Procedures

What is

Eyelid Surgery

Eyelid surgery, also known as blepharoplasty, is a cosmetic procedure designed to improve the appearance of the upper eyelids, lower eyelids, or both. This surgery can address issues such as droopy eyelids, under-eye bags, and excess skin or fat around the eyes. As we age, the skin around the eyes loses its elasticity, causing the eyelids to sag and appear puffy, which can result in a tired or aged appearance. Eyelid surgery helps to remove excess skin and fat, tighten muscles, and smooth wrinkles, creating a more youthful and refreshed look.

At Xiluet Plastic Surgery, our board-certified surgeons specialize in eyelid surgery, offering personalized treatments to rejuvenate the eye area. Whether you are seeking to correct sagging upper eyelids, eliminate under-eye bags, or both, we are dedicated to delivering natural-looking results that enhance your overall appearance.

 
 
 

Ideal Candidates Eyelid Surgery

Blepharoplasty Miami Ideal Candidates are Healthy individuals who don’t have a life-threatening disease or any other medical condition that may slow down or impair the healing process, Those who have clear goals and a positive outlook for eyelid surgery, Patients who don’t have a serious eye condition. Your plastic surgeon at Xiluet Plastic Surgery can evaluate your anatomy in order to determine what’s causing your eyelids to appear tired, saggy or puffy.

 

Eyelid Surgery

Benefits of Eyelid Surgery

Eyelid surgery provides both cosmetic and functional benefits, including

 

Eyelid Surgery

What are the differences between upper and lower eyelid surgery?

Upper Eyelid and Lower Eyelid procedures can be performed separately or together, depending on the patient’s needs and desired outcomes. Consulting with a qualified plastic surgeon can help determine the best approach for achieving the desired results.

Upper Eyelid Surgery

Upper Eyelid Surgery Purpose:

  • Aesthetic: To remove excess skin, fat, and muscle from the upper eyelids, which can create a more youthful and refreshed appearance.
  • Functional: To improve vision if drooping upper eyelids are obstructing the field of view.

Upper Eyelid Surgery Procedure:

  • Incision: Typically made within the natural crease of the upper eyelid.
  • Technique: Excess skin, fat, and sometimes muscle are removed or repositioned. The remaining skin is then carefully sutured, creating a smoother and tighter eyelid.

Upper Eyelid Surgery is Ideal for:

  • Individuals with drooping or sagging upper eyelids.
  • Those with excess upper eyelid skin that impairs vision.
  • People looking for a more alert and youthful appearance.
     

Lower Eyelid Surgery

Lower Eyelid Surgery Purpose:

  • Aesthetic: To address bags, puffiness, and wrinkles under the eyes, creating a smoother and more youthful look.
  • Functional: To remove or reposition fat that causes under-eye bags and to tighten the lower eyelid skin.
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Lower Eyelid Surgery Procedure:

  • Incision: Made just below the lower lash line or inside the lower eyelid (transconjunctival approach).
  • Technique: Excess fat, skin, and sometimes muscle are removed or repositioned. The skin is then sutured to create a firmer and more youthful contour.
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Lower Eyelid Surgery is Ideal for:

  • Individuals with under-eye bags, puffiness, or dark circles.
  • Those with sagging or wrinkled lower eyelid skin.
  • People seeking to reduce the appearance of tiredness and aging around the eyes.
Eyelid Surgery

Causes of Eyelid Aging

The skin around the eyes is delicate and more prone to signs of aging due to several factors:

Loss of Skin Elasticity:

As we age, collagen and elastin production in the skin decreases, leading to sagging and drooping of the eyelids.

Muscle Weakening:

The muscles around the eyes weaken with age, contributing to drooping upper eyelids and deeper wrinkles.

Fat Redistribution:

Over time, fat can accumulate or shift in the lower eyelids, causing puffiness or under-eye bags. Similarly, fat loss in the upper eyelids can create a hollowed appearance.

Environmental Factors:

Sun exposure, smoking, and poor skin care can accelerate aging around the eyes, leading to early wrinkles, fine lines, and skin laxity.

Upper vs. Lower Eyelid Surgery

Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both, depending on the patient’s concerns:

Upper Eyelid Surgery:

This procedure is ideal for patients with excess skin on the upper eyelids that creates a hooded or drooping appearance. In some cases, this sagging can impair vision. Upper eyelid surgery removes the extra skin and fat, resulting in a smoother, more youthful look. It can also lift the eyelid to restore proper function and appearance.

