Excess upper eyelid skin removed through the natural crease of the lid — a small, in-office procedure that reliably makes tired eyes look open and rested again.
Upper eyelid skin stretches and descends with age. The result is a heavy, hooded lid that makes patients look tired regardless of how much they sleep, causes eye makeup to smudge or disappear into the fold, and can leave the lids feeling heavy by the end of the day.
Upper lid blepharoplasty removes that excess skin — and, when needed, a conservative amount of fat — through an incision hidden inside the natural crease of the eyelid. When the lid closes, the scar sits in the fold and is difficult to see.
Excess skin resting on or over the lash line, creating a heavy, closed look.
Looking exhausted in photographs and on video calls even when you feel fine.
Eyeshadow and liner folding into the crease or transferring onto the upper lid.
A crease that has been buried by descending skin, shortening the visible lid.
Lids that feel weighted or strained, especially late in the day.
One lid heavier than the other, which is extremely common and correctable.
Performed under local anesthesia at the practice. No general anesthetic and no hospital, consistent with the awake approach Dr. Balgobin uses across his procedures.
Skin excess is measured and marked with you sitting up and your eyes open, because lid position changes when you lie flat. Conservative marking protects your ability to close the eye fully.
The excision follows the natural lid crease, so the healed line sits in the fold. Fine sutures are used and removed at your early follow-up.
You leave on your own, with cold compress instructions, activity limits and a follow-up already scheduled.
Blepharoplasty is a millimeters procedure. Removing too much skin creates a worse problem than the one you started with, so Dr. Balgobin errs conservative — the goal is an open, rested eye that still looks like yours.
If the eyebrow itself has descended, removing lid skin alone can make the brow sit lower. That needs a brow assessment first — and sometimes a different procedure.
If the lid margin itself is low because the levator muscle is weak, that is ptosis, not excess skin. It is a different repair, and telling the two apart is part of the exam.
Under-eye puffiness and hollowing are a separate area with separate options, including donor fat for hollowing.
Fine lines around the eye respond to neurotoxin, laser or microneedling — not to skin excision.
Dr. Balgobin will tell you at consultation which of these is actually driving what bothers you, and whether blepharoplasty is the right operation or the wrong one for your anatomy.
Yes. Dr. Balgobin performs upper lid blepharoplasty in the office under local anesthesia. You are awake and comfortable, there is no general anesthetic, and you walk out the same day.
The incision is placed inside the natural crease of the upper lid, so with the eye open the healed line is hidden in the fold. Like any incision it is pink early and fades over months; how it matures also depends on your skin and how well you protect it from sun.
Swelling and bruising peak in the first three days, sutures usually come out within a week, and most patients are comfortable in public within one to two weeks. Final settling of the incision takes several weeks, so schedule two to three weeks ahead of any event.
Yes. It is commonly combined with neurotoxin for crow's feet, laser resurfacing for skin texture, or facial volume restoration. Dr. Balgobin will sequence the combination so healing from one does not compromise the other.
That is exactly what the exam determines. If your eyebrow has descended, taking out lid skin can pull the brow down further and make things worse. Dr. Balgobin assesses brow position and lid margin position before recommending an operation.
At either location: 250 East Basse Road Ste 205 in San Antonio, Texas, or 200 East Travelers Trail Ste 210 in Burnsville, Minnesota.
Request a consultation and Dr. Balgobin will tell you what's achievable for your anatomy, what it costs, and what recovery actually looks like.
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