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 signs of aging. In the beginning, makeup, moisturizers, and non-surgical methods such as BOTOX 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, our Orange County eyelid surgery. Throughout Southern California, women and men visit him at Refreshed Aesthetic Surgery for results that look natural and elegant. Dr. Miller, a double board-certified facial plastic surgeon, performs blepharoplasty for patients from 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.


What is eyelid surgery?

One of the most common reasons patients pursue eyelid surgery 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. Blepharoplasty is performed to improve the appearance of the eyes and the smile. During surgery, excess fat and skin are excised from the upper and lower lids, improving the overall facial expression and jumpstarting your self-confidence.

Incisions for upper blepharoplasty are made within the tiny folds of the upper lids where they are hidden from view. For lower blepharoplasty, incisions are made inconspicuously within the lower lash lines. Dr. Miller is careful to remove neither too little nor too much fat and skin so that your results are nuanced and natural-looking, not overdone and stretched.

Blepharoplasty can address:

  • Excess low-hanging eyelid skin that can obscure vision
  • Fat deposits that lead to puffiness or under eye bags
  • Wrinkles, creases, and fine lines
  • Sagging lower lids that show the whites of the eyes

How is blepharoplasty performed?

Not all 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, Dr. Miller uses a more sophisticated approach that restores the natural contour of the eyelid area. 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. Dr. Miller published the technique and long-term results in the 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.

I was referred to Dr. Miller by a friend of mine who had a lower blepharoplasty (with fat repositioning) 10 years ago, and her eyes still look amazing. From making my first appointment, consult, procedure, and follow up, the office was great. I am so happy with my results.

J.S., RealSelf User

What are the benefits of blepharoplasty?

  • Refreshes the facial expression
  • Rewinds the clock on facial aging
  • Brightens the smile
  • Enhances self-confidence
  • Reduces excess fat, skin, and tissue
  • Natural-looking outcome
  • Long-lasting results

Who makes a good candidate?

Eyelid surgery, termed blepharoplasty, can effectively treat tired and sad appearing eyes. Bags under the eyes and excess eyelid skins are the most common reasons people have blepharoplasty. Using sophisticated and innovative techniques, Dr. Miller can create natural, refreshed, and more youthful appearing eyes. Your eyes will not look pulled, altered, or different. In some cases, blepharoplasty can even correct vision problems.

Dr. Miller will determine your candidacy during your private consultation. He will conduct a thorough physical exam and review of your medical history to ensure the treatment will be a success. Good candidates for eyelid surgery are non-smokers of sound mind and body who have a positive and realistic attitude towards their procedure.

What will my recovery entail?

As with all surgical procedures, patients may notice post-procedure symptoms like swelling, bruising, and some minor tenderness. The doctor will provide you with prescriptions for pain medications. You will typically see Dr. Miller the day after your surgery, and other appointments will be scheduled during your pre-operative visit. Be sure to follow the after-care regimen provided for quick and pain-free recovery. You should be able to resume most of your daily routines 4-5 days after surgery.

What is the cost of blepharoplasty?

Blepharoplasty costs will vary, depending on the complexity of the work performed and on whether any other treatments are undergone at the same time. Pricing will include the surgeon’s fees, facility fees, anesthesia fees, and others. We will go over your personalized quote with you during your initial visit with Dr. Miller.


Why choose Dr. Miller?

As a fellowship-trained, double board-certified facial plastic surgeon serving Orange County and beyond, Dr. Miller has amassed considerable expertise, skill, and artistry over the course of his career, resulting in stunning blepharoplasty results that are natural and elegant.

Dr. Miller obtained his medical degree from the University of California, Davis School of Medicine, going on to complete a 5-year surgical residency in Otolaryngology-Head and Neck Surgery. He was then accepted into an elite fellowship through the American Academy of Facial Plastic and Reconstructive Surgery, further honing his aesthetic vision and perfecting his mastery of advanced, cutting-edge surgical techniques. Dr. Miller lectures frequently on topics in cosmetic science and is a celebrated author and textbook contributor.

Featured Before & After Photos

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Common Questions or Concerns About Blepharoplasty

How can I prepare for eyelid surgery?

Eyelid surgery is an outpatient, minimally invasive surgery that takes just an hour or two to be completed. Prior to your procedure, you will be provided a list of medications to avoid. If you are taking any important and unavoidable medication, make sure you get it approved by Dr. Miller in advance. A pre-operative appointment with Dr. Miller and his staff will be scheduled to provide more in-depth instructions to ensure a safe and speedy recovery.

For eyelid surgeries, you will not be allowed to drive home. Your safety is of utmost concern, so a spouse, relative, or friend should drive you home and be available for 24 hours after the procedure. Taxis and ride-sharing (e.g., Uber, Lyft) are not allowed.

Can blepharoplasty be combined with other procedures?

Yes. Eyelid surgery is well paired with a brow lift, facelift, rhinoplasty, or a neck lift. Non-surgical procedures such as BOTOX or laser skin resurfacing can also help to enhance and refine your blepharoplasty results.