Eyelid Blephroplasty

The eyes are an integral part of our facial expression. Often times they reveal more about our thoughts and emotions than we realize. As we age, the soft tissue in the eyes will often sag or bunch up making us look tired, sad, or apathetic. The aging process causes the eyelid skin to lose much of its elasticity creating an appearance of bunched up excess skin, bags under the eyes, and bulging in the upper and lower eyelids. The eyebrows will often droop over the eyes exacerbating the problem.

Dr. Miller performs several procedures that restore the natural, rested, youthful look to the eyelids. Using very small incisions in the eyelid, the excess skin can be removed and the underlying fat is sculpted. Bags in the lower eyelids can be managed using small incisions either on the outside of the eyelid or on the inner surface of the eyelid making the incisions almost undetectable. These procedures can be done under local anesthetic, conscious sedation, or general anesthetic.

Blepharoplasty can be combined with a brow lift, a facelift, or all three. Dr. Miller provides each patient with a detailed analysis and tailors the procedure to meet their specific needs.

Candidates for Blepharoplasty

A good candidate for this procedure includes anyone who has excess upper or lower eyelid skin with bags or areas that appear to bulge. There is no specific or optimal age for the procedure.

Procedure

Blepharoplasty entails a tiny incision in the upper eyelid skin crease. A small amount of skin is removed and the fat pad is sculpted. The skin is then meticulously closed. On the lower eyelid there is the option to make the incision on the inside of the lid which makes it invisible. The procedure takes about 1-2 hours.

Anesthesia

Blepharoplasty can be done using local anesthetic, conscious sedation, or general anesthetic.

Recovery

Although patients have unique healing experiences and no specific timeline can be guaranteed, most patients require 3-5 days in order to experience improvement in swelling and bruising. Sutures are usually removed on post-op day 3 or 4. Patients can usually return to work after 3 days.

Hide Info

Upper Eyelid Blepharoplasty

Surgery of the upper eyelids is a great way to provide a very natural, refreshed appearance to the upper eyelids. The incision is typically made in the existing crease in the eyelid and a small ellipse of skin is removed. The result is a more visible eyelid platform that creates a more rested, defined look.

Hide Info

Upper Eyelid Blepharoplasty FAQ’s

Am I a candidate for an upper eyelid blepharoplasty?

Good candidates for an upper eyelid blepharoplasty include patients who have excess upper eyelid skin, bulging in the upper eyelids, sagging of the eyelid skin over the eye, or reduced peripheral vision due to sagging of the eyelid skin.


What is the optimal age for an upper eyelid blepharoplasty?

Like all cosmetic procedures, there is no optimal age. The eyes tend to age faster than other areas of the face so it is not uncommon for patients to present with concerns about aging around the eyes earlier than other areas of the face.


Do I also need a brow lift?

This is a very important question. Brow ptosis (droop) can be a major contributing factor to the appearance of excess upper eyelid skin, bagginess, and puffiness in the upper eyelid. Dr. Miller always addresses the upper eyelids and brows together during the consultation and then educates each patient on the interaction between the two. He then presents options for the patient with the expectations of what each option can accomplish. These options usually include a blepharoplasty alone, a blepharoplasty combined with a lateral brow (temple) lift, and a blepharoplasty with an endoscopic brow lift.


What is the recovery time for an upper eyelid blepharoplasty?

The upper eyelids typically heal in a very timely fashion. Patients can usually anticipate 2-5 days of down time, depending on how important it is for them to conceal the surgery and how exertional their work is.


How long does the procedure take?

An upper eyelid blepharoplasty usually takes about one hour to perform.


Will I have stitches?

Yes. Dr. Miller typically uses a very fine suture that runs underneath the skin along the suture line. This allows for a very precise closure with very little scarring. The suture is usually easily removed between three and five days after surgery.


What kind of anesthesia is used?

It’s very reasonable to expect that most patients can tolerate an upper eyelid blepharoplasty under local anesthetic. At the patient’s request, we can offer conscious sedation or general anesthesia.

Hide Info

Lower Eyelid Blepharoplasty

Surgery of the lower eyelids can create a dramatic improvement in appearance. We all naturally have fat pads in the lower eyelid. As we age, the ligaments that retain the fat weaken and the fat bulges forward. This creates lower eyelid bags that can make a person look very tired and aged. Removal of these fat pads allows for decompression of the eyelids and the bags disappear. The result is a much more rested and youthful appearance.

