Reveal Youthful Eyes with Blepharoplasty Benefits
Eyelid surgery, or blepharoplasty, is more than just a cosmetic procedure; it’s a rejuvenation journey. By addressing the delicate areas around the eyes, this surgery offers a transformative impact on one’s appearance and well-being. Its benefits extend beyond aesthetics, encompassing functional and emotional enhancements that can significantly uplift the quality of life.
Patient Testimonials: Real Stories, Real Results
Discover the transformative experiences of our patients who have undergone blepharoplasty, sharing their personal journeys and the impactful results they’ve achieved.
What is Blepharoplasty?
Blepharoplasty, also known as cosmetic eyelid surgery, is a surgical procedure that rejuvenates the eyelids. It can be performed on the upper eyelids, lower eyelids, or both. This is perhaps the area in plastic surgery that requires the surgeon to be the most “ultra-conservative.” Aggressive surgery in the eye can leave the patient with irreversible changes that may severely affect the function and the aesthetics of the eye.
Dr. Bustillo customizes the blepharoplasty surgery for each individual. He avoids the removal of too much fat to avoid the “sunken eye” look. On certain patients, he uses fat to fill the tear trough and smooth the eyelid-cheek junction. He is meticulous and conservative so that the shape of your eyelids will never change.
Upper Eyelid Aging
The upper eyelid begins to show evidence of aging almost before any other facial feature. Excessive sagging skin is first seen as it crowds and hides the crease of the upper eyelid.
In the area near the nose, a small amount of fat often bulges out. When evaluating the upper eyelid, it is important to differentiate between the aging upper eyelid and descent of the eyebrow.
The eyebrow also descends with time. As it does, the brow skin crowds the upper eyelid, adding to the fullness in the area. The surgeon must differentiate between a low brow and an aging eyelid, in order to counsel the patient correctly (Figures 2, 3). Occasionally, patients may need both blepharoplasty and brow lift surgery to rejuvenate the eyelid-eyebrow area.
Lower Eyelid Bags
The lower eyelid may age in one of two ways. There may be premature eyelid aging, which is hereditary. People with this hereditary condition begin to demonstrate lower eyelid “bags” during their late twenties and early thirties. Most people, however, begin to show signs of eyelid aging in their early forties.
As the lower eyelid ages, the fat that surrounds the eye begins to accumulate under the eye and develop the “bags” that are visible. The skin also begins with age and develops wrinkles. The eyelid muscle can descend and give the eyelid a droopy look (Figure 4).
As the malar fat (cheek fat) pad descends, a loss of volume can develop between the lower eyelid and the cheek. This creates a line that sharply demarcates the lower eyelid from the cheek.
Blepharoplasty Before and After Photos
Each patient is unique and individual results may vary*.
The Blepharoplasty Procedure
The purpose of the upper blepharoplasty surgery is to remove the redundant skin that overhangs the upper eyelid crease. The procedure is performed through an incision that is placed at the eyelid crease so that it is completely hidden. The skin is marked carefully before surgery to ensure that the exact amount of skin is removed.
The skin is removed and then a small amount of fat is removed in the medial area (next to the nose). The incision is then closed with a tiny continuous stitch that is placed inside the skin to ensure that the incision heals well and is virtually invisible. The stitch is then removed on postoperative day five. The blepharoplasty scar will not be visible once it completely heals.
The goal of the lower blepharoplasty surgery is to provide a smooth lower eyelid contour that blends with the cheek. This type of blepharoplasty is done by removing the fat that protrudes underneath the eye, removing some of the excess skin, and then elevating and repositioning the eyelid muscle.
This must be done in a manner that will maintain the patient’s natural eyelid shape and avoid any malposition. Malposition is the name given to describe the change in the lower eyelid position that can occur from a poorly performed blepharoplasty.
The lower eyelid blepharoplasty can be performed via two different methods. The skin muscle flap technique is performed through an incision just underneath the eyelashes (Figure 5). The skin and muscles are elevated to reach the fat pockets. The fat pockets are then removed.
The amount removed must be just the right amount. If too much is removed, the eye may appear hollow after surgery (Figure 6). If too little is removed, then bulges will still be visible after surgery.
After the fat is removed, the surgeon tightens the eyelid muscle. This allows the contour of the eyelid to blend with the cheek (Figures 7, 8). It also tightens the eyelid to prevent any eyelid malposition. The incision is then closed with a tiny continuous stitch.
This is Dr. Bustillo’s preferred technique for most patients who have lower eyelid aging. The technique allows him to remove the excess fat and tighten the eyelid muscle. The combination of these two rejuvenates the lower eyelid and cheek complex.
The second technique is the trans-conjunctival technique. The doctor prefers to use this technique for young patients who need little to no skin removal or patients with very prominent eyes.
