Eyelid Surgery

Author: Dr. Michael Bogdan

Many men and women are bothered by droopy or hooded eyelids, either due to aging, heredity, or both. The same is true of the wrinkles, puffiness and fat bulges that can develop in the lower eyelids. These conditions can be particularly troublesome, since the eyes are such a critical part of our expressions and our interactions with others. Patients often complain of looking tired or unhappy despite feeling otherwise.

In Southlake, Fort Worth and surrounding areas, eyelid surgery is frequently the most cost effective means of correcting this "tired" look and improving overall facial appearance. Sometimes drooping eyebrows will exacerbate the sagging skin of the upper eyelid, necessitating a forehead lift for full rejuvenation of the eye area.

Dr. Bogdan's patient shown below underwent eyelid surgery (blepharoplasty) only for the upper eyelids. The post-operative photos are shown 3 weeks after surgery. For such a minimal operation, the impact that it has on her overall facial appearance is dramatic. (See more views of this patient.)

Eyelid surgery before photo Before
Eyelid surgery after photo After

This 46-year-old patient was concerned that she looked "tired" and got excellent results from upper eyelid surgery. See more before-and-after photos of Dr. Bogdan's real eyelid surgery patients in our photo gallery.

Before & After Photos

Keep in mind that each patient is unique and your results may vary.

Surgical Techniques

One of the most common procedures performed by plastic surgeons in the DFW area is eyelid surgery, or blepharoplasty. This is because, unfortunately, the eye area is one of the first areas to show the signs of aging, such as sagging eyelid skin and puffy, wrinkled skin beneath the eyes. Since the eye area is so central to our facial expressions, surgery to rejuvenate the eyelids can have a tremendous impact on the overall appearance of the face.

Dr. Bogdan will take several factors into consideration when evaluating you for cosmetic eyelid surgery. First, he will need to determine if you truly have excessive eyelid skin, or if your sagging eyelids are caused mainly by a drooping brow. If this is the case, you may actually need an endoscopic brow lift, either with or without blepharoplasty. Also, many people who choose eyelid surgery also have rhinoplasty or a face lift.

Dr. Bogdan will need to decide if you require upper eyelid surgery, lower eyelid surgery, or both, and what approach would be best suited to your condition. Then he will utilize the following surgical techniques:

Upper Eyelid Surgery

Upper eyelid surgery allows removal of excess skin and occasionally fat bulges that contribute to a fatigued, tired, or grumpy appearance. The incision generally follows the natural fold of the upper eyelid, extending just beyond the outside corner into the existing creases. Through this incision, a strip of excess skin is removed and fatty tissue is eliminated or repositioned to create a more refreshed, alert appearance. Because the incision follows the natural crease of the eyelid, it is usually very well-concealed and rarely noticeable.

Dr. Bogdan's animated upper eyelid video.
Request Your Consultation Before & After Photos

Lower Eyelid Surgery

Lower eyelid surgery may be done through the inside of the lower eyelid, the so-called transconjunctival or "scar-less" technique. This technique requires no external incision, and is appropriate only for the removal or redistribution of fat. It cannot be used to remove excess skin, so is not the best choice if there is significant lower eyelid wrinkling.

In this case, a "classic" approach might be more appropriate, with an incision just underneath the eyelashes. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate the puffy appearance. Other adjustments to correct specific problems such as muscle laxity may also be performed. The incision, as with other incisions used around the eyes, becomes essentially invisible as it heals. Newer techniques, which combine the internal incisions with skin resurfacing to reduce wrinkles, are also available.

Dr. Michael Bogdan

Dr. Bogdan is a board-certified plastic surgeon with a passion for his craft who is known for working closely with patients to get excellent results.

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Important Considerations for Your Eyelid Surgery

Eyelid surgery can be a very effective means of making the entire face appear more refreshed, awake, and vibrant. However, since the eyes and the eye area are such an important part of our appearance and our self-expression, it is critical that eyelid surgery be performed only by a board-certified plastic surgeon specializing in this delicate procedure.

Dr. Bogdan is one of the few plastic surgeons to have undergone formal post-graduate training in aesthetic surgery. He completed a highly sought-after fellowship at the prestigious Manhattan Eye, Ear & Throat Hospital in association with the Institute of Reconstructive Plastic Surgery at New York University Medical Center. Through this prestigious fellowship, he acquired advanced surgical techniques, which he uses in each of his procedures.

If you would like to learn more about blepharoplasty, request a consultation with Dr. Michael Bogdan, a board-certified plastic surgeon in the Dallas - Fort Worth area. Or, you can call our office at (817) 442-1236 to schedule your appointment.

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If you have an iPhone or iPad, Dr. Bogdan encourages you to download his enhanced photo gallery application. This FREE app is available for download from the App Store℠.

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Southlake: (817) 442-1236

Michael A. Bogdan, MD, FACS
410 North Carroll Avenue #170
Southlake, TX 76092
Phone: (817) 442-1236
Fax: (817) 442-1247
Mon–Fri: 9 a.m.–5 p.m.

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Keep in mind that each patient is unique and your results may vary.

Board-certified plastic surgeon Dr. Michael Bogdan offers a range of cosmetic plastic surgery options in Southlake, Texas, including rhinoplasty, facelift, tummy tuck, breast lift, and Mommy Makeover surgery. He serves Fort Worth, Frisco, and other communities in the DFW metro area.

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