Blepharoplasty in San Antonio, TX
Restore Youthful, Refreshed Eyes With Eyelid Surgery
If sagging upper eyelids, under-eye bags, or excess skin around your eyes create a tired appearance, blepharoplasty in San Antonio may offer an appropriate solution. Also called eyelid surgery or an eyelid lift, this procedure removes or repositions selected skin and fat from the upper eyelids, lower eyelids, or both. In some patients, upper eyelid surgery may also improve vision obstructed by excess skin. Individual results depend on anatomy, treatment goals, and healing.
How Eyelid Surgery Works
Eyelid surgery is designed to rejuvenate the eye area and skin around the eyes by addressing excess skin, localized fat, puffiness, or drooping tissue. During upper eyelid surgery, also known as upper blepharoplasty, Dr. Ferguson typically places an incision within the natural crease of the upper eyelid. For lower blepharoplasty, the incision may be positioned below the lower lash line or inside the lower eyelid, depending on the patient’s anatomy and surgical plan. Excess tissue may be removed or repositioned to create a smoother, refreshed appearance for the eye.
Each surgery is customized to your needs, whether you require:
Upper blepharoplasty: Removes selected excess skin from the upper eyelid and may improve an obstructed field of vision in appropriate patients.
Lower blepharoplasty: This form of blepharoplasty surgery addresses under-eye bags and wrinkles under the eyes, along with localized fat and selected areas of loose lower-eyelid skin.
Combined eyelid surgery: Treats both the upper and lower eyelids as part of one personalized surgical plan.
Benefits of Blepharoplasty
Choosing blepharoplasty in San Antonio, TX offers many advantages beyond cosmetic improvement:
Removes or repositions selected skin, fat, and tissue contributing to drooping or puffiness
Refines the upper or lower eyelid contour
May improve vision obstructed by excess upper-eyelid skin in appropriate patients
May improve vision obstructed by excess upper-eyelid skin in appropriate patients
Creates a brighter, more rested appearance while preserving natural facial characteristics
May improve confidence for patients bothered by a tired or aged appearance
Can soften visible signs of aging and help some patients look more youthful; in select cases, it may even reduce up to 10 years of aged appearance, though results vary
Individual benefits and results vary. Blepharoplasty does not stop aging or treat every type of wrinkle, eyelid concern, or vision problem.
A Step-by-Step Look at Eyelid Surgery
Watch a detailed walkthrough of the surgical process so you can feel informed and confident going in.
What to Expect During Your Eyelid Surgery
Your blepharoplasty will be performed in the surgical setting appropriate for your procedure. Depending on the selected treatment and your health, Dr. Ferguson may recommend local anesthesia with sedation or general anesthesia. The type of anesthesia and surgical setting can affect the total cost and will be reviewed during your consultation. The surgery is personalized based on whether you need surgery in the upper eyelids, lower eyelids, or only one area.
For upper blepharoplasty, an incision is generally positioned within the natural upper-eyelid crease. A lower-eyelid incision may be placed below the lash line or inside the eyelid to make scars less noticeable, although healing varies.
Dr. Ferguson carefully removes or repositions selected tissue, often excess skin and fat, to improve eyelid contour without creating an overcorrected or unnatural appearance.
Most eyelid surgeries take about 1 to 2 hours, while more extensive or combined cases involving excess skin and fat may take 1 to 3 hours.
Temporary soreness, tightness, swelling, bruising, dryness, or irritation may occur after surgery. Cold compresses are commonly recommended to help reduce swelling and bruising.
Procedure length varies depending on whether the upper eyelids, lower eyelids, or both are treated and whether another procedure is performed. Dr. Ferguson will provide a personalized estimate after evaluating your treatment plan, along with instructions regarding cold compresses, approved medication, eye care, and symptoms that require prompt medical attention.
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Our Philosophy & Approach
At Ferguson Plastic Surgery & Aesthetics, we understand that choosing to undergo plastic surgery is a deeply personal decision, one that requires trust, careful thought, and a true partnership between patient and surgeon. Our philosophy is simple: we listen first, recommend second, and always prioritize your health, safety, and satisfaction.
Dr. Ferguson believes in achieving results that look natural, not overdone. His approach focuses on restoring and enhancing your unique features in a way that aligns with your personal goals, not unrealistic trends. Every treatment plan is customized, whether you’re seeking subtle rejuvenation or a more transformative change.
We are committed to helping you feel more confident in your own skin, and we consider it a privilege to be part of your journey.
Who Is a Good Candidate for Blepharoplasty?
Eyelid lift surgery is a popular choice for patients who are looking to correct drooping skin, excess tissue, or under eye bags. If you are considering this procedure, you may be a good candidate if you:
Have excess upper-eyelid skin that creates heaviness or affects your field of vision
Notice a tired appearance even when you feel rested
Want to address under-eye bags, puffiness, or selected areas of loose skin
Are in generally good health
Do not smoke or can stop nicotine use as instructed
Have realistic expectations about surgery, scarring, recovery, and results
Understand that blepharoplasty does not correct every facial-aging or vision concern
In older adults, eyelid drooping may also be related to ptosis, which affects about 13% of adults over 60. During your consultation, Dr. Ferguson will review your medical history, current medications, eye health, previous procedures, and treatment goals. He must also determine whether the heaviness is caused by excess skin or brow descent before recommending treatment. He will then determine whether upper blepharoplasty, lower blepharoplasty, a combined procedure, or another treatment is appropriate.
