How to Fix Chronic Puffy Lower Eyelids in Miami, FL

Having occasional puffiness under your eyes is normal. You may not be getting enough sleep or drinking enough water. Chronic puffiness, though, may be a sign of other issues that are developing in your under eye area. While these concerns do not necessarily require attention from your physician, puffiness certainly does affect the way you look and feel. Dr. Lewen offers lower eyelid surgery to remedy chronic puffiness under your eyes.

What Causes Puffiness Under the Eyes?

Chronic bags under the eyes and puffiness may indicate age-related changes that are occurring to the tissues. The muscles in the area may be weaker than when you were younger, and this allows the tissues to sag. As you age, the fat in your face sags, and this causes folds in various areas, including under your eyes. Poor skin elasticity is another reason that you may have chronic puffiness, and the condition can also be related to excess fluid in the tissues.

Start with Lifestyle Changes

Before you consider surgery for the bothersome bags under your eyes, Dr. Lewen recommends that you make some lifestyle changes to see if you can remedy the problem on your own. His recommendations include:

  • Getting better quality sleep, both in the amount of time you sleep and how deeply you sleep.
  • Increase your activity level.
  • Stop smoking.
  • Speak with your physician about any allergies that may be causing puffy eyes.
  • Drink more water throughout the day.
  • Reduce the amount of salty foods you eat.

If these techniques do not help with your chronic puffy eyelids, you may be a good candidate for lower eyelid surgery.

How Does Lower Eyelid Surgery Help with Puffiness and Bags Under the Eyes?

Like other cosmetic concerns, chronic puffiness under the eyes can be hereditary. Dr. Lewen uses a surgical technique to address the most common causes of chronic puffiness. An incision is made along the lower eyelashes to access the deep tissues. He may reposition the fat or remove any excess fat. The muscles are tightened with sutures, and any extra skin is trimmed. This approach rejuvenates the under eye area and helps reduce puffiness and bags.

Can Dermal Fillers Be Used for Bags Under the Eyes?

Dr. Lewen may recommend a non-surgical lower eyelid lift to help with your puffiness. This may be a standalone procedure or performed in conjunction with surgery to refine the results.

Is Lower Eyelid Surgery Right for You? Contact Lewen Cosmetic Surgery.

If you have tried every technique possible to eliminate the bags under your eyes and now find yourself using concealer to look refreshed and younger, you may be a good candidate for lower eyelid surgery. Contact Lewen Cosmetic Surgery to schedule a consultation and discuss your options with Dr. Lewen.



Kybella® vs. Liposuction for Double Chin Removal in Miami, FL

A double or triple chin is an indication of excess fat under the chin and jawline. Even if you are at an ideal weight and follow a healthy lifestyle, toning this area can be challenging because double chins are often linked to genetics. Kybella® and liposuction are two options to eliminate the fat.

How Does Kybella® Reduce Submental Fullness?

Submental fullness describes the appearance of a double chin. Kybella® is an injectable product that contains special enzymes that target fat cells. When the enzymes interact with these cells, they cause the outer membrane to break down, and the contents of the fat cells are released into the bloodstream. Kybella® is a minimally invasive treatment that requires no downtime. Several treatments are needed, and the results can be seen in about 16 weeks.

How is Liposuction Used to Reduce a Double Chin?

Although Kybella® uses chemical processes within the body to destroy fat cells, liposuction is a direct intervention that removes the cells from the subcutaneous tissue. The procedure involves making a small incision in the skin through which a cannula is inserted. The cannula is used to simultaneously loosen and suction out the fat cells. This technique does require some downtime.

Which is Better for Treating a Double Chin – Kybella® or Liposuction?

Kybella® and liposuction are both safe and effective procedures for reducing submental fullness. Choosing one over the other depends on your personal goals.

  • Kybella® is preferred by patients who want a gradual reduction in fat, whereas liposuction is the choice of patients who want dramatic results in less time.
  • Kybella® requires a series of treatments over a period of weeks, and liposuction only requires a single procedure.
  • Kybella® has no downtime, and liposuction requires a few days to recover.
  • Swelling, tenderness and bruising are mild with Kybella®, and these same symptoms are moderate after liposuction.
  • Because Kybella® is minimally invasive, meaning that it only requires injections, the treatment produces no scars. Liposuction does produce scars because small incisions are needed to access the fat layer of the skin.
  • Kybella® and liposuction are not recommended for patients with poor skin elasticity. Removing the fat without addressing the lax skin may result in folds, wrinkles and creases.

