Opening the eyes. Erasing the fatigue

Precision eyelid surgery for North Texas.

You log eight solid hours of sleep and feel completely energized. Then you catch your reflection in the rearview mirror on the Dallas North Tollway. Heavy upper eyelids and bulging under-eye fat are casting a permanent shadow of exhaustion across your face. Sleep cannot fix a structural problem. Dr. Robert "Bo" Brobst performs blepharoplasty to resolve this exact anatomical disconnect. By precisely removing the weight and resetting the tissue, he ensures your eyes tell the truth about how you actually feel.

Enhance your most beautiful feature

What is blepharoplasty?

Blepharoplasty (eyelid surgery) is a cosmetic surgery procedure that removes excess skin, muscle, and displaced fat from the upper or lower eyelids. By correcting drooping eyelids and under-eye bags, the surgeon restores a rested appearance without altering the natural, inherent shape of your eye.

At A Glance: Eyelid Surgery with Dr. Brobst

Metric	Expectation
Anesthesia	Local anesthesia with oral sedation, IV sedation, or General
Duration	1 to 2.5 hours (depending on upper, lower, or both)
Pain Level	Rated 2/10 (Patients describe mild soreness and tightness)
Social Downtime	7–10 days (Bruising and swelling peak at 48 hours)
Scars	Hidden in the natural creases or inside the lower lid

The Fatigue Miscommunication

Why Frisco Patients Seek an Eyelid Lift

You sleep eight hours a night. You maintain a demanding but healthy lifestyle. Yet, when you catch your reflection in a window at The Star or look in the mirror before a meeting, the face staring back looks exhausted. The eyes are the primary focal point of human interaction. When the tissue around them sags or bulges, it sends a false signal of fatigue or sadness to everyone you meet.

There is a frustrating disconnect between how you feel inside and your outward appearance.

Many patients in Frisco, TX, try to solve this with expensive eye creams or excessive concealer. These topical solutions cannot fix a structural problem. Eyelid aging is an anatomical shift. The thin skin loses elasticity, and the fibrous wall holding your orbital fat in place weakens, allowing fat pads to bulge forward.

Dr. Robert "Bo" Brobst addresses these root causes directly. As a double board-certified specialist in facial plastic surgery, his approach to cosmetic eyelid surgery is rooted in restraint. The goal is never to change the character of your eyes. We want to align your exterior with your internal energy, creating youthful eyes that look completely natural.

From Dr. Bo:

"Twenty years ago, the standard plastic surgery approach to the eyes was entirely subtractive. Surgeons would take out as much fat and skin as possible. That technique left patients looking hollowed out, skeletal, and older.

Today, we understand that volume is the hallmark of a youthful appearance. When I perform a lower blepharoplasty, I rarely remove all the fat. Instead, I reposition it. I take the bulging excess fat and slide it down into the tear trough (the hollow circle under the eye). This smooths the transition from the eyelid to the cheek. You get a seamless, bright under-eye without the hollow, sunken look."

Tailored Correction

Upper vs. Lower Eyelid Surgery

The eyelids age differently. Depending on your anatomy, you may need to address the top, the bottom, or both simultaneously to achieve a truly rested appearance.

Upper Eyelid Surgery

Gravity and repetitive muscle movement cause the upper eyelid skin to stretch. Eventually, this loose skin folds over the natural fold of the eye, resting on the eyelashes. In severe cases of droopy eyelids, this excess upper eyelid skin can actually obstruct your peripheral vision.

The Technique: Dr. Bo makes a precise incision perfectly hidden within the natural creases of the upper lids. He will remove excess skin and, if necessary, a tiny sliver of muscle or bulging fat near the nose.
The Result: A clean, visible eyelid platform. Eye makeup applies smoothly again, and the eyes appear open and bright. For many older patients, this procedure also provides significantly improved vision.

Lower Eyelid Surgery

The lower eyelids are plagued by bags and dark circles. This puffy appearance is typically caused by orbital fat herniating forward as the supporting tissues weaken.

The Technique: For most patients, Dr. Bo uses a transconjunctival approach. The incisions are placed entirely inside the lower eyelid. There is no external scar. Through this hidden access point, he meticulously removes or repositions the fat beneath the eye. If there is significant sagging skin, a tiny pinch of excess tissue can be removed just below the lash line.
The Result: A smooth contour from the lower lashes down to the upper cheekbone, eliminating the permanent shadows and eye bags.

The Process

Am I a Candidate for Eyelid Surgery?

Blepharoplasty is one of the most universally applicable facial plastic surgery procedures. It benefits both men and women, often starting in their late 30s or early 40s when genetic predispositions for under-eye puffiness begin to show. You are a good candidate if you have experience:

Drooping eyelids that make you look perpetually tired.
Puffy under-eye bags that do not respond to sleep, hydration, or diet.
Difficulty applying eyeshadow due to excess, crepey skin.
Good overall health with no unmanaged medical eye conditions (like severe dry eyes or glaucoma).

During your private consultation at our Plano office, Dr. Bo will evaluate your facial anatomy. He will specifically check the position of your eyebrows. If your heavy eyelids are actually caused by a descending brow, a brow lift may be the correct recommendation instead of, or in addition to, an eyelid lift.

