A blepharoplasty is a surgical procedure on the eyelids that is performed to improve the appearance and function of the eyelids. It is generally done on both sides in the same operation, and it can be performed on both upper and lower eyelids.
Upper eyelid blepharoplasty typically involves making an incision in the upper eyelid crease in order to remove sagging redundant skin folds and bulging fat pads. This creates a younger appearing eyelid and can also improve the function of the eyelid. The resulting scar is almost entirely located in the natural eyelid crease, making it invisible when the eyes are open.
Lower eyelid blepharoplasty is performed to improve the appearance of the eyelids and is considered a cosmetic procedure. The procedure is usually individualized to address those changes in the eyelid that a patient has grown unhappy with during the aging process. This can involve a combination of eyelid tightening, skin removal and fat removal. Fine wrinkles can also be addressed with laser skin resurfacing. Care is taken to place all incisions as inconspicuously as possible to minimize the appearance of scarring and allow an optimal aesthetic result.
Asian eyelids pose a unique challenge due to the differences in their anatomy. Great care is taken and special techniques are employed during blepharoplasty surgery to accomplish the same goals as with the Western eyelid while preserving the ethnicity and uniqueness of the Asian eyelid.