Blepharoplasty
in Fort Lauderdale
What Is Blepharoplasty (Eyelid Surgery)?
Upper vs. Lower Eyelid Surgery – Which Eyelid Surgery is Right for You?
If you're considering eyelid surgery in Fort Lauderdale, it's important to understand the difference between upper and lower blepharoplasty—each targets different aging concerns and requires a customized approach.
Upper Eyelid Surgery (Upper Blepharoplasty)
Lower blepharoplasty is designed to treat under-eye bags, wrinkles, and sagging below the eyes. It can involve:
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Removal or repositioning of fat pads
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Excision of loose or wrinkled skin
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Smoothing of the tear trough area
When excess fat is the main concern (without much loose skin), Dr. Thomassen may recommend a transconjunctival blepharoplasty. This technique uses an internal incision, hidden inside the lower eyelid, avoiding visible scars and reducing the risk of eyelid distortion or retraction.
In some cases, a light chemical peel may be applied to the lower lid to improve fine wrinkles and skin texture during the procedure.
Lower Eyelid Surgery (Lower Blepharoplasty)
Lower blepharoplasty is designed to treat under-eye bags, wrinkles, and sagging below the eyes. It can involve:
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Removal or repositioning of fat pads
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Excision of loose or wrinkled skin
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Smoothing of the tear trough area
When excess fat is the main concern (without much loose skin), Dr. Thomassen may recommend a transconjunctival blepharoplasty. This technique uses an internal incision, hidden inside the lower eyelid, avoiding visible scars and reducing the risk of eyelid distortion or retraction.
In some cases, a light chemical peel may be applied to the lower lid to improve fine wrinkles and skin texture during the procedure.
What is a Transconjunctival Blepharoplasty?
A transconjunctival blepharoplasty is a lower lid blepharoplasty that is performed by incising the conjunctival surface inside the eyelid. This allows removal of fat pads and release of tear troughs without making a skin incision. If no skin is removed, this procedure results in no visible scars. It also protects the eyelid from scarring and avoids lower lid position problems.
What is a Quad Blepharoplasty?
Quad blepharoplasty is a combination of both upper and lower eyelids done at the same time. This allows for one recovery time and a more comprehensive rejuvenation.
Who is a Good Candidate for a Blepharoplasty?
You may be a good candidate for eyelid surgery in Fort Lauderdale if you experience one or more of the following:
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Droopy or sagging upper eyelids
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Loose or hanging skin that interferes with vision
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Puffy fat deposits or “bags” under the eyes
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Fine wrinkles or crepey skin in the lower lids
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A tired or aged appearance around the eyes
Ideal candidates for blepharoplasty are generally healthy nonsmokers with realistic expectations and no serious eye conditions. During your consultation, Dr. Thomassen will perform a detailed physical exam and review your medical history to ensure the safest and most effective treatment plan.
Blepharoplasty Fort Lauderdale
Preparing for your Eyelid Surgery
Medications
Smoking
Physical Exam
Preoperative Clearance
Days before Surgery
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- Avoid strenuous exercise in the days leading up to your surgery. You should be well rested leading up to your surgery date. Also avoid excessive sun exposure.
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- Refrain from alcohol the week before surgery.
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- Stop using skin irritants on your face 1 week before surgery, including light peels, acne medication, and retinoic acid.
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- Pick up your prescriptions with plenty of time before your procedure. Set up a comfortable recovery area at home. Plan your meals ahead. Include a light, clear liquid meal for the first night.
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- Plan for someone to be with you for 24 hours after surgery.
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- You will get a call from our Operating Room Nurse a few days before your procedure. They will go over the consent and any preoperative details and instructions. This is to make sure you are ready for surgery.
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- Our Anesthesia Provider will call you the day before surgery. They will go over your medications and discuss details about your anesthesia.
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- Use antibacterial soap when showering the day before surgery.
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- Remove any piercings or jewelry you have before coming in for the procedure.
What to Expect on the Day of Your Blepharoplasty in Fort Lauderdale
On the day of your eyelid surgery in Fort Lauderdale, you will arrive at Thomassen Plastic Surgery at your scheduled appointment time. Wear loose, comfortable clothing that is easy to change in and out of.
You'll be greeted by our friendly surgical team, including your preoperative nurse and anesthesia provider, who will review your medical history, medications, and any last-minute instructions. Dr. John Michael Thomassen will meet with you prior to your procedure to answer questions, go over final details, and perform precise surgical markings to guide the eyelid lift.
Your comfort and safety are our top priorities throughout your blepharoplasty experience.
What Anesthesia is Used for a Blepharoplasty Procedure?
Most of these procedures are performed under local anesthesia in the office. An oral sedative is often administered as well to help relax you during the procedure. Oral sedation includes the use of oral Valium.
If the procedure is a lower lid blepharoplasty and/or joined with other procedures, IV sedation is used. The IV sedation medications used include Versed, Propofol, and Fentanyl. Local anesthesia will make sure you are comfortable throughout the procedure. When you wake up after IV Sedation, you should feel comfortable, without the nausea that accompanies general anesthesia.
How long does a Blepharoplasty take?
An upper lid blepharoplasty takes approximately 30-45 minutes. A lower lid blepharoplasty takes about 1 hour to do. Both procedures together take about 1 1/w hours to finish.
If done with IV sedation, when you wake up you should be comfortable. Cold compresses will be placed in the recovery area to diminish swelling and bruising post. You will be capable of going home after you meet criteria for discharge. Dr. Thomassen will call you the evening of the surgery to make sure you are doing well.
Eyelid Surgery Recovery Timeline & What to Expect
Most patients undergoing blepharoplasty in Fort Lauderdale experience a smooth and relatively quick recovery, with visible healing in just 7 to 10 days.
After your upper or lower eyelid surgery, you will return home with detailed post-op instructions, including the use of cold compresses, prescribed ointments, and oral antibiotics to minimize swelling and prevent infection.
Dr. John Michael Thomassen will call you the evening of your surgery to ensure you’re comfortable and on track. A follow-up appointment will take place 1 week later, during which your sutures are typically removed and your incision sites assessed.
Recovery Timeline Highlights:
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Days 1–3: Swelling and bruising peak; use cold compresses and rest.
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Day 7: Most patients return to work or social activities.
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Week 2: Bruising largely resolved; second follow-up to assess healing.
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Weeks 3–4: Resume light exercise; avoid strenuous activity.
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Week 6+: Final results become visible; scars continue to fade.
Dr. Thomassen and his team are always available during your recovery to answer questions and ensure optimal healing. With proper aftercare, your eyelid lift results will look natural, youthful, and long-lasting.
For more details, visit our page on what to expect after eyelid surgery or schedule your blepharoplasty consultation in Fort Lauderdale today.
