BLEPHAROPLASTY – EYELID SURGERY CASE #79

A 56-year-old Fort Lauderdale  cosmetic surgery patient came to our office for consultation regarding  appearance of her eyes. She looks tired and worriead at all times. She claims that she always had “a bulgy looking eyes” but her condition started to deteriorate in her early forties.

Our clinical evaluation demonstrated weak cheek bones (malar hypoplasia), heavy bags underneath lower eyelids  with deep “tear trough” groove separating cheeks from lower eyelids. She also had moderated skin redundancy and hooding of upper eyelids (left).

We decided to perform lower and upper eyelid surgery in local anesthesia wild mild oral sedation (for pain and anxiety). Lower blepharoplasty was done in part through incision inside the eyelid which allow for partial removal of fat and  release of the muscle from the bone to correct deep cheek-eyelid groove.  In the same time we moved fat tissue over the cheek bone and underneath the tear trough groove to eliminate the bulge and flatten the groove. A minimal  amount of skin was removed from lower eyelid. Upper eyelids skin was removed very conservatively to avoid overcorrection which is very noticeable in patient with protruding eyes (right).

Before upper and lower blepharoplasty (left): 1 year after upper and lower eyelid surgery and canthopexy (lower eyelid tightening) (right). This patient would benefit from cheek bone augmentation either with cheek implants or a series of peri-orbital fat grafts to achieve more balance in midface and peri-orbital area. However, patient seems to be quite satisfied with a current result.

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