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Eyelid Surgery (Blepharoplasty)

At ACE Plastic Surgery, Dr. Agustín Cornejo provides expert plastic surgery services in San Antonio and Boerne, TX, helping patients achieve their aesthetic goals with safe, personalized care. 

Eyelid surgery, also known as blepharoplasty, is a highly effective facial rejuvenation procedure that corrects drooping eyelids, under-eye bags, and excess skin around the eyes. At ACE Plastic Surgery, patients in San Antonio and Boerne, Texas, receive customized eyelid surgery solutions focused on restoring a refreshed, alert appearance. Performed by Agustín Cornejo, MD, blepharoplasty enhances both aesthetics and, in some cases, visual function affected by sagging upper eyelids. The eyes are often the first facial feature to show signs of aging, fatigue, and stress, making eyelid surgery one of the most impactful cosmetic procedures available. This treatment helps patients look more rested, youthful, and confident. Every surgical plan is tailored to preserve natural eye shape while delivering noticeable improvement.

Signs and Symptoms That May Indicate the Need for Eyelid Surgery

Changes around the eyes can develop gradually and often worsen with age, genetics, and environmental exposure.

Common symptoms and concerns include:

  • Drooping upper eyelids that create a heavy or tired appearance
  • Excess skin folding over the upper eyelids
  • Puffiness or bags beneath the eyes
  • Wrinkles and loose skin around the eyelids
  • Obstructed peripheral vision due to sagging upper eyelids
  • Asymmetry between the eyes

These concerns can affect both appearance and daily comfort, especially when vision becomes compromised.

Why Eyelid Surgery Is an Important Medical and Aesthetic Solution

Eyelid surgery is often needed when aging changes around the eyes progress beyond what non-surgical treatments can correct. As skin elasticity decreases, the delicate eyelid area becomes prone to sagging and the accumulation of excess tissue. Fat pockets may shift or protrude, leading to persistent under-eye bags that do not improve with rest or skincare products. In some cases, drooping upper eyelids interfere with vision, making blepharoplasty not only cosmetic but functional. Surgical correction allows for precise removal or repositioning of excess skin and fat, restoring a smoother, more youthful contour. From a healthcare perspective, offering eyelid surgery provides patients with a long-term solution that improves both quality of life and self-confidence. The procedure also supports facial harmony by enhancing the balance between the eyes and surrounding features.

The Eyelid Surgery Treatment Process Explained

Blepharoplasty at ACE Plastic Surgery follows a structured and patient-focused process to ensure optimal safety and results.

Key steps in the eyelid surgery process include:

  • Detailed consultation and eye assessment: We evaluate eyelid anatomy, skin quality, and functional concerns to determine whether upper eyelid surgery, lower eyelid surgery, or both are appropriate.
  • Customized surgical planning: A personalized approach is developed to address excess skin, fat, and muscle while maintaining natural eyelid shape and symmetry.
  • Precise surgical correction: Incisions are carefully placed within natural eyelid creases or along the lash line to minimize visible scarring while removing or repositioning tissue.
  • Post-operative care and recovery support: Patients receive detailed aftercare instructions and follow-up visits to promote proper healing and long-term success.

Each step is designed to enhance comfort, safety, and the predictability of results.

Preventing Premature Aging Around the Eyes

While eyelid surgery corrects existing concerns, preventative strategies help protect the delicate eye area from further aging. Consistent sun protection reduces damage caused by UV exposure, which accelerates skin laxity and wrinkles. Using medical-grade skincare products specifically formulated for the eye area supports hydration and collagen preservation. Maintaining healthy sleep habits minimizes chronic puffiness and under-eye discoloration. Avoiding smoking improves circulation and slows tissue breakdown around the eyes. Managing allergies and eye rubbing reduces inflammation that can worsen eyelid changes. Routine evaluations with a qualified plastic surgeon help monitor subtle changes and guide early intervention when needed.

Patients who undergo blepharoplasty often enjoy long-lasting improvements in both appearance and comfort. Results typically last many years, as excess skin and fat are permanently removed or repositioned. Most individuals report looking more awake, refreshed, and youthful without appearing unnatural or overcorrected. In cases where vision was affected, patients frequently experience improved visual fields following surgery. With proper aftercare and healthy lifestyle habits, results can remain stable over time. Although aging occurs naturally, patients generally maintain a more youthful appearance in the eyes than those who do not undergo surgical correction.

Frequently Asked Questions About Eyelid Surgery

How long do eyelid surgery results last?
Results are long-lasting and often permanent for excess skin and fat removal. Natural aging continues, but patients retain a refreshed appearance.

Is eyelid surgery painful?
Most patients experience mild discomfort rather than pain. Any soreness is typically well-managed with prescribed medication.

What is the recovery time for blepharoplasty?
Initial swelling and bruising usually resolve within two weeks. Most patients return to normal activities shortly after.

Will eyelid surgery leave visible scars?
Incisions are placed in natural creases or along the lash line to minimize visibility. Scars typically fade significantly over time.

Can eyelid surgery be combined with other facial procedures?
Yes, it is commonly combined with facelift or brow lift procedures for comprehensive facial rejuvenation. This approach enhances overall facial balance.

Enhance Your Appearance With Expert Eyelid Surgery

Eyelid surgery at ACE Plastic Surgery provides patients in San Antonio, TX, and Boerne, TX, with advanced solutions for aging, drooping, or tired-looking eyes. With expert precision and individualized care, Dr. Cornejo focuses on delivering natural-looking results that enhance both appearance and function. Choosing a skilled plastic surgeon ensures that eyelid surgery is performed safely and effectively.

If you are considering eyelid surgery, scheduling a consultation is the first step toward brighter, more youthful eyes. Contact ACE Plastic Surgery today to learn how blepharoplasty can restore confidence and help you look as refreshed as you feel.