Eyelid surgery (or blepharoplasty), by our board-certified plastic surgeon, Dr. Jeffrey LaGrasso, corrects cosmetic issues of the eyelids. A loss of volume under the lower eyelid is one concern, and can cause patients to look tired. In other individuals, a droopy upper eyelid is the problem. This occurs when excess tissue and skin collect on the eyelid causing a droopy look. Both of these conditions are common facial concerns that can occur with aging and genetics, but can be corrected with blepharoplasty. In his Miami, FL plastic surgery practice, eyelid surgery has become increasingly popular with Dr. LaGrasso’s patients 35-years-of-age and older, which targets excess fat and skin, and tightens the underlying muscles to help the patient look well-rested, younger, and more alert.
"This review only contains a rating"- Anonymous / Vitals / May 25, 2017
"Tummy tuck and liposuction - I have my tummy tuck and liposuction back in September 2016. Everything went perfect . Going back in this memorial weekend to get a breast augmentation. I totally recommend him."- Anonymous / Vitals / Mar 21, 2017
"Excellent Surgeon - I am very satisfied with my lipo with fat transfer that Dr. Jeffrey LaGrasso performed on me. I consider him an excellent plastic surgeon. I would definitely recommend him. He is very social and understanding. - - I am very satisfied with my lipo with fat transfer that Dr. Jeffrey LaGrasso performed on me. I consider him an excellent plastic surgeon. I would definitely recommend him. He is very social and understanding."- M. / RealSelf / Jan 02, 2017
"Bbl After Silicone Removal - Six months after my biopolimer removal i decided to do my bbl and so far so good i had to gain 15lbs and i did lipo in arms all belly all back and outer thighs im almost 3 weeks post op i show more pics in a few days im very happy with my outcome so far..i had the removal with dr gallerani and did the bbl with dr jeffrey lagrasso in My cosmetic surgery the 19 of last month i had two drains for 7 days and have had 7 lymphatic massages. i paid 6,000 with carecredit . He is a very kind person and he always talked 100% clear with me said i might need 2 rounds but i can say i am very happy so far with the results"- L. / RealSelf / Nov 06, 2016
"Surgery with Doctor Lagrasso - Miami, FL - I have been wanting to do this procedure for a while. I had shape, but wanted my waist to be smaller and much more defined. I was really unhappy with how I looked and this seemed like a great alternative. After searching through several doctors, I decided to go with Dr. Lagrasso. His bed side manner is truly impeccable, he is patient, professional, and super detailed. I could not be happier with my choice. Today was my surgery, and even though I'm super swollen, bruised, and in ridiculous amounts of pain, I can already see the conturing in my body's shape. I am very hopeful that once the swelling goes down, my body will look like I always dreamed it to. I am staying in the recovery home of Miriam landford, and honestly, I don't know what I would do without her. She has tended lovingly to every single one of my needs. From making me delicious healthy fresh foods to help me gain my strength again, to keeping me warm, comfortable, as well as managing my medications as well. Her house is quiet, peaceful, relaxing, immaculately clean, and beautiful. I couldn't be happier with my choices. Now just waiting for the pain and swelling to go away :("- K. / RealSelf / Oct 17, 2016
The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.
Upper Eyelid Surgery
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.
Lower Eyelid Surgery
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1 – 2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
Plan Your Procedure
- Procedure Recovery Location
Eyelid Surgery FAQs
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.