Further advice for Eyelid Surgery

Procedure:  In the upper lid blepharoplasty a modified elliptical skin is excised followed by excision of a few millimeters of hypertrophied muscle.  The orbital fat is excised and contoured.  The final scar will be placed along the supratarsal fold by means of fine sutures.

The lower lid blepharoplasty is carried out either via an incision just below the eyelashes or inside the lower lid.  The latter is suitable for younger patients who do not need removal of excess skin.  The aim here is to recontour the fat as opposed to fat excision and to give a nice convex appearance.  Excising fat used to be the technique of choice in the past but would give a sunken appearance years later.  We therefore perform the latest septal reset procedure.  Incision below the eyelash is followed by skin flap being raised and the fat component identified after repositioning to correct the contour deformity, excess skin is removed and repaired with fine sutures. 

 Sometimes we combine laser resurfacing with blepharoplasty to improve the quality of the skin as well to provide some skin tightening.