Eyelid Surgery (Blepharoplasty)

Dr. Rodriguez-Feliz completed a fellowship in oculoplastic and aesthetic surgery, giving him specialised expertise in upper and lower blepharoplasty, ptosis repair, and tear trough correction. He addresses drooping upper eyelids, excess skin and fat in the upper and lower lids, under-eye puffiness, and functional ptosis — where upper lid drooping reduces the field of vision. The transconjunctival approach is available for lower blepharoplasty without external scarring. Procedures are performed in his accredited Coral Gables facility.

Blepharoplasty at Dr. Jose Rodriguez-Feliz's Coral Gables practice carries a distinction uncommon among general plastic surgeons: Dr. Rodriguez-Feliz holds a fellowship in oculoplastic and aesthetic surgery, the subspecialty that focuses specifically on surgical procedures of the periorbital region. This training means his assessment of the eyelid goes beyond the cosmetic — he evaluates eyelid structure, lacrimal function, corneal exposure, and lid margin position as part of a complete functional and aesthetic analysis before planning any operative intervention. Upper blepharoplasty in Dr. Rodriguez-Feliz's hands addresses dermatochalasis (excess upper eyelid skin), prolapsed medial and central fat pads, and hypertrophic orbicularis muscle with precision calibrated to the specific anatomy of each patient. Skin excision is planned conservatively to avoid lagophthalmos (incomplete eye closure) while delivering a defined, refreshed upper lid appearance with a natural supratarsal fold. For patients with true ptosis — drooping of the upper eyelid margin caused by levator aponeurosis disinsertion or weakness — ptosis repair via levator advancement or tuck is performed to restore the correct lid margin position and the visual field it obstructs. This functional procedure is distinct from standard blepharoplasty and requires a surgeon with specific oculoplastic training to perform correctly and safely. Lower blepharoplasty targets the under-eye changes that create a tired or aged appearance: herniated orbital fat from the three lower lid compartments producing under-eye bags, tear trough hollowing at the junction of the lower lid and the cheek, and lower lid skin redundancy. The transconjunctival approach — incision placed entirely within the inner surface of the lower eyelid — is available for patients with isolated fat herniation and adequate skin tone, leaving no external scar. Fat repositioning into the tear trough, rather than simple removal, addresses the simultaneous presence of lower lid puffiness and orbital rim hollowing that is common in the Miami patient population, many of whom are in their late thirties to fifties and have begun to lose periorbital volume alongside developing fat herniation. Tear trough correction with filler or fat transfer can be combined with surgical blepharoplasty in the same session. Blepharoplasty is frequently performed in combination with Dr. Rodriguez-Feliz's deep plane facelift or brow lift procedures for comprehensive periorbital and facial rejuvenation at this top-rated Miami, Florida facial surgery practice.