Lower Blepharoplasty (Eyelid Surgery) Miami

A lower eyelid blepharoplasty or a “lower eyelid lift” is a surgery that can dramatically improve and rejuvenate the tired and aged appearance of puffy lower eyelid “bags” and reduces the wrinkling of the skin underneath the eyes. This ultimately adds a more youthful, refreshed, and energetic appearance to your face.

A common complaint from patients seeking this procedure is that they feel like they look older and tired. Many patients will even say that they look older in the mirror than they feel inside. This appearance of advanced age and fatigue can also influence the way that other people perceive you, and many patients are aware of how this can impact certain personal and professional relationships and/or opportunities.

The appearance of eyelid bags in the lower lids is frequently caused by a combination of factors that contribute to this heavy and tired look. The eyes are normally surrounded by fat that serves to protect the eyes within the bony eye socket. With time, some of the tissues that hold this fat back in the eye socket will weaken and can cause some of the fat to bulge forward. Additional aging changes are simultaneously occurring in the midface and cheek area, where a normal loss of volume over the course of time can cause a loss of fullness and support for the midface and cheek areas. This can cause the midface and cheek area to fall, and this can create the appearance of hollows around the eyelids that exaggerate the appearance of bags that are present here. For some patients, the appearance of lower eyelid bags at a younger age can also be a hereditary condition that is based on the shape of your face.

Lower eyelid blepharoplasty surgery usually takes about 2 hours of time and the average patient has most of the swelling and bruising healed in about 2-3 weeks after surgery. You may engage in light activity the day after your surgery. Depending on your individual case, a return to more normal activity may take 1-2 weeks. Your appearance will continue to improve over the following 4-8 weeks

The approach to lower eyelid blepharoplasty surgery is done with either a transconjunctival incision, a transcutaneous incision, or some combination of both. A transconjunctival incision is made through the inside lining of the eyelid and is typically a better approach for removing, sculpting, or manipulating the fat pockets of the lower eyelid. A transcutaneous incision is typically made in the outside corner of the lower eyelid and extends underneath the eyelashes of the lower eyelid where it typically hides nicely over time. This incision does not usually affect the eyelashes. This is a usually a more suitable approach for addressing areas of eyelid muscle weakness, tightening the eyelid itself, and/or removing skin to give a more rejuvenated look to the lower eyelid areas. Depending on the individual case, Dr. Lewen will also frequently use a combined approach for patients in order to achieve the best and most natural-appearing results. Some incisions are closed with absorbable sutures, while others are closed with sutures that will be removed in the office after about 1 week. Suture removal in the office is virtually painless. Dr. Lewen will make the decision about which sutures are best for your healing depending on the extent of surgery required and your individual case.

The appearance of your cheek and midface areas can also frequently impact the appearance of your lower eyelids. In an ideal rejuvenation of this facial area, the goal is to create a smoother transition overall between the lower eyelid and the cheek. For this reason, Dr. Lewen will often make recommendations for rejuvenating this area of the face in combination with lower eyelid blepharoplasty surgery. Such options for rejuvenation may include options such as the injection of facial fillers, fat grafting to the midface/cheek areas, a midface/cheek lift, and/or CO2 laser treatment to the skin or folds in the midface/cheek areas in order to create a smoother appearance and transition. It is important to understand that any recommendations that Dr. Lewen makes for rejuvenation of this facial area are in addition to lower eyelid blepharoplasty surgery and may be required in order to obtain the best possible result.

With the CO2 laser, lower eyelid blepharoplasty surgery is a more sophisticated procedure than ever before. The CO2 laser provides Dr. Lewen with extremely precise control, and generally leads to less bleeding and bruising than surgery by conventional means. For most patients, the recovery time is shorter overall. Although sometimes preferred, laser surgery is not always appropriate for individual patients. Dr. Lewen may also make recommendations regarding laser resurfacing for the lower eyelid skin or puffy skin areas over the cheekbones for some patients. In these cases, the CO2 laser can be used to create a tightening effect for this tissue instead of requiring surgical removal. If CO2 laser skin resurfacing is recommended for you, Dr. Lewen and his staff will review a skin treatment plan, and clear instructions will be given regarding the required use of specific medical-grade skin care products in the pre and post-operative periods in order to attain the best possible results.

This surgery is typically performed in an outpatient surgery center (where you go home the same day) using IV anesthesia to induce a twilight sleep, and then local anesthetic injections are administered to the lower eyelid areas. As with all surgery in an outpatient surgery center, a standard medical clearance is required. This clearance typically includes basic bloodwork, a history and physical exam, a recent EKG, and a urine pregnancy test (if you are of reproductive age) from your primary care physician or your cardiologist.

