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Upper lid Blepharoplasty


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The upper lid bleparoplasty procedure involves excising the excess skin, fat and muscle that causes fullness and heaviness of the upper lid. An incision is made in the lid crease and the excess tissue excised. The scar is concealed in the natural crease line and therefore barely noticeable.

I often combine a brow lift with an upper blepharoplasty. A brow lift will raise the brows into a more youthful position while at the same time opening the lid folds. Brow ptosis (sagging) is usually the first sign of aging and sometimes a brow lift is performed instead of a blepharoplasty. I will be happy to discuss your options during your consultation. An upper lid blepharoplasty can be performed under local anesthetic, whereas a brow lift will require sedation.

Lower lid Blepharoplasty

There are many techniques available to correct problems related to the lower lids. These include:

  1. Laser peeling to correct fine lines.
  2. Fat injections to correct tear trough deformities (hollowness of the lower lids).
  3. Fat pad excision either :
    • Trans conjunctival (from the inside of the lid)
    • Through an incision below the eye lashes where the scar is hidden in the natural crease
  4. Excision of excess skin through an incision at the lash line.
  5. Elevation of the cheeks – By elevating the tissues below the lid, less tension is placed on the lid resulting in a more youthful appearance. An incision is made in the temporal hair line. A special device known as the endotine is then tunneled through the skin and anchored to the cheek tissue.