Eyelid Surgery (Blepharoplasty)

Alluring Plastic Surgery Miami performs upper and lower blepharoplasty (eyelid surgery) to correct drooping upper eyelid skin, under-eye puffiness caused by herniated orbital fat, and fine crepe-like lower eyelid skin. Upper blepharoplasty removes excess skin and, where indicated, a strip of orbicularis muscle and herniated fat, restoring an open and rested eye contour. Lower blepharoplasty addresses the under-eye bags that result from orbital fat prolapse, either through a transcutaneous or transconjunctival approach. Both procedures can be performed individually or combined for a comprehensive periorbital rejuvenation. Dr. Victoria Karlinsky's fellowship background in facial cosmetic surgery informs a precise, anatomy-respecting approach.

Blepharoplasty at Alluring Plastic Surgery Miami targets the periorbital region — one of the earliest and most visible zones of facial ageing — through precise surgical resection and repositioning of excess tissue. The upper eyelid changes with age through two related mechanisms: the skin of the upper lid (the thinnest skin on the body) becomes progressively lax and redundant, descending toward the lash margin and sometimes crossing it to cause partial visual field obstruction; and the orbital septum weakens, allowing the medial and central fat pads to prolapse and add to the heaviness of the upper lid. Upper blepharoplasty at Alluring Plastic Surgery Miami begins with a careful marking of the amount of skin to resect — always preserving a minimum lid closure margin to prevent lagophthalmos (inability to fully close the eye). The incision follows the natural upper eyelid crease; excess skin and a thin strip of orbicularis oculi muscle are excised, and protruding fat pads are addressed through small openings in the septum, either reducing or repositioning them to restore the smooth contour of the lid. Fine sutures close the crease incision and typically become inconspicuous within weeks as they mature within the natural fold. Lower blepharoplasty at Alluring addresses the anatomical changes responsible for under-eye bags and infraorbital hollowing. The transconjunctival approach — in which the incision is placed inside the lower eyelid with no external scar — is suitable for patients with good lower eyelid skin quality who primarily need fat redistribution or removal. Fat is either excised to reduce puffiness or repositioned downward into the tear-trough depression to fill the infraorbital hollow rather than remove the fullness entirely. For patients with concurrent lower eyelid skin laxity or fine wrinkles, a transcutaneous approach allows external skin pinch excision or a laser resurfacing adjunct. Combined upper and lower blepharoplasty performed in the same session provides full periorbital rejuvenation and is commonly combined with a facelift or brow lift as part of a comprehensive facial surgical plan. Recovery from blepharoplasty typically involves five to seven days of bruising and swelling around the eyes, with most patients socially presentable within ten to fourteen days and final surgical results visible at three to four months.