Have you ever wondered why you look in the mirror and notice tired or aged eyes? In Austin, Texas, where we embrace our active, outdoor lifestyles, the delicate skin around our eyes often shows signs of aging first. If you’re searching for cosmetic procedures like blepharoplasty Austin, eye lift surgery Austin, or seeking an eye doctor near me to refresh your appearance, you’re not alone.
At Howerton Eye Center, our oculoplastic specialists focus on safe, effective cosmetic eye treatments to help you look refreshed—not overdone. In this guide, we’ll explore:
- Blepharoplasty (upper and lower eyelid lifts)
- Ptosis repair
- Non-surgical enhancements like Botox and fillers
You’ll get insights into who makes a good candidate, the procedures’ benefits and risks, and how to achieve results that still feel like you. Let’s uncover the path to rejuvenated, brighter eyes.
Blepharoplasty: The Classic Eyelid Lift
What Is It?
Blepharoplasty—commonly called an eyelid lift—is a surgical procedure removing excess skin, fat, and sometimes muscle from the upper and/or lower eyelids. It’s performed to correct droopy skin, reduce puffiness, and smooth under-eye bags (Cleveland Clinic, Allure).
Who Can Benefit?
Upper blepharoplasty helps those with hooded lids that may:
- Make eyes look tired or older
- Impair peripheral vision by drooping over lashes (SELF, Minnesota Eye Consultants). Lower blepharoplasty is ideal for:
- Upper eyelid excess skin and sagging lower lids
- Under-eye puffiness, bags, and wrinkles (ABCS, Barnet Dulaney Perkins Eye Center).
Candidates typically are:
- Age 30+, good overall health
- Realistic in expectations and without untreated eye disease (Kansas Health System, Cleveland Clinic).
How It Works
- Performed in-office or surgical suite
- Upper eyelids: incisions hidden in natural crease
- Lower lids: incisions just below lashes or inside eyelid (Cleveland Clinic, Minnesota Eye Consultants)
- Removes excess tissue or re-drapes fat; incisions closed with fine sutures
- Duration: ~30–90 minutes depending on upper/lower or both (phillyeyedocs.com, Wikipedia).
Benefits
- Youthful, awakened look (ABCS)
- Improved field of vision when sagging lid obstructs peripheral sight (Mayo Clinic)
- Reduced puffiness and wrinkles, especially in lower eyelid region (ABCS)
- Results often last many years, improving confidence and appearance (The Daily Beast)
Risks & Recovery
- Possible bruising, swelling, dry eye, slight vision changes—but complications are rare
- Most swelling subsides in 10–14 days; final results seen in 4–6 weeks (Allure)
- Temporary dryness, minimal scarring hidden in lid creases .
Ptosis Repair: Function & Form
What Is Ptosis?
Ptosis is drooping of the upper eyelid due to weak eyelid muscle or nerve dysfunction. It may be congenital or age-related and can impair vision .
How It Differs from Cosmetic Blepharoplasty
While blepharoplasty removes excess tissue, ptosis repair tightens or shortens the muscle that lifts the eyelid (Malena Amato MD FACS). It may be done alone or alongside cosmetic eyelid surgery to restore both function and appearance .
Ideal Candidates
- Patients whose droopy lids interfere with vision or daily activities
- Those with significant muscle laxity rather than just skin sag (Wikipedia)
Surgical Approach
- Access via eyelid crease incision
- Options include internal and external measurements and adjustments
- Can be paired with blepharoplasty for complete rejuvenation (Malena Amato MD FACS)
Benefits & Outcomes
- Functional improvement: restored visual field and eyelid positioning
- Aesthetic enhancement: eyes look more alert and youthful
- A tailored solution by a board-certified oculoplastic surgeon (Mayo Clinic, Malena Amato MD FACS)
Non-Surgical Enhancements: Botox, Fillers & Adjuncts
Botox® (Neuromodulators)
Botox can soften crow’s feet and elevate brows slightly, helping open the eye area. It’s best for moderate lines and combined use with surgery . However, it won’t remove sagging skin.
Fillers (Hyaluronic Acid)
Ideal for softening tear troughs (undereye hollows) and reducing shadows. Provides facial support but does not replace blepharoplasty for skin laxity .
Platelet-Rich Fibrin & Microneedling
- PRF can revitalize under-eye texture and firmness (The Daily Beast)
- Radiofrequency and microneedling rebuild collagen to improve mild laxity (The Daily Beast)
Surgical vs. Non-Surgical
- Blepharoplasty offers permanent, dramatic benefits
- Botox/fillers offer temporary enhancements—ideal for subtle refresh
- Combination treatments can offer customized, natural-looking results
- Choosing the Right Procedure
- Cosmetic Goal vs. Functional Need
- Concerned about puffiness or skin sag? Think blepharoplasty
- Worrying about hooded lids impacting vision? Ptosis repair may be necessary
- Seeking subtle softening of lines and hollows? Consider Botox or fillers
Age & Skin Health
- Younger individuals with good tone: non-surgical works well
- Older patients with more sagging skin benefit most from surgical options
Recovery Time
Procedure New Look Time Downtime
- Blepharoplasty 2–4 weeks 10–14 days swelling
- Ptosis Repair 2–3 weeks Similar to blepharo
- Botox / Fillers Immediate Minimal (1–2 days)
Ensure your surgeon is a board-certified ophthalmologist with specialization in oculoplastic surgery, like those at Howerton Eye Center, since eyelid procedures require precision and expertise (Kansas Health System, Malena Amato MD FACS, albertandresmd.com, Wikipedia).
FAQs
Q: When is blepharoplasty medically necessary?
A: If drooping eyelid skin impairs your peripheral vision, insurance may cover upper blepharoplasty .
Q: Is ptosis repair cosmetic or functional?
A: It’s functional—it restores eyelid lift and vision. Cosmetic blepharoplasty removes excess tissue .
Q: Can I combine blepharoplasty with non-surgical treatments?
A: Yes. Many patients combine surgery with Botox, fillers, or laser skin resurfacing for a comprehensive rejuvenation.
Q: Will results look natural?
A: Yes—when performed by experienced oculoplastic surgeons, results are refreshed, brightened, and natural-looking.
Whether your goal is to remove droopy lids, brighten under-eye hollows, or refresh your look subtly, Howerton Eye Center in Austin, Texas offers customized solutions. Our board-certified ophthalmologists specialize in blepharoplasty, ptosis repair, and cosmetic adjunct treatments, all delivered with care, precision, and attention to your vision and aesthetic goals.
Ready to explore what’s possible? Schedule your consultation today for a personalized evaluation and discover the path to brighter, younger-looking eyes—with results that feel truly like you.
References
American Board of Cosmetic Surgery – Eyelid Surgery Guide
Mayo Clinic – Blepharoplasty Overview
Cleveland Clinic – Eyelid Surgery (Blepharoplasty)
University of Kansas Health System – Eyelid Surgery
Malena Amato, MD – Ptosis Repair vs. Blepharoplasty
Allure – Blepharoplasty and Eyelid Rejuvenation
The Daily Beast – Best Cosmetic Treatments for Tired Eyes
SELF – What to Know About Hooded Eyes and Surgery
Wikipedia – Blepharoplasty Overview
EyeWiki by AAO – Oculoplastic Procedures (additional technical reference)

