1801 Inwood Rd, Dallas, TX 75390 | (214) 645-2353

Blepharoplasty (Eyelid Surgery)

Blepharoplasty (Eyelid Surgery)


The eyelids are the earliest area to demonstrate signs of aging. Eyelid surgery, or blepharoplasty, is a commonly performed surgical procedure that removes excess skin from the upper and/or lower eyelids to restore a more youthful appearance. Eyelid surgery is commonly performed in conjunction with a brow lift because the aging process of the brow and eyelid usually mirror and accentuate one another.

Common complaints of patients who undergo eyelid surgery include:
  • Sagging skin of the upper eyelid that creates folds that hide natural contour of the upper eyelid (and hide the eye shadow space)
  • Having a tired appearance
  • Bags under the eyes
  • Drooping of the eyelids that shows the white of the eye below the iris
  • Excess skin and fine wrinkles of the lower eyelid

Dr. Derderian’s Goals for Eyelid Surgery:

Traditional techniques for eyelid surgery called for removal of large amounts of fat from under the eyelids. Time has shown us that this frequently causes a hollowed out appearance with time. Dr. Derderian will listen to your concerns and develop a customized plan to achieve your goals based upon your anatomy. His goal is to provide you with a youthful and natural appearance that will stand the test of time./

Am I a Candidate for Eyelid Surgery?

The best candidates for eyelid surgery are healthy, do not smoke and do not have serious eye conditions. It is important that the patient has specific goals for improvement in their appearance and realistic expectations for what eyelid surgery can achieve.

Common complaints of patients who undergo eyelid surgery include:
  • Sagging skin of the upper eyelid that creates folds that hide natural contour of the upper eyelid (and hide the eye shadow space)
  • Having a tired appearance
  • Bags under the eyes
  • Drooping of the eyelids that shows the white of the eye below the iris
  • Excess skin and fine wrinkles of the lower eyelid

What Happens at the Consultation?

Dr. Derderian will take a detailed history and perform a thorough examination of the eyelids and the surrounding structures. He will discuss your specific goals in detail at and will develop a surgical plan tailored to your anatomy.

How is the surgery Performed?

The upper eyelid incision is placed within the natural crease on the eyelid. When the eyes are open the upper eyelid creases (and scars from upper eyelid surgery) are covered by a fold of skin. This completely conceals the scar from surgery. This incision allows for removal or repositioning of fat deposits, tightening of muscles and removal of excess skin. The eyelid skin typically heals very nicely with a barely noticeable scar.

The lower eyelid may be corrected with many different techniques. If there is excess skin, an incision is placed just below the lower lash line. The eyelashes effectively cover the resulting scar that typically heals with a very faint and fine scar. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.Occasioanlly patients do not have much excess skin and have mostly excess bulging of fat in the lower eyelid. In these patients an incision is made on the inside of the lower eyelid allowing fat to be removed without visible scarring. Eyelid incisions typically are closed with sutures that are removed in 5-7 days. Your surgeon may also suggest use of a laser or chemical peel to reduce discoloration of the lower eyelids or improve in fine wrinkles in the eyelid skin.

What is the Recovery Period?

There is usually is minimal pain after eyelid surgery. There is typically visible swelling or bruising for 10-14 days. Most patients are presentable to the public in 10-14 days. Patients usually return to work in 7-10 days. Make up can be worn 2 weeks after surgery.

When is the Final Result Appreciable?

The final result is usually appreciable by 3-6 months after surgery. The results of eyelid surgery are long lasting.

What Does Eyelid Surgery Cost?

Cost include:
  • Anesthesia fees – cover the anesthesiologist, their staff and medications
  • Hospital or surgical facility costs – covers the operating room, staff and equipment
  • Surgeon’s fee

Why Choose Dr. Derderian?

Dr. Derderian trained had extensive training in eyelid surgery during his plastic surgery training at New York University and the Manhattan Eye, Ear and Throat Hospital (MEETH). After completing his residency, Dr. Derderian did a fellowship in craniofacial surgery at the University of Pennsylvania. He joined the faculty at UT Southwestern in Dallas in 2011. Dr. Derderian is board certified by the American Board of Plastic Surgery. He frequently performs eyelid surgery in his practice in Dallas.

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