puffy eyes – Dr. Alex Kim | Beverly Hills Plastic Surgeon https://alexkimmd.com Board-Certified Mon, 28 Apr 2025 18:36:30 +0000 en hourly 1 https://alexkimmd.com/wp-content/uploads/2023/04/cropped-alex-kim-favicon-32x32.png puffy eyes – Dr. Alex Kim | Beverly Hills Plastic Surgeon https://alexkimmd.com 32 32 An In-Depth Look at Blepharoplasty https://alexkimmd.com/beverly-hills-california-face-and-facial-plastic-surgery-procedures/an-in-depth-look-at-blepharoplasty/ Thu, 17 Apr 2025 22:16:23 +0000 https://alexkimmd.com/?p=8356

Dr. Alex Kim, a trusted cosmetic surgeon based in Beverly Hills, specializes in advanced eyelid surgery to rejuvenate and enhance the eye area. In this procedure, he performs both upper and lower blepharoplasty to remove excess skin and fat that contribute to a tired or aged appearance. Lower eyelid surgery focuses on reducing under-eye bags, while upper eyelid surgery lifts droopy skin for a more refreshed look. Dr. Kim uses precise techniques to ensure natural-looking results with minimal scarring.

This detailed step-by-step overview explains how Dr. Kim skillfully performs eyelid surgery for a brighter, more youthful appearance.

Right Lower Blepharoplasty

Eyelid Surgery for Under-Eye Bags

A subciliary incision is made

To begin this surgical procedure, a precise cut is carefully made just beneath the lower lashes to start the eyelid surgery. This location not only helps to hide the incision but also provides clear access to the important area beneath the eyes where correction is needed.

Suspending the lid margin

After suspending the lid margin with a suture to protect the globe, lower eyelid skin muscle flap is being elevated.
The lower eyelid is gently supported with a suture to protect the eye. The skin and muscle of the lower eyelid are lifted together to reveal the area underneath.

Excess fat is removed

Under the skin muscle flap is thin fascia of orbital septum. Once this is opened, periorbital fat is exposed. These excess fat is responsible for the common under-eye puffiness, or “bags” under the eyes. This is when Excess fat is removed with electrocautery.

Medial fat is being removed

The fat located near the inner corner of the eye is removed first. This helps smooth out the puffiness that appears in that area.

Central fat is being removed

Next, the fat in the middle part of the lower eyelid is taken out. This area is often the most prominent part of the under-eye bag.

Lateral fat is being removed

Finally, the fat on the outer part of the eyelid is removed to complete the contouring. This helps create a more even and refreshed look.

Hemostasis is achieved

Once the fat is removed, the area is checked to stop any bleeding. This helps ensure a safe and clean healing process.

Incision is closed

Any loose skin that remains is trimmed for a smoother result. The incision is then closed carefully to leave a minimal scar.

Left Upper Blepharoplasty

Eyelid Surgery for Droopy Upper Lids

Upper eyelid incisions are made

Two small cuts are made along the natural fold of the upper eyelid. This allows for easy removal of loose skin and a more youthful look. The placement of the incisions also helps ensure that any scarring remains hidden within the natural crease of the eyelid.

Excess skin is removed

During this time, the orbicularis muscle under the removed skin is also trimmed. The extra skin that causes the upper lid to look heavy or droopy is removed. While doing this, a small amount of the muscle just below the skin is also trimmed to improve the final result.

Completion of the skin removal

The skin removal step is finished and the eyelid is reshaped. This helps create a more lifted and open appearance. The new contour enhances the natural eye shape, giving the face a brighter and more refreshed look.

Hemostasis with electrocautery

Any minor bleeding is carefully controlled using a special tool designed to seal blood vessels during the procedure. This keeps the surgical area clean and visible for the surgeon but also significantly reduces the risk of bruising and swelling after surgery, promoting a smoother recovery.

Medial fat is being removed

Dissection was extended deep to the muscle and orbital septum, entering the periorbital space to find excess fat in the area. The area under the muscle is carefully opened to reach more fat that may be causing puffiness. Fat near the inner corner of the eyelid is removed for a smoother appearance.

Upon removal of the fat

After the fat is carefully removed, the area is thoroughly examined to ensure that the contours of the eyelid are smooth and symmetrical. This step is essential to create a balanced, natural-looking result that appears even on both eyes and enhances the overall appearance.

The incision is closed with sutures

The cut is closed with stitches that help the skin heal neatly. This final step completes the eyelid surgery and leaves a more refreshed, alert look.

Dr. Alex Kim, a skilled cosmetic surgeon based in Beverly Hills, specializes in eyelid surgery to help patients achieve a more refreshed and youthful appearance. Whether it’s addressing under-eye bags with lower blepharoplasty or correcting droopy upper lids, each procedure is performed with precision and care.

The steps outlined above ensure natural-looking results while minimizing scarring and downtime. If you’re considering eyelid surgery or simply have questions about the process, Dr. Kim’s knowledgeable staff of medical professionals is here to help. Contact the Beverly Hills office today to schedule a consultation or to learn more about your options.

]]>