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by Advanced Facial Plastics Division
Eyelid surgery, also called blepharoplasty removes the excess skin, fat, and/or muscle from both upper and/or lower eyelids. Excess skin creates a heavy, tired look. The excess skin of the upper eyelid will sometimes rest on eyelashes making application of eye makeup difficult. The bulges or puffiness are caused by fat around the eyes pushing through a thin membrane of the orbit similar to a hernia in the abdomen. Both upper and lower eyelid blepharoplasty can help correct these problems and give you a more rejuvenated appearance.
Preoperative and Postoperative Considerations
Function
The eyelids are instrumental in protecting the cornea. Involuntary blinking helps to wipe a tear film across the cornea. Excess upper eyelid skin can impede peripheral vision. It is important for us to know if you have any problems with your eyes, such as dry eyes or vision problems.
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Where will the incisions be?
The incisions, and therefore the scars, are well concealed because the skin around the eye is very thin and heals well. The incision in the upper eyelid will go into the natural fold of the eyelid. Surgery in the lower eyelid to remove the "bags" or bulges can be performed without a skin incision at all. This incision is placed on the inside of the eyelid. This can be combined with resurfacing of the eyelid to improve wrinkling of the lower eyelid or placement of a filler to restore areas of hollowing or lost volume around the eyes. An incision in the lower eyelid skin may be necessary to remove excess skin or creepiness. Your AFP surgeon will show you the incision techniques during your consultation and advise which is best for your particular situation.
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