Upper Blepharoplasty (Eyelid Surgery) Miami

An upper eyelid blepharoplasty or an “upper eyelid lift” is a surgery that can dramatically improve a tired or aged appearance by removing the excess skin and tissue that causes droopy or baggy upper eyelids. This surgery can brighten the appearance of your eyes and help to provide a more youthful, refreshed, and energetic presentation 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. For women, some will express that they are unable to properly apply makeup to the upper eyelid area or that makeup will run or smudge after it is applied.

Upper eyelid blepharoplasty surgery usually takes about 1 hour of time and the average patient has most of the swelling and bruising healed in about 1-2 weeks. The incision is carefully hidden in the upper eyelid fold so that it is virtually unnoticeable when the eyes are open. Sutures are placed in the incision line and are commonly taken out in the office in a manner that is virtually painless at about 1 week after surgery. This surgery can be performed in an outpatient surgery center (where you go home the same day) or in the office, depending on the individual patient. If performed in the surgery center, IV anesthesia is frequently given to induce a twilight sleep, and then local anesthetic injections are administered to the upper eyelid area. If performed in the office setting, Dr. Lewen may give a light oral sedative to help relax you so that local anesthetic injections can be administered to the upper eyelid area. If your surgery is performed 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.

Upper 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 for best results and comfort.

The eyebrow position can frequently also affect the appearance of the upper eyelids. For this reason, brow lifting procedures are often combined with upper eyelid blepharoplasty surgery in order for patients to obtain the most complete rejuvenation in this area of the face. Dr. Lewen will evaluate your brow position and may make recommendations for rejuvenating the brows in combination with your upper eyelids during your consultation.

When appropriate for an individual patient, Dr. Lewen utilizes the revolutionary CO2 laser, which can be used for both blepharoplasty surgery and skin resurfacing for the eyelids and surrounding areas of the face.

With the development of the CO2 laser, 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 will answer any questions you may have regarding upper 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 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.

At times, an upper eyelid blepharoplasty can be needed for functional reasons, such as when an advanced amount of upper eyelid skin hangs over the eyelashes causing an obstruction of vision. In such circumstances, an upper eyelid blepharoplasty can be performed to improve vision and to decrease the heaviness of the eyelids. If you have any functional concerns related to your eyelids, Dr. Lewen will be happy to discuss these during your consultation.

It is important to note that there can be a big difference between cosmetic eyelid surgery and functional eyelid surgery. The purpose of cosmetic blepharoplasty surgery is to improve the appearance and shape of the eyelids, and this can involve sculpting of skin, fat, muscle, wrinkles, and/or altering the position of the eyelid to create a more youthful and rejuvenated appearance. Functional blepharoplasty surgery involves a more simplified removal of some excess skin, and is only performed to improve vision.

FAQ’s

  • Who is a candidate for an Upper Eyelid Blepharoplasty?

    If you are not happy with the appearance of your upper eyelids, you may be a candidate for Upper Eyelid Blepharoplasty. The most common complaints are due to puffiness, or too much skin hanging in the upper eyelid area. Dr. Lewen will answer any questions you may have regarding an Upper 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 an Upper 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 additional procedures to help give you the refreshed look that you desire.
  • What does an Upper Eyelid Blepharoplasty do?

    An Upper Eyelid Blepharoplasty or an “Upper Eyelid Lift” is a surgery that can dramatically improve and rejuvenate the tired and aged appearance of excess skin hanging or puffiness in your upper eyelids. This ultimately adds a more youthful, refreshed, and energetic appearance to your face.
  • When can I do an Upper Eyelid Blepharoplasty?

    Upper 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 an Upper Eyelid Blepharoplasty performed?

    Depending on your individual case, Dr. Lewen may recommend for your surgery to be performed in an outpatient (ambulatory) surgery center, where you go home the same day. IV sedation is typically given for the procedure to induce a “twilight sleep,” and then local injections of anesthetic are administered. 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 Upper 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. For some patients, Dr. Lewen may offer the option for your surgery to be performed in the office procedure room. If performed in the office setting, Dr. Lewen may give a light oral sedative prior to the surgery in order to help relax you, and to make it easier for local anesthetic injections to be administered to your upper eyelid areas. Regardless of where your surgery is performed, you will require someone else to drive you home on the day of your surgery.
  • Why should I have an Upper 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, your perception of personal happiness, and the quality of your personal and professional relationships.For many people, Upper Eyelid Blepharoplasty is a safe and effective option to significantly improve the appearance of the upper eyelids.