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Blepharoplasty in Carmel, IN

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Refresh tired-looking eyes by addressing excess eyelid skin, heaviness, or under-eye puffiness while maintaining natural expression and facial harmony.

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Personalized Breast Implant Surgery with Dr. John Aker and Dr. Di Beckman—Breast Implants Designed Around Your Shape, Proportions, and Goals

Whether you want to restore fullness or enhance your proportions, breast augmentation can be tailored to your desired outcome and unique anatomy. At My Plastic Surgery Group, Dr. John Aker and Dr. Di Beckman provide personalized breast augmentation for patients in Carmel, Indianapolis, and throughout Central Indiana.

From implant selection to surgical technique, your procedure is carefully planned around you. Options include our Hidden Scar Breast Augmentation technique, which avoids an incision on the breast, as well as the inframammary fold approach.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that uses implants to increase breast volume. It can enhance small breasts, replace volume lost after pregnancy or weight changes, improve breast proportions, and improve symmetry.

Because every patient is different, your surgeon will consider your breast and chest measurements, existing tissue, skin, lifestyle, and cosmetic goals when developing your treatment plan.

Who Is a Candidate for Breast Augmentation?

Breast augmentation candidates must be in good general health, have fully developed breasts, and have realistic expectations for the procedure’s outcome. Since pregnancy and breastfeeding can affect breast size and shape, patients often choose to wait until their family is complete to undergo this surgery to avoid compromising their results and a potential need for a revision procedure. 

If breast sagging is a concern, implants alone may not provide the result you are looking for. In those cases, your surgeon may recommend a breast lift or discuss combining a lift with augmentation.

A consultation with one of our surgeons is the best way to find out if you are a candidate. In addition to learning about what you want to achieve, answering any questions you may have, and performing an examination, your surgeon will review your health history and medications to determine if breast augmentation is the right option for you.

Unique Approach

Why Choose MPSG for Your Blepharoplasty

“A blepharoplasty consultation is about much more than excess skin around the eyes. My goal is to understand what specifically bothers the patient and then carefully evaluate the upper and lower eyelids, brow position, skin quality, fat distribution, and the relationship of the eyelids to the surrounding facial structures. Many patients feel they look tired, heavy, or older than they feel, and the consultation allows us to determine the underlying causes of that appearance and whether surgery, or sometimes a combination of surgical and nonsurgical treatments, is the best solution. The objective is not to change how someone looks, but rather to restore a more refreshed, rested, and natural appearance while preserving the unique character of their eyes and face.”

- Dr. John Aker

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portrait of dr beckman

“An upper blepharoplasty removes excess skin in the upper eyelid that contributes to heaviness or hooding. I focus on achieving a natural result that helps patients look like a more rested version of themselves.”

- Dr. Di Beckman

“My goal in eyelid surgery is not to change your eyes—it is to reveal them. By combining careful anatomical analysis with a conservative, individualized approach, I aim to restore a rested, natural appearance while preserving the features that make each patient uniquely themselves.”

- Dr. Rosi-Schumacher

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Upper Blepharoplasty

What is upper eyelid surgery?

It removes excess skin, fat, and sometimes muscle from the upper eyelids to improve vision and appearance. An incision is made in the natural eyelid crease, and loose skin and fatty tissue is excised.

What are the benefits of eyelid surgery?

This surgery can create a more awake appearance and help to reveal the natural beauty of the eye. It will reduce and improve fine lines/wrinkles and crepey skin of the eyelid. Your eyes can appear brighter, refreshed, and more youthful. A smoother upper eyelid may make it easier to apply makeup. Removing excess skin from the upper eyelids may also help to expand your field of vision.

What is the recovery like?

Swelling and bruising may be present in the first several days following the procedure. Ice packs are recommended, however patients do not typically experience much discomfort after this procedure. Sutures may be removed in 3-5 days. You may return to work in one week and more strenuous activities can be resumed at 3 weeks.

Are results permanent?

Yes, though natural aging continues, the improvement lasts many years. Upper eyelid lift scars are concealed in the natural crease where they are not noticeable.

Who is a good candidate?

Patients with droopy eyelids, excess skin or folds of the eyelid, or bulging fat affecting vision or aesthetics.

How do you know if you need eyelid surgery or a brow lift?

Eyelid surgery removes excess skin that hangs over the eyelid, while a brow lift elevates the eyebrow and relieves the effect of a drooping forehead that may contribute to hooding of the eyes. If you only have loose skin over the eyelid, a blepharoplasty may be the right procedure for you. However, if you also have a heavy or sagging brow, you may benefit from the combination of brow lift and eyelid surgery.

Lower Blepharoplasty

What is lower blepharoplasty?

Surgery to remove or reposition fat and tighten the lower eyelid skin to reduce under-eye bags and contour irregularities. Depending on the patient’s needs, the incisions are either placed within the lower eyelid (transconjunctival incisions) or just below the eyelashes along the lower eyelid. Typically dissolvable sutures are used.

