During an evaluation of upper eyelid surgery, The amount and location of excess skin is evaluated. In addition, the position of the brow and bulging fat in the compartment nearest the eye needs to be carefully assessed. If your eyebrow is droopy, a browlift at the same time as upper eyelid surgery may be beneficial. Sometimes a browpexy can be done to slightly raise the outside portion of the brow through the same incision used for an upper eyelid surgery. If bulging fat is noticed, then the surgical plan will include removing pockets of fat to ensure a more restored look.
Surgery around the eyes can be broken down into upper lid and lower lid procedures named blepharoplasty. Upper lid surgery is recommended for patients with too much skin on the upper eyelid. In extreme cases, the skin can hang down and rest on the eyelashes when you eye is open. These conditions worsen with age, sun exposure and even have genetic factors. Lower eyelid surgery is recommended for patients with excess skin in the lower eyelid leading to wrinkles and bags under the eye which are a result of fat bulging past a weakened fascia that normally holds the fat in the proper position.
