Types of Eyelid Surgery (Blepharoplasty)

Eyelid lift cosmetic surgery or blepharoplasty is designed to enhance the appearance of droopy, tired-looking eyes.

During the initial consultation, the surgeon will determine the patient’s condition of lower and upper eyelids and recommend the appropriate blepharoplasty technique. Board certified female plastic surgeon Dr. Kristi Hustak provides eyelid surgery to patients in Houston, Texas, and surrounding locations.

Upper Blepharoplasty

Upper eyelid lift surgery will address the wrinkles, puffiness and droopiness in the upper eyelids. Aging upper eyelids can often create partial vision obstruction, which can also be corrected with this procedure. The surgeon will create small incisions across the eyelid crease.

Depending on the patient’s requirements, the eye muscles may be tightened through the incisions and precise amount of excess skin may be removed to create more youthful and refreshing look of the eyes. Excess fat may also be redistributed to achieve more natural looking results.

Lower Blepharoplasty

Muscles under the eyes may tend to sag with age, causing fat to protrude and resulting in the appearance of under eye bags. This can create a tired or weary looking face. The misplaced fat may also create shadows or dark circles below the eyes. Tear troughs may also get dispersed lower towards the cheeks.

These conditions can be corrected with lower eyelid lift plastic surgery. The surgeon will create small incisions to excess loose skin, redistribute the fat deposits more evenly, and provide a smoother and more contoured appearance from the lower lash line to the cheeks. Patients can achieve a more pleasing and balanced upper face appearance with this surgery.

Transconjunctival Blepharoplasty

If the under eye bags are less prominent, the surgeon may recommend transconjunctival lower eyelid surgery technique.

This procedure will involve removal of excess fat deposits from the lower eyelids without excising any skin. The surgeon can accomplish this using multiple tiny incisions placed inside the lower eyelid. This procedure is less invasive and does not cause any external scarring.  

Combination Blepharoplasty

Some patients may require correction in both the upper eyelids and the area under the eyes that may have accumulated fat deposits. In such cases, the surgeon may perform combination blepharoplasty to address both upper and lower sections of the eyes to produce a more proportionate and natural looking results.

The surgeon will create microscopic incisions with the lid lines or eye creases to remove loose skin, move the fat deposits, and re-contour eye muscles. A combination eyelid lift may sometimes be performed along with a brow lift to correct saggy skin above the eyes.


Results with eyelid lift surgery will differ between two patients, but most patients will be satisfied with their overall improvement in the look of the eyes and upper face. Most patients seek to achieve a more youthful and alert look of the eyes, while a few may find relief when their full vision is restored (which had earlier been obscured due to sagging upper lids).

Experienced female cosmetic surgeon Dr. Kristi Hustak receives patients from Houston, Texas and nearby areas for eyelid surgery.

For more information on procedures and treatments provided by board-certified female plastic surgeon Dr. Kristi Hustak please call us to schedule a consultation at 713.322.7265 or click here. Offices in Houston, Texas.