Eyelid Surgery or Blepharoplasty (See also
Facelift and
Browlift)
Aesthetic eyelid surgery, or blepharoplasty, offers a
variety of procedures to create younger, more alert looking
eyes. It can soften conditions that give an individual a tired
appearance, such as wrinkled folds of skin on upper eyelids,
bags under the eyes and sagging eyebrows. Often the expression
looks happier.
In younger individuals, blepharoplasty usually is performed
to remove fatty tissue only. These incisions can be placed
inside the lower eyelid with no external or visible scar. In
older patients, loss of skin tone will require excision
of redundant skin and often tightening of the muscle. In many
instances, blepharoplasty is accompanied by a browlift. All
of these changes can be addressed during a single operation.
The planning of the procedure is determined by the changes
desired and the individual starting anatomy.
In both the upper and lower eyelids, underlying
compartments of fat may be removed. Incisions in the upper
and lower eyelids are made following natural lines and
creases, and may extend into adjacent fine lines, ("crows
feet"), at the eye's outer edge. Working through the
incisions, the skin and muscle are separated from underlying
fatty tissue. Excessive fat and skin are removed and if
indicated, the underlying orbicularis muscle may be tightened.
Current trends involve much more conservative fat removal
since muscle tightening often reduces the bags and avoids
hollowing of the lower eyelid.
The number and type of sutures used to close the incisions
vary. With normal healing, the tiny scar will fade and become
barely visible.
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