Recent years have seen a shift in eyelid surgery philosophies. Today’s cosmetic surgery aesthetic is more natural and even, unlike the looks of the past.
Whether performed on the upper eyelid, lower eyelid or both, eyelid rejuvenation surgery requires your plastic surgeon to make many small, precise incisions to remove and/or reposition fat and tissue, then reposition the underlying facial muscle. Overlying skin is re-draped and excess skin is removed.
Typical incisions for an eyelift include inside the natural curve of the upper eyelid, inside the lower eyelid or just beneath the lash line. An alternative may be incisions in the upper eyelid crease. Scars will be hidden in the lash line or the crease of the lid, leaving them virtually undetectable once healed.
“In a broad sense, blepharoplasty is used to make the eyes look youthful. The key is to customize an operation that addresses what the patient wants to accomplish,” says Las Vegas plastic surgeon Mary Herte, MD. “The upper eyelid serves a function and it needs to be long enough to cover the eyeball when closed; the issue may be how that skin folds when the lid is open. If it lies like an accordion on the outside, you see bunching. If it stores like a garage door on the inside you don’t see it,” adds Dr. Mary Herte.
And, according to Boca Raton, FL, oculoplastic surgeon Steven Fagien, MD, “It’s not so much about removing soft tissue and creating a high eyelid fold; rather, it is more about restoring youthful volume and smooth contours that are essential to producing the most natural-looking result.”
Common problems that may require some type of cosmetic eyelid surgery are:
- Under-eye hollows
- Under-eye bags or puffiness
- Eyelid drooping or sagging
- Eyelid wrinkling
- Hooding of the upper eyelid
Types of cosmetic eyelid surgical solutions include:
- Lower eyelid surgery
- Upper eyelid surgery
- Double eyelid surgery
Nonsurgical laser and injectable (Botox, Dysport and hyaluronic acid fillers) solutions are widely available as well.