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.
"I am so happy that I chose dr. Lagrasso - I am truly thankful to Dr.LaGrasso for the body he made me. The reason why I picked this doctor is because he did surgeries for 5 my friends and they all look amazing. Even though I had to fly to Miami from Las Vegas, I didn’t care, this doctor is tottally worth it! I had a surgery 3 weeks ago, it was a lipo from 16 areas and fat transfer into my butt. The first 7 days of recovery time was e..."- V. / RealSelf / Sep 09, 2018
"I am very happy! - The results from my surgery with Dr. Lagrasso are amazing. I had a tummy tuck, lipo on my abs, back and arms and breast lift. I am so happy with the way I look. Dr. Lagrasso was very courteous in answering my questions and addressing my concerns. Also, the staff at My Cosmetic Surgery were great. All the massage therapists and nurses that helped me were wonderful. I would definitely recommend Dr. Lagrasso and My Cosmetic Surgery to family and friends."- Anonymous / Vitals / Sep 07, 2018
"The results from my surgery with Dr. Lagrasso are amazing. I had a tummy tuck, lipo on my abs, back and arms and breast lift. I am so happy with the way I look. Dr. Lagrasso was very courteous in answering my questions and addressing my concerns. I would definitely recommend Dr. Lagrasso to family and friends."- W. / Healthgrades / Sep 07, 2018
"I am very happy! - The results from my surgery with Dr. Lagrasso are amazing. I had a tummy tuck, lipo on my abs, back and arms and breast lift. I am so happy with the way I look. Dr. Lagrasso was very courteous in answering my questions and addressing my concerns. Also, the staff at My Cosmetic Surgery were great. All the massage therapist and nurses that helped me were wonderful. I would definitely..."- W. / RealSelf / Sep 07, 2018
"Excellent doctor - I’ve gotten two plastic surgeries with him and I am very happy with both procedures."- Anonymous / Vitals / Aug 30, 2018
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.
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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.