• Dr. Thomas Walker is a double board-certified Facial Plastic Surgeon who focuses exclusively on facial plastic surgery procedures involving the face, eyes, and neck. This specialization allows him to approach eyelid surgery (blepharoplasty) with a deep understanding of facial anatomy, balance, and aging—resulting in natural-looking outcomes that never appear overdone.
• When considering blepharoplasty or other facial plastic surgery procedures, it is essential to choose a qualified surgeon with board certification, proven experience, and a track record of successful outcomes. Patients should examine before-and-after photos of previous patients to assess the surgeon’s aesthetic style, ensure the surgeon operates in accredited facilities, and look for positive patient reviews and a professional bedside manner that fosters trust and open communication.
• Dr. Walker has performed thousands of facial procedures throughout his career, with eyelid surgery being one of the most frequently performed and refined procedures in his practice. His meticulous technique and conservative philosophy prioritize long-term eye health, proper eyelid position, and subtle rejuvenation.
• He completed his medical degree and advanced surgical training at nationally respected institutions, followed by fellowship training in Facial Plastic and Reconstructive Surgery. This additional specialization provides extensive expertise in both cosmetic and functional eyelid surgery.
• Dr. Walker is double board-certified and an active member of leading professional organizations, including the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). These credentials reflect his commitment to the highest standards of surgical safety, innovation, and patient care.
• In addition to his technical skill, Dr. Walker is known for his thoughtful, individualized approach. Every eyelid surgery plan is customized based on eyelid anatomy, skin quality, facial structure, and aesthetic goals to ensure results that look refreshed—not surgically altered.

1. • Surgery Time: Upper eyelid surgery typically takes about 1 hour; lower eyelid surgery may take 1.5–2 hours, depending on complexity and whether procedures are combined.
   • Price: Blepharoplasty cost in Atlanta varies based on factors such as upper vs. lower eyelids, surgeon experience, anesthesia, and surgical setting. Typical costs in Atlanta range from $3,000 to $5,000 for upper blepharoplasty and $3,500 to $6,000 for lower blepharoplasty. The average cost can vary depending on the specific procedure being considered. (For an accurate estimate, please ask during your consultation.)
   • Financing: Many financing options are available to help make the procedure more accessible.
   • Recovery: The recovery period for upper eyelid surgery is about 1 week, while lower eyelid surgery typically requires approximately 2 weeks. During this initial healing phase, patients should follow aftercare instructions to manage swelling and bruising and ensure proper healing.
   • Results: Long-lasting, natural-looking rejuvenation with continued improvement as swelling resolves

The first step toward eyelid surgery at WalkerMD is a one‑on‑one consultation with Dr. Walker. 

He will perform an examination of your periorbital area, eyebrows, eyelids, and overall facial balance before recommending the most effective approach for you. He’ll also review your anesthesia options, explain what you can expect before and after surgery, and answer any questions you may have.

How Do I Prepare for My Blepharoplasty?

Prior to surgery, Dr. Walker will provide detailed pre-operative instructions tailored to your procedure and medical history. In general, patients may be asked to stop certain medications or supplements that increase bleeding, avoid smoking, and arrange for transportation on the day of surgery.

You may also be advised to have prescriptions filled in advance, prepare a comfortable recovery space at home, and plan time away from work and social engagements. Following these instructions closely helps ensure a smoother surgery and recovery process.

Upper Blepharoplasty

Upper eyelid surgery may be safely and comfortably performed under local anesthesia or twilight sleep, either in the office or operating room, depending on your preference. Upper eyelid surgery is performed through a small, hidden incision in the natural upper eyelid skin crease. This allows for the removal of loose and excess skin and fatty tissue, as needed, repositioning of the lacrimal gland (tear-producing gland), if needed, and correction of eyelid position. The procedure takes approximately one hour. Sutures are placed on the outside and removed 5-7 days after surgery.

Lower Blepharoplasty

Lower eyelid surgery is performed under deeper sedation, typically in the operating room. Under sedation, you are considered to be awake but unaware of the procedure. In most instances, lower blepharoplasty is performed under general anesthesia, with you fully asleep and unaware of the procedure (usually done in conjunction with other procedures such as a brow lift, rhinoplasty, or a deep plane facelift). Dr. Walker will discuss the anesthetic options with you and recommend the most appropriate anesthesia for your specific case.

• Anesthesia

Lower eyelid surgery may be performed through a carefully planned small incision inside your eyelid, a small incision just below your lash line, or both. Incisions just below the lash line (“subciliary”) are typically used to address excess skin, subtly lifting it to achieve a softer look. Internal incisions (“transconjunctival”) through the inside of the lower eyelid may be utilized if fat protrusion is the sole problem without skin redundancy/excess. This approach is commonly utilized in younger patients or patients with puffy eyelids only. In older patients with excess skin and lower eyelid laxity, Dr. Walker still typically uses the transconjunctival approach, along with an adjunct procedure to tighten the lower eyelid and, if needed, remove excess skin via a so-called skin-pinch procedure. The advantage of the transconjunctival approach is its lower rate of postoperative lower eyelid malposition, and it is therefore Dr. Walker’s most commonly performed and preferred method. In some cases, a laser resurfacing treatment may be incorporated to assist with skin tightening or discoloration, while fillers may be used to achieve smoother and softer results.