Upper & Lower Eyelid Surgery in Dallas, TX

Whether due to aging or genetics, hooded upper eyelids, puffy under-eye bags, and fat pockets around the eyes can make you look tired and older than you feel. Board-certified plastic surgeon Dr. Shai Rozen can help you look more youthful and vibrant with upper and lower eyelid surgery (blepharoplasty) at UT Southwestern Medical Center in Dallas. As a leading expert in facial paralysis, Dr. Rozen has in-depth knowledge of the anatomy and functioning of the eyelids and how they relate to surrounding facial structures.

Upper & Lower Eyelid Surgery
 Before & After Photos

Case: 1 of 3
Before and 2 years after gracilis muscle transplant and exchange of upper eyelid weight in Moebius.
Before and 2 years after gracilis muscle transplant and exchange of upper eyelid weight in Moebius.
Case: 1 of 2

Smile restoration with a free muscle transplant performed by Dr. Shai Rozen in Dallas, Texas, combined with exchange of left upper eyelid gold weight, and surgery for improving eyelid definition. Patient presented with Moebius Syndrome in his late thirties. He had difficulty with smiling, appearance of the left eye, speech, and eating. 2 year... Read More

Before and 3 years after free gracilis muscle transplant, cross facial nerve grafts, and static support for smile and eye reanimation.
Before and 3 years after free gracilis muscle transplant, cross facial nerve grafts, and static support for smile and eye reanimation.
Case: 2 of 2

Smile and eye restoration with a free functional gracilis muscle transplant performed by Dr. Shai Rozen in Dallas, Texas, combined with a gold weight for the upper eyelid, a tarsal strip and fascia to the lower lid, and a brow lift were performed to restore both smile, right eyelid closure, and facial symmetry. Patient presented with long-sta... Read More

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

What are the benefits of eyelid surgery?

Blepharoplasty restores a fresh, youthful appearance for women and men by providing one or more of the following benefits:

  • Removing redundant upper eyelid skin
  • Correcting puffy under-eye bags
  • Reducing pockets of fat that form around the eyes
  • Improving peripheral vision obstructed by upper eyelid skin

Can you combine blepharoplasty with other procedures?

Beyond providing vision, the eyes are one of the most noticed areas of the face and are central to conveying our emotions to others. Because adjacent facial structures influence the eyelids, Dr. Rozen often recommends combining eyelid surgery with other procedures. The position of the eyebrows and forehead affects the upper eyelids, so he frequently combines upper blepharoplasty and brow lift surgery. The lower eyelids are adjacent to the cheek and midface, so many patients benefit from a combination of lower blepharoplasty and a facelift. Additionally, fat transfer can provide natural rejuvenation anywhere facial volume has been lost and improve skin texture and quality.

Dr. Rozen in scrubs posing in the operating room
Board-Certified Plastic Surgeon

Dr. Shai Rozen

Dr. Rozen's expertise in facial paralysis surgery makes him uniquely qualified as a plastic surgeon. Patients benefit from his:

  • In-depth knowledge of facial nerves and anatomy and their relationships to facial appearance, expression, and sensation.
  • Refined eye for facial symmetry and aesthetics.
  • Adept surgical skills refined by performing highly complex microsurgical facial procedures.
  • Patient-centered approach that values the individual's unique needs, concerns, and aesthetic goals.
Meet Dr. Rozen
Credentials You Can Trust Dr. Rozen's credentials Dr. Rozen's credentials

How is eyelid surgery performed?

Depending on your needs and cosmetic goals, Dr. Rozen can perform blepharoplasty for the upper eyelids, lower eyelids, or both. He tailors this procedure to maintain the patient’s ethnicity and masculine or feminine characteristics while providing a natural look that is in balance with the rest of the face.

  • Upper eyelid surgery removes excess skin and sometimes muscle through incisions placed in the natural crease of the upper eyelid. Additionally, based on the appearance and individual needs of the patient, Dr. Rozen can remove fat pockets from the corner of the lids near the nose through the same incisions, remove certain muscles such as the corrugator muscles responsible for the wrinkles between the eyebrows (frown lines) and the downward pull of the medial brow.
  • Lower eyelid surgery addresses several aspects of the aging lid, unique to each patient, which may involve simply removing excess skin and sometimes muscle from the lower eyelid and correcting puffy bags by removing or redistributing fat (septal reset). Some patients need additional procedures addressing excessive eyelid laxity and increased exposure of the cornea due to lower lid malposition (ectropion). Dr. Rozen may use external incisions placed under the lower eyelashes or transconjunctival incisions placed inside the lower eyelids. He closes the incisions with fine sutures (dissolvable sutures inside the eyelids).

What is recovery like after blepharoplasty?

Expect your eyelids to be sore (not painful), puffy, and bruised after eyelid surgery. Usually, these symptoms quickly resolve with diligent post-op care.

Recovery Milestones

Here is when you can expect to reach the following recovery milestones (experiences vary):

  • Sutures removed: 5 to 7 days
  • Return to non-strenuous work and activities: 1 to 2 weeks
  • Safe to apply makeup: 2 weeks
  • Swelling and bruising resolve: 2 to 3 weeks
  • Resume vigorous exercise: 4 weeks
  • See final results: 6+ months (after swelling has completely dissipated)

How can I speed up recovery after eyelid surgery?

You can minimize swelling and bruising and accelerate healing by doing the following as directed:

  • Apply a lightweight, refrigerated gel Swiss eye mask provided by Dr. Rozen’s team for the first 2 to 3 days after surgery.
  • Keep your head elevated, even while sleeping.
  • Apply the prescribed eyedrops, which include antibiotics and often steroids, for the first 3 days unless contraindicated.

We encourage you to contact our office with any concerns or questions during recovery.

Next Steps

To learn more about eyelid surgery and other facial plastic surgery options, request a consultation to meet with Dr. Rozen at UT Southwestern or to schedule a virtual consultation.