Real Blepharoplasty Results
Our before-and-after photos show results achieved by previous eyelid surgery patients. Outcomes vary according to eyelid anatomy, skin quality, procedure type, healing, and other individual factors.
Our Blepharoplasty Process
At Ferguson Plastic Surgery & Aesthetics, we create a comfortable environment to perform blepharoplasty procedures to help rejuvenate the eyes while maintaining a natural look. Here’s what you can expect:
Personalized Consultation
During your consultation, Dr. Ferguson will review your medical history, medications, eye conditions, previous surgeries, and aesthetic or functional concerns. He will evaluate your upper and lower eyelids and discuss whether upper blepharoplasty, lower eyelid surgery, a combined procedure, or another treatment may be suitable, including whether eyelid surgery blepharoplasty is appropriate for cosmetic or functional reasons based on your evaluation.
Your Surgery
On the day of surgery, Dr. Ferguson will use the anesthesia approach established in your treatment plan. He will place the incisions according to the areas being treated and carefully remove or reposition selected skin and fat, with adjustment of underlying muscles when indicated. Incisions are generally positioned within natural eyelid folds or near the lash line to make scars less conspicuous, although healing varies.
Post-Treatment Care and Results
After blepharoplasty, you may experience swelling, bruising, tightness, irritation, or temporary discomfort. We will provide detailed aftercare instructions covering cold compresses, head elevation, incision care, prescribed or approved medication, activity restrictions, sun protection, and follow-up appointments. Results become clearer as swelling resolves, and individual healing timelines vary.
Maintenance & Long-Term Results
Blepharoplasty can provide long-lasting improvement, but it does not stop the natural aging process. Genetics, skin quality, sun exposure, lifestyle, and other factors may continue to affect the eyelids and surrounding face. Following postoperative instructions, avoiding smoking, and protecting your skin from excessive sun exposure can help support your results. The longevity of eyelid surgery varies, and while results can be durable, natural aging will continue to affect the eyelids and the skin around the eyes over time.
Complementary Procedures
For even greater results, many patients combine blepharoplasty with other treatments. Dr. Ferguson may recommend:
Botox® or dermal fillers to address appropriate wrinkles or volume changes
Laser skin treatments to improve selected texture or sun-damage concerns
Radiofrequency microneedling to support skin-renewal goals
Medical-grade skincare selected for the patient’s skin and treatment plan
These treatments address different concerns and may not be appropriate for every patient. When recommended, they may be performed separately or incorporated into a staged plan. Dr. Ferguson will determine suitable timing based on safety, healing, and the selected procedures.
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Frequently Asked Questions
Blepharoplasty surgery involves carefully positioned incisions to improve the eye area by treating selected concerns of the eyelids. An upper-eyelid incision is usually placed within the natural crease of the upper eyelid, where it is commonly hidden, while a lower-eyelid incision may be positioned below the lashes or inside the eyelid. The specific technique depends on the patient’s anatomy and concerns.
Many patients feel comfortable returning to work and routine activities within approximately one to two weeks, but swelling and bruising may remain visible longer, especially around the eyes. Recovery varies according to the procedure and patient. Following Dr. Ferguson’s instructions can support healing but cannot ensure a specific outcome or recovery date.
You may be a candidate if you have excess upper-eyelid skin, under-eye bags, puffiness, or loose eyelid tissue and are healthy enough for surgery. A consultation with Dr. Ferguson is necessary to review your medical and eye history and determine an appropriate approach. Depending on your evaluation, eyelid surgery may also be appropriate when excess skin and heaviness affect your appearance or vision.
Blepharoplasty results can be long-lasting, but longevity varies. The procedure cannot stop aging, and the eyelids and surrounding tissues will continue changing over time. Genetics, skin quality, sun exposure, lifestyle, and the type of surgery can influence how results develop. The longevity of eyelid surgery results varies, and natural aging will continue to affect the upper and lower lids over time.
Cost depends on whether treatment involves the upper eyelids, lower eyelids, or both, as well as anesthesia, surgical-facility requirements, and whether another procedure is included. Ferguson Plastic Surgery & Aesthetics provides individualized pricing after consultation. CareCredit financing may be available, subject to approval and applicable terms.
Schedule Your Blepharoplasty Consultation Today
If sagging upper eyelids, under-eye bags, or excess eyelid skin concern you, schedule a consultation for blepharoplasty in San Antonio, TX; the surgery may address cosmetic concerns and selected functional problems, including upper-lid heaviness affecting vision. Dr. Ferguson will evaluate your eyelids, medical history, eye health, and goals before recommending a personalized treatment plan and explaining its anticipated risks, recovery, costs, and potential results. If you are considering blepharoplasty in San Antonio, TX, the consultation will determine the most appropriate approach.
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