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Frank Agullo, MD En Español

Eyelid Surgery

Have the years and circumstances of your life taken their toll on your appearance? Now you can reclaim them through blepharoplasty for women. Men and women in El Paso can bring back their gorgeous eyes through a non-invasive cosmetic surgery.

Bring Back Your Eyes

Eyelifts differ between men and women. Although for both sexes, the eyes are one of the most prominent facial features and also tend to show their age with crow’s feet, bags under the eyes, droopy eyelids or eyebrows that lose their shape, the cosmetic surgery can improve your appearance and restore your face to fill in those wrinkles, creases and make your eye’s “pop” instead of hiding behind flappy skin.

The shape of a woman’s face has more elegance and femininity. Blepharoplasty can reverse signs of aging and defy gravity. For women, it can become more difficult to apply eye shadow or makeup to their eyelids because of the extra skin folds. As the layer of tissue supporting the eyelid weakens, so too do the bulges begin to surface along the upper eyelid. Blepharoplasty can eliminate these bulges and extra skin pockets. Female eyebrows have arches that are more vertically arched, whereas men’s brows seem to be flatter to the forehead. The gentle tapering is meant to be about a finger’s width above the eye socket, but when the elasticity becomes less resilient then the skin’s edges may move in or creep up more towards the crease.

To learn more about male blepharoplasty procedure click here.

Getting an eyelift can help to improve the appearance of:

  • Excess eye wrinkles and crow’s feet
  • Misshapen eyebrows
  • Dark circles under the eyes
  • Upper and lower eyelid skin/creases
  • Furrowed brow lines

Combined eyelift procedures

Some women who want to get an eyelift do so in conjunction with other facial procedures. This is a great way to maximize your time, budget and to achieve a brand new look with a minimal healing time.

Blepharoplasty can be combined with:

  • Rhinoplasty (nose job)
  • Facelift surgery
  • Fat injections
  • Lip augmentation
  • Neck Lift
  • Brow Lift
  • Protein Rich Plasma (PRP) injections

Getting an eyelift with other services can truly make your face feel “magically young” again. Although there is no specific “fountain of youth”, Dr. Frank Agullo is just about the next best thing for patients in the El Paso, Albuquerque, Chihuahua, Alamogordo and Southwestern TX region. It’s best to discuss whether or not combining techniques is best for your particular circumstances, needs and objectives with Dr. Agullo during your initial consultation. Together, he can help you determine a plan that is right for your face!

Blepharoplasty techniques

While in your consultation, Dr. Frank Agullo can give you before and after previews of what your potential eyelid surgery will look like. By itself, blepharoplasty is generally a simple and straightforward procedure that only takes about an hour or two to accomplish. However, if you wish to combine your eyelift with another cosmetic enhancement, this may not be the case.

Dr. Agullo will start by tightening the loose skin above the eyes, below the eyes and then will trim excess fat stores that give you under eye baggage or dark circles. If incisions will be made, they are most often done along the natural eyelid creases and are virtually invisible to the naked eye after they heal. Dr. Agullo is a board-certified plastic surgeon ranked among the top surgeons in the country.

Some women opt for completely non-invasive eyelift measures, such as fillers or non-surgical methods. Depending on how severe your eyelift needs may be, as well as your budget and time constraints will predicate which techniques may be right for your situation. Here are a few techniques that may be used:

  • Transcutaneous Upper/Lower Eyelid Blepharoplasty: The surgeon makes tiny incisions within the crease of the skin on the eyelids, using care to remove the excess skin without damage to any of the underlying muscle and tissue. Sometimes the muscle can be repositioned or selectively separated. Transcutaneous means “through” the skin, implying the point of the incision. You may hear the doctor use some of these terms that would apply to your eyes:
    • Transcutaneous Upper Eyelid Blepharoplasty
    • Transconjunctival Upper Eyelid Blepharoplasty
    • Transconjunctival Lower Eyelid Blepharoplasty
    • Transcutaneous Lower Eyelid Blepharoplasty
    • Transcutaneous Lower Eyelid Fat Lipolysis
  • CO2 Laser: A non-invasive method of smoothing fine lines, crow’s feet and/or wrinkles around the eyes. The laser softens the wrinkles naturally, without making it seem contrived.

If just the eyelift is being performed, it could take about an hour or two to perform the surgery. However, if you are combining the procedure with any other cosmetic enhancements or facelifts, then it could take longer.

If the surgeon is doing an entire eyelift, he most often begins with the upper eyes and then works his way down to the lower eyelids. First he will make the required incisions within the eyelid creases to remove the excess skin or fat. He will separate it from the underlying muscle, tissue and fat and then close it with very small sutures that will remain in your eyelids for approx. 3 – 6 days thereafter. Not everyone requires incisions or sutures. The eyelid surgery can often be done with a local anesthesia, although sometimes general anesthesia is preferred when there are multiple procedures performed. Discuss the best option with the plastic surgeon ahead of time.