Find Out How to Treat Your Double Chin at Lewen Cosmetic Surgery

If you have a double chin that cannot be reduced with diet and exercise, learn more about your options at Lewen Cosmetic Surgery. Contact us today to schedule a consultation with Dr. Lewen to discuss Kybella® and liposuction for submental fullness.

Procedures Ectropion Repair Can Be Combined with in Miami, FL

There are many signs that indicate to others how long we’ve been around on this earth. While some are positive such as, accumulated wisdom or wealth, other, more physical signs like failing joints and wrinkles are the less desired side effects of aging. Since our face is the first thing people notice about us, one of the biggest indicators that we are getting old is the condition of the skin and underlying structures of the face, specifically in the eye area. Ectropion repair surgery is a popular procedure performed on older adults that corrects a common aging issue of the eyelids. Those desiring a more rejuvenated and alert appearance of their eyes may be interested to know that this procedure can be performed alone, or in conjunction with other cosmetic eye procedures to turn back some of the most obvious effects of aging.

What is Ectropion Repair?

Ectropion is a condition that causes the orientation of the eyelids to roll outward. The eyelid droopiness is typically attributed to cancers and abnormalities from previous plastic surgeries, but can also be congenital, trauma-related, or age-related. Ectropion repair surgery is usually recommended to patients afflicted with the condition as it can improve any irritation, dryness, or watery eyes the patient is experiencing. Another benefit of ectropion repair surgery is that it can be combined with other surgical eye procedures to produce the best results.


Many patients that choose to undergo ectropion repair surgery do so because they desire a more alert and rested appearance. Blepharoplasty is another surgical eyelid procedure that accomplishes this same goal and can be combined with ectropion repair for a fresher, more dramatic result. Patients that suffer from puffiness in the upper eyelid, lower eyelid or both can benefit from blepharoplasty. During the procedure, Dr. Lewen will make small incisions in the natural contours around the eye, minimizing any visible scarring. He will then remove fatty tissue and excess skin while tightening any loose muscle in the eyelid to produce a smoother appearance.

Droopy Eyelid Surgery

Some patients that suffer from ectropion also struggle with ptosis, a term that describes a sagging or droopy eyelid. Those with this condition typically complain that the condition makes their eyes look small, tired, or heavy and can even affect vision. Fortunately, droopy eyelid surgery coupled with ectropion repair surgery can correct these concerns for a more rejuvenated and alert end result.

Take the Next Step

Dr. Gregory D. Lewen and his staff provide these eyelid procedures and more at locations in Miami, Aventura, and surrounding areas of Florida. For more information or to schedule a consultation, contact Lewen Cosmetic Surgery today.

What are My Non-surgical Options for an Eyelid Lift? Asks Aventura Residents

If you have noticed that your eyelids are drooping or seemingly more hollow as you mature, then you may feel that your appearance is more tired, haggard and less enthusiastic than you would like. This can be a frustrating realization for anyone who is energetic but sees a face in the mirror that does not reflect this sense of vitality and vigor. The good news is that an eyelid lift can be an excellent option for reversing this sign of aging. What if surgery is not part of your plan? For those seeking a non-surgical option for an eyelid lift, here is information you should keep in mind:

Facial Fillers are Key

The secret to a successful non-surgical eyelid lift is in using the appropriate facial fillers to enhance volume in the eyelids. As the skin begins to lose volume, the eyelids may sag, or appear deflated. As a result, a facial filler can restore the buoyancy and youthful glow to the face, creating a non-surgical lift with impressive results.

Recovery Time is Greatly Reduced

Given the minimally-invasive nature of this procedure, combined with Dr. Lewen’s experience with advanced injection techniques, downtime after a non-surgical eyelid lift is much shorter than from a traditional surgical procedure. Many of our patients experience minimal or no discomfort, though some bruising and swelling can be expected.

As with all procedures, recovery time will vary depending on the individual and the volume of product used for the lift. Patients are free to resume normal exercise after 24 hours. Results are immediate; however, the full results will be visible after allowing a full two weeks for the product to settle.

Consider Adding Additional Non-Surgical Procedures

Many of our patients find it convenient to include other non-surgical procedures with their non-surgical eyelid lift. Some of the most common minimally-invasive procedures to combine are cheek fillers, skin resurfacing, temple filler rejuvenation and tear trough filler rejuvenation. During your consultation, Dr. Lewen will discuss what combination of non-surgical procedures would be best to help you achieve your desired goals.

