May 19, 2014
David Morrow MD Guest Sun Protection Expert on KMIR
Upper blepharoplasty involves the removal of excess skin from the upper eyelids. This procedure is always tailored to the individual patient in terms of how much skin and fat is excised.
The goal with both men and women is a natural appearance – not a surprised look. In male patients, ad additional goal is preventing feminization of the eyelids. Upper blepharoplasty may be covered by insurance if the excess skin is interfering with vision.
Lower Blepharoplasty (Lower Eyelid Surgery)
Lower blepharoplasty involves the removal of the bags under the eye. This fat is best accessed using a transconjunctival blepharoplasty. This involves making an incision on the back side of the lower lid (the side facing the eyeball). The fat is then conservatively excised or repositioned in order to produce a natural result, without creating a hollow appearance.
Eyebrow and Forehead Lift
Though many people believe fullness of the upper eye is caused by too much skin, often, the problem may be caused by fallen brows which push extra skin onto the upper lids.
When this is the case, excising skin from the upper lids is the wrong procedure. It doesn’t address the cause of the problem and may actually pull the brows lower. In addition, raising the brows after skin has been excised from the upper lids may lead to problems with eyelid closure.
When brows are too low, better results are achieved by elevating the upper face, forehead and brows to their proper position, then assessing whether there is extra skin on the upper eyelids.