Eyelid surgery, or blepharoplasty, refreshes the upper eyelids, the lower eyelids, or both. Upper eyelid surgery removes selected excess skin and, when appropriate, prominent fat to reduce heaviness and restore a clearer crease. Lower eyelid surgery addresses under-eye bags, loose skin, and eyelid support. Dr. Khaled O. Alameddine performs eyelid surgery in Coral Gables, Miami, with each plan based on what is causing the change.

With Dr. Khaled O. Alameddine in Coral Gables, Miami, upper eyelid surgery starts at $4,500 when performed awake under local anesthesia, or $5,500 with sedation. Lower eyelid surgery starts at $6,500, and upper and lower eyelid surgery together start at $8,500. Prices include the surgeon’s fee, anesthesia, and facility fees. When added to another procedure such as a facelift, eyelid surgery is priced as an add-on from $3,000. The $250 surgeon consultation is credited toward your surgery if performed within 12 months.

Hooded upper eyelids are usually caused by excess eyelid skin, a lowered brow, or both. Creams and exercises cannot remove excess skin, so the lasting solution is typically upper eyelid surgery, a brow lift, or a combination. Dr. Khaled O. Alameddine examines the brow and eyelid together to identify the cause before recommending a procedure.

Under-eye bags are often caused by fat that has shifted forward beneath the lower eyelid, which creams, sleep, and fillers cannot remove. Lower eyelid surgery addresses the bulge directly. Dr. Alameddine commonly removes prominent fat selectively through an incision inside the lower eyelid, adding a skin pinch or eyelid support when needed, while taking care to avoid a hollow appearance.

Yes. Upper eyelid surgery can often be performed with local anesthetic while you remain awake, with an oral calming medication when appropriate. Awake upper eyelid surgery with Dr. Alameddine starts at $4,500, compared with $5,500 with sedation. General anesthesia may be considered when combining procedures or when being asleep is preferred and medically suitable. Arrangements for getting home and your recovery are explained beforehand.

Both excess upper eyelid skin and a lowered brow can create heaviness above the eyes. Dr. Alameddine examines the brow and eyelid together to identify their contribution, because removing eyelid skin alone does not correct every cause of hooding. Depending on your anatomy, the recommendation may be upper eyelid surgery, a brow lift, or both. You do not need to know which procedure you need before your consultation.

“Transconjunctival” describes an incision inside the lower eyelid, which leaves no incision on the outer skin. Dr. Alameddine commonly uses this approach to selectively remove prominent fat that causes under-eye bags. It does not remove external skin, so if excess skin also needs treatment, he may add a separate skin pinch just beneath the lashes.

The amount and location of fat treatment matter. An under-eye bulge and a nearby hollow can coexist, so removing more fat is not automatically the answer. Dr. Alameddine evaluates the relationship between the lower eyelid and cheek when planning selective fat removal, and fat grafting may be discussed where a separate area needs volume. The goal is a smooth transition without an overly hollow look.

A skin pinch removes a measured amount of excess lower eyelid skin through a fine incision just beneath the eyelashes. It may be added when fat treatment alone would leave loose skin unaddressed. The incision is placed to be discreet but is not scarless; its visibility depends on placement, healing, and time. Dr. Alameddine also evaluates eyelid support before deciding how much skin to remove.

Canthopexy reinforces support at the outer corner of the lower eyelid. Dr. Alameddine may consider it when lower eyelid looseness or position makes additional support appropriate. It is not a routine addition for every patient, and the reason for recommending it, along with its intended effect on eyelid position and shape, is discussed before surgery.

Not always. Dark circles can come from shadows cast by bags or hollows, pigmentation, thin skin, or swelling, and only some of these respond to surgery. Festoons are swellings on the upper cheek and are not reliably corrected by standard lower eyelid surgery alone. Dr. Alameddine identifies what is contributing before explaining what surgery can reasonably improve.

The intended change is discussed before surgery. Removing excess skin or reducing bags refreshes the area, while procedures involving eyelid support may also influence position or shape. Dr. Alameddine asks what you want to preserve as well as improve. The aim is a result that suits your face, although no operation can guarantee an unchanged shape or perfect symmetry.

The area is numbed with local anesthetic, and awake patients typically feel pressure or movement rather than sharp pain during upper eyelid surgery. Afterward, tightness, mild soreness, swelling, and bruising are expected and are managed with the instructions you receive. Dr. Alameddine reviews what to expect and how comfort will be managed for your specific procedure.

Bruising and swelling often improve substantially over the first couple of weeks, although healing and scar maturation continue longer. Upper-only surgery and combined procedures have different recovery needs. Makeup, contact lenses, exercise, and driving each resume according to Dr. Alameddine’s instructions for your operation. Allow extra time before important events rather than treating early improvement as complete recovery.

Eyelid surgery can provide an improvement that lasts for many years, but the skin and surrounding tissues continue to age. Brow position, skin quality, sun exposure, and genetics all influence longevity. Dr. Alameddine discusses realistic expectations for your eyes rather than promising a fixed number of years.

There is no single best age. Some people develop hooded lids or under-eye bags early because of genetics, while others notice changes later. Your anatomy, eye health, and goals matter more than your age when deciding whether eyelid surgery is appropriate.

The prices published by Alameddine Plastic Surgery are for cosmetic, self-pay eyelid surgery. If heavy upper eyelids affect your vision, mention this during your discovery call or consultation so the practice can explain how your situation would be handled.

Tell Dr. Alameddine about dry eyes, eye medications, prior eyelid or vision-correction surgery, and any difficulty closing your eyes. These details affect the assessment and surgical recommendation, and a further eye evaluation may be appropriate. Eyelid surgery can worsen dryness or affect eyelid closure and position, and rare serious complications include vision loss.

Yes. When eyelid surgery is performed during the same operation as another procedure, add-on pricing applies: upper eyelid surgery $3,000, lower eyelid surgery $4,000, and upper and lower together $6,000. A brow lift starts at $7,500 on its own or $4,000 as an add-on, and a facelift with neck lift starts at $19,500. Dr. Alameddine recommends combinations only when they serve your goals.

Dr. Khaled O. Alameddine offers upper and lower eyelid surgery through his practice, Alameddine Plastic Surgery, at 2903 Salzedo Street, Coral Gables, FL 33134, near Miami. Consultations are available in person or virtually, and the office can be reached at (305) 501-0040. Surgery is performed in a QUAD A–accredited surgery center, and Dr. Alameddine speaks English, French, and Arabic.

Yes. Virtual consultations with Dr. Khaled O. Alameddine are available at the same $250 fee, credited toward your surgery if performed within 12 months, with an in-person examination required before surgery. Belma’s complimentary discovery call is another way to begin with practical questions about appointments, pricing, and planning.