Upper Eyelid (Blepharoplasty)
One of the most frequently performed surgical procedures, upper eyelid blepharoplasty is used to remove the fat deposits, loose skin and hence drooping that may form around the upper eyelids with age. Heredity and sun damage can accelerate these changes. Younger people also elect to have this procedure done to eliminate puffiness of the eyes from congenital excess fatty tissue.
Upper lid blepharoplasty can improve two common problem areas:
1. Excess skin on the upper eyelid itself, often called “hooding of the upper lid, and
2. Puffiness in the inner corner and middle of the upper eyelid caused by herniation (pushing forward) of fat.
Upper eyelid blepharoplasty can make a remarkable difference in the appearance of the face, alleviating the appearance of tiredness and age. The eyes appear fresher and more youthful, and these results may last for many years. The degree of improvement varies from patient to patient.
The upper eyelid incision is made in the natural skin fold. Excess skin and fatty tissue is removed, the muscles and orbital septum (a thin connective tissue membrane) may be tightened, and the incisions are carefully closed. The external incisions are hidden within the natural fold of the upper eyelids. Much of the operation is done with very fine electrocautery, which controls any bleeding. The skin is then closed with very fine sutures.