Two approaches for lower eyelid blepharoplasty

The fat can be removed by one of two approaches. The transconjunctival approach involves making an incision on the inside of the eyelid. The dissection is then completed on the inside of the eyelid and the excess fat is removed. The advantage to the transconjunctival approach is that there is no visible incision, the healing is very rapid, and there is less risk of eyelid droop. Dr. Miller prefers this approach for most of his lower eyelid blepharoplasty patients.

The subcilliary approach involves an incision just underneath the eyelash on the outside of the eyelid with the incision extending from one corner of the eye to the other. The fat pads are then dissected and removed. The advantage to this approach is that excess lower eyelid skin can be removed at the same time. Removal of excess skin provides a tightening of the eyelids. Dr. Miller evaluates each patient in a detailed manner and determines which approach is appropriate for each patient.

Hide Info

Lower Eyelid Blepharoplasty FAQs

Am I a good candidate for a lower eyelid blepharoplasty?

If you have bulging lower eyelids, the appearance of bags under your eyes, or too much lower eyelid skin that makes you look tired, then you may be a good candidate for a lower eyelid blepharoplasty. Dr. Miller does a thorough history and physical examination to make sure that each patient is an appropriate candidate for surgery. Conditions such as chronic dry eyes, glaucoma, poor eyelid muscle tone, and a sagging lower eyelid are indications that a lower eyelid blepharoplasty should be avoided.


What is the best age for a lower eyelid blepharoplasty?

There is no optimal age for a lower blepharoplasty. Everybody ages at their own pace. Patients typically range in age from their 40’s-70’s. However, some may fall outside of this range.


How is this procedure performed?

Generally, there are two ways this procedure can be performed. The first option is through an incision on the inside of the lower eyelid that allows access to the fat underneath the skin on the eyelid. The second option is through an incision just underneath the eyelash on the skin of the lower eyelid. Dr. Miller will give each patient options on the surgical approach after doing a thorough history and physical exam.


What is the recovery time for a lower eyelid blepharoplasty?

Patients typically require 3-5 days to heal from a lower eyelid blepharoplasty procedure. It is possible to return to work within this time frame as well.


What type of anesthesia is used for this procedure?

A lower eyelid blepharoplasty can be done under local anesthetic, conscious sedation, or general anesthetic. Each patient is educated about the different typed of anesthetic and options are thoroughly discussed.

Hide Info

Brow Lift

The brow is an integral part of the eyelid. As we age, the muscle and skin in the forehead starts to sag which causes the brow to droop and the skin on the upper eyelid bunches. The result is a tired, un-defined look to the brow and upper eyelid. Returning the brow to its proper position will correct this problem.

The brow lift procedure has evolved over several decades from the invasive coronal brow lift to much less invasive techniques. There are many derivations of the procedure used to address various patient needs. While each technique still has application for the appropriate person, Dr. Miller prefers less invasive techniques that yield natural, lasting results.

Hide Info

Temple Lift

The temple lift, also known as a lateral brow lift, is a minimally invasive brow lift technique that addresses sagging in the tail of the brow near the temple. Lifting the tail, and not the central portion of the eyebrow, is a very natural method of creating a more refreshed look.

Candidates

A good candidate for a temple lift includes anyone who has evidence of sagging of the tail of the brow and excess upper eyelid skin. There is no specific or optimal age to get a temple lift.

Procedure

The procedure takes about 30-45 minutes to perform. The incisions are made in the hair- bearing portion of the temple and great care is made to design the incisions in such a fashion that loss of hair is prevented. The positioning of the incision in the hair allows for very effective camoflouging of the incision. The skin is undermined and the underlying muscle is then anchored in the more natural, elevated position. Excess skin is removed and the incision is then closed, usually with a dissolvable suture.

Anesthesia

A temple lift can be performed using local anesthesia with oral sedation, IV sedation, or, at the patient’s request, it can be done under general anesthesia.

Recovery

It is important to remember that each patient recovers at their own unique pace. Patients are sent home the night of surgery and are given a comprehensive set of informative post-operative instructions. Swelling and bruising typically resolves within 2-3 weeks. Patients are advised to take about one week off of work and avoid strenuous exercise for 3-4 weeks.

