Blepharoplasty Before & After
* Individual results may vary.


Eyes cue the world into how a person is feeling. Bright, well-rested eyes are a hallmark of youth. Aging eyes have a more tired appearance. It can even make a person look angry or sad when they are not. If you are tired of people asking why you look tired or upset, it may be time to visit Dr. Lucas Bryant, your trusted Nashville facial plastic surgeon, for a little touch-up.


Most eye treatments can be performed in our office using topical and local anesthesia, without an IV, and without intubation. If you prefer the comfort of light sedation, the procedure can also be performed at a nearby surgical center. In many cases, eyelid surgery is performed in combination with other facial rejuvenation procedures.
Before your procedure, you’ll meet with Dr. Bryant and his surgical care coordinator. Your personal treatment plan will be reviewed and you’ll be provided with all preoperative and post-operative instructions — as well as medication if applicable.
The recovery for different eyelid procedures may vary. Nonsurgical treatments usually require little-to-no downtime and you can resume your social activity that very same day.
Eyelid surgery (blepharoplasty) is an outpatient procedure used to improve the appearance of the eyelids. The treatment can be performed on the upper eyelids, the lower eyelids, or both.
Dr. Bryant performs a wide variety of eyelid procedures, including laser and chemical peels, radiofrequency microneedling, upper and lower minimally invasive blepharoplasty, eyelid lift with fat transfer, ptosis repair, and cancer and trauma reconstruction. He is also a Luminary advisor as the first physician in TN to offer the novel, non-surgical AccuTite eyelid treatment from InMode.


An upper lid blepharoplasty helps to fix heavy upper lids. Often, the upper eyelid skin appears crowded with age. This creates a hooded eyelid effect. The sagging eyelid skin droops downward, giving the eyes a tired, sad, angry, or heavy appearance.
Dr. Bryant’s innovative techniques help to avoid the classic “hollowed out” or “carved out” look that makes some surgical results appear unnatural. Upper eyelid surgery can remove excess skin and fat on the upper portion of the eye. Muscle and fat are repositioned as needed. The result is well-rested eyes that make you look years younger, and not “operated on”. The incision is neatly hidden in the eye crease. Once healed, no one will be the wiser.
This can take up to 5 to 10 years off your appearance. Upper eyelid surgery can be performed at the same time as lower lid surgery for patients with sagging on both parts of the eye. A brow lift, or lateral temple lift, may enhance the results or be an alternative to upper lid surgery.
Dr. Bryant works with his patients to counsel them on all treatment options available, and then proceed with a customized treatment that is best suited to achieve the desired result.
A common procedure is known as the pinch eyelid surgery technique. This allows your surgeon to remove excess lower eyelid skin without touching the fat layer or muscles beneath it. This is ideal for giving the eyes a much-need refresher with minimal tissue damage and a surprisingly fast recovery.
Another technique is transconjunctival or incisionless blepharoplasty. This lower eyelid surgery is often used in reconstructive surgery, or for someone who has minimal skin excess. An incision is made on the inside of the lower lid (conjunctiva or the loose connective tissue). This provides access to the fat and muscle layers, and upper cheek. The fat can be re-contoured or gently reduced as needed to improve overall appearance while avoiding any external incisions and allowing for a quick recovery time with minimal to no external scar.


