Eyelid Surgery Miami
Blepharoplasty & Ptosis Repair From $3,900.
Blepharoplasty, commonly known as eyelid surgery, removes the excess skin, muscle, and fat that aging and genetics deposit around the eyes. The procedure lifts heavy, hooded upper lids that make you look fatigued, eliminates stubborn under-eye bags, and restores a bright, alert appearance. When the eyelid itself is drooping, ptosis repair tightens the levator muscle to fully open the eye. At Spectrum Aesthetics, our elite surgical team performs these precise, millimeter-perfect procedures under the strict medical direction of board-certified plastic surgeon Dr. Nidia De Jesus.
- Comprehensive Upper, Lower, and Asian Double Eyelid procedures
- Functional ptosis repair for vision-obstructing droopy lids
- Scars expertly hidden within natural creases and beneath the lash line
- Performed in a Joint Commission Accredited surgical suite
$3,900
Starting Price
4
Techniques
20k+
Happy Patients
14+
Years of Excellence
The Questions Patients Actually Ask
Eyelid surgery at Spectrum Aesthetics starts at $3,900 all-inclusive. This covers the surgeon's fee, anesthesia, the accredited facility, and all routine follow-up visits.
Yes. Blepharoplasty is the medical term. "Eyelid surgery," "eyelid lift," and "eye lift" are simply the everyday names for the exact same operation.
Sutures are removed around day seven. Most bruising fades within two weeks, allowing patients to return to work. Contact lenses can typically be worn after two weeks, and final results settle between months three and six.
The procedure is performed under local anesthesia with sedation, rendering it painless. Post-operative recovery involves mild soreness, tightness, and temporary dry-eye awareness, which are easily managed with standard medication and drops.
Upper eyelid incisions hide perfectly within the natural lid crease. Lower lid incisions sit just beneath the lash line. In most patients, healed blepharoplasty scars become essentially undetectable.
Cosmetic blepharoplasty is not covered by insurance. However, when excess skin or muscle ptosis physically obstructs your vision (documented with visual field testing), coverage is possible. We assist in documenting qualifying cases.
Largely, yes. Upper lid results commonly last a decade or more, and many undergo the operation only once. Because the aging process continues, the delicate lower lids may occasionally require a minor touch-up years later.
What Is Eyelid Surgery (Blepharoplasty)?
Blepharoplasty removes or repositions the tissues that age your eyes. It targets loose upper-lid skin that creates a heavy shadow, the fat that bulges forward to form under-eye bags, and the crepey, wrinkled skin just below the lower lashes. By addressing these areas, the eyes open wider, and the entire face immediately reads as more rested and awake.
The operation is highly customized. Upper blepharoplasty addresses the heavy, hooded lid. Lower blepharoplasty eliminates bags and smooths the tired trough beneath the eye. Often, these are combined into a single, cohesive procedure for comprehensive rejuvenation. Additionally, we perform ptosis repair to tighten a weakened levator muscle, and Asian double eyelid surgery to carefully construct a natural lid crease.
The eyes are the most delicate anatomy in facial surgery. The tissue is exceptionally thin, and adjustments are measured in singular millimeters. Because the margin for error is narrow, this procedure requires immense surgical precision and restraint to ensure the final result looks completely natural, never hollowed or surprised.
The Signs Blepharoplasty Fixes
Every eyelid complaint traces back to specific anatomical changes. During your consultation, we map your unique features to formulate an exact surgical plan.
Hooded, Heavy Lids
Loose upper-lid skin (dermatochalasis) hangs toward the lashes, shading the eye and making you look fatigued. In advanced cases, this skin can physically obstruct your peripheral vision.
Droopy Lid (Ptosis)
When the eyelid edge itself sits too low, the levator muscle has stretched or weakened. Ptosis repair focuses on tightening this muscle rather than just removing skin.
Under-Eye Bags
Fat that normally cushions the eye pushes forward through weakened orbital tissue as we age. This creates persistent under-eye "pillows" that no amount of sleep or topical cream can eliminate.
Tear Troughs
The groove between the lower lid and the cheek deepens due to bulging fat above it and volume loss below it. This is corrected by meticulously repositioning the fat over the hollow during a lower blepharoplasty.
Crepey, Loose Skin
The delicate skin below the lower lashes loses elasticity over time, producing fine wrinkles. This excess skin is carefully removed and tightened during the skin portion of a lower blepharoplasty.
Brow Contribution
Often, heavy lids are partially caused by a descended brow. Our examination separates these contributions to ensure we do not remove eyelid skin when a brow lift is actually required.
