Your eyes are often the first thing people notice — and one of the first areas to show signs of aging. Sagging skin, puffiness, or droopy eyelids can make you look tired even when you feel well-rested. Fortunately, upper eyelid surgery (blepharoplasty) and ptosis repair can restore a more alert, refreshed appearance — often performed comfortably under local anesthesia right here at Levesque Plastic Surgery in Austin.
What Is Upper Eyelid Surgery (Blepharoplasty)?
Blepharoplasty removes excess skin and fat from the upper eyelids. Over time, the delicate eyelid skin can stretch, creating hooding or folds that weigh down the eyes. The procedure can:
- Eliminate heavy, drooping upper lids
- Restore a smoother eyelid crease
- Improve symmetry between eyes
- Enhance the appearance of makeup application
- Help patients look more rested and alert
When excess skin interferes with your visual field, it may qualify as a functional surgery. * As of August 2026, we no longer accept new insurance patients; upper eyelid surgery is offered as a cash-pay procedure at a transparent price quoted in advance.
What Is Ptosis and When Is It Repaired?
Ptosis refers to drooping of the upper eyelid margin itself — not just extra skin. This occurs when the levator muscle becomes stretched or weakened. Common symptoms include one eyelid appearing lower, fatigue from constantly raising the brows, partially obstructed vision, and asymmetry in photographs.
During ptosis repair, we tighten the levator muscle or its aponeurosis, restoring the eyelid's natural height and contour. Combining blepharoplasty with ptosis repair creates the most balanced and natural result.
Upper Eyelid Surgery Under Local Anesthesia
Many patients are surprised to learn that upper eyelid surgery and ptosis repair can be performed while awake, using only local anesthesia. The majority of surgeons use IV sedation, but I've found it largely unnecessary with appropriate planning — which also saves on costs.
How It Works
- A small amount of numbing medicine (similar to dental anesthesia) is injected into the eyelid area
- Optional mild oral sedation may be offered for additional comfort
- You remain awake but relaxed — no pain, only light pressure or movement
- Surgery typically takes 45–90 minutes depending on whether ptosis repair is included
Benefits of Local Anesthesia
- Lower risk compared to general anesthesia or IV sedation
- Faster recovery with fewer side effects
- Reduced cost (no operating room or anesthesiologist fees)
- Convenient same-day procedure
- Ability to go home shortly after surgery
- Patient can open eyes during ptosis repair so eyelid position can be checked — a key advantage of local anesthesia
Recovery and Results
Most patients return to normal activities within 5–7 days. Bruising and swelling peak around day 2–3 then fade steadily. Post-op guidelines include keeping the head elevated for 48 hours, cool compresses for the first 2 days, and avoiding strenuous activity for one week. Sutures are typically removed within 7 days.
Results continue to refine for several weeks. The incisions fade beautifully within the natural crease, becoming nearly invisible over time. If ptosis repair was performed, you'll notice improved eyelid symmetry and a wider, brighter gaze immediately — often with better visual comfort. The brow also relaxes, reducing intense forehead wrinkles.
Complementary Treatments
- CO2 Laser, VI Peels, or microneedling to firm and hydrate eyelid skin
- Brow lift for subtle elevation to further open the eyes
- Botox or Dysport to smooth crow's feet and relax the brow
Schedule your consultation with Dr. Levesque in Austin today.