The trans-conjunctival technique involves an incision inside the eye to access the fat. The fat is then removed and a small pinch of skin may be removed, if necessary, from underneath the eyelashes.
Dr. Bustillo often combines fat transfer with the lower blepharoplasty. This allows him to carefully blend the eyelid-cheek junction to make it as smooth as possible.
Fat transfer also allows him to fill in the tear trough. The tear trough is that valley that runs from the inner corner of the lower eyelid to the cheek.
Questions about your procedure?
Schedule a consultation with Dr. Andres Bustillo.
Candidates for Blepharoplasty
The ideal patient for an upper eyelid blepharoplasty is a woman or man that has begun to show signs of upper eyelid aging. Typically, the excess upper eyelid skin hangs or “hoods” over the eyelid.
The ideal patient for a lower eyelid blepharoplasty is one who has developed lower eyelid “bags” and/or has significant wrinkling of the lower lid skin. Patients with these physical characteristics often report having a “tired” look.
Many of these patients may also demonstrate a deep tear trough and hollowing of the eyelid-cheek junction. This hollowing is often treated at the same time as the eyelid surgery with fat transfer.
Patients can undergo surgery on the upper, lower, or both the upper and lower eyelids at the same time. This provides excellent rejuvenation of the eyelid and cheek area, giving the patient a very rested appearance.
The Blepharoplasty Consultation
Dr. Bustillo begins the blepharoplasty consultation in Miami with a frank discussion about the specific issues and concerns that the patient has. He will want to know whether the eyelid aged from early on, has it recently aged, or has the aging been progressing for a long time. Any ocular diseases, including symptoms of dry eye, must be discussed.
The doctor then performs a thorough facial and eyelid physical examination. The upper eyelid is examined for skin redundancy.
The brow position is also examined. A brow that has descended may mimic upper eyelid redundancy. This is important, as performing an upper blepharoplasty on a normal upper eyelid with a low brow, can essentially pull the brow even lower. Patients with a low brow should consider a brow lift (Figure 9, 10).
The lower eyelid is then examined. The amount of fat herniation is examined as well as the strength of the lower eyelid. Weak lower eyelids may require an additional lid-tightening procedure. The position of the eye in relation to the bony rim is then examined to help determine the technique that should be used for the surgery.
The patient and Dr. Bustillo then have a discussion about the result that he believes can be achieved with surgery. The patient should understand exactly what the blepharoplasty procedure will achieve for them so that an informed decision can be made. The procedure is explained in detail and all questions are answered.
Maximizing Your Blepharoplasty Consultation: What to Expect
During your initial blepharoplasty consultation with Dr. Bustillo, you will experience a comprehensive and personalized approach designed to ensure the best possible outcomes for your specific needs. Here’s what you can expect:
- Personalized Discussion: Dr. Bustillo will engage in an in-depth conversation about your aesthetic goals and concerns. This discussion is crucial in understanding your expectations and determining the most suitable approach for your blepharoplasty.
- Medical History Review: A thorough review of your medical history, including any previous facial procedures, allergies, and medications, will be conducted. This information is vital to ensure your safety and the success of the surgery.
- Detailed Examination: Dr. Bustillo will perform a detailed examination of your eyelids, assessing factors such as skin quality, eyelid structure, and overall facial anatomy. This examination is critical in planning the surgical technique that will be used.
- Visual Aids and Educational Materials: To help you visualize the potential outcomes, Dr. Bustillo may use visual aids or provide educational materials. These resources are intended to give you a clearer understanding of the procedure and what to expect.
- Discussion of Risks and Benefits: An honest discussion about the potential risks, benefits, and realistic outcomes of the surgery will be provided. Dr. Bustillo believes in maintaining transparency to ensure you are fully informed before making a decision.
- Customized Treatment Plan: Based on the consultation findings, Dr. Bustillo will develop a customized treatment plan tailored to your unique needs. This plan will outline the specific techniques to be used, the scope of the surgery, and any additional procedures that may enhance your results.
- Opportunity for Questions: You will have ample opportunity to ask questions and express any concerns. Dr. Bustillo encourages open communication to ensure you feel confident and comfortable with your decision.
- Pre- and Post-Operative Instructions: Before concluding the consultation, you will receive detailed pre- and post-operative instructions. These guidelines are designed to prepare you for the surgery and aid in a smooth recovery.
Cost of Blepharoplasty
The cost of a blepharoplasty operation can vary from doctor to doctor, from patient to patient, and from city to city. Jessica, our patient care coordinator will personally meet with you after you have consulted with Dr. Bustillo.
The cost of the upper blepharoplasty surgery with Dr. Bustillo includes operating room fees. This procedure is performed using oral sedation and local anesthesia. The cost of the lower blepharoplasty surgery with Dr. Bustillo includes operating room fees and anesthesia.
