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Bruce K Smith - Houston Plastic surgeon

Eyelid Surgery in Houston TX – Blepharoplasty

Eyelid surgery or blepharoplasty creates an open, larger, brighter appearing eye. By removing excess loose skin and fatty tissue which produce bags of the upper or lower lid, the eye appears larger, less tired, more open and brighter.

In women, excess loose tissue prevents optimal use of makeup and obscures the normal contours of the eyelid. In both women and men, loose, sagging, bulging tissues make the eye appear smaller and more tired or stressed.

The goal of blepharoplasty is to produce a significant improvement in eyelid appearance with the utmost safety.

If you have any type of eye disease or symptoms, these must be carefully investigated and considered in planning your blepharoplasty surgery. After examining you, Dr. Smith may request a consultation from an ophthalmologist if he feels that your safety would benefit. For blepharoplasty in Houston Texas contact us today.

eyelid patient
Eyelid Lift Before and After Photos


There are limits to the amount of tissue which can or should be removed from the eyelid. Excessive removal of fat can produce a hollow, unnatural appearance. Excessive removal of skin can cause deformities or prevent proper eye closure. The key to the best result is precise planning of the procedure based on careful measurements of your eyelids. Blepharoplasty cannot remove every wrinkle from the eyelid area. Differences which exist in the eyelids on both sides may be improved after surgery, but slight differences will always be present.


Risks of injury to the eye, infection or bleeding which could impair vision are extremely small, but do exist and must be considered.

Other risks common to all surgical procedures such as bleeding, infection and scar tissue formation occur in a very small percentage of cases. We will give you more detailed information about these and other rare risks in our written information, and encourage you to discuss any which concern you during your consultation.

If deformities exist in areas of the face besides the eyelids, additional procedures may be necessary in those areas for optimal facial appearance.

About The Operation

It is critically important that decisions regarding amounts of removal be made with you upright immediately prior to surgery, since the degree of deformities changes drastically when you lie down. For the most accurate correction, your eyelids must be measured and marked with you sitting before going to the operating room.

By using very fine electrosurgical instruments for many aspects of the procedure, risks of bleeding and the amount of bruising following the procedure are greatly reduced, speeding your recovery.

Incisions for blepharoplasty are placed deep in the fold of the upper eyelid and immediately beneath the lashes in the lower eyelid to make them inconspicuous. If only fat removal
is necessary in the lower eyelid, the incision can sometimes be located on the inside of the lid.

During the procedure, excess skin is removed from the upper and lower eyelids to improve lid contours. If excess fatty tissue is producing bulges or bags, only the excess is carefully removed to produce a natural lid appearance.

After carefully rechecking the lid, the incisions are closed with tiny sutures or stitches.


You will have virtually no pain whatever following your blepharoplasty. You’ll have some swelling for the first two or three days after surgery, but it decreases rapidly by the third day.

When we remove your sutures on the fourth or fifth day after surgery, you can immediately apply makeup to the lids to hide any residual traces of bruising. You can usually return to your normal activities in a week or less.


Our patients usually want to know about four stages of recovery: hospitalization time, when swelling or bruising is resolved, when they’ll be able to return to work or social activity, and when they can return to full aerobic or strenuous exercise.

For eyelid procedures, the average….

Hospitalization time: Usually performed as an outpatient procedure
Bruising and swelling resolve: 5-10 days or less
Return to work, social activity: 14-21 days

We encourage immediate return to full normal activity immediately. Just don’t do any type of strenuous exercise that would push your pulse over 100 for about two to three weeks. Any aerobic activity that increases your pulse over 100 also increases your blood pressure, and could make you bleed.

For blepharoplasty in Houston Texas contact us today.

Learn more about other facial plastic surgery procedures: rhinoplasty surgery, facelifts and browlifts .

What is the role of adipose tissue in eyelid surgery?

Adipose tissue, or fat, plays an essential role in eyelid surgery. It can be used for volume restoration during the procedure. In some cases, patients may have lost fat around their eyes due to aging or other factors, causing a hollow or sunken appearance. Surgeons can transfer adipose tissue to these areas to achieve a more youthful look.

How is surgical suture used in eyelid surgery?

Surgical sutures are used to close incisions made during the procedure. The surgeon makes careful stitches that minimize scarring and promote healing. Depending on the specific technique used, these sutures may be dissolvable or need removal after a certain period.

Are there specialists for eyelid surgery in Houston?

Yes, there are many highly trained and experienced surgeons specializing in eyelid surgeries (blepharoplasty) in Houston. They use advanced techniques and technologies to ensure patient safety and optimum results.

Can excess fat be removed during an eyelid surgery procedure?

Yes, one of the goals of eyelid surgery can be removing excess fat that contributes towards puffiness or bags under the eyes. The surgeon carefully removes this adipose tissue to create a smoother, more alert appearance.

What should I expect during recovery from an eyelid surgery in Houston?

After the procedure, you might experience swelling and bruising which will gradually reduce over time with proper care and rest. Your surgeon will provide specific instructions regarding care for your eyes, use of medication to aid healing and reduce potential infection risk, as well as follow-up appointments for suture removal if non-dissolvable sutures were used.

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      Bruce K. Smith, M.D.

      1315 St. Joseph Pkwy
      Houston, Texas 77002

      (713) 659-2700

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