Hide Info

Endoscopic Brow Lift

The endoscopic brow lift is a full brow lift that is performed using an endoscope positioned through incisions known as ports. These ports allow for positioning of instruments and fixation of the forehead tissue.

Candidates

Candidates for an endoscopic brow lift are people who prefer to have their entire brow elevated rather than just the tail of the brow. These patients will have sagging of the entire brow complex including the tail and the central portion.

Procedure

The procedure takes about 1 hour to perform. Small incisions are made in the temple on each side as well as in the hair-bearing portion of the forehead. An endoscope is then inserted and the muscle and skin is elevated off of the underlying bone. The tissue is then raised and anchored in its original position. The incisions are then closed. Occasionally, a drain is used to help facilitate the healing process.

Anesthesia

An endoscopic brow lift is typically done under IV sedation or general anesthesia.

Recovery

It is important to remember that each patient recovers at his or her own unique pace. Patients are sent home the night of surgery and are given a comprehensive set of informative post-operative instructions. Swelling and bruising typically resolves within 2-3 weeks. Patients are advised to take about one week off of work and avoid strenuous exercise for 3-4 weeks.

Hide Info

What People Are Saying

"Dr. Miller is so professional but the thing I loved most is how honest he was in my consultation. No false promises. This was my second facelift and the results were amazing. I would say that he understated rather than overstated and I appreciate that more than I can say. It looks very natural. I feel as though the staff here is more like family. Love all of you! Many thanks."
- Judy W.

    Before and After Photos

Eyelid Blephroplasty

The eyes are an integral part of our facial expression. Often times they reveal more about our thoughts and emotions than we realize. As we age, the soft tissue in the eyes will often sag or bunch up making us look tired, sad, or apathetic. The aging process causes the eyelid skin to lose much of its elasticity creating an appearance of bunched up excess skin, bags under the eyes, and bulging in the upper and lower eyelids. The eyebrows will often droop over the eyes exacerbating the problem.

Dr. Miller performs several procedures that restore the natural, rested, youthful look to the eyelids. Using very small incisions in the eyelid, the excess skin can be removed and the underlying fat is sculpted. Bags in the lower eyelids can be managed using small incisions either on the outside of the eyelid or on the inner surface of the eyelid making the incisions almost undetectable. These procedures can be done under local anesthetic, conscious sedation, or general anesthetic.

Blepharoplasty can be combined with a brow lift, a facelift, or all three. Dr. Miller provides each patient with a detailed analysis and tailors the procedure to meet their specific needs.

Candidates for Blepharoplasty

A good candidate for this procedure includes anyone who has excess upper or lower eyelid skin with bags or areas that appear to bulge. There is no specific or optimal age for the procedure.

Procedure

Blepharoplasty entails a tiny incision in the upper eyelid skin crease. A small amount of skin is removed and the fat pad is sculpted. The skin is then meticulously closed. On the lower eyelid there is the option to make the incision on the inside of the lid which makes it invisible. The procedure takes about 1-2 hours.

Anesthesia

Blepharoplasty can be done using local anesthetic, conscious sedation, or general anesthetic.

Recovery

Although patients have unique healing experiences and no specific timeline can be guaranteed, most patients require 3-5 days in order to experience improvement in swelling and bruising. Sutures are usually removed on post-op day 3 or 4. Patients can usually return to work after 3 days.

Hide Info

Upper Eyelid Blepharoplasty

Surgery of the upper eyelids is a great way to provide a very natural, refreshed appearance to the upper eyelids. The incision is typically made in the existing crease in the eyelid and a small ellipse of skin is removed. The result is a more visible eyelid platform that creates a more rested, defined look.

Hide Info

Upper Eyelid Blepharoplasty FAQ’s

Am I a candidate for an upper eyelid blepharoplasty?

Good candidates for an upper eyelid blepharoplasty include patients who have excess upper eyelid skin, bulging in the upper eyelids, sagging of the eyelid skin over the eye, or reduced peripheral vision due to sagging of the eyelid skin.


What is the optimal age for an upper eyelid blepharoplasty?

Like all cosmetic procedures, there is no optimal age. The eyes tend to age faster than other areas of the face so it is not uncommon for patients to present with concerns about aging around the eyes earlier than other areas of the face.


Do I also need a brow lift?

