BLEPHAROPLASTY – UPPER & LOWER EYELID SURGERY

A 64 year-old plastic surgery Ft. Lauderdale patient was concerned about appearance of her eyes. She complained about droopy upper eyelids that partially occluded her side vision. She was also concerned about appearance of her puffed lower eyelids with deep groove that give impression that she is tired and said (left).

After evaluation and patient education about underlying condition (very frequently seen in this age group of professional women) we decided to do upper and lower eyelid surgery (upper and lower blepharoplasty). Removal of redundant skin, fat tissue and, in her case, a small portion of muscle is integral part of this procedure. A traditional skin/muscle flap technique was used to remove fat tissue (puffiness, bags) underneath the lover eyelid and eliminate the groove (tear trough, nasolabial groove) between the cheek and lower eyelid. A small amount of skin and muscle was removed as well. A scar is hidden bellow the eyelashes and barely visible.

Before  upper and lower eyelid surgery (up center); a 4 months after upper and lower blepharoplasty  (low left) and  5 years after upper and lower eyelid surgery (blepharoplasty) low right. One can appreciate longevity of the eyelid procedure. On her 5 years after surgery image (lower right) patient demonstrates sign of “aging of lower blepharoplasty” with loss of tone and support of lower eyelid mostly visible in outside corners of the eye. She would benefit of tightening of the lower eyelids by means of canthopexy. Patient also had a face and neck lift (facial rejuvenation) and fat grafts for volume replacement performed in the same time.

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