Introduction to Eyelid Surgery

They say the windows to the soul are the eyes, which is one of the reasons patients undergo plastic surgery to achieve stunning, bright eyes. Unfortunately with age, and oftentimes genetics, also comes eyelid stretching and weaker muscles that support them. As a result, excess skin and fat can gather above and below your eyelids, which can cause sagging eyebrows, droopy upper lids, and bags under the eyes. Eyelid Surgery in Miami can improve your appearance and can help make your eyes look dramatically younger and more vibrant. To learn more about this procedure from Dr. Michael Keyes and his team at Celebrity Plastics, please read the information provided below.

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What is Eyelid Surgery?

Eyelid Surgery (a.k.a. Blepharoplasty) is a type of surgery that removes excess skin from the eyelids. It involves the removal of excess skin, fat, and muscle from the upper and/or lower eyelids, as well as tightening the remaining tissues to achieve a more youthful and refreshed look. Eyelid Surgery can address concerns such as sagging eyelids, puffiness, under-eye bags, and fine lines, helping to restore a more vibrant and alert appearance to the eyes.

This can be performed on both the upper eyelid as well as the lower and is performed in an outpatient setting.

Types of Eyelid Surgery

Upper Eyelid Surgery

The upper eyelid is the most common type of Blepharoplasty. This surgical procedure involves the resection of redundant skin and/or musculature of the upper eyelids. While they can be (and often are) performed together, this procedure is distinct from a brow lift in that it focuses solely on the trimming of skin, as opposed to elevating your eyebrows.

Upper blepharoplasty may be performed for cosmetic reasons, specifically reducing the signs of aging. During the evaluation process, careful attention is given to the eyebrow position, as brow descent may give the appearance of excess skin. An endoscopic Brow Lift may then be suggested in addition to (or instead of) removing eyelid skin.

Lower Eyelid Surgery

A Lower Blepharoplasty is a more complex procedure. In addition to prolapsed fat, stretched-out eyelid muscle, and skin may compromise the appearance of the the upper and lower eyelids together. Furthermore, cheek descent can worsen this appearance by creating a groove below the eyelid, often termed the “tear trough”.

These features may require a combination of approaches: fat may need to be removed or repositioned through an incision hidden on the inner surface of the eyelid (transconjunctival) or through an eyelid incision just below the lashes (subciliary) if removing skin and tightening muscle is also planned.

The main reason patients choose lower eyelid surgery is to eliminate the look of bags under the eyes. This can come with age or genetics, but our surgery can remove the excess fatty tissue, improving and smoothing the skin around the area drastically.


This is a less invasive eyelid surgery technique that requires the meticulous placement of sutures to tighten and stabilize the lateral canthal tendon and orbicularis oculi muscle without detaching or reconstructing the tendon. This approach serves to support the external corners of the eyes and minimize the risk of wrongful eyelid position after a lower blepharoplasty.

Canthopexy is performed under local or general anesthesia in an outpatient setting and is almost always performed as an additional technique in conjunction with other eyelid procedures. In most cases, canthopexy is performed with a lower blepharoplasty to create extra support.


Canthoplasty surgery focuses on the outer corner of the eye where the upper and lower eyelids meet. For most individuals, this junction should be slightly above the area where the upper and lower eyelids meet near the nose to produce an almond-shaped eye, and a firm, smooth lower eyelid.

Canthoplasty is a more invasive procedure than canthopexy. It involves cutting through the orbicularis oculi muscle, detaching the lateral canthal tendon from the bone at the side of the eye socket, and shortening the lateral canthal tendon. The internal structure of the lower lid (tarsus) is then pulled over and re-attached to the lateral orbital rim at the appropriate height (often a small amount of skin is also trimmed at the time of surgery).

What are the benefits of Eyelid Surgery?

Eyelid surgery in Miami can especially be beneficial to address the following issues:

  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid
  • Fatty deposits that appear as puffiness in the eyelids
  • Bags under the eyes
  • Drooping lower eyelids that reveal white below the iris
  • Excess skin and fine wrinkles of the lower eyelid

The overall effect is to give your eyes a makeover that enables you to look younger and refreshed. There may be other areas of concern you can discuss with Dr. Keyes if you are thinking about Eyelid Surgery.

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Celebrity Actress on the Red Carpet surrounded by Paparazzi

Who are the best candidates for the Eyelid Surgery procedure?

Miami Eyelid surgery is a delicate procedure that may not be suitable for everyone. Typically, these are the following traits we look for when evaluating patients as good candidates for Blepharoplasty:

  • Healthy individuals with no medical conditions that can impair healing
  • Nonsmokers
  • Individuals with a positive outlook and realistic goals
  • Individuals without serious eye conditions

Drooping eyelids or sagging skin can also be related to issues elsewhere on the face, such as the forehead, which Dr. Keyes will assess before giving you the green light. Ideal candidates should not have any ptosis issues or problems with the muscles of the eyes. Dr. Keyes will include a ptosis evaluation during your consultation.

Every eyelid surgery patient is evaluated individually to assess whether they are a good candidate.

What’s the first step?

