Eyelid Surgery (Blepharoplasty) Miami

Dr. Paul D. Durand performs upper and lower blepharoplasty to address excess skin, herniated fat, and under-eye bags. Upper blepharoplasty removes loose skin and fat causing hooding; lower blepharoplasty uses either a transconjunctival approach (no external incision) or a subciliary approach depending on anatomy. Procedures run one to three hours under local anesthesia with sedation, with recovery in seven to ten days and results lasting ten to fifteen years.

Eyelid surgery (blepharoplasty) at Ensō Plastic Surgery in Miami's Brickell district is performed by Dr. Paul D. Durand, whose subspecialty facial surgery fellowship at the Dallas Plastic Surgery Institute and over 80 peer-reviewed academic publications position him among South Florida's more rigorously credentialed eyelid surgeons. Upper blepharoplasty addresses age-related changes to the upper lid: excess dermatochalasis (skin drooping over the lash line), herniated periorbital fat creating puffiness, and orbicularis muscle laxity contributing to hooding. Removing or repositioning this tissue opens the eye visually, reduces the appearance of fatigue, and in cases of significant ptosis can improve peripheral field of vision. Incisions are placed in the natural supratarsal crease of the upper lid, rendering scars effectively invisible when the eye is open. Lower blepharoplasty targets the infraorbital zone — specifically fat prolapse creating bulging under-eye bags and skin laxity leading to hollowing or wrinkling below the eye. Dr. Durand selects between two approaches based on anatomy: the transconjunctival approach (incision placed inside the lower lid conjunctiva, leaving no external scar, appropriate for fat-only correction in patients with good skin tone) or the subciliary approach (incision placed just below the lower lash line, used when concurrent skin removal is required). Both procedures are performed in the clinic's on-site surgical suite at 1441 Brickell Ave, Suite 301, Miami, under local anesthesia with intravenous sedation. Operative time is one to three hours. Post-operative bruising and swelling resolve over seven to ten days; the vast majority of patients feel comfortable in social settings by day ten to fourteen. Final results are stable and can last ten to fifteen years. No pricing is published; custom quotes are given at consultation following a full periorbital assessment.