What is fat transposition or grafting?

Excess fat can be repositioned to fill hollows, or harvested fat is injected for smoother contour and volume restoration.

What is the recovery like?

Swelling and bruising peak at 3–5 days and improve over 1–2 weeks. Makeup can often be used to cover residual bruising.

Are results permanent?

Yes, though subtle changes can occur with aging. Fat grafting can settle slightly over several months.

Who is a good candidate?

Patients with under-eye bags and muscle/skin laxity of the lower eyelid who are looking to improve the contour of the midface for a natural and refreshed look.

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Combination Procedures

Brow Lift
Neck Lift
Brow Lift
Botox

Blepharoplasty Before & After Results

Browse blepharoplasty before-and-after photos showing improvements in upper-eyelid hooding, excess skin, lower-eyelid puffiness, and the overall appearance of tired or heavy eyes.

Patient A

Actual Patient | Carmel, IN

Patient B

Actual Patient | Carmel, IN

Patient C

Actual Patient | Carmel, IN

Questions & Answers with Dr. Aker

What does an upper eyelid surgery correct?

Upper blepharoplasty, also known as upper eyelid surgery, removes excess skin and tissue from the upper eyelids to create a more refreshed, youthful, and awake appearance. This procedure is commonly performed to improve heavy, drooping, or tired-looking eyes and can help restore a more open eyelid contour. In some patients, excess upper eyelid skin may also interfere with vision, making upper blepharoplasty both a cosmetic and functional procedure.

Is upper blepharoplasty performed under local anesthesia?

Yes. Upper blepharoplasty is commonly performed under local anesthesia in an office-based surgical setting. This allows patients to remain comfortable during the procedure while avoiding the need for general anesthesia in many cases. Because upper eyelid surgery is minimally invasive and typically well tolerated, most patients experience a smooth recovery with minimal downtime and can return home shortly after the procedure.

Will there be visible scars after upper eyelid surgery?

Upper blepharoplasty scars are typically very well concealed within the natural crease of the upper eyelid, making them difficult to see once fully healed. As healing progresses, the incision usually fades significantly and blends naturally with the eyelid contour. Careful surgical technique and proper post-operative care help support smooth healing and natural-looking upper blepharoplasty results.

How long is recovery after upper blepharoplasty?

Recovery after upper blepharoplasty is typically quick, with most patients returning to work, social activities, and normal daily routines within 5 to 7 days. Mild swelling and bruising are common during the first week but generally improve rapidly. Because upper eyelid surgery involves minimal downtime and a relatively smooth recovery process, it is a popular option for patients seeking a refreshed, more youthful appearance without an extended recovery period.

Will upper blepharoplasty make me look unnatural?

No. The goal of upper blepharoplasty is to create a natural, refreshed, and more youthful appearance without making you look overdone or dramatically different. Upper eyelid surgery is designed to enhance your existing features by reducing heaviness and restoring a more open, rested look. Most patients are told they appear more awake and refreshed after healing, rather than looking like they have had obvious cosmetic surgery.

Are upper blepharoplasty results permanent?

Upper blepharoplasty results are long-lasting, and many patients enjoy a more refreshed and youthful appearance for years after surgery. While upper eyelid surgery removes excess skin and improves eyelid contour permanently, the natural aging process will continue over time. Factors such as skin elasticity, genetics, and lifestyle habits can influence how long results last, but most patients continue to look more rested and rejuvenated long after recovery.

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The Specifics

Blepharoplasty Procedure Details

The Goal of Eyelid Surgery

Eyelid surgery, or blepharoplasty, is a cosmetic surgery procedure to remove excess skin and fat from the upper and/or lower eyelids. Blepharoplasty rejuvenates the appearance around the eyes. Aging causes descent of fatty tissue and commonly causes eyelids to droop and puffy bags to develop under the eyes.

Upper Eyelid Surgery

Droopy eyelids require upper eyelid surgery which involves making an incision within the natural crease of the upper eyelid, trimming away excess skin, repositioning fat deposits and tightening the muscles and remaining tissue. A common complaint from patients requesting information on eyelid surgery is that they feel like they look tired all the time, or they look in the mirror and see droopy eyelids. After eyelid surgery, you can expect a rejuvenated look. Most of the time, upper eyelid surgery can be done under local anesthetic in our office.

Lower Eyelid Surgery

Lower eyelid surgery is handled differently from upper eyelid surgery and usually needs to be done under general anesthesia. This cosmetic procedure is done by making an incision just below the lower lash line, or from inside the lower eyelid. Through these incisions, excess skin and fatty tissue can be removed from the lower eyelid.

Recovery and Results

Prior to each procedure, we want our patients to be in generally good health. Excessive dryness, history of glaucoma, or prior Lasik procedure may affect the safety or results of blepharoplasty surgery. These and many other topics will be discussed in a personal consultation with your plastic surgeon.