This is a very important question. Brow ptosis (droop) can be a major contributing factor to the appearance of excess upper eyelid skin, bagginess, and puffiness in the upper eyelid. Dr. Miller always addresses the upper eyelids and brows together during the consultation and then educates each patient on the interaction between the two. He then presents options for the patient with the expectations of what each option can accomplish. These options usually include a blepharoplasty alone, a blepharoplasty combined with a lateral brow (temple) lift, and a blepharoplasty with an endoscopic brow lift.


What is the recovery time for an upper eyelid blepharoplasty?

The upper eyelids typically heal in a very timely fashion. Patients can usually anticipate 2-5 days of down time, depending on how important it is for them to conceal the surgery and how exertional their work is.


How long does the procedure take?

An upper eyelid blepharoplasty usually takes about one hour to perform.


Will I have stitches?

Yes. Dr. Miller typically uses a very fine suture that runs underneath the skin along the suture line. This allows for a very precise closure with very little scarring. The suture is usually easily removed between three and five days after surgery.


What kind of anesthesia is used?

It’s very reasonable to expect that most patients can tolerate an upper eyelid blepharoplasty under local anesthetic. At the patient’s request, we can offer conscious sedation or general anesthesia.

Hide Info

Lower Eyelid Blepharoplasty

Surgery of the lower eyelids can create a dramatic improvement in appearance. We all naturally have fat pads in the lower eyelid. As we age, the ligaments that retain the fat weaken and the fat bulges forward. This creates lower eyelid bags that can make a person look very tired and aged. Removal of these fat pads allows for decompression of the eyelids and the bags disappear. The result is a much more rested and youthful appearance.

Two approaches for lower eyelid blepharoplasty

The fat can be removed by one of two approaches. The transconjunctival approach involves making an incision on the inside of the eyelid. The dissection is then completed on the inside of the eyelid and the excess fat is removed. The advantage to the transconjunctival approach is that there is no visible incision, the healing is very rapid, and there is less risk of eyelid droop. Dr. Miller prefers this approach for most of his lower eyelid blepharoplasty patients.

The subcilliary approach involves an incision just underneath the eyelash on the outside of the eyelid with the incision extending from one corner of the eye to the other. The fat pads are then dissected and removed. The advantage to this approach is that excess lower eyelid skin can be removed at the same time. Removal of excess skin provides a tightening of the eyelids. Dr. Miller evaluates each patient in a detailed manner and determines which approach is appropriate for each patient.

Hide Info

Lower Eyelid Blepharoplasty FAQs

Am I a good candidate for a lower eyelid blepharoplasty?

If you have bulging lower eyelids, the appearance of bags under your eyes, or too much lower eyelid skin that makes you look tired, then you may be a good candidate for a lower eyelid blepharoplasty. Dr. Miller does a thorough history and physical examination to make sure that each patient is an appropriate candidate for surgery. Conditions such as chronic dry eyes, glaucoma, poor eyelid muscle tone, and a sagging lower eyelid are indications that a lower eyelid blepharoplasty should be avoided.


What is the best age for a lower eyelid blepharoplasty?

There is no optimal age for a lower blepharoplasty. Everybody ages at their own pace. Patients typically range in age from their 40’s-70’s. However, some may fall outside of this range.


How is this procedure performed?

Generally, there are two ways this procedure can be performed. The first option is through an incision on the inside of the lower eyelid that allows access to the fat underneath the skin on the eyelid. The second option is through an incision just underneath the eyelash on the skin of the lower eyelid. Dr. Miller will give each patient options on the surgical approach after doing a thorough history and physical exam.


What is the recovery time for a lower eyelid blepharoplasty?

Patients typically require 3-5 days to heal from a lower eyelid blepharoplasty procedure. It is possible to return to work within this time frame as well.


What type of anesthesia is used for this procedure?

A lower eyelid blepharoplasty can be done under local anesthetic, conscious sedation, or general anesthetic. Each patient is educated about the different typed of anesthetic and options are thoroughly discussed.

Hide Info

Brow Lift

The brow is an integral part of the eyelid. As we age, the muscle and skin in the forehead starts to sag which causes the brow to droop and the skin on the upper eyelid bunches. The result is a tired, un-defined look to the brow and upper eyelid. Returning the brow to its proper position will correct this problem.

