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Upper Eyelid Surgery

*May be done under local anesthesia*

Upper eyelid surgery eliminates loose, baggy skin above the eye. The causes for sagging upper lids are: (1) excessive, redundant tissue (2) eyebrow droop (ptosis), and (3) a weakened connection between the skin and the levator muscle (the muscle that opens the eye.)

If excessive skin is the problem, then an upper lid blepharoplasty (lift) is performed. An incision is made in the fold on the eyelid and redundant skin is removed.

If excessive skin is caused from brow ptosis, then a Browlift should be performed (see Browlift.) In some people, both a Browlift and an upper lid blepharoplasty may be performed together for maximum results. It is a mistake for doctors to try to correct brow ptosis by excising ever- increasing amounts of eyelid skin. This overcompensation results in the patient’s inability to close the eyes, causes dry eye syndrome, lid deformity, and indistinct upper eyelid folds, and actually pulls the eyebrows down.

Upper Eyelid – Anchor Blepharoplasty

If the upper lid fold is indistinct with weakening of the muscle, then an anchor blepharoplasty is performed. An incision is made in the eyelid fold. The skin is “anchored” to the muscles resulting in a neat, crisp eyelid fold. This is also the technique used for Asian eyes.

Lower Eyelid Surgery

Lower eyelid surgery eliminates loose, baggy skin and fat from under the eyes. An excision is made directly below the lash line and a wedge of skin and fat are removed. If the skin and muscle are loose, then a deep stitch is placed in the soft tissue under the skin in the corner of the eye to support the lid while it heals. This suture prevents the lid skin from pulling down exposing the white area (sclera) below the iris. This is called a soft tissue canthopexy.