Blepharoplasty (Eyelid Surgery)
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Eyelid surgery has changed significantly in recent years. The traditional method involved excision of skin and fat from both the upper and lower eyelids. The problem is that excess skin and fat are not the only consequences of aging and, in many patients, they aren't the problem at all.
It is impossible to discuss blepharoplasty without considering the brow position so I encourage you to read the brow section. After all, when we see a person whose eyes appear attractive, it is probably the whole orbital region that looks attractive.
New concepts
It has become clear that one of the consequences of aging in the upper eyelid region is more than stretched skin; it is deflation. Fat is lost over time and the brow and upper eyelids, which were full in youth, become emptier. The brow that used to have more shape and projection, becomes flatter against the head. The result is apparent excess upper eyelid skin.
Dr. Thorne's upper eyelid technique
The procedure involves the traditional removal of skin and fat but is more conservative than in the past. In addition fat is frequently ADDED to the brow region to give it some shape and too take up some of the apparent excess skin. As mentioned above, the outer part of the brow is often elevated as well.
Dr. Thorne's lower eyelid technique
There is tremendous variability in the lower eyelid procedure. Some patients require removal of fat only. Other patients require removal of fat and skin. Some patients also require either the addition of fat or the redistribution of fat into the trough below the eyelid bags, at the junction of the lid and cheek. Finally, some patients require a resurfacing procedure to the eyelid skin to improve the texture and eliminate some of the fine wrinkles.
To see before and after images, please click Eyelids.