The brow lift procedure has evolved over several decades from the invasive coronal brow lift to much less invasive techniques. There are many derivations of the procedure used to address various patient needs. While each technique still has application for the appropriate person, Dr. Miller prefers less invasive techniques that yield natural, lasting results.

Hide Info

Temple Lift

The temple lift, also known as a lateral brow lift, is a minimally invasive brow lift technique that addresses sagging in the tail of the brow near the temple. Lifting the tail, and not the central portion of the eyebrow, is a very natural method of creating a more refreshed look.

Candidates

A good candidate for a temple lift includes anyone who has evidence of sagging of the tail of the brow and excess upper eyelid skin. There is no specific or optimal age to get a temple lift.

Procedure

The procedure takes about 30-45 minutes to perform. The incisions are made in the hair- bearing portion of the temple and great care is made to design the incisions in such a fashion that loss of hair is prevented. The positioning of the incision in the hair allows for very effective camoflouging of the incision. The skin is undermined and the underlying muscle is then anchored in the more natural, elevated position. Excess skin is removed and the incision is then closed, usually with a dissolvable suture.

Anesthesia

A temple lift can be performed using local anesthesia with oral sedation, IV sedation, or, at the patient’s request, it can be done under general anesthesia.

Recovery

It is important to remember that each patient recovers at their own unique pace. Patients are sent home the night of surgery and are given a comprehensive set of informative post-operative instructions. Swelling and bruising typically resolves within 2-3 weeks. Patients are advised to take about one week off of work and avoid strenuous exercise for 3-4 weeks.

Hide Info

Endoscopic Brow Lift

The endoscopic brow lift is a full brow lift that is performed using an endoscope positioned through incisions known as ports. These ports allow for positioning of instruments and fixation of the forehead tissue.

Candidates

Candidates for an endoscopic brow lift are people who prefer to have their entire brow elevated rather than just the tail of the brow. These patients will have sagging of the entire brow complex including the tail and the central portion.

Procedure

The procedure takes about 1 hour to perform. Small incisions are made in the temple on each side as well as in the hair-bearing portion of the forehead. An endoscope is then inserted and the muscle and skin is elevated off of the underlying bone. The tissue is then raised and anchored in its original position. The incisions are then closed. Occasionally, a drain is used to help facilitate the healing process.

Anesthesia

An endoscopic brow lift is typically done under IV sedation or general anesthesia.

Recovery

It is important to remember that each patient recovers at his or her own unique pace. Patients are sent home the night of surgery and are given a comprehensive set of informative post-operative instructions. Swelling and bruising typically resolves within 2-3 weeks. Patients are advised to take about one week off of work and avoid strenuous exercise for 3-4 weeks.

Hide Info

What People Are Saying

"I could no longer stand how my jawline was meshing in with my neck forming this double chin. I finally got it fixed after years of comtemplation. My healing time was quick and I’m very satisfied with the results."
- Michael T.

    Before and After Photos

Eyelid Blephroplasty

The eyes are an integral part of our facial expression. Often times they reveal more about our thoughts and emotions than we realize. As we age, the soft tissue in the eyes will often sag or bunch up making us look tired, sad, or apathetic. The aging process causes the eyelid skin to lose much of its elasticity creating an appearance of bunched up excess skin, bags under the eyes, and bulging in the upper and lower eyelids. The eyebrows will often droop over the eyes exacerbating the problem.

Dr. Miller performs several procedures that restore the natural, rested, youthful look to the eyelids. Using very small incisions in the eyelid, the excess skin can be removed and the underlying fat is sculpted. Bags in the lower eyelids can be managed using small incisions either on the outside of the eyelid or on the inner surface of the eyelid making the incisions almost undetectable. These procedures can be done under local anesthetic, conscious sedation, or general anesthetic.

Blepharoplasty can be combined with a brow lift, a facelift, or all three. Dr. Miller provides each patient with a detailed analysis and tailors the procedure to meet their specific needs.

Candidates for Blepharoplasty

A good candidate for this procedure includes anyone who has excess upper or lower eyelid skin with bags or areas that appear to bulge. There is no specific or optimal age for the procedure.

Procedure

Blepharoplasty entails a tiny incision in the upper eyelid skin crease. A small amount of skin is removed and the fat pad is sculpted. The skin is then meticulously closed. On the lower eyelid there is the option to make the incision on the inside of the lid which makes it invisible. The procedure takes about 1-2 hours.