Four Ways We Perform Eyelid Surgery
Technique is strictly dictated by the anatomical diagnosis. Our surgical team prioritizes conservative removal to avoid an "over-operated" aesthetic.
The Hooded Lid Lift
An incision is placed precisely inside the natural lid crease. Excess skin is removed along with a conservative amount of muscle and fat. Because over-removal hollows out the eye, we exercise extreme restraint. The incision is closed with fine sutures, resulting in a practically invisible scar.
The Bag Correction
The transconjunctival approach removes or repositions fat through the inside of the eyelid, leaving zero external scars (ideal for younger patients with tight skin). The subciliary approach places an incision just below the lash line to allow for both fat repositioning and the removal of excess, crepey skin.
Ptosis Repair
When the eyelid margin is structurally low, the levator muscle is carefully advanced and reattached to its proper height. This functional repair is often combined with aesthetic blepharoplasty to completely rejuvenate and open the eye.
Asian Double Eyelid Surgery
A highly specialized procedure that creates a defined upper-lid crease for patients born without one. Our surgical team uses both full-incision and suture techniques to craft a crease that honors and preserves the patient's ethnic identity and natural facial harmony.
Upper vs. Lower Blepharoplasty
Many patients benefit from addressing both simultaneously, consolidating the procedure into a single recovery period.
| Factor | Upper Blepharoplasty | Lower Blepharoplasty |
|---|---|---|
| Primary Target | Hooded lids, heavy upper face, low crease | Under-eye bags, tear troughs, crepey lid skin |
| Incision Placement | Hidden deeply inside the natural lid crease | Inside the lid, or just beneath the lower lash line |
| Surgical Time | Approximately 1 hour | Approximately 1 to 1.5 hours |
| Anesthesia | Local anesthesia with IV sedation | Local with sedation, or general if combined |
| Suture Removal | Days 5 to 7 | Days 5 to 7 (if external incision used) |
| Visible Bruising | Roughly 1 week | Roughly 1 to 2 weeks |
| Estimated Longevity | 10+ years (often a lifetime result) | Years to a decade |
| Insurance Potential | Yes, if vision obstruction is medically proven | Rare; classified as an aesthetic procedure |
Functional Blepharoplasty and Coverage
Eyelid surgery is unique in facial aesthetics because severe sagging can genuinely impair your visual field, making insurance coverage a realistic possibility.
When Lids Block Vision
Severe upper-lid skin excess and muscle ptosis can physically hang over the eye, obstructing peripheral vision. This forces patients to unconsciously strain their forehead muscles or tilt their chin up to see clearly while driving or reading.
What Insurers Require
Insurers require strict clinical proof. This includes standardized medical photography, formal visual field testing (conducted with lids relaxed and then taped up for comparison), and precise anatomical measurements.
Honest Assessments
During your consultation, we determine if your anatomy supports a legitimate functional claim. If you qualify, we assist in compiling the necessary documentation. Any purely cosmetic additions (like lower lid bag removal) are quoted separately and transparently.
The Limits of Non-Surgical Eye Rejuvenation
Tear Trough Filler
The deep groove beneath the eye can be softened with dermal filler in minutes, offering months of improvement. However, filler only adds volume; it cannot remove protruding fat bags or excess skin. Relying on filler to hide severe bags will eventually cause unnatural puffiness.
Neuromodulators (Botox)
Botox softens crow's feet and can provide a subtle brow lift by relaxing the muscles that pull the face downward. This opens the eyes beautifully for early signs of aging. However, it cannot tighten loose skin or correct true tissue hooding.
What Only Surgery Fixes
Excess hanging skin, protruding fat pads, and weakened levator muscles are physical, anatomical realities. No cream, laser, or injection can remove tissue. Our consultation will provide an honest assessment of whether a non-surgical tweak is sufficient, or if surgery is genuinely required.
How Your Blepharoplasty Procedure Runs
The surgery takes one to two hours under local anesthesia with sedation. It is performed in our Joint Commission Accredited suite with continuous corneal protection.
Awake Marking
Lid creases and excess skin are marked before any medication is given. We map the incisions with you seated and looking in multiple directions to ensure the scars hide perfectly within your natural folds.
Anesthesia and Protection
Sedation is administered by licensed professionals. The eyelids are numbed locally, and the eyes are lubricated and shielded throughout the procedure to protect the cornea completely.
Upper Lid & Ptosis Correction
The crease incision is opened. Excess skin and conservative amounts of fat are removed. If required, the levator muscle is advanced and secured to repair ptosis and fully open the eyelid.
Lower Lid Refinement
Fat is carefully removed or repositioned into the tear trough hollows. Depending on skin laxity, this is done via an internal (transconjunctival) approach or an external (subciliary) incision.