The Surgical Experience

How the Blepharoplasty is Performed

Your safety and comfort dictate our surgical plan. Blepharoplasty is an outpatient surgery. If you are only having upper eyelid surgery, this can often be comfortably performed in our office using local anesthesia and a mild oral sedative. You remain awake but completely relaxed and numb. If you are undergoing lower eyelid surgery or having both the upper and lower lids addressed simultaneously, we typically utilize deep IV sedation or general anesthesia in our fully accredited surgery center. This ensures you are perfectly still and comfortable while Dr. Bo works near the delicate structures of the eye.

The Timeline

Recovery: Proper Healing and Downtime

The eyelid skin is the thinnest on the body. It heals remarkably fast, but it also bruises easily. We provide a detailed aftercare protocol to minimize complications and speed up your return to normal life.

Days 1–3: The Rest Phase

You will experience swelling and bruising. The eyes may feel tight, sensitive, and watery. Pain is minimal, and most patients only require over-the-counter Tylenol after the first 24 hours. To reduce swelling, you must apply cold compresses diligently and keep your head elevated (even while sleeping) for the first few days. Mild light sensitivity is normal; wear dark sunglasses if you need to step outside.

Day 6–7: Suture Removal

If you have external incisions (from the upper lids or a skin pinch on the lower lid), we remove the fine sutures in the office. The bruising will have transitioned to a yellowish hue that is easily camouflaged.

Weeks 2–3: Social Readiness

By day 10, Frisco patients are typically back to their normal routines—running errands, attending meetings, or dining out. Women can resume wearing eye makeup, which easily conceals any faint residual pinkness along the upper crease. Contact lenses should be avoided for two weeks to prevent pulling on the healing tissue.

Complete Rejuvenation Rejuvenation

Complementary Procedures

While an eyelid lift physically removes skin and fat, it does not stop the skin from wrinkling or completely halt the aging process. For the most comprehensive result, we often combine blepharoplasty with other procedures.

Laser Skin Resurfacing: Surgery fixes the shape and removes the heavy folds, but laser skin resurfacing improves the actual canvas. It smooths out the fine crepey wrinkles around the eyes (crow's feet) that surgery cannot address.
Botox: Using Botox or other neurotoxins helps relax the muscles that cause dynamic wrinkles, protecting your surgical results and keeping the brow elevated.
Brow Lift: If the heavy skin on your upper lid is actually caused by a sagging forehead pushing downward, a brow lift is the anatomical solution to restore a truly open, youthful eye.

Investment

The Cost of Blepharoplasty in Frisco

We provide clear, upfront pricing because nobody likes medical billing surprises. The cost of your surgery is dictated by the complexity of the surgical plan.

Your quote will depend on whether we are addressing the upper or lower eyelids (or both), the type of anesthesia required, and facility fees. Because we understand that cosmetic surgery is a significant investment in yourself, we offer various financing options through trusted partners like CareCredit and PatientFi. When performed by a specialist, eyelid surgery provides incredibly long-lasting results. The fat removed from the lower lids rarely returns, meaning you can enjoy your refreshed look for a decade or more.

See Clearly. Look Rested.

Schedule your Frisco Blepharoplasty Consultation

Your eyes dictate how the world perceives your energy. If you are ready to explore natural, precise eyelid rejuvenation, it’s time to Go See Bo.

Schedule Your Private Consultation in Plano

Blepharoplasty Frequently Asked Questions

Will my insurance cover eyelid surgery?

Insurance only covers upper eyelid surgery if the drooping skin severely impairs your visual field. This requires a formal visual field test conducted by an optometrist or ophthalmologist. Lower eyelid surgery is always considered cosmetic.

Can eyelid surgery fix my dark circles?

It depends on the cause. If your dark circles are shadows cast by bulging fat pads, surgery will eliminate them. If the darkness is caused by pigmentation in the skin itself, surgery will not change the color. We often recommend medical-grade skincare for pigment issues.

Will I have dry eyes after the procedure?

Temporary dryness is common as the eyelids heal and puffiness subsides. We recommend specific lubricating eye drops to keep the eyes comfortable. For patients with a pre-existing history of severe dry eye, Dr. Bo will adjust his surgical technique to be highly conservative, prioritizing function over aesthetics.

When can I work out again?

You must avoid strenuous activity, heavy lifting, and bending over for at least two to three weeks. Elevating your blood pressure too soon can cause bleeding and prolong your swelling.

Does a lower blepharoplasty change the shape of my eye?

No. Dr. Brobst uses precise techniques to ensure the lower lid is not pulled downward (a complication known as ectropion). The goal is to remove the bag, not alter the almond shape or natural contour of your eye.

Schedule your consultation with Dr. Bo today

Let's Chat

We want to welcome you into our Plano office for a consultation to chat about how we can protect and preserve your beauty. We want to get to know you as a person and develop a plan that best fits your needs and lifestyle. At Brobst Facial Plastic Surgery and Aesthetics, you’re more than a patient — you’re part of our family. We want to take care of you the way family should. Schedule your consultation to get started today.

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