"Your eyes are the window to your souls." It is the most important noticeable feature of someone's face. The eyes and surrounding structures go through aging changes throughout life, worsened by sun exposure. The changes include loss of elasticity, skin stretching, sagging, fat redistribution, and pigmentation changes. There can be puffy or excess skin in the upper eyelids, causing the upper eyelid platform (where makeup is placed) to get covered and also giving older and tired appearance. Upper eyelid blepharoplasty involves removing excess loose skin (and sometimes fat) from the upper eyelids, giving the eyes more youthful appearance with more visible eyelid platform. Upper blepharoplasty may be combined with upper eyelid ptosis surgery and brow lifting as each can contribute to "heavy" "droopy" upper eyelid area.
If the sagging upper eyelid skin obstructs peripheral vision, blepharoplasty can eliminate the obstruction and expand the visual field.
Upper Blepharoplasty Technique
Excess loose upper eyelid skin is excised through a hidden incision in the natural upper eyelid crease line. Care is taken to preserve existing fat in the upper eyelids (except the medial section) as fullness to the upper eyelids is more youthful. In fact, this procedure is sometimes combined with fat or filler injection into the upper eyelid/brow area for those with hollow upper eyelid area. If the upper eyeliid is droopy (ptosis), the muscle that raises the upper lid can also be tightened (ptosis surgery). Upper blepharoplasty is also often combined with lower aesthetic blepharoplasty (“Quad-blepharoplasty”), brow lifting, and other eyelid or facial procedures.
Please click on this link for an article published by Dr. Taban on Upper Blepharoplasty techniques.
Am I A Good Candidate For Blepharoplasty?
You might be a great candidate for blepharoplasty in Beverly Hills if you have any of the following:
- If you have excessive, sagging or wrinkled upper eyelid skin.
- If you have excess upper eyelid skin that interferes with vision.
- If you have lost your natural upper eyelid crease
- If you have puffy pouches of fat in the upper eyelids that create a tired or aged appearance.
- A more youthful and rested appearance of the eyes.
- Widening of visual fields if excessive upper eyelid skin has partially blocked vision.
- The operation is done on an outpatient basis under local anesthesia alone or conscious sedation.
- The incisions are made where the natural crease should be in the upper eyelids. Excess skin (with or without fat) are removed.
Recuperation and Healing
Most people feel great and are back to their normal daily routines in no time. Typically, the general recovery process is as follows:
- All sutures are usually removed within 7 days.
- Initial discomfort is usually mild and controlled with oral medication.
- Bruising and swelling usually disappear within in 7-10 days.
- Eye makeup may be used following suture removal and healing of the incisions.
- Contact lenses can be worn when comfortable and sutures have been removed (usually after 7-10 days).
Who Should Perform Upper Blepharoplasty?
An oculoplastic surgeon, who is a member of American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), is someone who is a board certified ophthalmologist who has completed additional 2-year fellowship training in cosmetic and reconstructive plastic surgery of the eyelids, orbits (eye socket), lacrimal system( tearing system) and surrounding structures. Dr. Taban is triple board certified by American Board of Cosmetic Surgery (ABCS), American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), and American Academy of Ophthalmology (AAO). Dr. Taban is an oculoplastic surgeon in Beverly Hills and Santa Barbara with expertise in upper and lower blepharoplasty.
Next, learn about a lower blepharoplasty.