The first step to getting eyelid surgery is to call our clinic for a meeting with our Patient Care Coordinator, who will discuss your aesthetic goals and your candidacy. If this procedure is appropriate for you, you will then get to meet with Dr. Keyes. During the consultation, Dr. Keyes will assess your needs and desired outcome, and determine the best course of treatment. He will look over your medical history, and tell you more about the treatments he uses that can benefit you. The consultation is also your opportunity to ask questions about the surgery process, so that you know what to expect.

What to expect on the day of Eyelid Surgery surgery

On the day of your Eyelid Surgery, you will meet with Dr. Keyes and your Anesthesiologist, both of whom will discuss what to expect, including asking you about your health history. Dr. Keyes will make any markings he will use to perform your procedure, and the Anesthesiologist will administer your local or general anesthesia, depending on what was pre-determined.

Once sedated, Dr. Keyes will make an incision on the upper and/or lower eyelids where Dr. Keyes will focus his attention. The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region.

When working on the upper eyelid, Dr. Keyes will make the incision in the natural crease of the lid to appear natural looking, and allow the best place to hide any scarring. The lower eyelid incision is usually made just below the eyelash line to appear natural. Once the incision is made, the fatty tissue will be removed.

Finally, Dr. Keyes will close the incision on the eyelids. Eyelid incisions typically are closed with sutures. Sutures are removed within one week. Once the surgical component is complete, Dr. Keyes and his team will move you into an area to rest and recover, before returning home.

Procedure timeline


The first step to getting your Eyelid Surgery is to contact Celebrity Plastics and schedule a consultation. Before you consult with Dr. Keyes, you will need to meet our Patient Care Coordinator to discuss your aesthetic goals and eligibility.


When you come to Celebrity Plastics for your consultation, Dr. Keyes will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts. Once your surgical plan is created by Dr. Keyes you will talk to our Patient Care Coordinator who will pick a surgery date with you after an initial deposit.

Pre-operative preparation

Before your Eyelid Surgery, you will be required to get some labwork performed, such as a blood test and an EKG, to ensure that there are no underlying health issues that create unnecessary risks. We do offer these tests at our facility for a small fee. You should also supplement your diet with high-protein shakes in the days leading up to your procedure. You are also strongly encouraged to maintain a healthy lifestyle, which includes quitting smoking and consuming alcohol. You will also need to have your prescriptions filled before your surgical day and bring them in with you.


When you arrive, Dr. Keyes and our Anesthesiologist will speak with you to go over the details and answer any lingering questions you may have. Dr. Keyes will also take this time to make any markings he will use as a guide for your procedure before sending you to the Operating Room. Then he will make the incision on the upper or lower eyelids (or both), and remove the excess skin and fat. This is a very delicate surgery requiring skill and precision. This procedure can be performed under local or general anesthesia and can take up to 3 hours to complete the procedure.


Before leaving our clinic, Dr. Keyes and his team will go over a set of instructions to follow during your recovery period, which includes avoiding strenuous exercise for a couple of weeks. You might experience some swelling and discomfort during the healing process, and Dr. Keyes will prescribe the right pain medications to help keep you comfortable.

Post-operative appointments

Dr. Keyes will require you to come in for follow-up appointments so that he can monitor your healing and check on your progress. By sticking to the post-operative recovery instructions, you will ensure a smooth and successful healing process, bringing you closer to seeing those incredible results!

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Eyelid Surgery Recovery

During the recovery period, it is very important to rest and avoid strenuous activities. Bruising and swelling generally lessen slowly in about 10 to 14 days. Scars from the surgical cuts may take months to fade. Take care to protect your delicate eyelid skin from sun exposure. Dr. Keyes and his team will ensure you are given a detailed list of do’s and don’ts during your recovery period.

It is advisable to use a cool compress to gently press onto the eyes if you experience discomfort, you can also use over-the-counter medication to alleviate pain. You should wear sunglasses for any outdoor activities.

Visit Celebrity Plastics E-Store to view recommended Eyelid Surgery recovery products.

How much does Eyelid Surgery cost in Miami, FL?

The cost of Eyelid Surgery in Miami, FL, will depend on your individual surgery. Some patients only require surgery on the upper or lower eyelid, and others opt for surgery on both. When you discuss your surgery with Dr. Keyes, he will assess your case and determine what you will be paying on the day. We offer financing options for all our patients.

Why choose Dr. Keyes?

People come to see Michael Keyes, M.D. for his skill as a plastic and cosmetic surgeon. Dr. Keyes is an expert at giving all his patients the eyelids they desire with techniques and procedures that allow them to look and feel their very best. Our calm and elegant clinic will make you feel at home, as we know getting surgery is a big decision. Dr. Keyes and his staff treat every patient like family and work to ensure you feel comfortable and happy with your results.

Eyelid Surgery FAQs

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Contact us today to schedule your appointment with renowned plastic surgeon and face, body & breast specialist Dr. Michael Keyes. Take your first steps to become the best version of you.

8585 Sunset Dr., Suite #107
Miami, Florida 33143

(888) 730-5305