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TOC Eye and Face is one of the nation’s premiere surgical practices specializing in high-quality cosmetic and reconstructive facial, eyelid, and orbital surgery. TOC surgeons are board-certified ophthalmologists who have completed advanced fellowship training in eyelid, orbital, lacrimal and facial cosmetic and reconstructive surgery.

All six of our TOC physicians are Diplomates of the American Board of Ophthalmology, have completed ASOPRS accredited fellowship training in Ophthalmic Plastic, Orbit and Reconstructive Surgery and are active members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and the American Academy of Ophthalmology (AAO), as well as local state and county medical societies. We believe that choosing the right surgeon is a critical decision in your choice to have cosmetic or reconstructive surgery around your eyes. Our physicians have both the experience and reputation of providing extraordinary results and uncompromising care.


Eyes and Brows


Upper and lower eyelid blepharoplasty are two of the most popular surgeries performed by oculofacial plastic surgeons. An upper eyelid blepharoplasty involves removal of excess upper eyelid skin in order to achieve a youthful and rejuvenated periocular appearance. Sometimes the drooping of the upper eyelid skin can limit your peripheral vision. Removing this excess skin can improve your side vision and increase the amount of light reaching your eyes.  The incision heals over time hidden within the upper eyelid crease.

A lower eyelid blepharoplasty provides rejuvenation to the lower eyelid region. This surgery can involve a combination of different techniques tailored to your specific needs. Using an incision hidden on the inside of the eyelid, fat repositioning is performed in order to create a smooth transition between the lower eyelid and cheek. Our state of the art fractional CO2 laser is commonly used to address the fine wrinkles and photodamage of the periocular skin. Fat grafting can also be utilized in the periocular region to address volume loss changes that occur naturally during the aging process.

Most surgeries may be performed at TOC’s outpatient surgical center, the Center for Aesthetic and Reconstructive Eyelid and Oculoplastic Surgery (CAREOS). Outpatient (ambulatory) surgery helps to reduce hospital costs, personal expense, and length of stay for patients needing surgery. CAREOS is one of the only ambulatory surgical centers in Central Texas dedicated solely to oculoplastic and laser aesthetic surgery. Upper eyelid surgery is performed under local anesthesia and lower eyelid surgery is commonly performed using monitored anesthesia care under the direction of an anesthesiologist. At the time of your consultation, you and your surgeon will work together to formulate an individualized plan to achieve your goals. 

Topless Woman


As oculoplastic surgeons, we have a specialized interest in naturally rejuvenating the area around the eyes.  Many patients are seeking improvement in their “droopy” upper eyelids, and it is important in the consultation process to fully examine and evaluate the underlying condition. With age, the ligaments that support the eyebrow relax and the eyebrow subunit, which is the thicker skin beneath the eyebrow hairs, can descend onto the upper eyelid and contribute to a “droopy” upper eyelid.  In order to properly and naturally address the upper eyelid in this case, the eyebrow must be lifted to its original position. 


An eyebrow lift can sound intimidating to many patients due to the traditional techniques that involved a large scar across the hairline.  The techniques for brow lifting have significantly evolved and in the majority of cases, a minimally invasive endoscopic approach.  With this advanced surgical technique, the surgeon uses a small camera and specialized instruments through small incisions behind the hairline. The eyebrows and forehead are lifted as a unit to restore the natural height and curvature of the eyebrow and effectively open the eyelids.  


An eyebrow lift is performed at an outpatient surgical center under twilight sedation.  Oftentimes, other procedures can be performed at the same time, including and upper or lower eyelid blepharoplasty (ie eyelift lift), autologous fat transfer, and laser resurfacing.  At the time of your consultation, you and your surgeon will work together to formulate an individualized plan to achieve your goals. 


If you would like more information about brow lifting or other aesthetic procedures, you may schedule a private consultation with a TOC physician by calling 512.458.2141. 

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