Quad Blepharoplasty

Combined Eyelid Rejuvenation by Oculoplastic Surgeon Dr. Maria D. Garcia

Aging around the eyes can affect both the upper and lower eyelids, compounding the effects on your appearance. From hooding and puffiness to under-eye bags, these changes can create a tired, heavy, or less refreshed appearance.Quad blepharoplasty optimizes patient rejuvenation by combining upper and lower eyelid surgery into a single procedure. In one surgical session, Dr. Maria D. Garcia addresses concerns like excess skin, protruding fat, and contour irregularities of both the upper and lower lids.
As a board-certified ophthalmologist and fellowship-trained oculofacial plastic surgeon, Dr. Maria D. Garcia provides fully personalized quad blepharoplasty in Boca Raton, FL, adapting every procedure to the patient’s anatomy and goals.

Quad Blepharoplasty: At a Glance

  • Procedure Duration: 2–3 hours (average)
  • Setting: Outpatient procedure
  • Anesthesia: Local (w/ or w/o sedation), general anesthesia (less common)
  • Return to Desk Work: Average of 10–14 days

What Is Quad Blepharoplasty?

Quad blepharoplasty is a combination procedure in which patients have upper and lower blepharoplasty on both pairs of eyelids in one session. Its greatest advantage lies in its ability to rejuvenate the eye area as a whole. With meticulous planning by an expert surgeon, the upper and lower eyelids can be treated in harmony, creating refined, balanced results that complement one another beautifully.Key targets for quad blepharoplasty can include:
  • Upper eyelid hooding
  • Loose or crepey upper lid skin
  • Puffy upper eyelids
  • Under-eye bags
  • Lower eyelid laxity or excess skin
  • A tired or aged appearance around the eyes
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Why Do Patients Choose Quad Blepharoplasty?

  • Comprehensive Restoration: If aging affects both your upper and lower eyelids, addressing both is the best way to restore a youthful expression.
  • Unified Results: Having both procedures at once with a single oculofacial surgeon promotes better balance between your results.
  • One Recovery Period: Splitting procedures into two visits would require two separate periods of downtime, causing more interference with your daily routine.
  • More Natural Results: By addressing the full spectrum of eyelid aging at once, the results often appear more natural, balanced, and harmonious.

The Consultation Process at The Oculofacial Studio

Dr. Garcia performs a detailed, one-on-one eyelid evaluation with each patient to understand their concerns and identify the most appropriate treatment approach. Your consultation may include:
  • Upper and lower eyelid skin assessment
  • An opportunity to ask any questions
  • View before-and-after photos similar to your case
  • Evaluation of eyelid fat prolapse and puffiness
  • Eye shape, eyelid position, and symmetry analysis
  • Skin quality and elasticity assessment
  • Photography and surgical planning discussion

The Procedure

Surgery Day

We recommend that patients arrive 60 minutes prior to surgery. During this hour, you can check in and complete the preoperative preparation. Dr. Garcia will review your surgical plan and confirm all details before moving forward. Before beginning surgery, Dr. Garcia administers anesthesia to ensure a comfortable experience. With you fully ready, she then carefully proceeds through each surgical step according to your plan. Surgery time varies depending on complexity, though most quad blepharoplasty procedures take between 2 and 3 hours.

What Is the Recovery Process Like, and When Can I See Results?

Week 1

Swelling, bruising, tightness, and temporary dryness are common for the first week after surgery. Swelling peaks in the first few days, but you can help manage it with gently applied cold compresses. Over-the-counter pain medication is typically enough to manage discomfort. Most patients should plan for downtime away from work, exercise, and social events during this stage.

Weeks 2–3

Bruising and swelling improve significantly. Most patients can safely return to desk work and light activities after about 10 to 14 days, with initial results already becoming visible Continue to avoid strenuous activity until Dr. Garcia advises otherwise. By this stage, swelling has typically improved enough for most patients to feel more comfortable in social settings.

Beyond

Residual swelling continues to improve over the following weeks, fully resolving in around 2 to 3 months. As it fades, the eyelids settle and your final results become increasingly apparent.
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Why Choose The Oculofacial Studio for Quad Blepharoplasty?

Patients choose Dr. Garcia for quad blepharoplasty because of:

  • Her expertise as a fellowship-trained oculofacial plastic surgeon
  • Her exclusive specialization in eyelid and periocular anatomy
  • Her focus on natural-looking eyelid rejuvenation
  • Full customization of each surgical plan
  • Her advanced techniques designed to minimize visible scarring

Quad Blepharoplasty Before & Afters

Quad Blepharoplasty FAQs

What should I do prior to quad blepharoplasty surgery?

Preparing for quad blepharoplasty involves a few simple (but important steps). Dr. Garcia will give you a full personalized list after the consultation, with typical steps including:

  • Pausing blood-thinning medications and supplements
  • Avoiding smoking, vaping, and nicotine for at least 2 weeks before surgery
  • Arranging for someone to drive you home and help the first night
  • Preparing cold compresses, artificial tears, and recovery supplies at home
  • Avoiding wearing makeup, lotions, or contact lenses on surgery day
  • Arranging for about 10–14 days of downtime from work and social activities
Typical side effects can include swelling, bruising, and dryness. The risk of complications can be mitigated by choosing an experienced oculoplastic surgeon like Dr. Garcia. Following all aftercare instructions also plays a central role in a smooth recovery.

The procedure itself should not be painful because anesthesia is used. After surgery, however, most patients report mild discomfort rather than significant pain. Common patient reports detail discomfort as:

  • Usually staying around a 3–5 on a 10-point scale
  • Lasting about 2-3 days before improving
  • Easily managing pain with prescribed or over-the-counter medications

Yes. Though already a combination procedure, patients can add additional options for further rejuvenation. Common options include:

  • Brow lift
  • Midface lift
  • Laser resurfacing
  • Ptosis repair
Dr. Garcia places incisions in the natural eyelid creases and other concealed areas whenever possible. While all incisions heal with some degree of scarring, careful placement and meticulous technique help keep scars discreet. Proper healing and aftercare further help scars fade over time.

Quad blepharoplasty results are long-lasting, though the face will continue to age naturally over time.

  • Upper eyelid results often last 5–7+ years
  • Lower eyelid results commonly last 10+ years
  • Longevity depends on factors such as skin quality, lifestyle, and the natural aging process.

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Maria D. Garcia, M.D.

If you are considering eyelid surgery, a personalized consultation with Dr. Garcia is the first step in determining the best approach for your desired results.

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