Lower eyelid blepharoplasty surgery is generally a very safe procedure. When considering any eyelid surgery, it is important to inform your surgeon of any abnormalities of your eyes, your vision, or your general medical health. Dr. Lewen requires all cosmetic eyelid surgery patients to have a full eye exam with dilation completed within the last year before scheduling surgery. Surgery should be scheduled for a time when you can relax for at least 1-2 weeks. It is important to avoid any strenuous activity, heavy lifting, or bending down during this time to avoid complications and to promote the best healing situation. It is also important to avoid taking any blood thinning medications for at least 2 weeks prior to surgery. Dr. Lewen’s staff will review a list of common medications, supplements, and vitamins that can cause your blood to be thinner.

Please Note: If you have been placed on a blood thinning medication by your doctor for a medical reason, you will have to ask your doctor’s permission before stopping any such medications.

Dry eyes are the most common side effect of any eyelid surgery. Dr. Lewen typically advises all eyelid surgery patients to use artificial tear drops at least 3-4 times per day before and after eyelid surgery to promote the best comfort and results.

A lower eyelid blepharoplasty is considered to be a fully cosmetic surgery and is not done for functional reasons. Your insurance plan will not cover this surgery and Dr. Lewen will not bill your insurance for this surgery. If you have any functional concerns related to your eyelids, Dr. Lewen will be happy to discuss these during your consultation.

Dr. Lewen will answer any questions you may have regarding lower eyelid blepharoplasty surgery during your consultation and will evaluate each case on an individual basis to determine the most appropriate and effective treatment to address your concerns, while providing you the most natural-appearing results.

While eyelid surgery can be expected to correct certain conditions more permanently, your body will continue to age naturally. Life-long sun protection and good skin care are important to help maintain your results.

FAQ’s

  • Who is a candidate for a Lower Eyelid Blepharoplasty?

    If you are not happy with the appearance of your lower eyelids, you may be a candidate for Lower Eyelid Blepharoplasty. The most common complaints are due to puffiness, bags under the eyes, excess wrinkles, or too much skin under the eyes. Dr. Lewen will answer any questions you may have regarding a Lower Eyelid Blepharoplasty during your consultation and will evaluate each case on an individual basis to determine the most appropriate and effective treatment to address your concerns, while providing you with the most natural-appearing results. If Dr. Lewen determines that a Lower Eyelid Blepharoplasty is a good surgical option for you, he will provide you with an individualized treatment plan that includes this procedure, as well as any other complimentary procedures to help give you the refreshed look that you desire.
  • What does a Lower Eyelid Blepharoplasty do?

    A Lower Eyelid Blepharoplasty or a “Lower Eyelid Lift” is a surgery that can dramatically improve and rejuvenate the tired and aged appearance of puffy lower eyelid “bags,” reduce the wrinkling of the skin underneath the eyes, and smooth the transition between the lower eyelid and cheek areas. This ultimately adds a more youthful, refreshed, and energetic appearance to your face.
  • When can I do a Lower Eyelid Blepharoplasty?

    Lower Eyelid Blepharoplasty surgery is generally a very safe procedure. You should consider scheduling surgery at a time when you have a lighter schedule and are able to relax for at least a couple of weeks. Generally, for the first few weeks after surgery, it is important to avoid any strenuous activity, heavy lifting, or bending with your head down to avoid complications and to promote the best healing situation. It is also important to avoid taking any blood thinning medications for at least 2 weeks prior to surgery if possible. Dr. Lewen’s staff will review a list of common medications, supplements, and vitamins that can cause your blood to be thinner. If you are on a blood thinning medication due to a specific medical condition, you will need to discuss this with Dr. Lewen and your primary care physician prior to stopping any such medications.
  • Where is a Lower Eyelid Blepharoplasty performed?

    This surgery is typically performed in an outpatient (ambulatory) surgery center, where you go home the same day. A standard medical clearance is required prior to surgery to ensure that you are healthy for surgery. This clearance typically includes basic bloodwork, a medical history and physical exam, a recent EKG from your primary care physician or your cardiologist, and a urine pregnancy test if applicable. Dr. Lewen only chooses to perform Lower Eyelid Blepharoplasty surgery for his patients in specific facilities that meet his qualifications for providing exceptional patient care. These facilities have dedicated and attentive nursing staff and a board certified anesthesiologist on site to ensure that your experience is as safe and comfortable as possible.
  • Why should I have a Lower Eyelid Blepharoplasty?

    A common complaint from patients seeking this surgical procedure is that they are concerned that they look older in the mirror than they feel inside. Many patients will also say that they feel like they look tired. Some patients are very concerned about how this tired appearance can be perceived by other people, particularly in the workplace. Looking your best is a very important part of maintaining your self-confidence and self-esteem. It has been scientifically proven that this can also have a major impact on your degree of personal success, personal happiness, and the quality of your personal and professional relationships.For many people, Lower Eyelid Blepharoplasty is a safe and effective option to improve the appearance of the lower eyelids.