Eyelid Surgery
Eyelid surgery, also known as blepharoplasty, is a cosmetic procedure that can reduce sagging skin, puffiness, and bags around the eyes. Whether you’re looking to refresh your appearance or correct drooping eyelids that impair your vision, this treatment can deliver long-lasting results.
Dr. Berry Fairchild, a board-certified facial plastic surgeon in Houston, understands how important it is to look as young and vital as you feel. Specializing in both upper and lower eyelid surgery, she works closely with each patient to understand their unique needs and goals, enabling her to craft a treatment plant that enhances natural beauty and restores confidence.
What is Blepharoplasty?
As we age, one of the first areas of our face to reveal the passing of time is the eyes. The delicate skin around the eyes loses elasticity and begins to sag. Fat may shift or diminish, leading to a hollow or tired look. Cosmetic eyelid surgery helps address:
- Sagging upper eyelids
- Puffy under-eye bags
- Wrinkled or excess eyelid skin
- A tired or aged appearance
Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both, depending on your concerns. It has grown in popularity in recent years, becoming one of the top five cosmetic plastic surgery procedures done. The goal is to restore a refreshed, more alert appearance.


The Benefits of Eyelid Surgery
- Improves the appearance of sagging or drooping eyelids
- Reduces bags and puffiness under the eyes
- Makes eyes look more youthful and refreshed
- Enhances peripheral vision, which may be hindered by droopy eyelids
- Boosts self-confidence and can have a positive impact on personal and professional life
- Can be performed on the upper or lower eyelids, or both
- Results are usually long-lasting, although they may be impacted by the natural aging process
Who is a Good Candidate for Eyelid Surgery?
Good candidates for this cosmetic procedure are typically individuals who are in good overall health, have realistic expectations about the outcome of the procedure, and may have one or more of the following issues:
- Sagging or droopy eyelid skin
- Bags or puffiness under the eyes
- Excess skin or fat in the eyelid area
- Hooding of the upper eyelids that impairs vision
- A desire to improve the appearance of their eyes and achieve a more youthful and refreshed look
Certain conditions—like dry eye syndrome, uncontrolled high blood pressure, or autoimmune disorders—may affect eligibility. Dr. Fairchild, an experienced eyelid specialist in Houston, will assess your health and goals during a detailed consultation.
Preparing For Eyelid Surgery
During your consultation with Dr. Fairchild, you’ll have the opportunity to discuss your cosmetic concerns and learn about blepharoplasty surgery. If blepharoplasty is right for you, Dr. Fairchild will create a treatment plan that is custom-tailored to your needs and goals, as well as your unique anatomy.
To ensure a smooth and safe procedure, Dr. Fairchild may recommend:
- Stopping blood-thinning medications and supplements several weeks before surgery
- Avoiding alcohol and tobacco for at least three weeks pre-op
- Arranging a ride home and assistance for the first 24 hours post-surgery
- Taking time off work and planning for a light recovery period
She will provide you with personalized pre-op and post-op instructions to help you prepare physically and mentally for your eye lift surgery.
Types of Blepharoplasty Procedures
Upper Eyelid Surgery
Upper eyelid surgery is a surgical procedure that addresses the signs of aging in the upper eyelids, removing excess skin and fat to:
- Lift sagging skin
- Improve vision in cases of hooding
- Create a more defined and youthful contour
Lower Eyelid Surgery
Lower blepharoplasty targets:
- Puffy under-eye bags
- Loose or crepey skin beneath the eyes
- Hollowing or discoloration in the lower eyelid-cheek transition
By repositioning fat and tightening the skin, lower eyelid surgery smooths and rejuvenates the under-eye area.
What to Expect for the Procedure
- Upper eyelid surgery is typically performed under local anesthesia with sedation.
- Lower eyelid surgery is usually done under general anesthesia.
Dr. Fairchild carefully places incisions in natural creases or inside the eyelid to conceal scars. Excess skin, fat, or muscle is removed or repositioned as needed to sculpt the eyelids. The procedure generally takes 1–2 hours.
Afterward, your eyes will be gently dressed and monitored before you return home the same day.
Recovery & Aftercare
Recovery from eyelid surgery is relatively straightforward. Here’s what to expect:
- Swelling and bruising peak within 2–3 days, then gradually subside over 1–2 weeks
- Mild discomfort can be managed with over-the-counter pain medication
- Avoid strenuous activity for at least one week
- Most patients return to work within 7–14 days
Final results appear within 3–6 months, once residual swelling resolves. Following Dr. Fairchild’s aftercare instructions is key to achieving the best results.

FAQs About Eyelid Surgery
Is Eyelid Surgery Painful?
Most people experience only mild discomfort during and after the procedure, which can be managed with pain medication.
Will I Have Visible Scars?
The incisions made during blepharoplasty are placed in discreet locations in the natural creases of the eyelids and will typically heal with minimal scarring.
Is Eyelid Surgery Permanent?
The results of blepharoplasty are usually long-lasting, although some people may need touch-up procedures or additional surgery as they continue to age.
Can Eyelid Surgery be Combined with Other Facial Procedures?
Yes, blepharoplasty can be performed in conjunction with other facial plastic surgery procedures, such as a facelift or brow lift, to achieve a more comprehensive result. It can also be combined with non-surgical anti-aging treatments and procedures, such as laser resurfacing, fillers, and Botox.
Is Blepharoplasty Covered by Insurance?
In some cases, blepharoplasty may be covered by insurance if it is deemed medically necessary, such as when it is performed to correct ptosis or drooping eyelids that are affecting the patient’s vision. However, most blepharoplasty procedures are considered cosmetic and are not covered by insurance.
Contact Our Board-Certified Facial Surgeon in Houston
Whether you’re looking to refresh your appearance or improve your vision, Dr. Berry Fairchild brings exceptional expertise in cosmetic eyelid surgery. Her personalized approach ensures each patient receives results that look natural and feel empowering.
If you’re ready to explore your options for eyelid surgery in Houston, request a consultation with Dr. Fairchild today.
