weeks. The finer points of contour declare themselves by about three months, with ongoing refinement after combined facial procedures like brow lift or laser resurfacing.
Results and Longevity
The aim is an alert, youthful appearance without a “done” look. Upper-lid results often last many years as long as the brow remains stable. Lower blepharoplasty with repositioning fat is durable; texture work holds when paired with smart skin care and sun habits. If heavy skin once caused blurry vision, that symptom typically improves once the visual field clears—documented pre-op testing guides expectations. Your photos should read as you on a rested day.
Eyes are only guarded by millimeters of tissue, so conservative choices matter. Dr. Rodman prioritizes ocular surface health, precise hemostasis, and lid support when needed. The upper incision hides in the crease; the lower approach often uses an incision inside the lid. Post-op mild discomfort responds to instructions and OTC support. The plan protects blink mechanics and tear film—comfort in the months after surgery equals success.
Combining Eyelid Surgery with Other Procedures
Eyelid refinement often pairs well with a brow lift to restore upper-frame openness, or with laser resurfacing for fine lines along the lateral lid and cheek. Strategic injectable treatments can soften lines outside the surgical field. While plastic surgery also includes body operations like a breast lift, eyelid work belongs to the face; Dr. Rodman focuses on procedures that harmonize the upper third for a seamless facial rejuvenation.
Why Face Forward for Blepharoplasty Houston
Great eyelid surgery comes down to judgment and restraint. Dr. Rodman’s training in facial and craniofacial surgery, plus years of working with many eye shapes and skin types, informs every decision. He preserves fat when possible to avoid hollowing and plans incisions that respect masculine and feminine aesthetics and your natural ethnic crease pattern. Care is quiet and thorough. Surgery is performed in an accredited setting in Houston, and you leave with clear instructions, scheduled check-ins, and direct access to your team. The goal is simple: eyelids that look right in person, in photos, and on camera without calling attention to the work.
If excess skin on the upper eyelids encroaches on your visual field, blepharoplasty eyelid surgery can help once obstruction is documented. Many patients report less fatigue and clearer sight lines.
Upper incisions rest in natural creases for camouflage. With transconjunctival blepharoplasty, the lower incision inside the lid avoids an external line. Scar care and SPF support minimal scarring.
When dark circles come from bulging fat pockets, contouring or repositioning fat helps. If the issue is thin, wrinkled skin, a small skin pinch or laser resurfacing improves texture.
Most patients describe mild discomfort and tightness for a few days, managed with cool compresses, head elevation, and approved medication.
If both upper and lower lids show aging changes, a quad blepharoplasty treats all four lids in one session. Dr. Rodman confirms candidacy after reviewing your medical history and goals.
Schedule Your Houston Plastic Surgery Consultation Today
The Face Forward process starts with a consultation. You will meet with Dr. Rodman (either in the office or via video call) to discuss the result or look you want to achieve. Dr. Rodman will review and educate you about your options and schedule you for the procedure of your choice. Follow-up appointments will be scheduled as necessary. Achieve your look and enjoy the new you! Schedule your consultation for plastic surgery in Houston at Face Forward today.
6750 West Loop S Ste 1060, Bellaire TX 77401
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Tuesday - 9am - 5pm
Wednesday - 9am - 5pm
Thursday - 9am - 5pm
Friday - 7:30am - 3:30pm