Preparing for the Eye Lift Procedure
Dr. Bustillo requires that all patients obtain pre-operative labs. If the patient is older than 45 years, a medical clearance is required. The patient should stop taking any anti-inflammatory medications (such as aspirin, ibuprofen), vitamin A, and St. John’s wort ten days before the surgery. These medications can affect blood clotting and may cause excessive bleeding or bruising.
Patients should avoid alcohol five days before surgery to avoid swelling. Patients are required to start high-dose vitamin C two weeks before and two weeks after to help with the healing and to reduce bruising.
Anesthesia Used For Blepharoplasty
Blepharoplasty procedures in Miami can be performed under different anesthesia types, depending on the patient and the adjunctive procedures being performed. If the patient is having the upper blepharoplasty operation alone, it is Dr. Bustillo’s preference to do this with local anesthesia and light oral sedation. It can also be performed with IV sedation anesthesia if the patient prefers.
If the patient is having either lower eyelid surgery or upper and lower eyelid surgery, the doctor’s preference is IV sedation anesthesia. If the patient is having eyelid surgery in combination with a facelift or other procedure, then either IV sedation or general anesthesia may be required.
Dr. Bustillo performs blepharoplasty surgery in his state-of-the-art certified surgical suite. Because he believes that patients recover the best outside of a medical environment, they are allowed to return home or to their hotel room the same day after they recover. All surgeries that require anesthesia are staffed by board-certified anesthesiologists (M.D.), who are part of the Baptist Hospital Anesthesiology Department.
Blepharoplasty Risks and Potential Complications
The surgical risks associated with blepharoplasty are rare. The risk of a hematoma, or collection of blood under the skin, is about one percent. If this occurs, it can be drained in the office under local anesthesia.
Chemosis, or swelling of the inner lining of the eyelid, also rare, occurs less than 1% of the time. If it does occur, it is easily treated with steroid drops and lubricating eye drops and usually resolves in a week or so.
Occasionally millia, or small cysts, may form on the incision. If these occur, they can easily be removed under local anesthesia in the office. Infections are extremely rare in the eyelids.
When a skilled surgeon who routinely performs eyelid surgery performs blepharoplasty, the rate of complications is very low. During eyelid surgery, it is extremely important to be conservative in removing tissue, however.
The surgeon may sometimes be faced with a decision during the surgery… should they take more skin or fat or leave it behind? Because the margin for error is very small in the eyelids, Dr. Bustillo believes it is always better to take less than more.
For this reason, the judicious surgeon may go back several months later and take a little more skin and fat if necessary. This is Dr. Bustillo’s philosophy regarding eyelid surgery, and he sees very few blepharoplasty complications in his practice as a result.
Recovering from Eyelid Surgery
The patient is discharged home the same day as their blepharoplasty surgery. The first night should be spent with the patient quiet and relaxed.
It is best to keep a liquid diet for the first twelve hours. The patient should keep the head elevated with two pillows. Small zip-lock bags filled with peas should be placed on the eyes for 10 minutes at a time for the first two days.
Most patients who undergo a blepharoplasty do not have any pain. Tylenol is usually enough to control any minor discomfort that may be present. Dr. Bustillo will provide you with additional pain medication, just in case, it’s needed.
Dr. Bustillo should be made aware of any significant pain, as this may signal bleeding under the skin. Some mild bruising may be visible around the eyes.
The surgeon will see you on the fifth day after the surgery. The tiny stitches will be removed on that day. Patients can usually wash their eyes after the visit. They can also wear makeup again if they wish.
Most patients return to work on the seventh day after surgery. It is safe to resume exercise three weeks after the blepharoplasty surgery.
Seventy percent of eyelid swelling resolves in the first two weeks after the surgery. The remainder of the swelling can take eight to twelve weeks to completely resolve. This last bit of swelling is imperceptible. To know if the patient is able to use makeup after the eyelid surgery, contact Dr. Bustillo.
The final results of the blepharoplasty may not be completely evident until two to three months after the surgery. The results of a blepharoplasty operation usually turn back the clock approximately five to seven years. Most patients who undergo the blepharoplasty operation are extremely happy with the results.
Understanding the Recovery Timeline
Recovery from blepharoplasty is a critical phase where patients transition from surgery to seeing the full benefits of the procedure. Typically, the recovery period can be divided into several stages:
- Immediate Post-Operative Period (First 48 Hours): Patients will experience swelling and bruising around the eyes. It’s essential to rest with your head elevated to reduce swelling. Applying cold compresses can also help.
- First Week: During this period, patients may continue to see some swelling and bruising, but these symptoms will begin to diminish. It’s crucial to avoid strenuous activities and follow all post-operative care instructions provided by the surgeon. Sutures, if not dissolvable, are usually removed within 5-7 days post-surgery.
- Second Week: By the end of the second week, most of the visible bruising and swelling should have subsided. Patients often feel comfortable returning to work and other routine activities, although still avoiding vigorous exercise.
