Dr. Sheen will make a precise incision in the natural crease of your upper eyelid, allowing him to reposition or remove the excess skin and fatty tissues causing drooping, puffing, or hooding. Next, he will adjust the muscle tissue to soften the appearance of your upper eyelids. She will finish your surgery by closing the incisions.
Blepharoplasty in Plano
Awaken and Refresh Your Eyes

Eyelid Lift Overview
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Surgery Length 1 to 2 hours
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Downtime 1 to 2 weeks
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Recovery Time 4 to 6 weeks
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Duration of Results 10 years to lifetime
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Anesthetic/Numbing General or local anesthesia
Refresh Your Appearance and Improve Your Vision
At McGuiness Dermatology & Plastic Surgery, we offer blepharoplasty in Plano to achieve a refreshed, awake appearance by lifting the eyelids. Not only does this surgery offer aesthetic benefits, it also improves your vision if hooded or sagging eyelids obstruct your sight.
This surgery, also known as an eyelid lift, can improve the following concerns:
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Hooding of the upper eyelids
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Excess skin of the upper and lower eyelids
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Undereye bags
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Impaired vision


Consultation

Treatment

Results

Why Patients Choose Blepharoplasty
The skin around your eyes is thinner than the skin on many other areas of your face. Because of this, your eyes may show signs of aging earlier than your cheeks, jawline, or neck. Over time, the upper eyelids may begin to droop, while the lower eyelids can develop puffiness, bags, or loose skin.
Patients may choose blepharoplasty in Plano because they want to brighten their appearance and look more awake. Others want to address excess skin because it affects their vision, making everyday tasks more difficult.
Why Patients Choose Blepharoplasty
The skin around your eyes is thinner than the skin on many other areas of your face. Because of this, your eyes may show signs of aging earlier than your cheeks, jawline, or neck. Over time, the upper eyelids may begin to droop, while the lower eyelids can develop puffiness, bags, or loose skin.
Patients may choose blepharoplasty in Plano because they want to brighten their appearance and look more awake. Others want to address excess skin because it affects their vision, making everyday tasks more difficult.
Blepharoplasty can help improve concerns such as:
- Hooded upper eyelids
- Loose skin around the eyes
- Under-eye bags
- Persistent puffiness
- A tired or aged appearance
- Vision blocked by sagging upper eyelid skin
Patients who mainly want to address upper eyelid heaviness may benefit from upper blepharoplasty. Those with under-eye bags or lower eyelid laxity may be better candidates for lower blepharoplasty.
Meet Dr. Derek Sheen
Dr. Derek Sheen is the primary provider for blepharoplasty at McGuiness Dermatology & Plastic Surgery. As a fellowship-trained facial plastic surgeon, Dr. Sheen focuses exclusively on aesthetic surgery of the face and neck.
He evaluates the skin around the eyes in relation to the brows, cheeks, and surrounding facial tissue. This approach helps him plan results that look balanced rather than overcorrected. Dr. Sheen tailors each procedure to the individual, preserving natural expression while improving shape, support, and definition around the eyes.
For your blepharoplasty in Plano, Dr. Sheen will discuss whether upper eyelid surgery, lower eyelid surgery, or a combination of both best fits your anatomy and concerns.
What Results Can You Expect?
Blepharoplasty can make your eyes look more open, rested, and refreshed. For patients with obstructed vision, removing heavy upper eyelid skin should improve the field of vision. People who wear eye makeup also notice easier application post-op.
Swelling and bruising are normal during the first stage of recovery. These effects often improve within 10 to 14 days, allowing your results to become more noticeable. Your eyelids will continue to settle as the remaining swelling fades.
Following your post-operative instructions plays a major role in protecting your results, as well. Dr. Sheen recommends:
- Sleeping on your back with your head elevated
- Avoiding sweating and strenuous activity
- Caring for your incisions
- Limiting sun exposure
Results from your blepharoplasty in Plano can last 10 years or longer. While surgery cannot stop the natural aging process, it can create long-lasting improvement around the eyes.
Treatments Commonly Paired With Blepharoplasty
Dr. Sheen may recommend combining blepharoplasty with another facial procedure to address aging beyond the eyelids.
Endoscopic Brow Lift – Raises a sagging brow and reduces heaviness above the eyes.
Facial Fat Grafting – Restores lost volume around the eyes and cheeks.
Laser Resurfacing – Improves fine lines, texture, and sun damage.
Deep Plane Facelift – Repositions deeper facial tissues across the cheeks, jawline, and lower face.
During your consultation, Dr. Sheen can explain which combination supports the most balanced and natural-looking results.
Dr. Sheen may recommend combining blepharoplasty with another facial procedure to address aging beyond the eyelids.
- Endoscopic Brow Lift – Raises a sagging brow and reduces heaviness above the eyes.
- Facial Fat Grafting – Restores lost volume around the eyes and cheeks.
- Laser Resurfacing – Improves fine lines, texture, and sun damage.
