UPPER EYELID LIFT
What you should know about Upper Blepharoplasty or Upper Eyelid Lift
The goal of upper blepharoplasty is to reverse the aging changes, to improve the appearance and the functioning of the upper eyelids and make you look more youthful, healthier and less tired. After an Eyelid-lift, your eyelids should not only look younger but also function better, hence less dry eyes and blurry vision. Eyelid rejuvenation depends primarily on preserving and restoring the volume around the eyes in order to give your eyelids and brows the convexity characteristic of youth.
Dr DAN’s Technique: The excess skin is conservatively removed, the muscles are tightened and the fat is repositioned or transposed through an invisible incision placed in the upper eyelid crease. The sutures dissolve in less than 10 days. Whenever in excess, fat in the inside corner of the upper eyelid is sculpted or moved laterally (transposed) to fill in the central hollowness of the upper eyelid (the “A-frame deformity”). Fat transposition any the time of blepharoplasty has become the most common technique I use in both upper and lower eyelids because the majority of patients present with age-related volume loss around the eyes.
If the brows are droopy, a blepharoplasty would not fully fix the problem. My published research dating back to 2009 showed that brows will droop even more if a simple blepharoplasty surgery is performed, narrowing the space between the eyelashes and the brow hairs. In this instances, I perform a brow lift at the same time and usually through the same upper eyelid incision as the blepharoplasty. Whenever necessary, an endoscopic brow and forehead lift is performed using invisible incisions behind the hairline.
Fat transposition is a very effective way of restoring the lost volume in the central part of the upper eyelid if the medial fat pocket is in excess. Medial upper eyelid fat is frequently bulging due to a weakened orbital septum and orbicularis muscle. It can be moved laterally without damaging its blood supply and attached with deep sutures to the central fat pad. This gives the upper eyelid the central fulness and convexity that are typical for youth.
Length of surgery: 30 min to 1 hour
Anesthesia: local or light sedation
Hospitalization: ambulatory (day surgery)
Downtime: 1-2 weeks