Blepharoplasty in Dallas, TX | Eyelid Surgery
The eyes are often the first place people notice the effects of time. The upper eyelids begin to feel heavier, the skin folds over the lash line, and the area beneath the eyes develops puffiness or hollowness that no amount of rest seems to resolve. The overall expression starts to look more tired than the person actually feels. For some patients it is one area, for others it is both, and the concern is the same either way: they want their eyes to look like themselves again.
Blepharoplasty addresses this by removing the excess skin, fat, or both that accumulate around the eyelids over time. Dr. Jennyfer F. Cocco, MD, performs Blepharoplasty in Dallas, TX for patients seeking upper eyelid correction, lower eyelid correction, or a combined approach addressing both areas. While aging is the most common cause, genetics, sun exposure, and changes in skin elasticity can bring these signs on earlier and at varying degrees in each eyelid area.
What Is Blepharoplasty?
Blepharoplasty, commonly known as eyelid surgery, or eyelid lift, is a cosmetic surgical procedure that removes excess skin and fat around the eye to restore a more rested, alert, and youthful appearance. The eyelid skin is among the first areas to show signs of aging, drooping, puffiness, and sagging skin develop gradually and can make a person look consistently tired regardless of how they actually feel. Blepharoplasty surgery corrects these changes by addressing the specific area of concern, whether that is the upper eyelids, the lower eyelids, or both.
Upper Blepharoplasty
Upper Blepharoplasty addresses the heaviness and drooping that develop on the upper eyelid skin over time. As the skin loses elasticity, it folds downward over the natural eyelid crease, flattening the upper lid and creating a heavy, tired look. By removing the excess skin and any contributing fat deposits, upper eyelid surgery restores a more open, defined eyelid contour. Patients bothered specifically by drooping upper eyelids are typically strong blepharoplasty candidates for this procedure.
Lower Blepharoplasty
Lower Blepharoplasty also called lower eyelid surgery, targets the area beneath the eye where fat deposits, loose lower eyelid skin, and loss of volume create puffiness, bags, or hollowness along the lash line of the lower eyelid. The procedure removes or repositions the excess tissue to smooth the transition between the eye and the cheek. In some cases, transconjunctival blepharoplasty (an approach where the incision is placed inside the lower eyelid rather than externally) is used to address fat without disturbing the surrounding skin. Dr. Cocco will determine the best technique based on your anatomy during your consultation.
Combined Blepharoplasty
Upper and lower blepharoplasty can be performed together in a single surgical session for patients with concerns in both areas. A combined eyelid surgery approach delivers a more balanced result across the entire eye area while requiring only one anesthesia and one recovery period. Dr. Cocco will assess both the upper and lower lids during your consultation and recommend whether a combined approach is appropriate for your goals.
How Is Blepharoplasty Performed?
Blepharoplasty is an outpatient surgical procedure typically performed at an outpatient surgery center under general anesthesia or local anesthesia with sedation if the intervention is minimal. For upper eyelid surgery, an incision is made along the natural eyelid crease, through which excess skin and fat are removed before the incision is closed with fine sutures. For lower eyelid surgery, the incision is placed either just below the lash line or inside the lower eyelid depending on the technique used. In both cases the incisions are designed to remain discreet and well-concealed. The specific approach for your blepharoplasty procedure is determined during your consultation based on your anatomy and the extent of correction needed.
Starting Price of a Blepharoplasty in Dallas, TX
How Much Does Blepharoplasty Cost in Dallas, TX?
The cost of blepharoplasty in Dallas starts at $3,500 for select upper eyelid procedures involving minimal correction performed in-office under local anesthesia. It is worth noting that more extensive upper eyelid corrections performed at an outpatient surgery center under general anesthesia start at $6,300, while lower eyelid surgery, which is always performed at the surgery center under general anesthesia, starts at $7,400.
Patients combining blepharoplasty with other facial rejuvenation procedures benefit from a single anesthesia and recovery period, and combined pricing is determined based on the full scope of the surgical plan. An accurate estimate for your specific case is provided after Dr. Cocco evaluates your anatomy and goals during your consultation.
Can Blepharoplasty be Covered by Insurance?
Insurance coverage for blepharoplasty procedures typically are deemed not medically necessary and therefore not covered. Patients should carefully review their insurance policy and consult with their insurance provider to determine if coverage is available. It is also important to check with the surgeon to ensure they work with insurance companies for this procedure. If lower eyelid blepharoplasty is done for cosmetic reasons, it is unlikely to be covered by insurance.