Anesthesia

Blepharoplasty can be done using local anesthetic, conscious sedation, or general anesthetic.

Recovery

Although patients have unique healing experiences and no specific timeline can be guaranteed, most patients require 3-5 days in order to experience improvement in swelling and bruising. Sutures are usually removed on post-op day 3 or 4. Patients can usually return to work after 3 days.

Hide Info

Upper Eyelid Blepharoplasty

Surgery of the upper eyelids is a great way to provide a very natural, refreshed appearance to the upper eyelids. The incision is typically made in the existing crease in the eyelid and a small ellipse of skin is removed. The result is a more visible eyelid platform that creates a more rested, defined look.

Hide Info

Upper Eyelid Blepharoplasty FAQ’s

Am I a candidate for an upper eyelid blepharoplasty?

Good candidates for an upper eyelid blepharoplasty include patients who have excess upper eyelid skin, bulging in the upper eyelids, sagging of the eyelid skin over the eye, or reduced peripheral vision due to sagging of the eyelid skin.


What is the optimal age for an upper eyelid blepharoplasty?

Like all cosmetic procedures, there is no optimal age. The eyes tend to age faster than other areas of the face so it is not uncommon for patients to present with concerns about aging around the eyes earlier than other areas of the face.


Do I also need a brow lift?

This is a very important question. Brow ptosis (droop) can be a major contributing factor to the appearance of excess upper eyelid skin, bagginess, and puffiness in the upper eyelid. Dr. Miller always addresses the upper eyelids and brows together during the consultation and then educates each patient on the interaction between the two. He then presents options for the patient with the expectations of what each option can accomplish. These options usually include a blepharoplasty alone, a blepharoplasty combined with a lateral brow (temple) lift, and a blepharoplasty with an endoscopic brow lift.


What is the recovery time for an upper eyelid blepharoplasty?

The upper eyelids typically heal in a very timely fashion. Patients can usually anticipate 2-5 days of down time, depending on how important it is for them to conceal the surgery and how exertional their work is.


How long does the procedure take?

An upper eyelid blepharoplasty usually takes about one hour to perform.


Will I have stitches?

Yes. Dr. Miller typically uses a very fine suture that runs underneath the skin along the suture line. This allows for a very precise closure with very little scarring. The suture is usually easily removed between three and five days after surgery.


What kind of anesthesia is used?

It’s very reasonable to expect that most patients can tolerate an upper eyelid blepharoplasty under local anesthetic. At the patient’s request, we can offer conscious sedation or general anesthesia.

Hide Info

Lower Eyelid Blepharoplasty

Surgery of the lower eyelids can create a dramatic improvement in appearance. We all naturally have fat pads in the lower eyelid. As we age, the ligaments that retain the fat weaken and the fat bulges forward. This creates lower eyelid bags that can make a person look very tired and aged. Removal of these fat pads allows for decompression of the eyelids and the bags disappear. The result is a much more rested and youthful appearance.

Two approaches for lower eyelid blepharoplasty

The fat can be removed by one of two approaches. The transconjunctival approach involves making an incision on the inside of the eyelid. The dissection is then completed on the inside of the eyelid and the excess fat is removed. The advantage to the transconjunctival approach is that there is no visible incision, the healing is very rapid, and there is less risk of eyelid droop. Dr. Miller prefers this approach for most of his lower eyelid blepharoplasty patients.

The subcilliary approach involves an incision just underneath the eyelash on the outside of the eyelid with the incision extending from one corner of the eye to the other. The fat pads are then dissected and removed. The advantage to this approach is that excess lower eyelid skin can be removed at the same time. Removal of excess skin provides a tightening of the eyelids. Dr. Miller evaluates each patient in a detailed manner and determines which approach is appropriate for each patient.

Hide Info

Lower Eyelid Blepharoplasty FAQs

Am I a good candidate for a lower eyelid blepharoplasty?

If you have bulging lower eyelids, the appearance of bags under your eyes, or too much lower eyelid skin that makes you look tired, then you may be a good candidate for a lower eyelid blepharoplasty. Dr. Miller does a thorough history and physical examination to make sure that each patient is an appropriate candidate for surgery. Conditions such as chronic dry eyes, glaucoma, poor eyelid muscle tone, and a sagging lower eyelid are indications that a lower eyelid blepharoplasty should be avoided.


