Cosmetic Dermatology
Eyelid Surgery — Upper Lid Blepharoplasty
Local anesthesia only. No general anesthesia. All procedures performed in-office — you’re awake, comfortable, and drive-home ready.
Minimally invasive upper eyelid surgery to remove excess skin and restore a natural crease — performed in-office under local anesthesia only.

What it is
Upper lid blepharoplasty removes the excess, sagging skin of the upper eyelids that can make you look tired or, in some cases, obstruct your vision. It's one of the most rewarding facial procedures because the result is subtle yet transformative — brighter, more open eyes.
Ideal candidates
- You have hooded or drooping upper-eyelid skin
- Your eyes look tired even when rested
- Excess lid skin interferes with your field of vision
- You want a quick procedure with minimal downtime
The procedure
Performed in-office under local anesthesia. Dr. Malouf removes a precise amount of excess skin (and fat if needed) through an incision hidden in the natural eyelid crease. The procedure takes about an hour.
Recovery
Sutures are typically removed within a week. Bruising and swelling resolve over 1–2 weeks. The incision heals into the natural crease and becomes nearly invisible.
Before & after
See representative results in our before & after gallery
Frequently asked questions
Will the scar show?+
The incision is placed in the natural eyelid crease and typically heals to be nearly invisible.
Is it covered by insurance?+
If excess skin obstructs your vision, the procedure may be medically necessary and covered — we can help you find out.
What is upper eyelid blepharoplasty?+
Upper eyelid blepharoplasty is a minimally invasive surgery that removes excess skin from the upper eyelids to correct hooding, restore a natural crease, and open up the eye area. Dr. Malouf performs this in-office under local anesthesia.
Is upper lid blepharoplasty done under general anesthesia?+
No — Dr. Malouf performs upper lid blepharoplasty under local anesthesia alone. This eliminates the risks of general anesthesia and speeds recovery significantly.
How long is recovery from upper lid blepharoplasty?+
Most patients return to work in 7–10 days. Sutures are removed at about one week. Mild bruising and swelling resolve within 10–14 days.
Will blepharoplasty look natural?+
Yes — the goal is to restore your natural eyelid contour and crease. Dr. Malouf's technique preserves your eye shape and expression.
How long do upper eyelid results last?+
Upper eyelid blepharoplasty results typically last 10–15 years or longer. Most patients never need a revision.
How much does upper eyelid surgery cost in Dallas-Fort Worth?+
Cost varies based on scope and whether it is combined with other procedures. Pricing is discussed during your consultation.
Is it covered by insurance?+
In some cases, if excess upper eyelid skin obstructs your visual field, functional blepharoplasty may be partially covered by insurance. Cosmetic procedures are not covered. This is evaluated during your consultation.
What to expect
How the blepharoplasty procedure works
1. Consultation
Dr. Malouf examines the upper eyelids, measures excess skin, and confirms candidacy for upper-lid blepharoplasty.
2. Day of procedure
You arrive at the Fort Worth office. The upper-lid crease is marked and local anesthesia is injected.
3. Skin removal
A precise ellipse of excess upper-lid skin is removed. Small amounts of fat may be sculpted if needed.
4. Closure
Incisions are closed with fine sutures placed entirely within the natural upper-lid crease — essentially invisible once healed.
5. Go home the same day
You leave the office with cool compresses and go home with a driver. No overnight admission.
6. Recovery
Sutures removed at 5–7 days. Most patients return to social activity within 7–10 days. Final scar continues to fade for several months.
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Take the next step
Interested in Upper Lid Blepharoplasty?
Book a consultation with Dr. Malouf to find out if this treatment is right for you.