Surgery to remove excess skin and sometimes fat from the upper or lower eyelids.
Upper Lid Surgery
Upper lid surgery works best on people who have excess skin hanging down toward or on the upper eyelashes. For women with this excess skin, eye makeup may be less visible as the excess skin is lost in the multiple creases of the lid. The upper lid blepharoplasty is performed by creating an incision in the natural eyelid crease. If there is excess fullness caused by too much fat, it can be removed from the same incision. The result is a crisp, young-looking upper lid. For men, the procedure can be done very conservatively, so that surgery is not evident.
Lower Lid Surgery
The lower lid can have excess skin, fat, or both. The two most common complaints are deep creases under the eyes or dark circles, usually accompanied by an overly full lower lid fat. The second most common complaint is thin excess skin under the lash line that is especially evident when you smile.
Upper Lid Surgery
Upper lid surgery works best on people who have excess skin hanging down toward or on the upper eyelashes. For women with this excess skin, eye makeup may be less visible as the excess skin is lost in the multiple creases of the lid. The upper lid blepharoplasty is performed by creating an incision in the natural eyelid crease. If there is excess fullness caused by too much fat, it can be removed from the same incision. The result is a crisp, young-looking upper lid. For men, the procedure can be done very conservatively, so that surgery is not evident.
Lower Lid Surgery
The lower lid can have excess skin, fat, or both. The two most common complaints are deep creases under the eyes or dark circles, usually accompanied by an overly full lower lid fat. The second most common complaint is thin excess skin under the lash line that is especially evident when you smile.
Actual patient images are shown below. Click to enlarge.
Deep creases under the eyes or dark circles are usually caused by a groove between the fat of the lower lid and the fat of the cheek. Although this may be present for years, it usually worsens with age as the fat around the eye bulges slightly and the cheek fat starts to sag, exposing more of the bone under the eye (the infraorbital rim). In this case, excess fat is repositioned through an invisible incision inside the eye (transconjuctival approach). The fat bulge is simply moved into the valley of the crease, removing the dark groove and the overly full lower lid fat at the same time.
Excess skin can be removed with a tiny incision just under the eyelashes, called a "pinch blepharoplasty." This can be performed at the same time as the fat removal/repositioning, if necessary.
contact us | back to top