Lower Eyelid Surgery:

Lower blepharoplasty targets puffiness, under-eye bags, and wrinkles beneath the eyes. This procedure involves removing or repositioning fat to reduce puffiness and smooth the under-eye area. The surgeon may also tighten the skin to reduce fine lines and creases. Lower eyelid surgery provides a more rested and refreshed appearance.

Combined Eyelid Surgery:

For patients experiencing significant aging in both the upper and lower eyelids, a combined blepharoplasty can be performed to address all concerns in one surgery, achieving full eye rejuvenation.

Choosing the Right Eyelid Surgery Technique

Several different techniques are used in eyelid surgery, each designed to address specific concerns:

Transcutaneous Lower Eyelid Surgery:

In this technique, the surgeon makes an incision just below the lower lash line, allowing access to remove or reposition fat, tighten muscles, and smooth excess skin. This technique is ideal for patients with significant skin laxity or wrinkles.

Transconjunctival Lower Eyelid Surgery:

This method is less invasive and involves making an incision inside the lower eyelid, leaving no external scars. It is typically used to remove or reposition fat without removing skin, making it suitable for younger patients or those with minimal skin excess.

Upper Eyelid Incisions:

For upper eyelid surgery, the incision is made along the natural crease of the eyelid, making the resulting scar nearly invisible once healed. The surgeon removes excess skin, fat, and possibly tightens the muscles to restore a youthful contour.

Eyelid Surgery

Customizing the Procedure to Individual Goals

Eyelid surgery is a highly individualized procedure, and our surgeons work closely with each patient to design a treatment plan that aligns with their specific needs:

Comprehensive Consultation:

During your consultation, the surgeon will perform a thorough evaluation of your upper and lower eyelids, assessing skin laxity, fat deposits, and muscle tone. This evaluation helps in selecting the most appropriate approach for your surgery.

Discussion of Goals:

You will have the opportunity to discuss your cosmetic concerns and desired outcome. Whether your focus is on lifting drooping eyelids, removing under-eye puffiness, or both, the surgeon will guide you through the available options and set realistic expectations for the results.

Personalized Surgical Plan::

Based on your evaluation and goals, the surgeon will develop a customized plan that may include upper eyelid surgery, lower eyelid surgery, or a combination of both. The plan will outline the best surgical technique for achieving natural, balanced results.

Surgical Techniques and Incision Options

The choice of surgical technique and incision placement is crucial for achieving a successful blepharoplasty with minimal scarring. Here are the primary incision options used in eyelid surgery:

Upper Eyelid Surgery Miami:

The incision for upper blepharoplasty is made along the natural crease of the upper eyelid. This placement ensures that the scar is well-hidden once healed. The surgeon will remove excess skin and fat and may tighten the underlying muscles to restore a smoother, more youthful contour to the upper eyelid.

Lower Eyelid Surgery Miami:

In lower blepharoplasty, there are two common approaches: Transcutaneous Incision: This incision is made just below the lash line, allowing the surgeon to access and remove or reposition fat, tighten muscles, and smooth excess skin. This technique is best for patients with significant skin laxity or wrinkles. Transconjunctival Incision: This less invasive technique involves making an incision inside the lower eyelid, leaving no external scars. It’s ideal for patients who need fat removal or repositioning but don’t require skin removal.

Additional Adjustments for Optimal Results

In some cases, additional adjustments may be made during the procedure to enhance the overall balance of the eyes:

Fat Repositioning:

Instead of simply removing fat from the lower eyelids, the surgeon may reposition it to fill hollow areas under the eyes and create a smoother transition from the lower eyelid to the cheek.

Skin Tightening:

For patients with excess skin around the eyes, the surgeon may remove a small amount of skin to create a tighter, more youthful appearance. However, care is taken to avoid removing too much skin, which can affect the natural shape and function of the eyelids.

Muscle Tightening:

If the underlying muscles have weakened or sagged, the surgeon may tighten them to create a firmer and more youthful contour around the eyes.

