Because the eyes play such an important role in communication, beauty, and attraction, it's unfortunate that they are one of the first areas of the face to show the signs of aging. In the beginning, makeup, moisturizers, and non-surgical methods such as BOTOX® Cosmetic can do wonders. But as more excess skin and wrinkles develop, and the prominence of eyelid bags increases, a tired and sad appearance around the eyes may settle in. Dr. Timothy R. Miller offers an effective solution, blepharoplasty, often called eyelid surgery, in Aliso Viejo, CA. Throughout Orange County, women and men visit him at Refreshed Aesthetic Surgery for results that look natural and eyes that are Refreshed.

Dr. Miller, a double board-certified facial plastic surgeon in Orange County, performs blepharoplasty in Laguna Beach, Newport Beach, San Clemente, Irvine, Mission Viejo, and beyond at his Aliso Viejo office. To schedule your personal consultation with Dr. Miller, please call us at 949-482-1752 or request your consultation online.

Dr. Miller's Approach to Eyelid Surgery

One of the most common reasons patients come to my practice for consultations is that they’re concerned with looking — or being told by others that they look — tired or sad when they actually feel quite happy or energetic.

However, not all lower eyelid surgical techniques are the same or produce excellent, long-lasting results. Older techniques, which are still in use by most surgeons today, are based on the removal of muscle and fat. Unfortunately, these techniques commonly leave a noticeable scar, alter the shape of the eyes, loosen the lower eyelids, and create a hollowed, aged appearance.

To avoid these unwanted side effects, I use a more sophisticated approach that restores the natural contour of the lower eyelid area. This approach is more technical, but it is very safe and produces better and more consistent results than older techniques. The technique, termed fat repositioning, re-creates the smooth transition from the lower eyelid to the cheek, which produces a youthful, refreshed, and more attractive appearance. Additionally, the incision is performed on the inside of the eyelid, so there is no visible scar and, just as important, the muscle layer is always preserved, thereby preventing common problems and adverse results seen with older techniques. I have published the technique and long-term results in our specialty’s peer reviewed journal: JAMA’s Facial Plastic Surgery.

While lower eyelid rejuvenation is important, the upper eyelid area cannot be overlooked. Excess skin, puffiness, and hollowness are common features that can contribute to a fatigued and aged appearance. When the eyebrows are not of concern or do not contribute to the excess upper eyelid skin, then a straightforward upper blepharoplasty can be performed with minimal recovery time. Contact us today to find out more about one of the top blepharoplasty Orange County has to offer.

Benefits of Eyelid Surgery

Eyelid surgery can treat signs of aging. Bags under the eye and sagging eyelids can be easily treated with the help of blepharoplasty. The surgery opens up the eyes and leaves you looking refreshed and bright. In addition, it takes a couple of years off your face.

Eyelid surgery is most commonly used to treat ptosis or droopy eyes.

Preparing for Blepharoplasty

The eyelid surgery is a minimally invasive surgery which takes just a few hours to be completed. But, because it involves surgery around the eyes, you will be asked to admit yourself into the clinic overnight for observation.

If you are taking any important and unavoidable medication, make sure you get it approved by Dr. Miller in advance. Only take the medication as prescribed by the doctor.

Arrange for someone to pick you up after the procedure, as you will not be allowed to drive back yourself. Make sure you have stocked your home with ice cubes and ice packs to reduce swelling, eye drops to reduce dryness in the eyes, soft and sterile eye cloths to wash the eyes and the recommended pain medication.

Post-surgical recovery

As with all surgical procedures, patients may notice post-procedure symptoms like bleeding, swelling, bruising and tenderness in the eyelids. The bleeding will stop a few hours after the surgery and the pain, swelling and tenderness will take up to two weeks to reduce.

If proper care isn’t taken of the eyes, there may be risk of infection. Dr. Miller and the team at our Orange County clinic recommend that you use only soft and sterile items when touching the eye. Be sure to clean your hands thoroughly and do not use any hand sanitizers or alcohol-based soaps on the hands before touching your eyelids.

The doctor will provide pain killers if necessary. Be sure to follow the after-care regimen provided, for quick and pain-free recovery. You should be able to resume your daily routine 2-3 days after the surgery.

Common Questions or Concerns

Will I have obvious scars?

Incision placement in lower blepharoplasty is well concealed inside the eyelid. Upper eyelid surgery incisions are typically placed within the natural eyelid crease. The placement of incisions must be exact, and the amount of skin removed must be carefully measured. Dr. Miller will design an incision pattern that provides you optimal results while taking precautions to create imperceptible scars.

What is the recovery like?

Lower eyelid surgery in Orange County has a very tolerable recovery. Most patients return to work in 4 to 5 days, but because of possible discoloration, they may return in 7 days with minimal makeup. Dr. Miller offers a unique laser treatment to help hasten the resolution of bruising, usually within 7 days. Patients are able to resume most exercise activities in 10 days.

Are there non-surgical alternatives to eyelid surgery?

Non-surgical techniques such as BOTOX, dermal fillers, or fat augmentation may improve the appearance of the eyes for some patients. Dr. Miller may recommend using non-surgical treatments in conjunction with eyelid surgery for maximum results.

Will I need upper or lower eyelid surgery?

Dr. Miller will assess your facial characteristics during your consultation and make the appropriate recommendations. In some cases, he may suggest a combined upper and lower blepharoplasty or a brow lift.

Step-by-Step Procedure Facts

  • Your procedure will be performed in our AAAASF-accredited operating facility.
  • Both twilight anesthesia (sedation) and general anesthesia are available.
  • You will be able to return home the day of surgery.
  • Discomfort is minimal, with most patients requiring pain medication for less than 24 hours.
  • Most patients can return to work in about 4 to 7 days.

Who Are Ideal Candidates?

  • People with baggy or droopy eyelids
  • Applicants with good eye health and having partial elasticity in the eyelids
  • People over the age of 35

How Long Do the Results Last?

Depending on the age of the patient, the post-recovery care provided, the extensiveness of the surgery, the stress experienced by the eyelids and any additional surgery you have done, the results of the Blepharoplasty can last anywhere between 5 and 7 years. After this, you will begin to notice a slight sagging in the eyelids. In most cases, doctors recommend laser skin resurfacing as treatment post-surgery.

If you’d like to schedule a consultation with Dr. Miller for arguably the best blepharoplasty Newport Beach has to offer, be sure to contact our clinic today.

What is Ptosis?

Ptosis is a condition in which the eyelids appear droopy giving the person a constantly tired appearance. For some individuals, ptosis occurs as a result of an eye injury or trauma while for others it may be in their genes. Eyelids can also droop with age.

In some cases, drooping eyelids can affect vision, especially in case of small children and seniors. In such situations, blepharoplasty can improve vision.

What is the cost of eyelid surgery?

On an average, eyelid surgery costs nearly $3,022. The cost of the procedure can vary according to the facilities, the extent of the procedure, the surgeon's fee, the surgeon's experience, and medications.

The fee mentioned here excludes anesthesia, surgeon's fee, and any other additional fees.

What are the risks and side effects of eyelid surgery?

Immediately after the surgery, patients are likely to experience swelling, redness, and bruising around the eyes. This is a short-term side effect of the surgery and will subside in a few days.

Despite being a minimally invasive procedure, patients are likely to experience some level of pain after the surgery. The intensity of the pain depends on the skill of the surgeon and the extent of the surgery. The skill of the surgeon also plays a role in the amount of scarring that is visible after recovery.

Patients have described the pain post-surgery as tolerable and akin to a burning sensation.

Eyelid Surgery Orange County