After eyelid surgery, you will probably only experience mild discomfort. Bruising will usually last about one week, possibly a little longer with lower eyelid surgery. There will be some swelling, and how long that swelling lasts depends on the individual. Ice packs, head elevation, avoiding strenuous activities and minimizing salt intake during the first week will help reduce the swelling. Sutures are removed within one week. Overall, recovery after eyelid surgery is reasonably simple.

The Cost of an Eyelid Lift

Upper blepharoplasty pricing typically ranges from $4,000–$4,500 depending on surgical complexity and individualized treatment planning. A consultation is required to provide a customized surgical quote.

Get Started with MPSG

Schedule Your Eyelid Surgery Consultation at Our Carmel, Indiana Location

Meet with the surgeons at My Plastic Surgery Group's Carmel office to discuss upper or lower blepharoplasty based on your eyelid anatomy and concerns. We welcome patients from Indianapolis, Westfield, Fishers, Zionsville, and throughout Central Indiana.

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Breast Augmentation FAQs

How much does breast augmentation cost in Indianapolis?

The price of breast enhancement in the Indianapolis area varies based on the specifics of the procedure. When determining total breast augmentation cost, we factor in the cost of the implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery. A detailed cost estimate will be provided during your consultation once your surgical plan has been created. 

Financing is available through Cherry, CareCredit, and PatientFi for qualified patients.

What is “rippling”?

It is common to feel a slight “crinkly” sensation along the breast fold where the implant comes closest to the surface. In very slender women, there may be visible wrinkling on the skin surface. It is more commonly observed with saline than with silicone gel implants and can occur in different areas of the breast.

Is over-the-muscle or under-the-muscle breast implant placement better?

The breast implant pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker prefers to place the implant behind the pectoral muscle to give the upper breast a more natural slope and graceful appearance.

Will breast augmentation improve sagging breasts?

While limited breast sagging is frequently corrected by breast augmentation, a breast lift may be required for greater degrees of drooping.

What are the most common complications after breast augmentation?

A common short-term issue is temporary changes in nipple sensation. A temporary tight sensation in the armpit may also occur when the endoscopic technique is performed.

Breast implants are not considered lifetime devices and may need to be replaced after 10 to 15 years. Regular follow-up with your surgeon can help monitor your implants and address any issues if they occur.

How do I choose the right breast implant size?

Choosing the right implant size depends on your body proportions and desired outcome. We guide you through the process to ensure a natural, balanced result.

What is the difference between silicone and saline implants?

Silicone implants are filled with a cohesive silicone gel, while saline implants are filled with sterile salt water. We help you select the option that best fits your goals and anatomy during your consultation.

Is it possible to combine breast augmentation with other procedures?

Absolutely. Breast augmentation surgery is frequently combined with tummy tuck surgery or breast lift surgery for a “mommy makeover” to address pregnancy-related changes in breast and body contours.

Do saline implants last longer than gel implants?

The failure rate over time is about the same.

Could I lose nipple sensation after my breast augmentation?

It is very unlikely to permanently lose sensation. It is common to have temporary increased or decreased sensation.

If I gain weight, will my implants look different?

This varies from woman to woman. Some women experience significant changes in breast size with weight fluctuations, while others notice very little change.

I’ve heard my implants might “settle”. What does that mean?

Shortly after surgery, the implants tend to “ride high” due to spasm of the muscle. Over the weeks following surgery, the muscle and breast tissue relax, allowing the implant to descend into a more natural position. This process is called “settling”.

How soon will I be able to return to work?

For less physical job requirements, patients can usually return to work after 3–5 days, while those with more physically demanding jobs may need 5–7 days.

Will my breast implants interfere with a mammogram?

Women with breast implants can continue to have routine mammograms. Because implants can make some breast tissue more difficult to see, additional views or special imaging techniques may be used to obtain a thorough examination. Be sure to let the mammography facility know that you have breast implants when scheduling your appointment so they can plan accordingly.

Will my scars be noticeable after my surgery?

If the endoscopic technique is used, there will be no scar on the breast at all. With the inframammary approach, there will be visible scars in the crease under the breast, though they fade significantly over time.

Can I breastfeed after I have breast augmentation surgery?

Many women are able to breastfeed after breast augmentation. However, it is not possible to predict with certainty how breastfeeding will be affected. Your surgeon can discuss this with you in more detail based on your procedure and future plans for pregnancy and breastfeeding.

Explore Breast Augmentation Options at Our Carmel,
IN Plastic Surgery Practice

If you are considering breast augmentation surgery in Indiana, contact MPSG to schedule a consultation with Dr. John Aker or Dr. Di Beckman at our Carmel office to discuss implant type, size, profile, placement, and incision options. We proudly serve patients from Indianapolis and throughout Central Indiana, including Westfield, Fishers, and Zionsville.