What is the best age for a lower eyelid blepharoplasty?

There is no optimal age for a lower blepharoplasty. Everybody ages at their own pace. Patients typically range in age from their 40’s-70’s. However, some may fall outside of this range.


How is this procedure performed?

Generally, there are two ways this procedure can be performed. The first option is through an incision on the inside of the lower eyelid that allows access to the fat underneath the skin on the eyelid. The second option is through an incision just underneath the eyelash on the skin of the lower eyelid. Dr. Miller will give each patient options on the surgical approach after doing a thorough history and physical exam.


What is the recovery time for a lower eyelid blepharoplasty?

Patients typically require 3-5 days to heal from a lower eyelid blepharoplasty procedure. It is possible to return to work within this time frame as well.


What type of anesthesia is used for this procedure?

A lower eyelid blepharoplasty can be done under local anesthetic, conscious sedation, or general anesthetic. Each patient is educated about the different typed of anesthetic and options are thoroughly discussed.

Hide Info

Brow Lift

The brow is an integral part of the eyelid. As we age, the muscle and skin in the forehead starts to sag which causes the brow to droop and the skin on the upper eyelid bunches. The result is a tired, un-defined look to the brow and upper eyelid. Returning the brow to its proper position will correct this problem.

The brow lift procedure has evolved over several decades from the invasive coronal brow lift to much less invasive techniques. There are many derivations of the procedure used to address various patient needs. While each technique still has application for the appropriate person, Dr. Miller prefers less invasive techniques that yield natural, lasting results.

Hide Info

Temple Lift

The temple lift, also known as a lateral brow lift, is a minimally invasive brow lift technique that addresses sagging in the tail of the brow near the temple. Lifting the tail, and not the central portion of the eyebrow, is a very natural method of creating a more refreshed look.

Candidates

A good candidate for a temple lift includes anyone who has evidence of sagging of the tail of the brow and excess upper eyelid skin. There is no specific or optimal age to get a temple lift.

Procedure

The procedure takes about 30-45 minutes to perform. The incisions are made in the hair- bearing portion of the temple and great care is made to design the incisions in such a fashion that loss of hair is prevented. The positioning of the incision in the hair allows for very effective camoflouging of the incision. The skin is undermined and the underlying muscle is then anchored in the more natural, elevated position. Excess skin is removed and the incision is then closed, usually with a dissolvable suture.

Anesthesia

A temple lift can be performed using local anesthesia with oral sedation, IV sedation, or, at the patient’s request, it can be done under general anesthesia.

Recovery

It is important to remember that each patient recovers at their own unique pace. Patients are sent home the night of surgery and are given a comprehensive set of informative post-operative instructions. Swelling and bruising typically resolves within 2-3 weeks. Patients are advised to take about one week off of work and avoid strenuous exercise for 3-4 weeks.

Hide Info

Endoscopic Brow Lift

The endoscopic brow lift is a full brow lift that is performed using an endoscope positioned through incisions known as ports. These ports allow for positioning of instruments and fixation of the forehead tissue.

Candidates

Candidates for an endoscopic brow lift are people who prefer to have their entire brow elevated rather than just the tail of the brow. These patients will have sagging of the entire brow complex including the tail and the central portion.

Procedure

The procedure takes about 1 hour to perform. Small incisions are made in the temple on each side as well as in the hair-bearing portion of the forehead. An endoscope is then inserted and the muscle and skin is elevated off of the underlying bone. The tissue is then raised and anchored in its original position. The incisions are then closed. Occasionally, a drain is used to help facilitate the healing process.

Anesthesia

An endoscopic brow lift is typically done under IV sedation or general anesthesia.

Recovery

It is important to remember that each patient recovers at his or her own unique pace. Patients are sent home the night of surgery and are given a comprehensive set of informative post-operative instructions. Swelling and bruising typically resolves within 2-3 weeks. Patients are advised to take about one week off of work and avoid strenuous exercise for 3-4 weeks.

Hide Info

What People Are Saying

"I could no longer stand how my jawline was meshing in with my neck forming this double chin. I finally got it fixed after years of comtemplation. My healing time was quick and I’m very satisfied with the results."
- Michael T.