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Cosmetic Eyelid Surgery (Blepharoplasty)

Patients that Dr. Kunkel sees for eyelid surgery are often concerned that they look tired or sad.  Their eyes look puffy.  Fatty tissue may protrude in the lower eyelids, making it look like they have been crying or have allergies.  Extra skin of the upper eyelids makes theblepharoplasty fort worth tx eyelids heavy.  It may be hard to put on make-up.  Cosmetic eyelid surgery (blepharoplasty) can help create dramatic yet refined changes around the eyes.

Techniques for eyelid surgery have evolved.  Before the early 2000’s it was common for surgeons to remove all the fat they could find.  Today there is more of an emphasis on preserving fat in strategic areas of the eyelids.  When doing lower eyelid surgery, Dr. Kunkel manipulates fat through an incision inside the lower eyelid.  This technique has become a standard in eyelid surgery.

Dr. Kunkel offers cosmetic eyelid surgery services to patients from Fort Worth, Southlake, Mansfield, Weatherford, Arlington, and across North Texas. Peer physicians have recognized Dr. Kunkel’s outstanding care of patients and have voted him a TopDoc 19 times!

What is Blepharoplasty?

Cosmetic eyelid surgery, also known as blepharoplasty, is one of the most-commonly performed cosmetic procedures.  During a blepharoplasty operation, Dr. Kunkel removes excess skin and removes and repositions underlying fat.   Cosmetic eyelid procedures often deliver dramatic results that are subtle at the same time. Unless you’ve told them, friends may not even know that you’ve had surgery; they may only notice that you look more alert and refreshed.

These procedures can be performed on the upper eyelids, the lower eyelids, or on both.

Candidates for Blepharoplasty

The best candidates for blepharoplasty

  • are in good health
  • do not smoke
  • do not have any serious eye conditions
  • have loose, sagging skin of the upper or lower eyelids
  • have fullness and puffiness in the lower eyelids

When upper eyelids are so droopy that they impair a person’s ability to see, blepharoplasty may even be a necessity.  In a situation like that, insurance might even pay for the surgery.

How does Dr. Kunkel perform blepharoplasty?

Dr. Kunkel performs blepharoplasty surgery in a surgery center or hospital in Fort Worth.  The patient is put to sleep under the direction of an anesthesiologist (general anesthesia).  The operation may be done on just the upper eyelids, just the lower eyelids, or both the upper and lower eyelids.  Some patients undergo blepharoplasty combined with a brow liftfacelift, or even breast augmentation.  It takes Dr. Kunkel about an hour to do both upper eyelids, and about two hours to do both lower eyelids.  Most patients are able to go home the same day.

Upper eyelid blepharoplasty surgery is done through an incision near the natural crease of the eyelid. Excess skin is removed, fat is repositioned or removed, and the underlying muscle tissue is slightly modified.  The final scar is nicely concealed along the crease, extending out toward the side of the eyelid.

Photo of Dr. Kunkel marking the eyelids of a blepharoplasty patient in Fort Worth

(Dr. Kunkel placing markings on a patient about to undergo blepharoplasty surgery)

When doing lower eyelid blepharoplasty surgery, two incisions are usually required.  One of these is made inside the lower eyelid.  The fatty tissue bulges are managed through this incision.  Some fat is removed, and some of the fat may be repositioned.  This allows the lower eyelid and cheek to blend together, minimizing distinct creases and folds.  The second incision is made immediately below the eyelashes.  Excess skin is removed through this incision.  The resulting scar is typically almost imperceptible.

See examples of some of Dr. Kunkel’s blepharoplasty patients here.


What is eyelid surgery recovery like?

Most people have very little pain after blepharoplasty surgery.   Vision may be a little blurry for a day or two.  Dr. Kunkel often uses dissolving sutures.  A few sutures may need to be removed after about a week.  Make-up may be worn beginning about a week after surgery.  Some bruising occurs and is noticeable for 3 to 4 weeks, but make-up usually conceals it.  Contact lenses should not be worn for 7-10 days.  Some people return to work in just a few days. Most people, however, take about 10 days off from work. If there is a special occasion coming up, like a wedding or a reunion, it’s probably best to undergo the blepharoplasty about two or three months before the event.

What Our Patients Have to Say

“Dr. Kunkel is a fabulous surgeon as well as a caring man. He is truly concerned about your needs and/or wants. He tells you what you can and cannot expect in reality. I can’t say enough about his staff! They are simply THE BEST!” -Kim B. 


All surgical procedures have some risks. Risks common to all procedures include infection, bleeding, and visible scars.  Risks that are more unique to blepharoplasty include dry eyes, inability to fully close the eyes, injury to an eye, and a downward pulling of the lower eyelid (ectropion). Dr. Kunkel carefully discusses the procedure, the recovery, and the risks with each patient.

Photo of Dr. Kelly Kunkel with OR team members.

(Selfie of Dr. Kunkel with members of the OR team)

is blepharoplasty surgery covered by insurance?

Blepharoplasty is typically a cosmetic procedure, not covered by health insurance.  Some people have trouble seeing things above them or beside them.  This may happen when the skin of the upper eyelid droops so much that it impairs light getting to the eye.  Visual field tests performed by an optometrist or ophthalmologist help diagnose this problem.  A person who has a visual field test indicating impairment of vision due to droopiness of the upper eyelids may be a candidate for insurance to pay for upper eyelid blepharoplasties.  If someone is hoping to have insurance pay for the procedure, that person would need to have a visual field test confirming the problem.  In those cases, Dr. Kunkel writes a letter to the person’s insurance company to see if they might pay for the procedure.

how much does cosmetic eyelid (blepharoplasty) surgery cost in Fort worth?

The prices listed below include Dr. Kunkel’s fee, the surgical facility fee, and the anesthesia fee.  Prescription medications cost extra.  Insurance may pay the majority of the costs of these but that varies by insurance company.

  • Upper eyelid blepharoplasty surgery:  about $4,200.
  • Lower eyelid blepharoplasty surgery:  $4,500 to $5,000.
  • Combined upper and lower eyelid blepharoplasty surgery:  about $6,500.

Schedule a Consultation

To schedule a consultation or to learn more about our blepharoplasty procedures, contact us today at (817) 335-5200.

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