The eyes are a central feature of the face and are the center of our emotional expressions. Their appearance has a profound impact on the way we are perceived. The excess skin and bulging which occurs, because of age and gravity, causes eyes, and by extension the rest of the face, to look tired and unpleasant.

A blepharoplasty includes procedures and techniques which remove excess skin, muscle, fat or any combination of the three to restore a more youthful appearance to the eyelids. It can also restore a more youthful position of the eyes as well.

A blepharoplasty can be performed on the upper eyelids, lower eyelids or both depending on the need. The right procedure or combination of procedures can only be determined by a careful examination done during the consultation.

Upper Blepharoplasty

An upper blepharoplasty is the procedure performed on the upper eyelids. Careful examination of beautiful young eyelids reveals that fullness and a smooth contour of the upper eyelid is the ideal. Older techniques remove excess tissue and violate this advanced principle.

Our approach is based on the modern techniques of blepharoplasty. Our goal is to remove excess skin and bulging, while carefully maintaining a smooth and full look to the upper eyelid. The result is natural looking and closer to the modern ideals of beautiful upper eyelids.

Lower Blepharoplasty

A lower blepharoplasty is the procedure performed on the lower eyelids. In most cases, the main problem is bulging of the fat of the lower eyelids which causes the appearance of “bags” to form.

The technique we use involves the careful and precise removal of this bulging fat from the lower eyelids. We do this through an incision which is done on the inner surface of the lower eyelid. In this way, no external incisions are used and no external scars are created on the skin. If excess skin is present, it is removed either directly with excision or it is improved using laser resurfacing. The exact technique depends on how much excess skin is present, as well as other factors.

A thorough examination and discussion of the procedure is done during the consultation.

Results

The patient below was unhappy with the appearance of her lower eyelids. She had what is commonly referred to as “bags under the eyes.” This creates a more aged and tired appearance to the whole face. We performed a “lower blepharoplasty” on this patient. The excess and weak tissues of the lower eyelid are removed. No external incisions are used. Thus, no scars are created. You can see in the “After” picture the profound improvement in the contour of the lower eyelid skin. This greatly rejuvenates the appearance of not only the eyes, but also the face.

The patient below complained about the appearance of her lower eyelids. Most people have what is commonly referred to as “bags” under the eyes, which is bulging of fat from the lower eyelid area. In this case shown here, however, the problem is not excess fat. The problem is inadequate volume. In order to restore a more youthful and aesthetically pleasing appearance to the lower eyelid, fat grafting was performed. This is a procedure in which fat is harvested from one area of the body, like the abdomen for example, and is prepared for reinjection. The fat cells are then injected into the lower eyelid area using small needles in order to restore volume. As you can see in the before and after pictures, the contour of the lower eyelid is much smoother and more full. This creates a more pleasing and rested appearance for the eyes and also for the entire face.