Closure and Home
Incredibly fine sutures are placed to minimize scarring. Cold compresses are applied, and you are discharged the same day with a companion, comprehensive aftercare instructions, and direct contact protocols.
Blepharoplasty Safety: Extreme Precision
Eyelid surgery is uniquely safe in experienced hands but incredibly demanding, as it is performed millimeters from the eye itself. Strict clinical protocols are paramount.
- Corneal Protection & Dry Eye: Tear film quality is rigorously screened during your consultation. Post-operative dry eye is the most common sequela of blepharoplasty. Lubrication protocols are strictly enforced during and after surgery.
- Lower-Lid Discipline: The most preventable complication is lower lid malposition (the lid pulling down or outward). Our surgeons prevent this through highly conservative skin removal and implementing robust canthal support when necessary.
- Avoiding the Hollow Look: Hollowed upper lids from aggressive fat removal look artificial. Our standard is extreme restraint—we prioritize fat preservation and repositioning to maintain youthful, soft contours.
- Understanding Rare Risks: Serious complications like retrobulbar hematoma (bleeding behind the eye) are incredibly rare. However, our post-operative instructions explicitly outline symptoms requiring immediate attention to ensure absolute safety.
Blepharoplasty Recovery: Bright Eyes in Two Weeks
Eyelid recovery is swift and highly structured. A one-week private phase transitions quickly into a return to normal life.
Before Your Surgery
- Stop blood thinners, NSAIDs, and fish oil two weeks out to minimize delicate eyelid bruising.
- Strict nicotine cessation for four to six weeks. The eyelids contain the thinnest skin in the body; flawless circulation is mandatory for healing and scar minimization.
- Prepare your home station: frozen compress packs, prescribed artificial tears/ointment, and dark sunglasses.
- Set contact lenses aside for two weeks post-op; ensure your glasses are ready.
Recovery, Week by Week
- Days 1–3: Mild soreness and tight, swollen lids. Apply cold compresses diligently. Follow the suture-line care routine and use artificial tears.
- Days 5–7: Sutures are removed. The eyes already open wider. Most patients return to work between days 7 and 10, using sunglasses to cover residual yellow bruising.
- Weeks 2–3: Bruising fades entirely. Makeup and contact lenses are cleared. The eyes feel increasingly normal as swelling subsides.
- Months 1–6: Scars fade deeply into the lid crease and lash line, becoming virtually invisible. The final, rested result is fully settled.
Expert Surgical Aesthetics Team
At Spectrum Aesthetics, our eyelid surgeries are performed by our elite team of specialized facial plastic surgeons under the strict clinical protocols established by our board-certified Medical Director, Dr. Nidia De Jesus.
Our practice is built on a philosophy of extreme precision and restraint. The smallest operation in facial rejuvenation carries the largest proportionate stakes—a single millimeter marks the difference between looking refreshed and looking hollowed out. We prioritize identity preservation, ensuring that your natural eye shape and heritage are respected, never altered into a generic template. The goal is always to deliver eyes that look vibrant, well-rested, and entirely un-operated.
- Strict medical oversight by a Board-Certified Plastic Surgeon
- Upper and lower blepharoplasty with expert fat repositioning
- Specialized Asian double eyelid surgery techniques
- Functional ptosis repair and comprehensive insurance documentation
What Blepharoplasty Patients Say
"By 52, my upper lids were resting on my lashes, obstructing my vision. The team ran a visual field test, and my insurance covered the functional portion of the surgery. My brows relaxed, my eyes opened up, and I look like myself from ten years ago. Incredible care."
Geraldine W. Upper Blepharoplasty (Insurance Approved)
"I had severe genetic under-eye bags and was tired of looking exhausted. The surgeon used an inside approach with no external incision, repositioning the fat perfectly. I was back to work in ten days with zero visible scarring. For the first time in a decade, I don't need concealer."
Amanda R. Transconjunctival Lower Blepharoplasty
"Other clinics I consulted wanted to give me a highly generic crease. The team here matched the crease height perfectly to my anatomy, preserving my features while giving me the definition I wanted. Six months out, it looks incredibly natural."
Michelle L. Asian Double Eyelid Surgery
"I flew in for combined eyelid surgery and a mini facelift. The coordinator handled my entire ten-day stay perfectly. My sutures were out by day six, and I flew home looking remarkably refreshed rather than surgical. The surgical team was phenomenal."
Carolina P. Blepharoplasty & Mini Facelift (Out-of-Town)
Traveling to Miami for Eyelid Surgery
The blepharoplasty trip requires a stay of about seven to ten days, allowing us to safely manage your private recovery week and perform suture removal before you fly.
