How is eyelid surgery performed?

Upper blepharoplasty utilizes an incision in the upper eyelid crease to remove excess skin, and at times fat, to refresh the appearance of the eyelids. Lower eyelid blepharoplasty can be performed through a skin incision below the lower lid eyelashes (subciliary) or through an incision from the inside of the eyelid (transconjunctival) that is not visible. Often fat is removed or relocated to address outpouchings of fat and address any hollow depressions. Skin may or may not be removed.

Asian blepharoplasty or double-eyelid surgery is a procedure used to create a mobile upper eyelid crease. It is used to create a classically more “Caucasian” appearance. It is done through the same incision as a standard upper blepharoplasty. There are many variations of lower eyelid surgery, including incorporation of chemical peel resurfacing and fat grafting. Regardless of the technique, as the incisions hide within natural creases, they become essentially imperceptible over time.