Schedule Your Consultation Today

If you are dissatisfied with the drooping of your eyelids, but not quite ready for a surgical solution, our non-surgical eyelid lift might be just what you need. With the use of effective facial fillers, we have helped countless patients all over Florida achieve the lifted, brighter look they were seeking. We look forward to helping you achieve your own aesthetic goals. When you are ready to take the next step, do not hesitate to contact us.

Aventura Residents Ask: How Long is Recovery After Upper Eyelid Surgery?

The eyes are often heralded as the windows to the soul, but if your eyelids have begun to droop and sag then you may feel as though your windows are not quite as radiant as you would like them to be. The good news is that eyelid surgery can be beneficial for addressing drooping eyelids and reviving the look of your face. And if upper eyelid surgery is what you are seeking, then we are here to help. Here is what you need to know about recovery after upper eyelid surgery.

Common Add-on Procedures to Eyelid Surgery

The current technology of the CO2 laser allows upper eyelid surgery, also known as upper blepharoplasty, to be more advanced and precise than ever before. As a result, the procedure causes considerably less bruising and bleeding than earlier surgical approaches, which can lead to a shorter recovery time. However, for some patients, a traditional surgical method is more effective.

Although recovery time will vary depending on the individual, and on the type of procedure performed, we recommend scheduling your upper eyelid surgery for a time when you will be able to rest for one to two weeks, avoiding strenuous activities, lifting and bending.

Side Effects Are Minimal

One of the most common side effects of upper eyelid surgery is dry eye. In an effort to counteract this, it is likely that Dr. Lewen will advise you to use artificial tear drops regularly before and after your procedure.  Rest assured, the details of your recovery will be discussed in depth during your initial consultation.

Ongoing Skincare is Key

While upper blepharoplasty will improve the appearance of your eyes and will enhance the natural youthfulness of your face, it cannot stop the gradual changes brought about by aging. However, proper skin care and sun protection will help to maintain the longevity of your look, so that you can enjoy the results of your upper eyelid surgery for many years to come.

Brighten Your Eyes Today

Upper eyelid surgery is a popular procedure amongst men and women alike, for its ability to revive and brighten the eyes. At Lewen Cosmetic Surgery, we have already helped countless patients in Miami, Aventura and the surrounding Florida communities to enhance their naturally youthful appearance with this impressive procedure. If you have questions or would like to schedule a consultation, do not hesitate to contact us.

Miami Residents Ask: How Often Do I Need Lip Injections to Maintain Results?

In recent years, lip injections have become one of the most popular procedures, as many patients seek the perfect pout for their selfies and social media presence. Regardless of what has initiated your desire for fuller, more proportionate lips, lip injections are a convenient option for achieving your desired results. As with all dermal fillers and injectables, lip injections are not permanent. If you are wondering, ‘“How often do I need lip injections to maintain results?” then here is what you need to know:

Lip Injections Last Several Months

When it comes to estimating the length of results, this will vary depending on the individual. Results are immediate and patients are able to enjoy their lip injections anywhere from six months to a year. After that time, maintenance appointments are recommended to maintain results. This means you can expect to schedule a lip injection one to two times a year depending on your specific needs.

Injections are Comfortable and Convenient

At Lewen Cosmetic Surgery, Dr. Lewen uses only FDA-approved hyaluronic acid gel facial filler products for lip injection procedures. This ensures that you are receiving only the safest and highest quality filler to enhance the volume and shape of your lips. Although many lip injection solutions have numbing medicine mixed in, additional numbing is also available, to ensure you are comfortable during the procedure.

The entire appointment is efficient and easy to fit into an already busy schedu

le. Our team will provide you with ice following your injection as well as detailed post-procedure instructions, so that you are thoroughly informed as to how to care for your lips, moving forward.

Downtime is Minimal

We understand how important it is to get back out into your life after a lip injection, and the good news is that you can. Although Dr. Lewen makes every effort to minimize bruising and swelling, these side effects can still occur. However, applying ice for the first 24-48 hours can greatly improve these side effects, and you are free to return to normal exercise after 24 hours.

Let Us Help Enhance Your Smile

A great smile is framed by well-proportioned lips, and in this digital age, we understand how important it is to look your best at every opportunity. If you have been considering lip injections, we are here to help. Our office is conveniently located for residents of Miami, Aventura, and the surrounding Florida communities. Have questions? Contact us to speak with one of our patient coordinators.