- One Month Post-Operative: Most patients will see a significant improvement in their appearance. The incision lines will continue to fade and mature.
- Long-Term Recovery (Several Months): Full healing of the surgical areas may take several months. During this time, the final results of the surgery will become more apparent. Scars will continue to fade and should eventually be minimally visible.
Tips for a Smooth Recovery
- Follow Post-Operative Instructions: Adhering to the surgeon’s guidelines is crucial for a smooth recovery. This includes taking prescribed medications, attending follow-up appointments, and caring for the incision sites.
- Rest and Hydration: Ensure adequate rest and stay hydrated to aid the healing process.
- Avoiding Certain Activities: Refrain from smoking, drinking alcohol, and engaging in strenuous physical activities as these can impede the healing process.
- Sun Protection: Protecting your eyes from direct sunlight is essential. Wear sunglasses and use sunscreen to protect the skin around the eyes.
- Nutrition: Eating a balanced diet rich in vitamins and minerals can support healing.
Managing Expectations and Emotional Well-being
It’s normal to experience a range of emotions during the recovery process. Patients should be prepared for the initial appearance post-surgery, which includes swelling and bruising. As the healing progresses, the benefits of the surgery will become more evident. If any concerns or unusual symptoms arise, contact your surgeon immediately.
Why Choose plastic surgeon Dr. Bustillo?
- Castle Connolly Top Doctor for more than 10 years
- American Board of Facial Plastic and Reconstructive Surgery
- American Board of Otolaryngology-Head and Neck Surgery
- Facial Plastic & Reconstructive Surgery Fellowship at The New York University
- Otolaryngology – Head & Neck Surgery Residency at The University of Miami, Jackson Memorial Hospital
- General Surgery Internship at The University of Miami, Jackson Memorial Hospital
Blepharoplasty FAQs
Blepharoplasty, or cosmetic eyelid surgery, is a plastic surgery procedure that improves the upper and lower eyelids. The upper blepharoplasty is aimed at correcting the sagging skin that overhangs the upper lid. The surgery for the upper eyelids removes mostly skin and a small amount of fat from the inner corner of the eye.
The lower blepharoplasty is aimed at correcting the ” bags” that form underneath the eye. The surgery can be done from an incision underneath the eyelashes (subciliary approach) or through one inside the eye (transconjunctival). Miami plastic surgeon Dr. Bustillo will inform you which is the best approach for you. The fat is then gently removed and a small amount of skin is then removed. The result is a natural and refreshed look.
The cost of blepharoplasty can vary depending on factors such as the surgeon’s experience, geographical location, and the extent of the procedure.
Dr. Bustillo performs the upper blepharoplasty via a small incision in the crease of the upper eyelid. This incision heals very well and will be imperceptible once healing has occurred. The skin is removed and then a small amount of muscle and fat are removed. The skin is then closed with small stitches. These are placed in a way that they can be removed without pain.
The lower eyelid is performed in a different way. A small incision is made under the eyelashes. The skin and muscle are elevated, and the fat is removed. A tiny strip of skin is then removed and the muscle is then tightened. The incision is then closed with small stitches. These stitches are also placed so that they can be removed without causing pain.
Dr. Bustillo performs the upper blepharoplasty in one hour and the lower blepharoplasty in one hour.
The incision for the upper blepharoplasty is made in the natural crease of the upper eyelid. This incision heals well. The lower blepharoplasty incision is made just under the eyelashes (subciliary) or inside the eye (transconjunctival).
The blepharoplasty procedure is not painful. Patients typically complain of a burning sensation in the eyelids one hour after the procedure. The discomfort will generally last about 1 hour.
The potential complications that may occur with blepharoplasty include the following: bleeding, dry eyes, slight asymmetry in healing or scarring, swelling at the corners of the eyelids, temporary blurred vision, and whiteheads.
The recovery for blepharoplasty is rather mild. The surgery is ambulatory, meaning that the patient is allowed to return home the same day of the surgery. The patient returns to see Dr. Bustillo at the fifth post-operative day. At that time, the sutures are painlessly removed. From that point on, any bruising will start to quickly subside. Women can wear make up after the sutures are removed. About 70% of the swelling resolves in the first 2 weeks. The remainder takes about 2 months to resolve. However, this is mild swelling that is not perceptible. Most patients are well enough to return to work by the seventh post-operative day.
Yes, blepharoplasty can be combined with other cosmetic procedures such as facelifts, brow lifts, or non-invasive treatments like Botox or dermal fillers to achieve comprehensive facial rejuvenation. Your surgeon can discuss the best combination of procedures to address your specific concerns and goals.
If you live near Miami, FL, Dr. Andres Bustillo offers blepharoplasty among its services and is conveniently located at 6705 Red Rd #602, Miami, FL 33143.