Eyelid Surgery

Eyelid Surgery (Blepharoplasty)

What is Eyelid Surgery or Blepharoplasty?

Blepharoplasty (Eyelid Surgery) is plastic surgery to aesthetically modify the eyelids and the area around the eyes. The procedure is also used to correct defects and disfigurations of the eyelids.

The eyelids are a dynamic structure. There are a myriad of considerations when deciding on a treatment plan for eyelid rejuvenation.

Do you actually need eyelid surgery?

Unfortunately, many patients don’t realize when they ask for “eyelid surgery” that the eyes don’t exist in a vacuum. A surgeon can’t evaluate the upper eyelids without considering the position and shape of the brows. They are intrinsically linked and without a comprehensive look at these two structures, inferior results are common. This is why sometimes eyelid surgery is done in conjunction with a brow or forehead lift and/or the fat transfer technique.

Traditional eyelid surgery is focused on removing “excess” skin and “excess” fat. As our knowledge and experience has increased, we realize that in general the fat in our face atrophies as we age, and that we often do not have as much excess skin as we might think we have.

Therefore, volume restoration using fat transfer and other techniques has altered the way we approach eyelid surgery. Restoring volume first and re-positioning the brows into their proper position allows us to more accurately assess the upper eyelids and often we find that less aggressive procedures are needed to give an improved result.

The lower eyelid is no different than the upper. As the cheek descends and loses volume the lower eyelid shows a worn and tired look. Without restoring the cheek and face to its youthful position, removing skin from the lower eyelid improves but does not completely restore its natural contour and shape.

We used to remove fat from the lower eyelids, however, in modern rejuvenation surgery, we do not remove fat, but redistribute the fat so we don’t hollow the orbit. Now we maintain or even add volume to the orbit and surrounding areas in order to restore natural and youthful features.

Double eyelid surgery (Asian Blepharoplasty).

Double eyelid surgery, otherwise known as “Asian blepharoplasty” is a popular surgical procedure in San Francisco and the Bay Area.

The surgical technique for double eyelid surgery requires a unique appreciation for the aesthetic beauty of the Asian face, so that the results seem natural and are in harmony with other facial features.

The surgical procedure involves creating a lid fold to enlarge and ‘open up’ the eyes. Depending on your particular eyelid features, the procedure may also involve small incisions, suturing and fat removal or fat transfer techniques.