Eyelid Surgery

CONSULTATION WITH THE DOCTOR BEFORE EYELID SURGERY

If you’re considering Eyelid Surgery (blepharoplasty) in Miami, it’s important to schedule a free consultation with a certified plastic surgeon. During the consultation, the surgeon will evaluate the current condition of your eyelids and discuss your aesthetic goals. They will also provide detailed information about the Eyelid procedure, potential risks, and complications. You’ll have the opportunity to ask questions about anesthesia, the duration of the eyelid surgery, and the recovery time.

Additionally, the surgeon will discuss realistic expectations for the results of the eyelid surgery and how your eyes will look and feel after the surgery. It’s important to discuss your medical history, including any medications you’re taking and any medical conditions you have. The surgeon may also recommend additional treatments, such as Facial Balancing, to enhance the overall rejuvenation of your facial features.

By choosing an experienced and certified plastic surgeon, you can have the confidence that you’ll receive the necessary attention and care to achieve the results you desire with your eyelid surgery in Miami.

Initial Consultation

The first step in preparing for Eyelid Surgery at Xiluet Plastic Surgery is the initial consultation. During this meeting, our experienced surgeons will evaluate your medical history, discuss your aesthetic goals, and determine if you are a suitable candidate for the procedure. This is a crucial step to ensure that Eyelid Surgery is the right option for you and to establish a personalized treatment plan tailored to your needs.

  • Medical History Review: The surgeon will review your health history, including any current medications, allergies, and previous surgeries. This helps identify any potential risks or contraindications for the procedure.
  • Physical Examination: A thorough physical examination is conducted to assess skin quality, fat distribution, and overall body composition. This examination helps in planning the areas to be treated and selecting the most appropriate Eyelid Surgery technique.
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Medical Evaluation

Before undergoing Eyelid Surgery Miami, patients may need to undergo specific medical tests to ensure they are in optimal health for surgery. These evaluations help to minimize risks and ensure a safe procedure.

  • Laboratory Tests: Blood tests are typically required to assess overall health, including blood count, kidney function, and clotting ability.
  • Cardiovascular Assessment: For patients with a history of heart conditions or those over a certain age, an EKG (electrocardiogram) may be recommended to evaluate heart health.
  • Anesthesia Clearance: If general anesthesia is being used, an anesthesiologist will review your medical history and test results to determine the safest anesthesia plan.
     
     

Pre-Operative Instructions

Proper preparation is key to a smooth surgical experience and recovery. Our team will provide detailed pre-operative instructions to help you prepare for your Eyelid Surgery procedure.

  • Medications and Supplements: Patients should avoid certain medications and supplements that can increase the risk of bleeding, such as aspirin, ibuprofen, vitamin E, and certain herbal supplements. A full list of substances to avoid will be provided.
  • Lifestyle Adjustments: Smoking can impair healing and increase the risk of complications. Patients are advised to stop smoking at least four weeks before and after the procedure. Alcohol consumption should also be minimized to reduce the risk of dehydration and bleeding.
  • Pre-Surgery Diet: Patients are encouraged to maintain a healthy diet leading up to the surgery. Staying well-hydrated is also important to aid in recovery.
     
     

Day of Surgery Preparation

On the day of your eyelid surgery, several steps will be taken to ensure a safe and successful procedure:

  • Arrival and Preparation: You will arrive at the surgical center at the designated time. After checking in, you’ll change into a surgical gown, and your vital signs will be monitored to ensure that you are ready for surgery. The surgical team will walk you through the pre-operative process and answer any last-minute questions.

  • Marking the Surgical Sites: The surgeon will carefully mark the incision sites based on your surgical plan. These markings ensure that the procedure is carried out with precision, and the incisions are placed in the most discreet locations to minimize visible scarring.

  • Anesthesia: Anesthesia will be administered by a licensed anesthesiologist to keep you comfortable throughout the procedure. Depending on your plan, this may be local anesthesia with sedation or general anesthesia.

  • Post-Surgery Transportation: Since anesthesia is used during the procedure, you will need someone to drive you home after surgery. It’s important to have a trusted friend or family member assist with your care for the first 24-48 hours, as your vision may be temporarily blurred and you may feel drowsy from the sedation.

     
     

The Importance of a Caregiver

Having a caregiver is crucial for the first night after surgery. This person should be someone you trust and who is comfortable helping with mobility, meal preparation, and other basic needs. They will also help monitor your recovery, ensuring that you are comfortable and that there are no immediate complications.

