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Upper Eyelid Surgery in Miami, FL

Double board-certified oculofacial plastic surgeon, Gregory D. Lewen, M.D., offers upper eyelid surgery (upper blepharoplasty) for men and women in Miami, Aventura, and the surrounding areas of Florida. Dr. Lewen is one of the few plastic surgeons in the area who specializes in plastic surgery of the eyes.

What is Upper Eyelid Surgery?

Upper eyelid surgery 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 cosmetic procedure can brighten the appearance of your eyes and help to provide a more youthful, refreshed, and energetic presentation to your face.

Blepharoplasty Patient 9

About Upper Blepharoplasty

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. 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 surgery is a safe and effective option to significantly improve the appearance of the upper eyelids.

At times, an upper 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 surgery 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 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 involves a more simplified removal of some excess skin, and is only performed to improve vision.

Who is a Candidate for an Upper Eyelid Surgery?

If you are not happy with the appearance of your upper eyelids, you may be a candidate for upper 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 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 with the most natural-appearing results. If Dr. Lewen determines that an upper 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 Should I Expect from Upper Eyelid Surgery?

Upper eyelid surgery usually takes about one hour of time. The incision is carefully hidden in the upper eyelid fold so that it is virtually unnoticeable when the eyes are open. 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 blood work, 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 blepharoplasty 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.

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 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 the surrounding areas of the face.

What is the Recovery like After Upper Blepharoplasty?

With the development of the CO2 laser, upper 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.

Sutures are placed in the incision line and are commonly taken out in the office in a manner that is virtually painless at about one week after surgery. The average patient has most of the swelling and bruising healed in about one to two weeks.

Surgery should be scheduled for a time when you can relax for at least one to two 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 two weeks prior to surgery. Dr. Lewen and his 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 three to four times per day before and after eyelid surgery for best results and comfort.

While upper 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.

How Much Does Upper Eyelid Surgery Cost?

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. We provide a cost after the consultation, as well as explain our financing options.

Dr. Lewen is one of the few plastic surgeons in the Miami and Aventura, Florida area who specializes in plastic surgery of the eyes, including upper eyelid surgery (upper blepharoplasty). Contact us today to schedule a comprehensive consultation to learn more about our services.