Virtual Consult
We review your standardized photographs and dry-eye history virtually. The surgical plan and a clear, written quote are delivered before you book any travel arrangements.
The Private Week
Following surgery, you will rest with cold compresses at your recovery house. We conduct post-operative checks and remove sutures between days five and seven.
Clearance & Fly Home
You will be cleared for travel with specific eye-care instructions and sunglasses protocol. Telehealth follow-ups will track your progress closely from home.
Review Real Results During Your Consultation
Eyelid surgery is judged by natural symmetry and rested vitality. During your consultation, our team will review before-and-after photographs of patients with similar anatomy and aging patterns so you can confidently visualize your expected outcome.
Explore the Facial Surgery Family
Eyelid Surgery Miami: Frequently Asked Questions
How much does eyelid surgery cost in Miami?
At Spectrum Aesthetics, blepharoplasty pricing starts at $3,900 as an all-inclusive package. This covers the board-certified surgeon's fee, anesthesia and sedation, the facility fee, pre-operative screening, suture removal, and all follow-up visits. Adding lower lids, ptosis repair, or combining with a facelift will adjust the final quote.
Is blepharoplasty the same as eyelid surgery?
Yes. Blepharoplasty is the formal medical term. Eyelid surgery, eyelid lift, and eye lift are simply everyday names describing the exact same operation that removes excess skin, muscle, and fat.
Upper or lower blepharoplasty: which do I need?
Hooded, heavy upper lids that cover the natural crease require an upper blepharoplasty. Under-eye bags, puffiness, and deep tear troughs are treated with a lower blepharoplasty. Many patients in their 50s and 60s benefit from a combined approach to address both simultaneously.
Will insurance cover my eyelid surgery?
Cosmetic blepharoplasty is not covered by insurance. However, functional upper-lid surgery and ptosis repair can be covered if the excess skin significantly obstructs your visual field. We conduct visual field testing to document qualifying cases and assist with submission.
How long is blepharoplasty recovery?
Sutures are removed around days five to seven. Most patients return to desk work in seven to ten days, as the majority of bruising resolves within two weeks. Contact lenses can typically be worn after two weeks, and full exercise resumes at three to four weeks.
Does eyelid surgery hurt?
Because the operation is performed under local anesthesia with IV sedation, you will not feel pain during surgery. Post-operative recovery involves mild soreness, tightness, and dry-eye awareness, which are easily managed with cold compresses, lubrication, and standard medication.
Can eyelid surgery fix dark circles under my eyes?
If the darkness is caused by a physical shadow cast by bulging fat bags, a lower blepharoplasty with fat repositioning will drastically improve it. However, if the darkness is caused by skin pigmentation or visible vasculature, surgery will not remove it. We will diagnose the cause during your consultation.
Can Botox or filler replace eyelid surgery?
For early, minor changes, injectables can help. Botox lifts the brow slightly, and filler can soften a minor tear trough. However, injectables cannot physically remove hanging skin, eliminate protruding fat bags, or lift a drooping muscle. Severe hooding requires surgery.
Are blepharoplasty results permanent?
Largely, yes. The removed skin and fat do not return. Upper-lid results commonly last a decade or longer. While natural aging continues, it is rare for a patient to require a secondary upper blepharoplasty.
Will I have visible scars after eyelid surgery?
The incisions are meticulously engineered to disappear. Upper-lid incisions are hidden deeply within the natural crease. Subciliary lower incisions sit precisely beneath the lash line. Transconjunctival lower blepharoplasties use an internal incision, leaving zero external scar.
What is ptosis repair, and do I need it?
Ptosis repair tightens the levator muscle that lifts the eyelid. It is required when the actual edge of the eyelid sits too low over the pupil, not just when excess skin hangs down. If your lids are structurally low, ptosis repair is necessary and often qualifies for insurance coverage.
Can I combine blepharoplasty with a facelift?
Yes. Combining eyelid surgery with a facelift or brow lift is incredibly common. It allows for comprehensive facial rejuvenation under a single anesthesia session, consolidating your overall recovery time.
The Bright, Alert Eyes You Remember
Bring your questions and aesthetic goals to a comprehensive consultation. Leave with a precise surgical plan, a functional insurance assessment if applicable, and a transparent quote starting at $3,900.
💎 Book My Free ConsultationMedical disclaimer: This page is educational and does not constitute medical advice. Surgical candidacy, pricing, and results vary by individual. Blepharoplasty carries risks including dry eye, bleeding, infection, asymmetry, lid malposition, visible scarring, changes in sensation, and rare vision changes. Insurance coverage determinations rest solely with your individual insurer.
From $3,900