By following these preparation steps, patients can help ensure a smoother procedure and a more comfortable recovery. Our team at Xiluet Plastic Surgery is here to guide you through each stage, providing support and information to make your experience as stress-free as possible.

Eyelid Surgery Anesthesia Options

Eyelid surgery is typically performed under anesthesia to ensure patient comfort throughout the procedure. The type of anesthesia used depends on the complexity of the surgery and the patient’s preference:

General Anesthesia:

In more extensive procedures or when combining upper and lower eyelid surgery, general anesthesia may be recommended. This option ensures that the patient is fully unconscious during the procedure, providing the highest level of comfort.

Local Anesthesia with Sedation:

For less invasive or shorter surgeries, local anesthesia combined with intravenous (IV) sedation may be used. This option numbs the treatment area while keeping the patient in a relaxed, semi-conscious state. It is commonly used for upper or lower eyelid surgery.

Removing Excess Skin and Fat

Once the anesthesia has taken effect, the surgeon will begin by making precise incisions according to the surgical plan:

Removing Excess Skin and Fat

Once the anesthesia has taken effect, the surgeon will begin by making precise incisions according to the surgical plan:

Upper Eyelid Surgery:

The surgeon will make an incision along the natural crease of the upper eyelid, which conceals the scar once healed. Through this incision, excess skin is removed, and the underlying muscles and fat may be adjusted or removed as needed. This helps to lift and smooth the upper eyelid, creating a more youthful and rested appearance.

Lower Eyelid Surgery:

For lower eyelid surgery, the incision is either made just below the lash line (transcutaneous) or inside the lower eyelid (transconjunctival). Excess fat that causes puffiness or bags under the eyes is either removed or repositioned to create a smoother contour. If necessary, loose skin is trimmed to reduce wrinkles and tighten the lower eyelid.

Smoothing Wrinkles and Tightening the Eyelids

In addition to removing excess skin and fat, the surgeon will also address any fine lines, wrinkles, or sagging in the eyelid area:

Muscle Tightening:

If the underlying muscles have become loose or weak, they can be tightened during the procedure. This step is crucial for creating a firmer, smoother eyelid contour and ensuring long-lasting results.

Wrinkle Reduction:

For patients with significant wrinkles or creases around the eyes, the removal of excess skin and the repositioning of fat can help reduce the appearance of these lines. The goal is to smooth out the skin without overly tightening it, preserving the natural expression of the eyes.

Eyelid Surgery

Closing Incisions and Final Adjustments

Once the desired changes have been made, the surgeon will carefully close the incisions:

Suturing the Incisions:

The incisions are closed with fine sutures, which may be dissolvable or require removal during a follow-up visit. The sutures are placed meticulously to minimize scarring and ensure that the final result looks as natural as possible.

Final Adjustments:

Before completing the surgery, the surgeon will make any necessary adjustments to ensure symmetry between the eyes. Care is taken to avoid an “overdone” look, with the goal of creating results that are both subtle and rejuvenating.

Dressings:

In some cases, a small dressing or bandage may be applied to protect the incision sites and support the healing process. However, bandages are not always necessary after eyelid surgery.

Eyelid Surgery

The droopy Eyelid Surgery

Drooping eyelid, also known as ptosis, is often caused by age, trauma, and a number of medical disorders. This condition can affect your eyes and it can be temporary or permanent. Drooping Eyelid condition is treatable generally through drooping eyelid surgery at clinics such as Xiluet Plastic Surgery. Drooping eyelid can block your vision, depending on how severe the condition is.

Drooping eye is very common in older people and generally caused by the natural aging process. However, people of all ages affect this condition. Drooping eyelid could be the sign of a medical condition, especially when it’s affecting both eyelids. Blepharoplasty Miami is the best surgical procedure to correct Drooping eyelid.

Eyelid Surgery

Double Eyelid Surgery

Double eyelid surgery is a surgical procedure generally used on oriental eyelids. This procedure can help create an upper eyelid fold in order to make the eyelids look Caucasian. Double eyelid surgery generally involves shaping the eye through an incision in the upper eyelid crease. Your eyelids are very crucial to your appearance.

Many Asians are born with a single eyelid type. Which means may or may not have and upper eyelid crease.

