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4-Lid Blepharoplasty

Blepharoplasty is one of the most common eye surgeries being performed today. Also known as the eyelid lift, blepharoplasty is used to increase peripheral vision, remove sagging excess skin, and present a more youthful appearance. The 4-lid blepharoplasty refers to the procedure being performed on all four eyelids, both of the upper and lower. In terms of plastic surgery in Miami, Florida﹘one of the nation’s biggest hotspots for cosmetic surgeries﹘the 4-lid blepharoplasty represents one of the bedrock procedures for an office like Dr. Myron Tanenbaum’s.

Different Procedures

The 4-lid blepharoplasty is significant not only for being a comprehensive procedure on both eyes but because the blepharoplasty on the upper eyelid is inherently different from that performed on the lower lid. Below is detailed the purpose of each surgery, as well as how the procedure is typically performed. Naturally, Dr. Tanenbaum will be able to properly identify the best ways to carry out the lift during your preoperative consultations.

Upper Lid

The upper lid blepharoplasty is the most vital of the two procedures in terms of its positive effect on one’s eyesight and is most commonly performed on aging patients experiencing wrinkled skin. When the upper lid grows too baggy, the skin tends to hang down over the eyelid, inhibiting the field of vision. Lifting the skin involves making an incision in the crease of the eyelid and removing the excess skin. The cosmetic surgeon then shapes the eyelid to give it a more natural appearance and ensures that the patient’s eyes have complete freedom from the boxed-in, cushioned look that the baggy eyelids were causing.

Lower Lid

The lower lid blepharoplasty is performed primarily to remove the bags and wrinkles that can appear under the eyes, regardless of age. As such, the lower lid procedure has seen a significant uptick in requests from young people who want to bypass such physical features that traditionally conflict with their age. In Miami, this plastic surgery has normally been performed in one of two ways:

  • The transconjunctival method: This type of blepharoplasty focuses purely on removing the bags under the eyes by making a small incision on the inside of the eyelid. This hides scarring from the surgery and generally heals much faster than other methods. Once the incision is made, fat is removed from the bottom of the eye and the bags disappear.

  • The transcutaneous method: Working on the opposite side of the eyelid, this method makes an incision on the outside of the eyelid and is used to not only treat bagginess under the eyes but also sagging and excess skin. Traditionally this method is favored by older patients, while younger ones with naturally baggy eyes tend to prefer the previous approach. 


The 4-lid blepharoplasty is one of the most oft-performed cosmetic surgeries performed by Dr. Myron Tanenbaum, who has performed thousands in the course of her 40-plus years in the business. If you are looking for an experienced hand to carry out your plastic surgery in Miami, Florida, simply contact our office for a consultation. You will surely be pleased with the results.