One of the last steps is to fill in wrinkles, lines or crow’s feet with a laser tool. Dr. Agullo can combine fat injections with or without PRP (protein rich plasma) to enhance the final result. This is relatively painless and you will not remember any of the procedure due to the anesthetics.

Getting Blepharoplasty

Preparing adequately for your eyelift is instrumental to its success. Dr. Frank Agullo is one of the area’s leading cosmetic surgeons for eyelifts, both for women and men. Here are some strategies to prepare you for your eyelift:

  • Stay away from the sunrays for at least 2 weeks before surgery and 2+ months after. If this cannot be avoided use sunglasses with UV protection and an appropriate sunblock. The sun can make scars hyper pigmented.
  • Give yourself adequate recovery time and schedule events around your surgery.
  • Ask a friend or relative to give you a ride to and from the surgery.
  • Don’t use any lotions, cream or makeup on your face, especially eye shadow, mascara, eye liner or any type of eye care products.
  • Quit smoking at least two weeks prior.
  • Don’t take aspirin or prescription medications which contain blood.
  • Prepare ahead with ice packs and medical necessities.

Many patients opt for local anesthesia or IV conscious sedation for eyelid surgery, but talk to your surgeon to decide if this is right for you. Dr. Frank Agullo will go over these options with you.

Recovering from Eyelift Surgery

Work and daily activities should be avoided for a few days after eyelift surgery. Ask a friend to help you with the children or with running errands. It’s important to allow your eyes a chance to heal properly. Some women report having dry eyes following an eyelift cosmetic procedure. This is normal, however if dry eyes persist for longer than two weeks, consult with Dr. Agullo. In the meantime, keep applying your doctor recommended eye drops.

Keep your eyes and eyelids iced with soft ice packs or cubes in a washcloth. You can also use freezer bags with frozen vegetables to prevent swelling. The swelling will go down on its own within a few days to a week. After a few weeks, your eyelift will be entirely healed. Keep this in mind when scheduling important social obligations. The last thing you want is for people to wonder why your eyes appear bruised or swollen, or to appear in pictures during this healing process. Get plenty of rest if you can.
Most importantly, avoid the sun or any UV exposure for a few months after an eyelift surgery. Always wear UV protective sunglasses. You may also wish to buy the larger frames to help cover up all of the areas around your eyelids. Sun exposure can make your skin look pinkish, red or splotchy and will harm your sensitive eyes.

Are there any known risks or complications?

Any kind of surgery comes with risk, although rare. Dr. Frank Agullo is a renowned, board-certified plastic surgeon and accredited member of The American Society of Plastic Surgery. You should have peace of mind that nearly all of his patients are delighted with getting an eyelift. However, the following complications are worth mentioning:

  • Dry eyes
  • Swelling
  • Bruising
  • Infection
  • Bleeding

Talk to your doctor right away if anything seems out of the ordinary. Dr. Frank Agullo is extremely compassionate and wants your eyelift to be successful in every way. Keep in mind that blepharoplasty does not permanently cease the aging process around the eyes, but the eyelift is long lasting. Upper eyelids will maintain their appearance for 5 – 7 years; or even forever. Lower eyelids rarely need corrective procedures again, however if your eyelids do experience loss of elasticity or wrinkling then the next step would likely be a forehead lift, rather than repeating the eyelid surgery a second time.

Undergoing blepharoplasty does not change the physical structure of your face. It simply improves the appearance around your eyes. Tell your doctor about your objectives in advance to avoid any possible disappointments.

How much is blepharoplasty?

Pricing varies depending on the extent of the treatment or surgery. You can see a list of the approximate prices of each procedure on our current fee schedule. Dr. Agullo charges a consultation fee of $100, which is applied to the cost of your treatment. Generally speaking, cosmetic plastic surgery is considered “elective” and is not covered by most insurance plans. The prices listed on our fee schedule represent the minimum cost of the procedures, including anesthesia and surgical facility fees, medical tests, garments, and recovery products. The cost of prescription medications, however, is not included. The exact price of each procedure can only be determined after a thorough consultation. All fees must be paid in full prior to the scheduled treatment.

For many women, getting an eyelift works magically to rejuvenate, restore and improve self-esteem. Since the eyes are one of the most prominent features of a woman’s face, it is one that is understandably essential to maintain. Most of Dr. Agullo’s patients have described feeling and looking many years younger and receiving more compliments than ever about their age. It is important to do something like this as a personal gift to oneself, rather than to try to impress anyone. Indeed, getting a blepharoplasty is a great way to enhance confidence and tap into that fountain of youth we all wish to find.


Schedule a risk-free evaluation with Dr. Frank Agullo today.