Is a Brow Lift Permanent? Miami Residents Ask

The face is one of the first places on the body to show signs of aging, such as fine lines, wrinkles, and loose skin. For many, drooping brows begin to form as the skin slackens and the face loses its elasticity. The good news is that brow lift procedures are available to help correct drooping brows and revive the youthful appearance of your face. So, if you have questions about a brow lift procedure, such as whether a brow lift is permanent, then you have come to the right place.

Surgical and Non-Surgical Procedures are Available

At Lewen Cosmetic Surgery, we understand that each patient is unique, and each face will require a different approach in order to achieve the best results. That is why we offer both surgical and non-surgical brow lift procedures. Dr. Lewen is experienced with internal browpexy, external browpexy, direct brow lift, endoscopic brow lift. temporal brow lift, trichophytic (open) brow lift and non-surgical approaches. During your consultation, he will recommend the procedure that is best suited to your needs and desired outcome.

Recovery Time Varies

There are a variety of factors that contribute to recovery time, including the individual’s physical response, the type of procedure, and more. Although brow lifts are safe and relatively painless, some soreness is to be expected. You can expect that brow lifts combined with other procedures, such as blepharoplasty or a mid-face lift, will require a lengthier recovery time. However, rest assured that the details of your brow lift procedure and recovery will be discussed during your consultation.

Brow Lifts are Long-Lasting

One of the best aspects of the brow lift is that it offers long-lasting results. However, a brow lift cannot stop the natural aging process, nor is it a permanent solution. As a result, many of our patients are able to enjoy their lifted brows from five to fifteen years.

At Lewen Cosmetic Surgery, we have already helped countless patients in Miami, Aventura and the surrounding Florida communities lift their brows and enjoy a rejuvenated appearance. Now, we are ready to do the same for you. So, if you have questions and are ready to learn more, do not hesitate to contact us.


Miami Residents Ask: How Long Will My Botox® Results Last? 

Fine lines and wrinkles are often one of the first signs of aging and are usually met with a certain amount of dread. After all, it’s never fun to be reminded of your body’s slow loss of moisture and volume. However, these days, patients who would prefer to maintain a younger, more vibrant appearance have the luxury of dermal fillers and injectables such as Botox® to keep looking their best. So if you are interested in Botox® and wondering how long your Botox® results will last, allow us to explain.


Botox® is Effective, but Not Permanent

It is important to first understand that while Botox® is effective in relaxing the muscles that cause facial expression, it is not a permanent solution for lines and wrinkles. The length of results will vary, depending on the individual. However, in most cases, our patients are able to enjoy their Botox® for three to six months. After that point, maintenance appointments are available.


Appointments are Efficient

One of the most attractive aspects of Botox® is how simple and convenient it is. Our Botox® injections are performed in office, take less than 10 minutes, and are practically pain-free. The ease and efficiency of this procedure make it accessible for even the busiest patient to fit into their day. Since there is no downtime, you are free to return to your life, without hassle.


Results are Impressive

Gone are the days when Botox® users had to fear a frozen or unnatural-looking face. At Lewen Cosmetic Surgery, our medical director has the experience necessary to perform this injection in the precise location required, in order to achieve the impressive, yet natural results you are seeking. Our patients begin to see results within the first three to five days, with the full results becoming apparent within one week. You’ll still look like yourself, just a younger, more energized version.


Get Started Today

If you are unhappy with the fine lines and wrinkles forming on your face, our team can help. We have assisted men and women in Miami, Aventura and the surrounding Florida communities diminish signs of aging with Botox®, and we look forward to doing the same for you. So if you have questions and are ready to take the next step, contact our office today.

With an Endoscopic Brow Lift, We Can Reshape Your Brows

One of the most obvious signs of aging are the wrinkles that appear on our faces, especially on our foreheads and around our eyebrows. This is a result of constant muscle movement in the facial area. These lines can actually make us appear much older than we actually are.

Be it the horizontal creases across our forehead, or the vertical lines between our eyebrows, these do nothing good for our appearance. Moreover, the skin of your forehead tends to droop over the course of time, making your upper eyelids look puffy and tired.

Fortunately, there is a surgical procedure that can help you get rid of these lines and wrinkles and achieve a more radiant and youthful look – an endoscopic brow lift.

What is an Endoscopic Brow Lift?

An endoscopic brow lift is a common cosmetic procedure that many patients opt for to remove creases on your forehead and correct the descent of your eyebrow by lifting the skin on your forehead.