Those who have an upper eyelid crease usually called a double eyelid category. Double eyelid surgery is one of the most commonly performed surgeries in Asia and among Asians who live in US. Many of these individuals desire to have a larger-looking eyelid opening. This makes it easier for women to apply makeup.

Eyelid Surgery

Eyelid Surgery Recovery

The recovery process following eyelid surgery is generally smooth and manageable, with most patients experiencing minimal discomfort. Here’s what to expect in the first few days after your procedure:

  • Initial Recovery Phase: After the surgery, you will spend time in a recovery area where your vital signs will be monitored. Most patients experience some swelling, bruising, and mild discomfort around the eyes, which is normal. Pain medication prescribed by your surgeon will help manage any discomfort during the first few days.

  • Cold Compresses: Applying cold compresses to the area around the eyes (but not directly on the incisions) can help reduce swelling and bruising. Use compresses as recommended by your surgeon, especially during the first 48 hours after surgery.

  • Activity Restrictions: For the first week, it’s important to rest and avoid strenuous activities. Keeping your head elevated as much as possible, even while sleeping, will help reduce swelling and speed up recovery. Avoid heavy lifting, bending over, or any activities that increase blood pressure around the eyes.

  • Eye Care: Your surgeon may prescribe eye drops or ointment to prevent dryness and protect the eyes during the healing process. These medications help soothe the eyes and promote faster recovery. You may also experience temporary blurry vision or increased tear production, which should resolve within a few days.

     
     

Long-Term Recovery and Follow-Up Visits

As the initial swelling and bruising subside, your eyes will continue to heal, and you will see the full results of your eyelid surgery. Here’s what to expect during the long-term recovery phase:

Returning to Normal Activities:

Most patients are able to return to work and normal daily activities within 7 to 10 days, depending on the extent of the surgery. However, it’s important to avoid strenuous exercise, heavy lifting, or activities that might impact your healing for at least 2 to 3 weeks.

Follow-Up Appointments:

You will have follow-up appointments with your surgeon to monitor your healing progress, remove any sutures (if non-dissolvable sutures were used), and address any concerns you may have. These visits are crucial for ensuring that your recovery is on track.

Bruising and Swelling Resolution:

The majority of swelling and bruising should subside within 10 to 14 days, but some mild swelling may persist for a few weeks. Full healing, including the settling of the eyelid contour and the fading of scars, may take several months.

Eyelid Surgery

Managing Swelling, Bruising, and Scarring

Proper care during the recovery period is essential for minimizing swelling, bruising, and scarring:

Swelling Management:

Keeping your head elevated and applying cold compresses can help reduce swelling. Avoid salty foods and stay well-hydrated to prevent fluid retention.

Bruising:

Bruising around the eyes is common after eyelid surgery and will fade over time. You may notice discoloration that travels down to the cheeks, which is normal and part of the body’s natural healing process.

Scar Care:

Incisions for eyelid surgery are strategically placed in natural creases, making scars barely visible. Over time, these scars will fade. Your surgeon may recommend using silicone sheets, creams, or other scar treatments to help minimize their appearance.

Eyelid Surgery

Tips for a Smooth Recovery

Following these tips can help ensure a smooth recovery and optimal results:

Follow Your Surgeon’s Instructions:

Adhere to all post-operative care instructions provided by your surgeon, including how to care for your incisions, when to take medications, and when to attend follow-up appointments.

Avoid Smoking and Alcohol:

Smoking can impair healing and increase the risk of complications, while alcohol can cause dehydration and swelling. Both should be avoided for several weeks before and after surgery.

Protect Your Eyes from the Sun:

After eyelid surgery, your skin will be more sensitive to the sun. Wear sunglasses and apply sunscreen to protect the treated area and prevent hyperpigmentation or scarring.

Eyelid Surgery

Eyelid Surgery Risks

Eyelid surgery Miami, while generally safe, carries some risks. Common issues include temporary swelling, bruising, and dry eyes. Less frequent risks are infection, bleeding, scarring, and eyelid position problems like drooping or difficulty closing the eyes. Rare complications include vision changes and anesthesia reactions. Choosing a board-certified surgeon and following post-op care instructions can help minimize these risks.

Infection:

Proper wound care and following post-operative instructions can help prevent infections.