- Deep Plane Facelift – Repositions deeper facial tissues across the cheeks, jawline, and lower face.
During your consultation, Dr. Sheen can explain which combination supports the most balanced and natural-looking results.
Explore Your Options
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Start Your Journey With McGuiness
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If you’re interested in tightening loose skin, fine lines, wrinkles, or bags from your lower eyelids, then Dr. Sheen will start by making an incision just below your lower eyelash line. Next, he will remove and redistribute excess fat. Lower eyelid surgery doesn’t require removal of excess skin.
Another technique Dr. Sheen may use is transconjunctival blepharoplasty. This involves making an incision inside the lower eyelid, so the small scars are easier to conceal.
Although this is mostly a cosmetic procedure, we can improve your vision with a blepharoplasty in Plano, making it a functional surgery as well.
Aging causes your muscles to weaken and your skin to lose elasticity. This results in sagging or hooding over your eyes, which can obstruct your field of vision.
Dr. Sheen understands the functional benefits of a blepharoplasty but still takes an artistic approach to this surgery. While he repositions the underlying muscle and skin to restore a youthful look, he also improves your vision.
Scars from a blepharoplasty shouldn’t be noticeable, as Dr. Sheen makes them in the natural creases of your upper eyelids. When your eyes are open, your incisions will be concealed and only slightly visible when they are closed.
For lower eyelid treatment, the incisions will carefully be made along your lash lines or inside your eyelids where scarring is minimal and fades or is not visible at all. Together, you and Dr. Sheen will discuss which incision option will work best for you.
The duration of your results depends on whether you receive a lower eyelid or upper eyelid blepharoplasty in Plano.
Lower eyelid results usually last a lifetime and rarely require additional procedures.
Upper eyelid results are long-lasting, usually up to 10 years. While this surgery significantly delays aging around your eyes, nothing can prevent it. To prolong these results, we suggest maintaining a good skincare routine and adopting healthy lifestyle habits to keep your skin and body in optimal shape.
The appearance of dark circles can result from the hollowing that happens with age or pigmentation.
An eyelid surgery addresses the diminishing of the fat pads below the eyes. Dr. Sheen repositions the surrounding tissue and fat to fill in the hollow areas. This will give you a more awake and refreshed look.
Pigmentation, on the other hand, cannot be targeted with surgery. Dark circles often appear due to lifestyle choices, allergies, or genetics. We may refer you to our dermatology and aesthetics practices for treatment, products, and lifestyle guidance to brighten your under-eyes.
You are a good candidate for a blepharoplasty in Plano if you are at least 30 years of age, in good health, and have no other eye conditions. During your consultation, we will review your medical history and determine if this surgery is for you.
With your safety as our top priority, we will determine you are not a good candidate for a blepharoplasty in Plano if you have the following conditions:
- Dry Eyes
- Eye disease
- Thyroid disorder
- High blood pressure
- Cardiovascular disease
- Diabetes
The goal of this surgery is to improve your overall quality of life. Receiving a blepharoplasty with any of the above conditions could lead to eye irritation or put your health at risk, negatively impacting your quality of life.
Before your blepharoplasty, we ask that you follow these instructions:
- Quit smoking at least 4 weeks prior to surgery.
- Avoid blood-thinning medications like aspirin, ibuprofen, and naproxen sodium for at least 2 weeks.
- Arrange for a ride to pick you up after your surgery.
We will give you more detailed instructions in person during your consultation and answer any questions you may have.
During the first week, swelling, bruising, irritation, dry eyes, and discomfort are common. You can manage these symptoms with medications approved by Dr. Barton. We also suggest placing a cold compress lightly on the treatment area and applying antibiotic ointment to your sutures.
When sleeping or lying down, keep your head elevated. This helps reduce swelling.
You should also avoid the following for at least 1 to 2 weeks:
- Strenuous activity
- Smoking
- Rubbing your eyes
- Wearing contact lenses
- Taking blood-thinning medications or herbal supplements
Following these instructions will have a significant impact on the outcome of your surgery. Most people feel comfortable enough to return to work and their daily activities after 7 days, but that timeline varies depending on your career and how much strain you put on your eyes. Dr. Sheen will give you more personalized instructions during your consultation when she learns more about your lifestyle.
We recommend waiting at least 2 weeks before applying makeup. This will allow the eye area time to heal and reduce your risk of infection from makeup tools and products.
An eyelid lift focuses on the skin around your eyes, addressing hooding, sagging, puffiness, and dark hollows.
A brow lift can also treat excess skin and sagging around your eyes, but not nearly as much as a blepharoplasty. The most significant improvements from this surgery are above the eyebrow and target wrinkles on your forehead and drooping eyebrows.
Both surgeries, performed by Dr. Sheen, result in a more youthful appearance. During your consultation, we can discuss a brow lift either in addition to, or instead of, your blepharoplasty in Plano.