A transcutaneous skin muscle flap blepharoplasty is often combined with fat repositioning. This can have the most dramatic rejuvenation effect in the right patient. In this procedure, the skin and muscle of the eyelid are gently released from the cheek orbitomalar retaining ligaments that commonly cause the “eye bags” and hollows under the eye.
The fat pads are repositioned and sculpted to rejuvenate the contour of the lower eyelid and upper cheek. Transcutaneous skin muscle flap blepharoplasty can be considered a reliable alternative to repetitive filler injections, or less stable fat injections. The result is fresher, more well-rested eyes. This technique allows easy access to fat pads near the eyelid while keeping the pretarsal orbicularis muscle intact. On occasion, a temporary dissolving suture will be placed beneath the skin to reduce swelling and support the lower eyelid while it heals. This powerful plastic surgery technique results in a pleasantly lifted, youthful appearance. When the surgery is healed, the incisions are usually imperceptible.
By correctly identifying the root cause of your concerns, and then combining that with the correct treatments, we help you avoid looking unnatural. As you can see, there are many different techniques used for eyelid surgery. During your consultation with Dr. Bryant, he will help decide which treatment is right for you.
One of the advantages of choosing to work with a dual board-certified facial plastic surgeon is that you will have access to all available treatment options, both surgical and non-surgical. Many patients may not need or be ready for surgical treatments. For patients not needing surgery, Dr. Bryant can help counsel on optimizing skincare regimens and other minimally invasive treatments. This customized and combination approach is designed to get the best youthful and refreshed results possible.
These Terms of Service govern your use of the website located at www.refinesurgery.com and any related services provided by Refine Facial Plastic Surgery and Aesthetics.
By accessing www.refinesurgery.com, you agree to abide by these Terms of Service and to comply with all applicable laws and regulations. If you do not agree with these Terms of Service, you are prohibited from using or accessing this website or using any other services provided by Refine Facial Plastic Surgery and Aesthetics.
We, Refine Facial Plastic Surgery and Aesthetics, reserve the right to review and amend any of these Terms of Service at our sole discretion. Upon doing so, we will update this page. Any changes to these Terms of Service will take effect immediately from the date of publication.
These Terms of Service were last updated on January 1, 2025.
By using this website, you warrant on behalf of yourself, your users, and other parties you represent that you will not:
The intellectual property in the materials contained in this website are owned by or licensed to Refine Facial Plastic Surgery and Aesthetics and are protected by applicable copyright and trademark law. We grant our users permission to download one copy of the materials for personal, non-commercial transitory use.
This constitutes the grant of a license, not a transfer of title. This license shall automatically terminate if you violate any of these restrictions or the Terms of Service, and may be terminated by Refine Facial Plastic Surgery and Aesthetics at any time.
Our website and the materials on our website are provided on an 'as is' basis. To the extent permitted by law, Refine Facial Plastic Surgery and Aesthetics makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties including, without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property, or other violation of rights.
In no event shall Refine Facial Plastic Surgery and Aesthetics or its suppliers be liable for any consequential loss suffered or incurred by you or any third party arising from the use or inability to use this website or the materials on this website, even if Refine Facial Plastic Surgery and Aesthetics or an authorized representative has been notified, orally or in writing, of the possibility of such damage.
In the context of this agreement, “consequential loss” includes any consequential loss, indirect loss, real or anticipated loss of profit, loss of benefit, loss of revenue, loss of business, loss of goodwill, loss of opportunity, loss of savings, loss of reputation, loss of use and/or loss or corruption of data, whether under statute, contract, equity, tort (including negligence), indemnity, or otherwise.
Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you.
The materials appearing on our website are not comprehensive and are for general information purposes only. Refine Facial Plastic Surgery and Aesthetics does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on this website, or otherwise relating to such materials or on any resources linked to this website.
Refine Facial Plastic Surgery and Aesthetics has not reviewed all of the sites linked to its website and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement, approval, or control by Refine Facial Plastic Surgery and Aesthetics of the site. Use of any such linked site is at your own risk and we strongly advise you make your own investigations with respect to the suitability of those sites.
We may suspend or terminate your right to use our website and terminate these Terms of Service immediately upon written notice to you for any breach of these Terms of Service.
Any term of these Terms of Service which is wholly or partially void or unenforceable is severed to the extent that it is void or unenforceable. The validity of the remainder of these Terms of Service is not affected.
These Terms of Service are governed by and construed in accordance with the laws of California. You irrevocably submit to the exclusive jurisdiction of the courts in that State or location.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
In the case of fundraising:
We typically use or share your health information in the following ways.
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
We can use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
We can share health information about you for certain situations such as:
We can use or share your information for health research.
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
We can share health information about you with organ procurement organizations.
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
We can use or share health information about you:
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
This notice applies to Refine Facial Plastic Surgery and Aesthetics and Nashville Nose and Sinus Center which operate within the same location.
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.
Effective Date: 11/29/2023
Privacy Officer: Erica Bryant | [email protected] | 615.656.7859