Eyelid Surgery in Miami, FL
Cosmetic eyelid surgery, also known as Blepharoplasty, is a procedure that is commonly done to improve the appearance of droopy skin, heavy bags, and/or, tired-looking eyes. This procedure can be performed for the upper eyelids, for the lower eyelids, or for both areas. Commonly, many people will desire this surgery to brighten up the eyes and to help make them appear more rested, refreshed, youthful, and confident in their appearance.
Due to the delicate and thin skin around the eyes, this is one of the first areas of the face that can show early signs of aging. Some of these signs may include fine lines, deeper wrinkles, heavy eyelids, drooping skin or brows, eyelid bags, eyelid puffiness, dark circles under the eyes, and shadowing or darkening of the eye area. Any of these changes can contribute to making you look tired or aged in appearance, especially since the eyes are the first thing that most people notice when they look at your face! Do your eyes tell other people the correct story about how you feel inside?
Since the shape of everyone’s face is different, eyelid surgery is frequently customized to meet the anatomic needs and cosmetic concerns of each individual patient. The various techniques for performing these procedures can vary significantly in factors such as: complexity, length of procedure, cost, and patient recovery time. The technique that will be best to address an individual patient’s cosmetic concerns may be based on that person’s individual anatomy, other medical or eye conditions, previous surgeries, potential for scarring and/or pigmentation issues, and the desired result. Although blepharoplasty may frequently involve sculpting and removal of some tissue, there are also several, more modern treatment techniques that are frequently utilized to more effectively balance the neighboring areas of the face with the eyes and eyelids to create more natural facial harmony. Volume replacement in specific areas around the eyes is one of the more common procedures that may be performed in conjunction with blepharoplasty.
Depending on the specific details of what your surgery will include, your medical history and medications, the actual procedure(s) performed, and the surgical time involved, the recovery and the healing period after surgery can be quite variable. For upper eyelid surgery the average procedure time is approximately 1 hour, and the average downtime is typically about 1-2 weeks, during which most of the bruising and swelling will likely recede. A mini-browlift or “brow tuck” procedure may often be recommended to do in combination with an upper eyelid lift as both areas can contribute to the appearance of saggy, droopy, upper eyelid skin. When both issues are addressed together, many patients will have a greater level of satisfaction with their result. The incision for this procedure is usually made within the fold of the upper eyelid so it would not be visible when the eyes are open. Stitches are used to close the incision and they are usually removed at about 1 week after surgery during a quick and painless office visit. The procedure can be performed under IV (conscious) sedation, or with oral sedation and local injections, depending on the preferences of you and Dr. Lewen. For some patients with certain medical conditions, additional monitoring may also be required.
For lower eyelid surgery, the average procedure time is approximately 2 hours, and the average downtime can vary around at least 2-3 weeks for most of the bruising and swelling to recede. There are two basic approaches to this procedure, with the incisions either made through the skin hidden in the corners of the eyes and underneath the eyelashes, or with the incisions hidden on the inside of the lower eyelid. The type of approach to the lower eyelid that is best for each individual patient will be determined by Dr. Lewen at the time of your consultation and is based on a variety of factors such as your individual anatomy, the amount of excess skin present, the amount of fat pockets that are present, your natural skin tone, other conditions that may be present, and the type of cosmetic result that is desired.
The appearance of bags in the lower eyelids is usually a result of fat pockets from the eye socket that have become more noticeable over time. Although traditionally these fat pockets were just removed, in most cases, a more modern approach to lower eyelid blepharoplasty surgery involves sculpting these fat pockets and re-positioning this fat into other areas of the lower eyelid that are missing volume. This approach allows Dr. Lewen to create a much more natural-appearing result, and he is able to avoid having issues with the eyelids appearing too hollow or sunken after surgery. Hollowness in the eyelids can frequently create a more aged appearance, and this would not be a desired result of surgery.
Sometimes, other procedures may be recommended to be performed in combination with eyelid surgery to improve the transition between the eyelids and the surrounding areas of the face. In these cases, the addition of other procedures at the same time as eyelid surgery can give a better overall result due to improved facial balance and harmony. Midface lifting, facial fat grafting, nanofat injections, CO2 laser resurfacing, direct or CO2 laser festoon treatment, and/or dermal fillers may be suggested by Dr. Lewen to give you the best possible result and enhance your overall aesthetic outcome.
The eyes are a very sensitive and important part of the body, and your vision may be the most valuable of your senses. When considering any cosmetic eyelid surgery, it is so important to seek a surgeon with experience and who has advanced knowledge of the anatomy of the delicate areas around the eyes and surrounding parts of the face. When it comes to eyelid surgery, an oculoplastic or oculofacial plastic surgeon, as compared to a general plastic surgeon or another specialty, is specifically trained in micro-surgical techniques to address the finer details around the eyes while ensuring the health of the eyes and vision remains a top priority.