Eyelid Surgery / Blepharoplasty

“Beauty Through Mastery” Serving Miami, Dade County, Florida and surrounding areas

Dr. James Stuzin Named America’s Best Eyelift Plastic Surgeon Newsweek Magazine
2022 Awards

Eyelid surgery can be used to achieve both medical and cosmetic benefits. In addition to restoring function and appearance after trauma and correcting vision problems caused by anatomical changes, eyelid surgery is also undertaken to improve an aged appearance.

By addressing fine lines and wrinkles, dark circles, and under-eye bags that can make you look tired and older, blepharoplasty is a popular cosmetic procedure to repair and enhance the eyelid region. Targeted areas include the upper and lower eyelids, as well as the hollows beneath the eyes and the tear troughs. These cosmetic concerns can be corrected separately or in tandem depending on the patient’s desired goal.


Sun exposure, genetics, and the aging process all have an impact on the skin around eyes over time. The muscles and supportive tissues around the eyes start to weaken with age, leading to a droopy appearance, under-eye bags, fat loss and shifting, deep grooves, and dark circles.

In addition, the delicate skin around the eyes loses elasticity and resiliency which contributes to sagging and wrinkling. Cosmetic eyelid surgery helps to restore a youthful appearance to the eyelid area by improving a variety of common issues and concerns, and provides an overall rejuvenating effect that extends to the entire face.


A blepharoplasty, or as it is commonly called an eyelid lift, is used to reconstruct the upper eyelid, lower eyelid, or both at the same stage or different stages. The surgery repairs and restores the appearance of the skin, muscles and fat around the eye as needed. Dr. Steven Fagien and the aesthetic surgeons at The Institute of Aesthetic Medicine will carefully examine each patient’s eyelid area to determine the optimum treatment plan to achieve the most natural-looking and lasting results.

The blepharoplasty specialists at The Institute of Aesthetic Medicine customize each blepharoplasty procedure to meet a patient’s unique needs and goals. Our surgeons use a variety of techniques to restore a more youthful appearance for men and women by:

  • Precisely removing excess skin
  • Expertly tightening muscles
  • Removing, adding, or repositioning fat

Regardless of the specific techniques used, the ultimate result is a refreshed, rejuvenated more youthful appearance. Our aesthetic goals strives for natural-looking outcomes that will make people wonder if you just got back from vacation—not if you’ve had something “done.”


The Consultation Process
As with any aesthetic surgical procedure, it is important to do your homework when considering all the options. The first and most important step is consulting with a reputable and experienced surgeon who performs both surgical and non-invasive procedures to improve the wide array of eye-area concerns.

At the time of your consultation, the aesthetic surgical specialists at The Institute of Aesthetic Medicine will discuss your facial rejuvenation goals and conduct a comprehensive examination of your eyelids to determine the ideal treatment plan for each individual patient. All surgery involves some risks, and we will explain the procedures recommended in detail during the consultation process.


For this type of procedure, the excess skin of the upper eyelid is removed so that the upper eyelid crease is sharpened and defined to restore a more youthful look. The incision is well hidden in the natural fold of the eyelid. Once healed the incision is undetectable.

Before and After
Eyelid Surgery Before and After


Eyelid Surgery Before and After


Actual patient. Results may vary.

If the patient is looking to restore lost volume, an upper volumetric blepharoplasty is a unique technique that reduces excess skin and repositions fat deposits.


A lower eyelid blepharoplasty procedure rejuvenates the lower eyelids by removing excess skin, tightening lax muscles and removing, repositioning or restoring fat. The incision is hidden just below the lower lashes, and nearly invisible once healing is complete.
A lower eyelid blepharoplasty addresses:

  • Baggy or Puffy Eyelids
    Many men and women have puffy or bags under their eyelids. Visible fat deposits called ‘eye bags’ that develop under the eyes are a natural result of the aging process. Over time, the skin below the eyes loses its elasticity while the fat behind the eyelids begins to bulge causing noticeable puffiness. This combination of changes leads to the development of more prominent under-eye bags that can contribute to a tired appearance.
  • Periorbital Dark Circles or Tired Eyes
    Genetics, allergies, lack of sleep, diet; salt intake, and skin aging can contribute to the appearance of shadows or discoloration under the eyes. Over time, with advanced sun damage, fat loss and collagen breakdown, the skin thins making blood vessels beneath the eyes become more visible, which causes discoloration or dark circles.
  • Hollow or Sunken Eyes
    Often the result of genetics, lifestyle factors and aging, hollow or sunken eyes occur in patients with thin skin and very little fat to serve as padding due to volume loss. More common in those with slim faces and less body fat, this condition can cause a tired or unhealthy appearance.

Eyelid surgery provides the most effective and longest-lasting improvement for under-eye concerns mentioned above. A specific technique called transconjunctival blepharoplasty is often used to remove or reposition eye-area fat through incisions made inside the lower eyelid.

If excess skin needs to be removed, an additional incision is made just beneath the lower lash line (which is nearly undetectable once healed). After excess skin and/or fat are addressed, the tissues surrounding the tear trough are reshaped and repositioned as needed to create a smooth contour between the lower eyelid and cheek. These techniques can offer comprehensive rejuvenation for the entire under-eye area.

For additional information, read Tear Trough Correction.


At the Institute of Aesthetic Medicine upper and lower blepharoplasty are performed in our certified outpatient surgical center. The surgery ranges from one to three hours, depending on the extent of the surgery.*

Dr. Fagien and the surgeons at The Institute of Aesthetic Medicine use intravenous sedation (twilight anesthesia) during the procedure. By using twilight anesthesia, eyelid surgical patients typically can return home approximately one hour after surgery is finished.*

Patients are advised that for the first week after surgery, the eyes may feel sticky and vision may be blurry. This is due to swelling and the prescribed eye ointment that is used to ensure proper healing. All of the prescribed ointments, eye drops and medications should be used as directed. Eyelid surgery patients are given an appointment to return to the office to have stitches removed a few days after the surgery.*

Patients can expect some bruising and inflammation to last for up to a month.* To minimize swelling and promote healing, patients should apply cold compresses and try to sleep upright. Patients may wear makeup to camouflage bruising after surgery, though it’s important to avoid the incision sites even after stitches are removed. Each patient is unique and has a different recovery experience, but our surgeons will provide detailed instructions for post-surgical care.

If you are considering an eyelid surgery it is important to select an experienced blepharoplasty surgeon. At The Institute of Aesthetic Medicine our surgeons know precisely how much loose skin can be removed to achieve optimal natural-looking results and avoid lower lid retraction (pulling down of the eyelid) or other complications.

An eyelift procedure should only be performed by a qualified surgeon who specializes in facial aesthetic procedures. Our surgeons are happy to answer all your questions and show you before and after photos during your personal consultation.

To discover how our eye rejuvenation surgeons can refresh and renew your appearance, please call 305.854.8828 to schedule your confidential consultation at our Miami, FL office.

*Results may vary. Consult with the experienced blepharoplasty surgeons at the Institute of Aesthetic Medicine to see if you are a good candidate.

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