Payment plans and Financing options
We offer advanced payment plans for this procedure and the terms depend on the overall cost of proposed surgery. All procedures must be fully paid off 10 business days before your scheduled surgery date. While we do not offer in-house financing, we recommend the following third-party options for your convenience: Cherry, Alphaeon and CareCredit. They have easy-to-follow online applications, which you can access through the links provided below.
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Who is a Good Candidate for Blepharoplasty?
Good blepharoplasty candidates are generally adults who are bothered by the visible effects of aging or genetics around the eyes and are seeking a more rested, refreshed appearance. The most common concerns that bring patients to a blepharoplasty consultation include drooping upper eyelids, sagging skin along the upper lid, persistent puffiness or bags beneath the eyes, and a general heaviness around the eye area that makes them look tired regardless of how they feel.
From a health standpoint, Dallas patients considering eyelid lift should be non-smokers or willing to stop smoking before and after surgery, in good overall health, and free from active eye conditions such as dry eye or glaucoma that could be affected by surgery. Dr. Cocco will review your full medical history during your consultation to confirm you are a safe candidate and to determine whether upper and lower blepharoplasty or a single-area approach is the right fit for your anatomy.
Blepharoplasty is not the right solution for everyone. Patients whose primary concern is brow position rather than eyelid skin may see better results with a brow lift, and those with concerns extending beyond the eye area may benefit from combining eyelid surgery with broader facial rejuvenation procedures. If you are unsure whether blepharoplasty is right for you, the consultation is the right place to find out. Dr. Jennyfer F. Cocco, MD, a female plastic surgeon in Dallas, will help you identify the most appropriate approach based on your goals and anatomy.
What to Expect During Your Blepharoplasty Consultation
Your consultation with Dr. Cocco is a focused evaluation of your eyes, your concerns, and what eyelid surgery can realistically achieve for you.
Dr. Cocco will examine the upper and lower eyelids closely, assessing the amount of excess skin, the position of the brow, the presence and distribution of fat deposits, and your overall eyelid structure. This evaluation determines which variant of blepharoplasty is appropriate (upper, lower, or combined) and whether pairing the procedure with another facial rejuvenation treatment would better serve your goals. The type of anesthesia and surgical setting will also be established based on your health history and the extent of the procedure.
She will walk you through the surgical plan in detail, explain what blepharoplasty recovery looks like, and show you before and after photos from previous Dallas patients so you have a realistic sense of what to expect. You will have the opportunity to ask questions and raise any concerns before making any decisions.
To schedule a consultation with Dr. Cocco, a Board-Certified Plastic Surgeon in Dallas with a background in plastic and reconstructive surgery, use the contact form on this page.
Blepharoplasty Before and After Photos
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Combining Blepharoplasty with Other Procedures
Blepharoplasty is frequently performed alongside other procedures, either because the patient has concerns that a single procedure cannot fully address, or because combining surgeries means one anesthesia, one recovery period, and a more balanced result across the face.
Upper and lower blepharoplasty. The most common combination is performing both procedures together in a single session. Not every patient needs both areas addressed, but for those who do, combining upper and lower blepharoplasty produces a more balanced result across the entire eye area and avoids the contrast that can arise when only one area is treated. Dr. Cocco will assess both the upper and lower lids during your consultation and recommend the approach that makes the most sense for your anatomy.
Brow Lift. A descending brow can contribute to the appearance of upper eyelid heaviness, making it difficult to determine whether the concern originates from the eyelid skin itself or from the position of the brow. When both factors are present, combining upper blepharoplasty with a brow lift corrects each at its actual source. Dr. Cocco assesses brow position as part of every eyelid lift consultation to help determine whether a brow lift is relevant to your case.
Facelift. Patients pursuing broader facial rejuvenation sometimes combine blepharoplasty with a facelift A facelift addresses sagging skin and loss of definition along the mid-face and jawline, while eyelid surgery refreshes the eye area. Treating both in a single session produces better results across the upper and lower face.
Rhinoplasty. For patients whose goals include both eye area and nose refinement, combining blepharoplasty with rhinoplasty allows both procedures to be performed under a single anesthesia. Both procedures address independent areas with no clinical conflict, and recovering from both simultaneously is generally no more demanding than recovering from either one alone.
How to Prepare for Blepharoplasty Surgery
Dr. Cocco will provide detailed pre-surgical instructions during your consultation, but most patients preparing for blepharoplasty in Dallas will need to address the following:
- Medications. Stop taking blood thinners, aspirin, anti-inflammatory medications, and certain supplements at least two weeks before surgery, as these increase bleeding risk. Dr. Cocco will review your current medications and let you know exactly what to pause and when.
- Smoking. If you smoke, you will need to stop before and after surgery. Smoking restricts blood flow and directly affects how well the delicate eyelid skin heals following your surgery.