Scarring:

Though minimal and well-concealed, all surgeries involve some degree of scarring. Your surgeon will work to ensure the scars are as discreet as possible.

Dry Eyes or Irritation:

Temporary dryness, irritation, or sensitivity to light may occur after surgery. Your surgeon may prescribe lubricating eye drops to keep your eyes moist and comfortable.

Asymmetry or Unsatisfactory Results:

There’s a small risk that the eyelids may heal unevenly, requiring additional adjustments. This is rare when performed by an experienced surgeon.

BleedingTemporary Blurred Vision:

You may experience some blurry vision or light sensitivity immediately after the procedure, but this usually resolves within a few days.

Financing

How much does a Eyelid Surgery Cost?

Blepharoplasty Miami cost ranges between $2000 and $5000Eyelid surgery cost can vary depending on a number of factors and they can carry different price tags also. Lower eyelid surgery cost is around $2,400, whereas upper eyelid surgery cost about $2100. Laser eyelid surgery is generally more expensive than the traditional blepharoplasty. This surgical procedure can cost around $3,000 and $5,000.

 

Complementary and Alternative Procedures

Combining Eyelid Surgery with a Brow Lift

For patients seeking a more comprehensive facial rejuvenation, eyelid surgery can be combined with a brow lift to achieve even more dramatic results. A brow lift elevates sagging brows, smooths forehead wrinkles, and opens up the eye area, complementing the effects of eyelid surgery:

Upper Face Rejuvenation:

A brow lift addresses the sagging of the forehead and brows, while eyelid surgery focuses on removing excess skin and fat from the eyelids. Combining these procedures can enhance the overall appearance of the upper face, providing a more youthful and refreshed look.

Balanced Results:

By lifting both the brows and eyelids, this combination can restore balance and harmony to your facial features, reducing the tired or aged appearance caused by sagging skin and deep wrinkles.

Fat Grafting for Volume Restoration

Another complementary procedure to eyelid surgery is fat grafting, which restores lost volume around the eyes and other parts of the face:

Volume Loss with Aging:

As we age, fat loss in the face can create a hollow or sunken look, especially around the eyes. Fat grafting involves transferring fat from another area of the body (such as the abdomen or thighs) to the under-eye area, filling in hollowed regions and restoring youthful contours.

Natural, Long-Lasting Results:

Since fat grafting uses the patient’s own fat, it provides a natural solution to volume loss with longer-lasting results compared to dermal fillers. Fat grafting can be performed alongside eyelid surgery to achieve a more comprehensive rejuvenation.

FAQ

Frequently Asked Questions About Eyelid Surgery in?

What is the recovery time for eyelid surgery?

The initial recovery phase typically takes 1 to 2 weeks, during which time swelling and bruising will gradually subside. Most patients can return to work and normal daily activities within 7 to 10 days. However, it’s important to avoid strenuous exercise, heavy lifting, and activities that could increase blood pressure around the eyes for at least 2 to 3 weeks. Full healing, including the fading of scars and the final results, may take several months.

The results of eyelid surgery are long-lasting, with most patients enjoying their rejuvenated appearance for many years. Upper eyelid surgery results often last 5 to 10 years, while lower eyelid surgery results can be permanent. However, the natural aging process will continue, and new wrinkles or sagging may develop over time. Maintaining a healthy lifestyle and protecting your skin from sun exposure can help prolong the results.

Yes, when performed by experienced and qualified surgeons, eyelid surgery is a safe procedure. Our team ensures the highest standards of safety and care.

Eyelid surgery is performed with meticulous attention to scarring, and incisions are placed in discreet locations, such as the natural creases of the upper eyelids or inside the lower eyelid (transconjunctival approach). This makes the scars nearly invisible once healed. With proper care and time, scars will fade and become less noticeable. Your surgeon may also recommend scar care treatments, such as silicone sheets or ointments, to further minimize their appearance.

Schedule Your Consultation

If you are considering Eyelid Surgery and would like to learn more about how Xiluet Aesthetic Surgery can help you achieve your body contouring goals, we invite you to schedule a consultation with our expert surgeons. During this personalized session, we will discuss your concerns, evaluate your candidacy, and provide you with a tailored treatment plan to help you look and feel your best.

 
 

(305) 615-4200

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