Blepharoplasty is also referred to as an eye lift or eyelid surgery. Blepharoplasty can be performed on the upper or lower eyelids. An upper lift is a surgical procedure designed to correct the droopy, excess skin located at or near the natural crease of the upper eyelid. A lower blepharoplasty is intended to treat puffy, dark circles under the eyes as well as excess “crepe paper” lower wrinkles. Both an upper lift and a lower lift will treat puffiness, which is a common contributor to a tired looking appearance.
Fat compartments of the eyelids contributing to puffiness
What can I expect from an eye lift?
A lower blepharoplasty will dramatically improve puffiness and bags under the lower eyelids. An upper blepharoplasty will remove the hooded skin located near the upper lids, making you appear more rested and youthful. If you suffer from vision problems related to excess eyelid skin, an eye lift can improve this as well.
Markings for the skin generally removed in an upper blepharoplasty
Actual upper blepharoplasty patient
Simulated lower eye lift before and after
How do I know if I need lower blepharoplasty, upper blepharoplasty, brow lift or a combination of these?
A board certified plastic surgeon is specially trained to assess your unique facial structure in light of your desired outcomes. Based on a preoperative consultation that takes into account your muscle structure, bone structure, and the symmetry and position of your eyebrows, our surgeons will help you choose the right procedure(s) for you. Both droopiness of the eyebrow (addressed with a brow lift) and excess skin of the upper eyelid (addressed with an upper eyelid blepharoplasty) can contribute to an aged or tired appearance of the upper eyelids. Puffiness, dark circles, and excess skin of the lower eyelid can be addressed with a lower blepharoplasty.
Actual patient who underwent endoscopic brow lift, upper and lower blepharoplasty
What can I expect in terms of scarring?
In an upper eye lift, the incision is hidden within the natural fold of the upper eyelid.
Upper blepharoplasty closure site
In a lower eye lift, the incision can be made on the outside or inside of the eyelid. An external lower blepharoplasty incision is hidden just below the eyelashes and in a lateral smile crease of the lower lid. When there is no excess skin in the lower eyelids and excess fat or puffiness is the only significant problem, a technique called transconjunctival lower blepharoplasty can be performed. In this case, the incision is made on the inside of the eyelid and there is no external scar. Fine sutures are used to close any incision sites, helping to minimize scar visibility.
Lower blepharoplasty incisions
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