- Labs and clearance. Depending on your health history, Dr. Cocco may request blood work or a medical clearance from your primary care physician before scheduling your blepharoplasty surgery.
- Arrangements. Plan for someone to drive you home after the procedure and stay with you for the first night. This applies to all blepharoplasty patients regardless of the anesthesia used.
- Your eyes. If you wear contact lenses, switch to glasses in the days leading up to surgery and plan to continue wearing them during early recovery.
Blepharoplasty Recovery
Most patients experience swelling, bruising, and mild discomfort in the first few days following blepharoplasty surgery. Keeping your head elevated, applying cold compresses, and avoiding strenuous activity during the first week helps manage these effects and supports healing.
For upper blepharoplasty patients, sutures are typically removed within a week. Most patients feel comfortable returning to normal daily activities within seven to ten days, though final blepharoplasty results take several weeks to fully settle as residual swelling resolves. Lower blepharoplasty and combined eyelid surgery patients may experience a slightly longer initial recovery given the extent of the procedure, though the timeline is broadly similar.
Incisions for upper eyelid surgery are placed along the natural eyelid crease, and those for lower eyelid surgery are positioned either just below the lash line or inside the lower eyelid depending on the technique used. In both cases scarring is minimal and well-concealed. Individual healing varies based on skin type and genetics, and following Dr. Cocco's post-operative care instructions closely is the most effective way to support a clean result.
Blepharoplasty Risks and Considerations
As with any cosmetic surgery, blepharoplasty carries risks that every patient should understand before moving forward. These include infection, bleeding, asymmetry, scarring, temporary or prolonged dry eye, and changes in sensation around the eye area. Most patients do not experience serious complications, but the possibility exists and is worth an honest conversation before proceeding.
The eye area requires a level of precision and care that not every surgeon brings to it. Dr. Cocco's background in reconstructive microsurgery is directly relevant here, the same attention to delicate tissue, fine detail, and nerve preservation that micro-surgical training develops applies directly to eyelid surgery. Her board certification as a board-certified plastic surgeon in Dallas can be independently verified at certificationmatters.org.
Patients for whom sensitivity and nerve function around the eyes are a particular concern should raise this directly during the consultation so Dr. Cocco can address it as part of the surgical planning process.
Blepharoplasty FAQs
(Frequently Asked Questions)
What is the difference between upper and lower blepharoplasty?
Upper blepharoplasty addresses excess skin and fat on the upper eyelids that causes drooping and a heavy, tired appearance. Lower blepharoplasty targets the area beneath the eye, where fat deposits and loose skin create puffiness, bags, or hollowness. Both procedures can be performed independently or combined in a single session depending on which areas are affected.
How much does blepharoplasty cost in Dallas?
The cost of blepharoplasty in Dallas starts at $3,500 and varies depending on which area is being treated, the extent of correction needed, and whether additional procedures are performed at the same time. An accurate estimate is provided during your consultation after Dr. Cocco evaluates your anatomy and establishes a surgical plan.
How long does blepharoplasty recovery take?
Most patients return to normal daily activities within seven to ten days. Final blepharoplasty results take several weeks to fully settle as residual swelling resolves. Combined eyelid surgery patients may experience a slightly longer initial recovery depending on the extent of the procedure.
Who is a good candidate for blepharoplasty?
Good blepharoplasty candidates are adults in overall good health who are bothered by drooping, sagging, or puffy eyelids and want a more rested, refreshed appearance. Patients should be non-smokers or willing to stop smoking before and after surgery and free from active eye conditions that could be affected by the procedure. Dr. Cocco will confirm candidacy during your consultation based on your anatomy and medical history.
How long do blepharoplasty results last?
Blepharoplasty results are long-lasting. Most patients enjoy their outcome for ten years or more, though the natural aging process continues over time. Factors such as genetics, skin quality, and sun exposure influence how the eyelid area changes after surgery.
Does Cocco Clinique MD offer blepharoplasty in Dallas, TX?
Yes. Dr. Jennyfer F. Cocco, MD performs blepharoplasty in Dallas, TX at her boutique plastic and reconstructive surgery practice, serving patients throughout the Dallas/Fort Worth area. Both upper and lower blepharoplasty are offered as standalone procedures or as a combined eyelid surgery approach. To schedule a consultation, use the contact form on this page.
Schedule your Blepharoplasty Consultation in Dallas, TX Today!
If you are ready to take the next step and schedule your Blepharoplasty in Dallas, TX, Dr. Jennyfer F. Cocco, MD welcomes you to contact her office today. Use the contact form above to reach the office and a member of the team will be in touch to confirm your appointment.