Blepharoplasty (Eyelid Surgery)

Upper and lower blepharoplasty (eyelid surgery) at Gables Plastic Surgery in Coral Gables, Miami — performed by Dr. Jorge de la Pedraja. Removes excess skin and herniated fat from the upper eyelids (hooding) and lower eyelids (under-eye bags). Can be performed under local anesthesia. Patients typically require three to five days away from work.

Gables Plastic Surgery offers upper and lower blepharoplasty — eyelid surgery to rejuvenate the periocular area — performed by Dr. Jorge de la Pedraja using techniques refined over 20+ years of aesthetic surgery practice. Upper blepharoplasty addresses the upper eyelid skin laxity and herniated fat that accumulates with age, producing a heavy, hooded appearance that can narrow the visual field in advanced cases and generally imparts a tired or older look. The procedure removes excess upper eyelid skin through an incision placed precisely within the natural upper lid crease, rendering the resulting scar virtually invisible when healed. Excess orbicularis muscle and herniated orbital fat compartments are addressed as needed. Lower blepharoplasty addresses the under-eye area, where pseudoherniation of orbital fat creates visible fullness or bags, sometimes accompanied by a hollow tear-trough groove just below them. The approach may be transcutaneous (an external incision just below the lower lash line, allowing skin removal as well as fat repositioning or removal) or transconjunctival (an internal incision inside the lower eyelid that leaves no external scar, suited to younger patients with good skin elasticity whose primary concern is fat pseudoherniation rather than skin excess). Fat repositioning — rather than simple removal — is favored in many cases to fill the tear-trough depression and restore volume to the lower orbital rim area, providing a more youthful and rested appearance without the hollowed look that can follow overly aggressive fat removal. The procedure is notable in that it can be performed under local anesthesia, making it accessible to patients who prefer to avoid general anesthesia. Recovery typically involves bruising and swelling most apparent in the first three to five days, with a return to light activity at approximately one week.