Compared to traditional methods of surgeries, the endoscopic brow lift is minimally invasive. Only tiny incisions have to be made behind your hairline. This makes recovery and downtime much shorter and smoother.

What to Expect During the Procedure

First, your surgeon will administer general anesthesia to help ease any resulting discomfort that may occur during the surgery. Just behind your hairline, on your scalp, three tiny incisions that almost resemble a puncture are made. Then, an endoscope – a mini camera with an attached probe – is inserted through the incisions, allowing the surgeon to see inside your head on a monitor.

This view greatly helps the surgeon to correctly lift the skin on your forehead and reposition your eyebrows as well. The muscle tissues that cause the creases on your forehead are removed along with any excess skin.

The Endoscopic Brow Lift Recovery Process

During the recovery period, it is critical that you follow your doctor’s instructions. You will be required to take some time off work to rest and relax. You will also need to make sure you have a support system in place to help you with daily tasks that may add too much strain to your body.

It is important to note that each individual may have a different recovery experience and the time taken will differ depending on the amount of correction that needs to be made. But, for a fast and smooth recovery, there are certain things that all patients should keep in mind.

• Make sure to keep your bandages on for several days post-surgery.
• You can only wash your hair after you remove bandages.
• Make sure to keep your head elevated when sleeping. Use several pillows if required necessary.
• It’s normal to experience some swelling and bruising but this subsides in time.
• Take any prescribed medication regularly.
• Do not engage in strenuous, physical activities for at least two weeks post-surgery.

Ideal Candidates for the Procedure

The Endoscopic brow lift is the perfect solution for anyone who wants to tighten their forehead skin and achieve a more youthful and vibrant facial appearance. You must be in good general health and be ready to provide your medical history if you want to be considered a good candidate. Your doctor will assess your body as a whole and develop a plan that is perfectly suited to fit your needs.

Schedule Your Endoscopic Brow Lift Appointment

You can learn more about the endoscopic brow lift surgery with Dr. Gregory Lewen during a consultation. Contact our office to schedule your appointment today.

Lower-Eyelid Blepharoplasty Can Help Eliminate Puffy Eyelids

Your eyes are a prominent feature on your face that depicts how you’re feeling at any given point in time and subtly gives other people a clue as to how approachable you are. Over the course of time, however, they may begin to develop loose skin and fatty deposits that cause them to look droopy and puffy. This can change your entire look in an instant.

There are a number of different reasons why someone may develop puffy eyes. One of the most prominent among them is the natural aging process. They may also be the result of stress, dehydration, allergies, lack of sleep, inherited genetic traits, and more. In order to know the cause for sure, you will need to schedule a consultation with a doctor who will assess your body and the cause behind the problem.

If the problem becomes too severe with no clear solution in sight, there’s always the surgical option. A lower-eyelid blepharoplasty can help you get rid of puffy eyes and boost your youthful allure in one convenient procedure.

What to Expect from a Lower-Eyelid Blepharoplasty Surgery

The lower eyelid surgery specifically targets the lower region of the eyelids to help eliminate any puffiness that occurs in the area. It is a great solution for those who don’t require the full extent of a full blepharoplasty, but want to solve minor issues in the lower eye region.

When undergoing the surgery, you will want to make sure to work with a highly skilled surgeon who has a history of performing the procedure. This surgery requires skill and precision and you wouldn’t want to go to just anyone.

To begin this procedure, your doctor will make a strategically placed incision in the lower crease of the eyes to help keep any resulting post-surgical marks hidden from view. This will help to ensure a beautiful end result.

Through the incision, your doctor will remove any excess skin and fat in the region and reposition the remaining tissues to fit the new look of your eyes.

What to Expect After the Lower-Blepharoplasty Surgery

After the surgery is completed, your doctor will close the incisions so that they can heal properly. There is a period of downtime to expect that you can discuss with your doctor. The time varies from patient to patient, but it will typically last about two weeks after the procedure. During this time, it is advised that you avoid strenuous physical activities and straining your eyes. By following these instructions, you increase your chances of healing quickly and obtaining outstanding results.

Contact Our Office

Lower-eyelid surgery can be an effective solution for anyone who is currently suffering from the effects of puffy eyelids. It can provide you with a significant improvement in the look of your eyes and even help improve how they function. If you’re interested in learning more about the surgery, contact our office to schedule a consultation with Dr. Gregory Lewen. He will help guide you through the entire procedure from beginning to end.